Switching Between Old and New Glasses: Impact on Vision Health - Ophthalmology

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Regarding the issue of alternating between old and new glasses with different prescriptions?


Hello, doctor.
I recently got a new pair of glasses and plan to use my old ones for work while wearing the new ones more casually to avoid damage.
I have myopia, amblyopia, and astigmatism.
When I got my new glasses, I noticed that my myopia had decreased due to correction.
I'm wondering if alternating between the two pairs of glasses could worsen my prescription or lead to more serious issues.

Bokou, 10~19 year old female. Ask Date: 2018/01/15

Dr. Cai Wenyuan reply Ophthalmology


Hello, it should be based on the appropriate prescription.
Wishing you peace and health.
Sincerely, Dr.
Cai Wenyuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/01/15

More Info


Switching between old and new glasses is a common practice among individuals who have varying prescriptions for different activities. In your case, where you have recently acquired a new pair of glasses with a different prescription, it is understandable to be concerned about the potential impact on your vision health.
Firstly, it is important to clarify that alternating between glasses with different prescriptions is generally safe, provided that the difference in prescription is not excessively large. In your situation, the new glasses correct your vision more effectively than the old ones, which is a positive change. The new prescription is designed to provide clearer vision, especially for activities like reading or working on a computer, while the old glasses may still be suitable for less demanding tasks.

The concern about switching glasses leading to worsening vision or other serious problems is largely unfounded. The human eye is quite adaptable, and while it may take some time to adjust to a new prescription, alternating between glasses should not inherently cause your vision to deteriorate. However, if the difference in prescriptions is significant, it could lead to visual discomfort, such as eye strain or headaches, particularly if you are frequently switching back and forth.

It is also worth noting that if you have underlying conditions such as amblyopia (lazy eye) or other refractive errors, it is crucial to follow your eye care professional's advice on which glasses to wear for specific tasks. For instance, if your new glasses provide better correction for distance vision, it would be advisable to wear them when you need to see clearly at a distance, such as during lectures or while driving. Conversely, if your old glasses are more comfortable for prolonged near work, such as reading or using a computer, it may be reasonable to use them in those situations.

In terms of your concern about the potential for your vision to worsen, it is essential to recognize that vision changes can occur naturally with age, especially in individuals with myopia (nearsightedness). Factors such as prolonged screen time, lack of proper lighting, and insufficient breaks during near work can contribute to visual fatigue and may exacerbate existing refractive errors. Therefore, it is advisable to practice good eye care habits, including the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away.

If you notice any significant changes in your vision, such as increased difficulty seeing clearly, persistent headaches, or discomfort while wearing either pair of glasses, it is crucial to consult with an eye care professional. They can perform a comprehensive eye examination to assess your vision and determine if any adjustments to your prescription or recommendations for usage are necessary.

In summary, alternating between your old and new glasses should not negatively impact your vision health as long as the prescriptions are not drastically different. It is essential to use the appropriate glasses for specific tasks and to maintain regular eye check-ups to monitor any changes in your vision. By following these guidelines, you can help ensure that your vision remains stable and comfortable.

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