Wearing glasses after dilation?
Hello Doctor: I recently want to get a pair of glasses.
After testing my vision, my left eye corrected to -0.00 diopters for myopia and -0.50 diopters for astigmatism, with a maximum visual acuity of 0.8.
My right eye corrected to -0.50 diopters for myopia and -0.50 diopters for astigmatism, with a maximum visual acuity of 1.2.
After using a cycloplegic agent, the autorefractor showed that my left eye changed to +0.50 diopters for hyperopia.
Could you please advise me on how to get the most suitable glasses? I had laser surgery for myopia eight or nine years ago; could this be the reason for the fluctuating measurements? Thank you for your response!
Xiao Juzi, 30~39 year old female. Ask Date: 2020/03/03
Dr. Gao Pilin reply Ophthalmology
Hello, Little Orange: After correction, the left eye has a refractive error of 0 diopters for myopia and 50 degrees of astigmatism, with a maximum visual acuity of 0.8.
The right eye has a refractive error of -5.00 diopters for myopia and 50 degrees of astigmatism, with a maximum visual acuity of 1.2.
After the administration of a cycloplegic agent, the autorefractor indicated that the left eye has changed to +0.50 diopters of hyperopia.
This change is expected after cycloplegia.
The left eye has 0 diopters of myopia and 50 degrees of astigmatism, while the right eye has -5.00 diopters of myopia and 50 degrees of astigmatism; these values can be used for prescription.
For more detailed information, it is necessary for the optometrist to conduct an on-site examination to determine the best results.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to serve you.
Gao Pi-Lin
Reply Date: 2020/03/03
More Info
Choosing the right glasses after dilation can be a complex process, especially for patients who have undergone previous eye surgeries, such as laser vision correction. Based on your situation, it seems that you have experienced fluctuations in your vision, particularly after the use of a dilating agent. Let’s break down the factors involved and provide guidance on how to select the most suitable eyewear.
Understanding Your Vision Changes
1. Dilation Effects: When your eyes are dilated, the pupil expands to allow more light in, which can temporarily alter your vision. This is a normal response and can lead to changes in how your refractive error is measured. For instance, you mentioned that after dilation, your left eye showed a shift to hyperopia (farsightedness) of +0.50 diopters. This change can be temporary, and it’s essential to wait until the effects of the dilation wear off before making a final decision on your prescription.
2. Previous Laser Surgery: Having undergone laser surgery for myopia (nearsightedness) can indeed lead to fluctuations in your vision. This is often due to changes in the corneal shape or the healing process of the eye. It’s not uncommon for patients who have had such procedures to experience variations in their refractive status over time, especially when influenced by factors like age or changes in eye health.
Steps to Choose the Right Glasses
1. Consult Your Eye Care Professional: The first step is to schedule a follow-up appointment with your eye care provider. They can perform a comprehensive eye exam to assess your current vision accurately, taking into account the effects of dilation and any changes due to your previous surgery. It’s crucial to have an up-to-date prescription that reflects your true visual needs.
2. Consider Your Daily Activities: Think about how you use your vision daily. If you spend a lot of time on the computer or reading, you may need a prescription that accommodates these activities, possibly including multifocal lenses or reading glasses. If you engage in sports or outdoor activities, consider lenses that offer UV protection and are impact-resistant.
3. Lens Options: Discuss with your optician about the different types of lenses available. Options include:
- Single Vision Lenses: For correcting either distance or near vision.
- Bifocal or Progressive Lenses: If you need correction for both distance and near vision.
- Photochromic Lenses: These lenses darken in sunlight, providing comfort and protection outdoors.
- Anti-Reflective Coating: This can reduce glare from screens and headlights, enhancing visual clarity.
4. Frame Selection: Choose frames that fit well and are comfortable. The right frame should complement your face shape and personal style while also being functional for your lifestyle. Ensure that the frames can accommodate the lens type you need.
5. Trial and Adjustment: After receiving your new glasses, wear them for a few days to see how they feel. If you experience discomfort or visual issues, return to your eye care provider for adjustments. Sometimes, minor tweaks can significantly enhance comfort and clarity.
Conclusion
In summary, the process of selecting the right glasses after dilation involves understanding the temporary effects of dilation, considering your previous eye surgery, and consulting with your eye care professional for an accurate prescription. By taking these steps, you can ensure that you choose eyewear that meets your visual needs and enhances your quality of life. Remember, your eye health is paramount, and regular check-ups are essential for maintaining optimal vision.
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