Vision Issues: Tips for Contact Lens Wearers - Ophthalmology

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Vision problems


Hello, Doctor Gao.
My left eye has a lower prescription than my right eye, but I recently noticed that when wearing contact lenses with the same prescription, my left eye does not see as clearly as my right eye; it appears less sharp, even for near objects.
Could this be related to my dominant eye, which is my right eye? I have some concerns and would like to ask what examinations you would recommend.
Additionally, my left eye prescription is -7.50 with -0.50 astigmatism, and my right eye is -7.75 with -0.75 astigmatism.
I have been using contact lenses primarily with a -7.50 prescription, but I recently heard that contact lenses should be prescribed at a slightly lower power.
I would appreciate your advice on this matter.
Thank you very much.

Amber, 20~29 year old female. Ask Date: 2022/12/18

Dr. Gao Pilin reply Ophthalmology


Hello: It is normal for there to be a difference in vision between the two eyes.
The accuracy of the contact lens prescription can also affect vision.
The prescription for the left eye may be too strong; it might only require -7.00 diopters.
Please refer to: https://bit.ly/2TLBghH

Reply Date: 2022/12/18

More Info


Hello! Thank you for your detailed inquiry regarding your vision issues related to contact lens wear. It sounds like you are experiencing some challenges with your left eye, which has a lower prescription than your right eye. This situation can indeed be influenced by your dominant eye and other factors.

Firstly, it's important to understand that the dominant eye (in your case, the right eye) often plays a more significant role in visual tasks, which can lead to a perception of clarity and sharpness that may not be mirrored in the non-dominant eye. This can create a disparity in how you perceive visual information, especially when wearing contact lenses that are not perfectly matched to your visual needs.

Given your prescription of -7.50 with -0.50 astigmatism in your left eye and -7.75 with -0.75 astigmatism in your right eye, it is crucial to ensure that your contact lenses are correctly fitted and prescribed. Here are some recommendations and considerations:
1. Consult an Eye Care Professional: Since you are experiencing differences in clarity between your eyes, it would be wise to schedule an appointment with an optometrist or ophthalmologist. They can perform a comprehensive eye exam to assess your current prescription and the fit of your contact lenses. They may also evaluate your eye health to rule out any underlying issues.

2. Contact Lens Prescription: It is common for contact lens prescriptions to differ slightly from glasses prescriptions due to the distance of the lens from the eye. Contact lenses sit directly on the cornea, while glasses are positioned further away. This difference can affect the effective power of the lenses. Your eye care provider can determine if your current contact lens prescription is appropriate or if adjustments are needed.

3. Dominant Eye Considerations: Since your right eye is your dominant eye, it may be more accustomed to taking the lead in visual tasks. This could explain why you perceive your left eye as less sharp. However, if you consistently use your left eye for near tasks, it may need a different prescription or lens type to enhance clarity.

4. Astigmatism Correction: Both of your eyes have astigmatism, which can contribute to blurred vision. Ensure that your contact lenses are specifically designed to correct for astigmatism (toric lenses). If you are not currently using toric lenses, this could be a reason for the lack of clarity in your left eye.

5. Lens Material and Design: The material and design of the contact lenses can also impact comfort and clarity. Some lenses are better suited for dry eyes or extended wear, while others may provide sharper vision. Discuss with your eye care provider about the best options for your specific needs.

6. Visual Habits: Consider your visual habits and how you use your eyes throughout the day. If you spend a lot of time on screens or reading, ensure you take regular breaks to reduce eye strain. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

7. Trial and Adjustment: If you do receive a new prescription or a different type of contact lens, give yourself time to adjust. Sometimes, it may take a few days for your eyes to adapt to new lenses.

In summary, your concerns about the clarity of your left eye while wearing contact lenses are valid and warrant further investigation. A thorough examination by an eye care professional can help determine the best course of action to ensure both eyes work harmoniously and provide you with the best possible vision. Don't hesitate to reach out for professional advice, as they can provide tailored recommendations based on your specific situation. Thank you for your question, and I wish you the best in achieving clearer vision!

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