Eye Prescription Adjustments: Expert Answers to Common Concerns - Ophthalmology

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Follow-up Inquiry #181655


Dear Dr.
Gao,
Thank you very much for your personal response and guidance in the consultation regarding inquiry #181655; I have greatly benefited from it.
I have some additional questions I would like to ask you:
Q1.
Regarding my right eye lens being undercorrected by 25 diopters, which may cause my right eye to appear somewhat blurry at a distance.
Dr.
Gao, over time, will this have any adverse effects on my right eye? For example, could it lead to an increase in my myopia or astigmatism, or make my right eye more prone to fatigue?
Q2.
Following up on the previous question, you mentioned: “(omitted)...
However, sometimes even with a proper prescription, the clarity between the two eyes may still differ.” Given this, do I need to have my right eye lens corrected to the full prescription to achieve clarity for both distance and near vision? Or is it acceptable if my glasses are comfortable and I can see clearly up close, even if my distance vision is somewhat blurry?
Q3.
Regarding the dominant eye, my right eye (dominant) and left eye (non-dominant) have similar clarity for near vision, but due to the 25 diopter undercorrection in my right eye lens, my dominant eye appears somewhat blurry at a distance compared to my left eye.
Therefore, my dominant eye is not as clear for distance vision as my non-dominant eye.
You mentioned that this difference would not have adverse effects on my dominant eye.
However, some medical articles state: “If the dominant eye cannot see more clearly than the non-dominant eye, and if the non-dominant eye has better clarity, the brain may become confused when processing images.
When the brain tries hard to adjust, it may lead to dizziness and discomfort such as eye strain.” Dr.
Gao, what is your opinion on this statement from the medical article? I would appreciate your clarification and guidance.
Thank you again, Dr.
Gao.

Axiang, 40~49 year old female. Ask Date: 2022/05/12

Dr. Gao Pilin reply Ophthalmology


Hello, Ah Xiang: 1.
No worries, it won't be a problem.
2.
If you feel comfortable and your vision is adequate, that's all that matters.
3.
It won't be an issue; in fact, without testing, it's difficult to determine which eye is dominant.
The eye with clearer vision will naturally become the dominant eye, and there shouldn't be any difficulties or discomfort.
Moreover, a difference of 25 degrees generally has minimal impact.

Reply Date: 2022/05/12

More Info


Understanding eye prescription adjustments can be a complex topic, especially when dealing with issues like differences in visual acuity between the eyes, the effects of under-corrected prescriptions, and the potential for eye strain or discomfort. Let’s address your questions one by one.

Q1: Will having a 25-degree under-correction in my right eye lead to negative effects over time?
Having a prescription that is under-corrected by 25 degrees can indeed lead to some visual discomfort. While it may not directly cause an increase in myopia or astigmatism, it can contribute to eye strain, especially if you are frequently using that eye for tasks requiring clear vision, such as reading or driving. Over time, this strain could lead to symptoms like headaches, fatigue, or even a feeling of pressure around the eyes. It’s important to monitor how your eyes feel and to consult with your eye care professional if you notice persistent discomfort.

Q2: Should I get my right eye prescription adjusted for better clarity?
If your right eye is experiencing blurred vision at distance due to the under-correction, it would be advisable to have the prescription adjusted. While comfort and the ability to see clearly at near distances are important, having balanced vision between both eyes is crucial for overall visual comfort and function. If your left eye is significantly clearer than your right, it could lead to a reliance on the left eye, potentially causing further strain on the right eye. Therefore, achieving a proper correction for both eyes can enhance your visual experience and reduce discomfort.

Q3: Is it true that having a less clear dominant eye can lead to confusion and discomfort?
The concern you mentioned regarding the dominant eye (or "master eye") being less clear than the non-dominant eye is valid. The brain relies on input from both eyes to create a cohesive visual image. If one eye is significantly clearer than the other, it can lead to visual confusion, where the brain struggles to reconcile the differing inputs. This can indeed result in symptoms like dizziness, headaches, or a feeling of pressure in the eyes. While your eye care professional may have indicated that there wouldn’t be any adverse effects, it’s essential to consider the overall comfort and functionality of your vision. If you are experiencing discomfort or visual confusion, it may be worth discussing further adjustments with your eye care provider.

Additional Considerations:
1. Regular Eye Exams: Regular check-ups with your optometrist or ophthalmologist are crucial, especially if you notice changes in your vision. They can provide tailored advice based on your specific situation.

2. Visual Hygiene: If you spend long hours in front of screens, ensure you take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye strain.

3. Proper Lighting: Ensure that your work area is well-lit to minimize strain on your eyes. Poor lighting can exacerbate discomfort when reading or using screens.

4. Corrective Lenses: If you wear glasses or contact lenses, ensure they are up-to-date and correctly prescribed. Wearing the right prescription can significantly improve comfort and visual clarity.

5. Eye Exercises: Some people find relief from eye strain through simple eye exercises, which can help improve focus and reduce fatigue.

In conclusion, addressing your concerns about your eye prescription is essential for maintaining optimal eye health and comfort. If you continue to experience discomfort or visual discrepancies, don’t hesitate to seek further evaluation from your eye care professional. They can provide the most accurate advice tailored to your specific needs.

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