Astigmatism Prescription: Key Considerations for Your New Glasses - Ophthalmology

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Astigmatism lens prescription?


Hello Doctor: I recently went to the hospital for an eye exam before getting new glasses, and the results showed my left eye is -8.25 with 0.50 astigmatism, and my right eye is -8.75.
There are a few points I would like to clarify: 1.
I have heard that the formula for myopia is myopia degree + 1/2 astigmatism = myopia degree (will the doctor take this into consideration?).
2.
I understand that the difference in prescription between both eyes can affect the perceived size of objects.
3.
Since this is my first time wearing glasses for astigmatism and the degree is not very high, I need to adapt.
Considering these three points, should I think about reducing the astigmatism correction in my left eye to 0.25? (Given my age and lifestyle, it is unlikely that my myopia will worsen, and since I will be wearing these glasses for a long time, I am considering these minor differences.) I appreciate your guidance, thank you!

wi, 20~29 year old female. Ask Date: 2019/03/03

Dr. Cai Wenyuan reply Ophthalmology


Hello, I apologize, but it may require an actual fitting to know for sure.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/03/03

More Info


Understanding astigmatism and its implications for your glasses prescription is crucial for achieving optimal vision correction. Based on your recent eye examination results, where your left eye measures -8.25 with 0.50 diopters of astigmatism and your right eye at -8.75, there are several key considerations to keep in mind as you prepare for your new glasses.

1. Astigmatism and Prescription Calculation: The formula you mentioned, where the near-sightedness (myopia) is combined with half of the astigmatism to determine the effective prescription, is a common approach. However, it’s essential to note that the final prescription is determined by your eye care professional based on a comprehensive assessment of your visual needs and comfort. The astigmatism correction is crucial as it helps to focus light evenly on the retina, which is particularly important for clear vision at all distances.

2. Impact of Prescription Differences: The difference in prescription between your two eyes can indeed affect how you perceive the size of objects. This phenomenon, known as aniseikonia, occurs when the brain struggles to merge the different images from each eye into a single, coherent image. This can lead to discomfort or visual distortion. Your eye care provider will take this into account when fitting your glasses to ensure that the lenses are designed to minimize any potential size discrepancies.

3. Adaptation to New Glasses: When you first wear glasses with astigmatism correction, especially if it’s your first time, you may experience some initial discomfort or distortion. This is normal as your brain adjusts to the new visual input. The degree of adaptation can vary based on the severity of your astigmatism and the difference in prescription between your eyes. Since your astigmatism is relatively mild, you may find that the adjustment period is shorter, but it’s still important to give yourself time to adapt.

4. Considering Lens Adjustments: Regarding your question about potentially lowering the astigmatism correction in your left eye to 0.25 diopters, this is a decision that should be made in consultation with your eye care professional. While it might seem like a minor adjustment, even small changes in prescription can significantly affect visual clarity and comfort. Your eye doctor will consider your overall eye health, lifestyle, and visual demands when making this recommendation.

5. Long-term Considerations: Since you mentioned that your age and lifestyle are unlikely to lead to a significant worsening of your myopia, it’s reasonable to expect that your current prescription will serve you well for the foreseeable future. However, regular eye exams are essential to monitor any changes in your vision, especially given the high degree of myopia.

In summary, when getting new glasses for astigmatism, it’s essential to work closely with your eye care provider to ensure that your prescription is tailored to your specific needs. They will help you navigate the complexities of your prescription, including the impact of astigmatism and the differences between your eyes. Remember to be patient during the adaptation phase, and don’t hesitate to reach out to your eye care professional if you have any concerns or if your vision doesn’t seem to improve as expected. Regular follow-ups will help ensure that your vision remains clear and comfortable.

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