Your Eye Prescription: Which Power is Right for You? - Ophthalmology

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Correct prescription?


Hello, Doctor.
I previously had an eye examination at the hospital where I received three different prescriptions.
I'm unsure which one is my correct prescription.
At that time, I was too anxious due to my eye pressure issues and forgot to ask the examining physician.
Here are the results from the refraction: Right eye (R) 775, Left eye (L) 750; after dilation, Right eye (R) 750, Left eye (L) 725.
The glasses prescription is: Right eye (R) 725, Left eye (L) 700.
However, when I wear the glasses and test my vision, both eyes measure 1.0.
Could you please advise me on which prescription is the correct one? Which prescription should I use for my glasses? Also, does the difference in these prescriptions indicate that my vision might worsen in the future? Thank you very much for your help!

Sam, 20~29 year old female. Ask Date: 2021/12/18

Dr. Gao Pilin reply Ophthalmology


Hello Sam: If the prescription is R 725 L 700 and you can see 1.0, then you can use this prescription.
If R 750 L 725 is clearer, you can use this one as well.
It depends on your needs.
The difference of 25 diopters before and after dilation indicates that the change in refraction is due to the ciliary muscle's effort, but it may not necessarily be related to the subsequent increase in myopia.

Reply Date: 2021/12/18

More Info


Hello! Thank you for your question regarding your eye prescription and the various measurements you've received. Understanding your eye prescription can indeed be confusing, especially when you have multiple readings from different tests. Let’s break down the information you provided and clarify which power might be right for you.


Understanding Your Measurements
1. Different Measurements: You mentioned three sets of measurements:
- Initial Measurements: R 775 L 750
- After Dilation (Cycloplegic Refraction): R 750 L 725
- Eyeglass Prescription: R 725 L 700
The initial measurements are likely your uncorrected vision, while the measurements taken after dilation (R 750 L 725) are more accurate for determining your true refractive error because the dilation relaxes the eye's focusing muscles. The eyeglass prescription (R 725 L 700) is what your optometrist or ophthalmologist has determined to be the best correction for your vision.

2. Choosing the Right Prescription: Since your vision is 1.0 (which is equivalent to 20/20 vision) with the eyeglass prescription, it indicates that the prescription is effectively correcting your vision. Generally, the eyeglass prescription is what you should use for your glasses, as it is tailored to your specific needs and takes into account the distance from your eyes to the lenses.


Will Your Prescription Change?
The difference in the measurements can indicate a few things:
- Variability in Measurements: It's not uncommon for there to be slight variations in measurements due to factors like the testing environment, your level of relaxation during the exam, or even the equipment used.

- Potential for Change: The fact that you have a higher initial measurement compared to the cycloplegic refraction suggests that your eyes may have been accommodating (focusing) during the initial test. If your eyes are under stress or if you have a condition that could lead to changes in your vision, there is a possibility that your prescription could change over time. Regular check-ups are essential to monitor any changes.


Recommendations
1. Follow-Up: Since you have concerns about your eye pressure and the various readings, it would be wise to schedule a follow-up appointment with your eye care provider. They can provide a comprehensive evaluation and address any specific concerns you may have regarding your eye health and prescription.

2. Regular Eye Exams: Regular eye exams are crucial, especially if you have a history of eye pressure issues. Keeping track of your vision and eye health can help detect any changes early on.

3. Eyewear: Use the eyeglass prescription (R 725 L 700) for your glasses. If you experience discomfort or if your vision changes, consult your eye care professional for adjustments.


Conclusion
In summary, the eyeglass prescription you received is likely the most accurate for your current vision needs. The variations in measurements are not unusual, and while they can indicate potential changes in your vision, regular monitoring will help you stay informed about your eye health. If you have further questions or concerns, don’t hesitate to reach out to your eye care provider for personalized advice. Thank you for your inquiry, and I wish you the best in maintaining your eye health!

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