Can Patients with Glaucoma Use Progressive Lenses Safely? - Ophthalmology

Share to:

Can patients with glaucoma use progressive addition lenses?


Hello Doctor: I would like to ask if patients diagnosed with glaucoma can choose progressive lenses.
Will photochromic lenses cause increased intraocular pressure? Thank you!

Su, 40~49 year old female. Ask Date: 2019/11/13

Dr. Gao Pilin reply Ophthalmology


Hello Ms.
Su: You can choose progressive lenses for glaucoma.
I understand your concern about larger pupils potentially causing an increase in intraocular pressure due to angle-closure glaucoma.
When progressive lenses transition to tinted, it occurs in brighter light conditions, during which pupil size should not significantly contribute to elevated intraocular pressure in angle-closure glaucoma.
If you have open-angle glaucoma, then there is even less reason for concern.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek care at a medical facility if necessary.
I hope to have the opportunity to serve you.
Sincerely, Gao Pilin.

Reply Date: 2019/11/13

More Info


When it comes to patients with glaucoma considering the use of progressive lenses, there are several factors to take into account. First and foremost, it is essential to understand that glaucoma is a condition characterized by increased intraocular pressure (IOP) that can lead to optic nerve damage and vision loss. Therefore, any decision regarding eyewear should prioritize the health of the eyes and the management of IOP.

Can Patients with Glaucoma Use Progressive Lenses Safely?
Yes, patients with glaucoma can generally use progressive lenses safely. Progressive lenses, also known as multifocal lenses, provide a smooth transition between different lens powers for distance, intermediate, and near vision. They are designed to help individuals who have presbyopia, a common condition that affects vision as one ages. For glaucoma patients, the primary concern is not the type of lens itself but rather how the lenses are prescribed and fitted.

1. Prescription and Fitting: It is crucial for glaucoma patients to have their progressive lenses prescribed and fitted by an experienced optometrist or ophthalmologist. A proper fitting can help minimize any distortion or discomfort that might arise from using progressive lenses, which can be particularly important for individuals with existing vision issues related to glaucoma.

2. Impact on Eye Pressure: There is no evidence to suggest that wearing progressive lenses, including photochromic (transition) lenses, would cause an increase in intraocular pressure. The concern about lens type affecting eye pressure is more related to the overall management of glaucoma rather than the specific characteristics of the lenses. However, it is always advisable to consult with an eye care professional regarding any concerns about how specific eyewear might affect eye health.

3. Monitoring Eye Health: Patients with glaucoma should continue to have regular eye examinations to monitor their intraocular pressure and overall eye health. This is particularly important when making any changes to eyewear, as adjustments in vision correction can sometimes lead to changes in how a patient perceives their vision and may require further evaluation.

4. Considerations for Lens Material: When selecting progressive lenses, patients should also consider the material of the lenses. High-index lenses can be thinner and lighter, which may be more comfortable for some patients. Additionally, anti-reflective coatings can reduce glare, which can be beneficial for patients with glaucoma who may be sensitive to light.

5. Communication with Eye Care Providers: It is essential for patients with glaucoma to communicate openly with their eye care providers about their condition and any concerns they may have regarding eyewear. This includes discussing any changes in vision or discomfort experienced while wearing progressive lenses.

In conclusion, patients with glaucoma can safely use progressive lenses, provided they are properly prescribed and fitted. There is no direct link between the use of progressive lenses and an increase in intraocular pressure. However, ongoing monitoring of eye health and regular consultations with eye care professionals are vital for managing glaucoma effectively. If you have specific concerns about your vision or the impact of progressive lenses on your eye health, it is always best to discuss these with your eye doctor.

Similar Q&A

Choosing the Right Lenses to Prevent Light Refraction Issues

Hello, doctor. I have a question to ask you. At work, I face a window, and every noon, sunlight refracts through the windows of passing vehicles, making my eyes uncomfortable. Wearing sunglasses at work is not really an option (haha...), so I'm considering getting progressiv...


Dr. Gao Pilin reply Ophthalmology
Hello, every day: Some photochromic lenses require ultraviolet light to change color; if you are indoors, they will not change color because there is no UV exposure. If this is a concern, you might consider lighter-colored lenses or polarized lenses. Alcohol-based hand sanitizers...

[Read More] Choosing the Right Lenses to Prevent Light Refraction Issues


Managing Glaucoma and Cataracts: Improving Vision and Preventing Further Decline

Hello, my mother has glaucoma and has undergone surgery for it. She has also developed cataracts and has had surgery for that as well. Currently, her vision is almost gone. I would like to know if there are any better methods to improve her condition or to prevent her vision from...


Dr. Huang Bozhen reply Ophthalmology
Explanation: The characteristic of glaucoma is the gradual atrophy of the optic nerve due to elevated intraocular pressure. The threshold for what constitutes "too high" intraocular pressure varies from person to person. It is recommended to seek treatment from a glauco...

[Read More] Managing Glaucoma and Cataracts: Improving Vision and Preventing Further Decline


Is Progressive Multifocal Lenses Suitable for Intermittent Exotropia?

Hello, Doctor! Is it suitable for someone with intermittent exotropia to wear progressive multifocal lenses? I have intermittent exotropia, and I found online that it's not recommended to use progressive multifocal lenses, but many optometrists have recommended them to me, s...


Dr. Liang Ce reply Ophthalmology
Recommendation: Please consult an ophthalmology medical facility for medical advice. Thank you. Wishing you good health!

[Read More] Is Progressive Multifocal Lenses Suitable for Intermittent Exotropia?


Understanding the Impact of Pressure Glasses on Eye Health and Vision

Hello, doctor. I have the following questions that are troubling me, and I would like your clarification: Question 1: 1. Are pressure-relieving lenses / comfort lenses / student control lenses (similar to multifocal lenses) generally not recommended for use? 2. If I have been we...


Dr. Gao Pilin reply Ophthalmology
Hello: Question 1: 1. Generally speaking, multifocal lenses are not discouraged; rather, they should be evaluated by a qualified ophthalmologist or optometrist to determine their suitability for you. 2. Currently, there is no clear evidence indicating that long-term use of mult...

[Read More] Understanding the Impact of Pressure Glasses on Eye Health and Vision


Related FAQ

Glasses

(Ophthalmology)

Glaucoma

(Ophthalmology)

Parallax

(Ophthalmology)

Tinted Lenses

(Ophthalmology)

Astigmatism

(Ophthalmology)

Diplopia

(Ophthalmology)

Intraocular Lens

(Ophthalmology)

Corneal Reshaping Lenses

(Ophthalmology)

Artificial Lens

(Ophthalmology)

Hyperopia

(Ophthalmology)