Eyeglass Prescription: Key Questions Answered by an Expert - Ophthalmology

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(Continuation of question) #165222 Regarding prescription glasses issues?


Dear Dr.
Gao,
Thank you very much for your response to my previous personal inquiry.
However, I still have some questions I would like to ask you:
1.
In your response, you mentioned that the principle of prescribing lenses is to ensure clear vision.
Does this mean that a corrective vision of around 0.8 to 1.0, without any discomfort while wearing the glasses, is considered suitable, regardless of the actual prescription strength?
2.
You also mentioned that if the lenses are over-prescribed by 0.25 diopters, it would not cause any harm, but may lead to increased fatigue.
However, I found articles stating that if the prescription is too strong, it can lead to dizziness and vertigo.
Could you clarify how many diopters over-prescription would likely cause such symptoms?
3.
There is information suggesting that insufficient lens prescription can lead to frequent accommodation by the ciliary muscle, resulting in eye strain and potentially an increase in prescription strength.
Is this statement accurate or incorrect?
Thank you, Dr.
Gao.

Axiang, 30~39 year old female. Ask Date: 2021/02/06

Dr. Gao Pilin reply Ophthalmology


Hello, Ah-Hsiang:
1.
As long as it is sufficient for your needs, it is usually between 0.8 and 1.0.
However, some may feel that 0.6 is adequate; it varies from person to person.
Therefore, there is no need to be overly concerned about the degree of myopia, as long as you are comfortable, and of course, the prescription should not exceed the necessary level.
2.
This also varies from person to person, as it relates to the accommodative ability of each individual's ciliary muscle.
Some people can tolerate an additional diopter without discomfort.
3.
Symptoms occur only when myopia exceeds the necessary level.
Hyperopia can lead to eye strain due to under-correction.
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.
Online responses can only serve as a reference; it is essential to visit a medical institution for proper care.
I hope to have the opportunity to serve you.
Best regards,
Gao Pi-Lin

Reply Date: 2021/02/06

More Info


Hello! Thank you for your thoughtful questions regarding eyeglass prescriptions. Understanding your prescription and how it affects your vision is crucial for maintaining eye health and comfort. Let’s address your questions one by one.

1. Is it true that as long as the corrected vision is between 0.8 and 1.0 and there is no discomfort, the prescription is considered suitable?
Yes, you are correct. The primary goal of any eyeglass prescription is to provide clear vision. If your corrected vision falls within the range of 0.8 to 1.0 (which corresponds to 20/25 to 20/20 vision) and you do not experience discomfort, then your prescription is likely appropriate. It’s important to note that while the exact degree of correction is important, comfort and clarity of vision should be prioritized. If you can see well and feel comfortable, minor variations in the prescription may not be significant.

2. Regarding the potential for dizziness or discomfort with over-correction, how much additional power would lead to these symptoms?
While it is true that wearing glasses with a prescription that is too strong can lead to discomfort, including dizziness or headaches, the threshold for this varies from person to person. Generally, an over-correction of more than 0.50 to 1.00 diopter can start to cause issues for some individuals, particularly if they are not accustomed to that level of correction. Symptoms may include visual fatigue, dizziness, or a sensation of distortion in vision. If you find yourself experiencing these symptoms, it’s advisable to consult with your eye care professional to reassess your prescription.

3. Is it true that an insufficient prescription can lead to eye strain and potentially increase the prescription over time?
Yes, this statement holds some truth. When a prescription is insufficient, the ciliary muscles (which control the lens of the eye) may work harder to focus, leading to eye strain or fatigue. This excessive strain can contribute to discomfort and may potentially lead to an increase in refractive error over time. However, this is not the only factor that influences changes in vision; genetics, environmental factors, and overall eye health also play significant roles. Regular eye exams are essential to monitor any changes in your vision and adjust your prescription as necessary.


Additional Considerations:
- Regular Eye Exams: It’s essential to have regular eye exams to monitor your vision and ensure your prescription is up to date. This is particularly important if you notice any changes in your vision or experience discomfort.

- Adaptation Period: When you receive a new prescription, especially if it involves a significant change in power, your eyes may need time to adapt. It’s normal to experience some initial discomfort, but if it persists, you should consult your eye care provider.

- Lifestyle Factors: Factors such as prolonged screen time, poor lighting, and inadequate breaks can contribute to eye strain. Implementing the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) can help alleviate some of this strain.

In conclusion, while the specifics of your prescription are important, the overall goal is to achieve clear and comfortable vision. If you have any concerns about your prescription or experience discomfort, don’t hesitate to reach out to your eye care professional for further evaluation. Thank you for your questions, and I hope this information helps clarify your concerns!

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