the Impact of Incorrect Prescription Glasses on Vision Health - Ophthalmology

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Prescription lens degree issues?


Hello, I recently visited an ophthalmology clinic and during the examination, my corrected visual acuity with glasses was R: 0.6 and L: 0.7.
It was found that my glasses prescription was overcorrected by more than 100 degrees (my actual myopia is over 500 degrees, but I was prescribed over 600 degrees).
After changing the lenses, my corrected visual acuity improved to R: 0.8 and L: 0.9.
I would like to ask the doctor: 1.
What potential effects could wearing these overcorrected glasses for many years have on my eyes? 2.
I have significant myopia and a history of eye trauma (with hemorrhage and blurred vision).
Recently, the clinic doctor performed a retinal examination and macular scan; last year, I had normal optic nerve and visual field tests.
How often should I follow up or what additional tests should I consider? Thank you.

Gong Wenwu, 30~39 year old female. Ask Date: 2022/04/29

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Gong: 1.
It will not cause any harm to the eyes, but it may lead to increased fatigue.
2.
If there are no specific issues, a dilated fundus examination once a year should be sufficient.

Reply Date: 2022/04/29

More Info


Wearing glasses with an incorrect prescription can have several implications for your vision health, particularly if the prescription is significantly stronger than what your eyes actually require. In your case, wearing glasses that were overcorrected by more than 100 degrees for an extended period can lead to various issues.

1. Potential Effects of Over-Correction: Wearing glasses with a prescription that is too strong can cause visual discomfort, including headaches, eye strain, and fatigue. This is because your eyes are forced to work harder to focus, which can lead to muscle fatigue. Over time, this can contribute to a condition known as accommodative spasm, where the eye muscles become overly tense and can lead to blurred vision when trying to focus on objects at different distances. Additionally, if the glasses are significantly stronger than needed, it may also distort your perception of depth and distance, making activities such as driving or sports more challenging and potentially dangerous.

2. Impact on Eye Health: While wearing an incorrect prescription may not cause permanent damage to the eyes, it can exacerbate existing conditions, especially in individuals with a history of eye trauma or other ocular issues. In your case, having a history of eye injury and current myopia means that you should be particularly vigilant. The stress of wearing an incorrect prescription could potentially lead to further complications, especially if your eyes are already compromised.

3. Follow-Up and Monitoring: Given your history of eye trauma and the recent findings from your eye exams, it is crucial to maintain regular follow-ups with your eye care professional. Since you mentioned that your retina and optic nerve were checked and found to be healthy, it is still advisable to have periodic examinations to monitor for any changes, especially considering your myopia and previous injuries. Typically, a follow-up every 6 to 12 months is recommended for individuals with a history of eye trauma or significant refractive errors. Your eye doctor may also suggest additional tests, such as visual field tests or optical coherence tomography (OCT), to monitor the health of your retina and optic nerve over time.

4. Adjusting to New Prescription: After switching to a more accurate prescription, it may take some time for your eyes to adjust. Initially, you might experience some discomfort or a feeling of distortion as your visual system recalibrates. It is essential to give your eyes time to adapt and to communicate with your eye care provider if you continue to experience discomfort or if your vision does not improve.

5. Preventive Measures: To protect your vision health, ensure that you have regular eye exams, especially if you notice any changes in your vision. If you experience symptoms such as persistent headaches, blurred vision, or difficulty focusing, it is crucial to seek professional advice promptly. Additionally, practicing good eye hygiene, such as taking breaks during prolonged screen time and using proper lighting while reading or working, can help reduce eye strain.

In summary, wearing glasses with an incorrect prescription can lead to discomfort and may exacerbate existing eye conditions. Regular follow-ups with your eye care provider are essential for monitoring your eye health, especially given your history of eye trauma and myopia. Adjusting to a new, accurate prescription may take time, but it is crucial for maintaining optimal vision health.

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