Your Vision Test Results: What Do They Really Mean? - Ophthalmology

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Vision examination


Hello, Doctor.
I would like to ask you about my recent eye examination.
Two days ago, I had a vision test as part of a work-related health check, which has a limit of no more than -6.00 diopters and -0.80 for astigmatism.
A friend took a side photo of the measurement device, and I saw the displayed numbers: S -6.87 and C -2.75.
What is my degree of myopia? Currently, I have glasses with a prescription of -4.75 diopters; do I need to get new glasses? When measuring the visual acuity, I actually couldn't see many of the gaps...
My friend said I made a lot of mistakes...
However, on my health check report, the optometrist wrote left eye 600 degrees and right eye 600 degrees, and I don't know what that means, but both are listed as -0.80.
Is this my correct measurement result, or did the optometrist adjust it to help me pass the exam? I am quite confused about whether there was a mistake and feel awkward asking the optometrist directly, so I am seeking your help.
Thank you!

Niming, 20~29 year old female. Ask Date: 2017/07/07

Dr. Cai Wenyuan reply Ophthalmology


Hello, S -6.87 C -2.75, what is my degree of myopia? My current glasses are for -4.75 diopters; do I need to get new glasses? This indicates a myopia of -6.87 diopters.
It seems necessary.
The measurement is written as -0.8...
is this my correct measurement, or did the optometrist adjust it to the passing threshold? The -0.8 could represent the corrected vision.
It's possible.
Wishing you peace and health.
Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare, Dr.
Tsai Wen-Yuan.

Reply Date: 2017/07/07

More Info


Understanding your vision test results can indeed be confusing, especially with the various terms and numbers involved. Let's break down the components of your vision test results and what they mean for your eyesight.

1. Understanding the Measurements:
- Sph (Sphere): This number indicates the degree of nearsightedness (myopia) or farsightedness (hyperopia). A negative value (e.g., -6.87) indicates myopia. The larger the absolute value of the number, the stronger the prescription needed to correct your vision.

- Cyl (Cylinder): This number indicates the degree of astigmatism, which is caused by an irregular shape of the cornea or lens. A negative value (e.g., -2.75) indicates the presence of astigmatism.

- Axis: This number (not provided in your results) indicates the orientation of the astigmatism in degrees.

2. Your Current Prescription:
- From your results, you have a sphere measurement of -6.87 and a cylinder measurement of -2.75. This means you have significant myopia and astigmatism. The total refractive error can be calculated using these values, but for practical purposes, your prescription indicates that you will need corrective lenses that address both myopia and astigmatism.

3. Current Eyeglasses:
- You mentioned that your current glasses are prescribed at -4.75. Given that your recent test shows a prescription of -6.87 for myopia, it is likely that your current glasses are not strong enough to correct your vision adequately. It would be advisable to consider getting new glasses with the updated prescription.

4. The 600 Degree Limit:
- The mention of "600 degrees" on your test results likely refers to the maximum limit for your workplace's vision requirements. It seems that the vision technician may have adjusted your results to meet this requirement, especially if your actual prescription is higher than this limit. The notation of -0.8 could refer to a visual acuity measurement, which is a different aspect of vision testing.

5. Visual Acuity:
- Visual acuity is often measured in fractions (e.g., 20/20 vision is considered normal). If your test results indicate a visual acuity of -0.8, this could suggest that your vision is below the standard threshold, which aligns with your reported difficulty in seeing certain measurements during the test.

6. Next Steps:
- Given your concerns and the discrepancies in your results, it would be wise to schedule a follow-up appointment with an eye care professional. They can provide a comprehensive eye exam, confirm your current prescription, and discuss whether you need new glasses. Additionally, they can address any concerns you have about your vision and the implications of your test results.

7. Importance of Accurate Prescription:
- Wearing glasses that do not match your current prescription can lead to eye strain, headaches, and further deterioration of your vision. Therefore, ensuring that you have the correct prescription is crucial for your overall eye health and comfort.

In summary, your recent vision test indicates that you have significant myopia and astigmatism, and your current glasses may not be sufficient for your needs. It is advisable to seek a follow-up examination to clarify your prescription and ensure that you have the appropriate corrective lenses. Don't hesitate to ask your eye care provider any questions you may have during your visit; they are there to help you understand your vision health better.

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