Choosing Between New and Old Glasses: Tips for Eye Health - Ophthalmology

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New and old glasses


Hello, Doctor: I would like to ask you about my recent experience with new glasses.
Currently, my left eye has a myopia of approximately -3.75 diopters with astigmatism of -1.75 diopters; my right eye has a myopia of approximately -4.75 diopters with astigmatism of -1.25 diopters.
The new glasses were prescribed based on these current measurements.
My family suggests that I can wear my old glasses for daily use, while using the new glasses for classes or when riding a bike.
I have been using my old glasses for about 8 years.
The prescription for my old glasses is approximately -3.00 diopters for my left eye with -1.25 diopters of astigmatism, and -3.25 diopters for my right eye with -1.00 diopter of astigmatism.
However, when switching between the new and old glasses, I experience temporary blurriness.
Given the difference in prescription between my eyes and the fact that the right eye prescription differs by about 1.50 diopters between the two pairs of glasses, would you recommend wearing the old glasses for close-up tasks and the new glasses for distance vision? Or should I just wear the new glasses consistently? I am concerned that frequently switching glasses might put additional strain on my eyes.
Thank you!

y, 20~29 year old female. Ask Date: 2020/05/01

Dr. Gao Pilin reply Ophthalmology


Hello: This replacement should not cause eye strain.
After wearing new glasses, switching back to old ones may result in blurred vision, which is normal.
However, constantly switching can be inconvenient, so it might be more practical to wear the new glasses when going out and switch to the old ones at home.
The Ophthalmology Department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to visit a medical facility for proper care.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2020/05/01

More Info


When it comes to choosing between new and old glasses, especially with significant differences in prescription, it's essential to consider both comfort and eye health. Based on your situation, where your new glasses have a left eye prescription of -3.75 with astigmatism of -1.75, and a right eye prescription of -4.75 with astigmatism of -1.25, compared to your old glasses with lower prescriptions, there are several factors to consider.

Firstly, alternating between old and new glasses can be manageable, but it may lead to temporary discomfort or visual confusion, especially if the prescriptions differ significantly. Your family’s suggestion to wear the old glasses for daily activities and the new ones for specific tasks like attending classes or riding a bike is reasonable. However, it’s crucial to ensure that you are not straining your eyes by frequently switching between the two.


Understanding Vision Adaptation
When you switch between glasses with different prescriptions, your eyes may need time to adapt. This adaptation period can cause temporary blurriness or discomfort. If you find that you are frequently switching between the two pairs, it might be beneficial to wear the new glasses consistently for a while to allow your eyes to adjust fully. This is particularly important because your new glasses are tailored to your current vision needs, which have changed over the years.


Eye Health Considerations
1. Consistent Use: It is generally advisable to wear the new glasses consistently, especially since they are prescribed based on your current vision. This can help reduce the strain on your eyes that might occur from constantly adjusting to different prescriptions.

2. Eye Strain: If you experience discomfort or strain while wearing the new glasses, it may indicate that your eyes are still adjusting. If the discomfort persists beyond a few days, it would be wise to consult with your eye care professional to ensure that the new prescription is correct and suitable for your needs.

3. Regular Eye Exams: Given that your old glasses are about eight years old, it’s important to have regular eye exams to monitor any changes in your vision. This is especially true as you age, as the risk of developing conditions like presbyopia (difficulty focusing on close objects) increases.

4. Preventing Further Vision Deterioration: To prevent further deterioration of your eyesight, consider implementing good eye health practices. This includes taking regular breaks during prolonged screen time (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds), ensuring proper lighting when reading or working, and maintaining a healthy diet rich in vitamins A, C, and E, as well as omega-3 fatty acids.

5. Lifestyle Adjustments: Reducing the time spent on near-vision tasks and increasing outdoor activities can also help in managing myopia progression. Studies have shown that spending time outdoors can be beneficial for eye health, particularly in children and young adults.


Conclusion
In summary, while alternating between your new and old glasses is possible, it is generally more beneficial to wear the new glasses consistently to allow your eyes to adjust and to ensure that you are using the correct prescription for your current vision needs. If you experience ongoing discomfort or visual issues, it is advisable to consult with your eye care professional for further evaluation. Regular eye exams and good eye care practices will also play a crucial role in maintaining your eye health and preventing further deterioration of your vision.

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