Questions about eyeglass lenses?
Dear Dr.
Gao,
Hello.
I previously mentioned to you that last year (2021), due to delamination of my eyeglass lenses, I had my lenses replaced and underwent a refraction test.
The result showed that the prescription for my left eye remained unchanged, while my right eye's prescription increased by +0.25 diopters.
After wearing the new lenses, I found that my right eye could see things more clearly and brightly, but there was also a sensation of magnification and some discomfort in my head.
After trying to adapt for a day or two without improvement, I had to revert to my old prescription, which meant not adding the +0.25 diopters to my right eye.
This was more comfortable and eliminated the sensation of magnification, but my right eye's clarity and brightness at distance were not as good.
I would like to ask you, Dr.
Gao:
Q1.
What are the common causes of experiencing a sensation of magnification when wearing glasses? Is it truly due to the lenses being "over-prescribed"?
Q2.
Regarding the sensation of magnification when wearing glasses, is this something that can be gradually adapted to, or is it an abnormal situation that cannot be adjusted to, necessitating changes to the eyeglass frame or lenses (such as reducing the prescription)?
Thank you, Dr.
Gao.
Axiang, 40~49 year old female. Ask Date: 2022/06/12
Dr. Gao Pilin reply Ophthalmology
Hello, Ah-Hsiang: Usually, a decrease in myopia degree can lead to a magnification effect, or it may occur when the lenses are positioned farther from the eyeball.
However, the most likely reason is related to the optical properties of the lenses.
There can be differences among various brands.
But this sensation will become more familiar over time.
Reply Date: 2022/06/12
More Info
When it comes to the phenomenon of objects appearing larger when wearing glasses, there are several factors at play that can contribute to this experience. Let's break down the questions and provide a comprehensive understanding of the underlying causes.
Q1: Why Do Glasses Make Objects Look Larger?
The sensation of objects appearing larger when wearing glasses can be attributed to several factors, primarily related to the optical properties of the lenses and the prescription itself.
1. Lens Magnification: The curvature and thickness of the lenses can affect how light is refracted. Convex lenses, which are used to correct hyperopia (farsightedness), can create a magnifying effect. If your right eye's prescription was increased by +0.25 diopters, this could lead to a slight magnification of objects viewed through that lens.
2. Distance from the Eye: The distance between the lens and the eye can also influence perceived size. If the lenses are positioned further away from the eye than your previous pair, this can enhance the magnification effect.
3. Anisometropia: If there is a significant difference in prescription between the two eyes (as in your case), the brain may struggle to reconcile the visual information from both eyes. This can lead to a perception of size difference, where objects viewed through the stronger prescription lens appear larger compared to those viewed through the weaker one.
4. Adaptation: When changing prescriptions, especially with a notable increase in power, it may take time for your visual system to adapt. During this adaptation period, you may experience distortions in how you perceive size and depth.
Q2: Can This Magnification Effect Be Adapted To, or Is It Abnormal?
In most cases, the magnification effect is a normal response to changes in prescription and lens design. However, whether or not you can adapt to it depends on several factors:
1. Duration of Adaptation: Some individuals can adapt to new prescriptions within a few days, while others may take longer. If the magnification persists beyond a week or two, it may indicate that the prescription is not suitable for you.
2. Comfort and Clarity: If the new lenses cause discomfort or persistent visual distortions (like headaches or a feeling of pressure), it is essential to consult with your eye care professional. They may need to reassess your prescription or the fitting of the glasses.
3. Lens Design: Different lens designs (such as aspheric lenses) can reduce distortion and improve visual comfort. If the current lenses are causing significant issues, it may be worth exploring alternative lens options.
4. Adjustment Period: While some degree of adaptation is expected, if the sensation of magnification does not improve, it may be necessary to adjust the prescription or the frame fit. This could involve lowering the prescription slightly or ensuring that the lenses are correctly aligned with your eyes.
Conclusion
In summary, the experience of objects appearing larger when wearing new glasses can be attributed to lens magnification, the distance of the lenses from the eyes, and the differences in prescription between the two eyes. While some individuals can adapt to these changes, persistent discomfort or visual distortions warrant a reevaluation of the prescription and lens design. It is crucial to maintain open communication with your eye care provider to ensure that your vision correction is both effective and comfortable. If you continue to experience issues, don't hesitate to seek further evaluation to find a solution that works best for you.
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