Struggles with Glasses: Finding the Right Fit for My Vision Needs

Q: Struggles with Glasses: Finding the Right Fit for My Vision Needs

Hello： From your description, it seems that you haven't had an eye examination. <br>I recommend visiting an ophthalmologist to have your vision checked and to determine the correct prescription. <br>It seems like there might be an issue with your prescription.

Eyeglass troubles?

Hello, Doctor.
I have high myopia in both eyes, exceeding -6.00 diopters, and astigmatism close to -2.00 diopters.
Additionally, I have cervical disc herniation, which may be affecting my eye's ability to accommodate.
I have two pairs of glasses that I started wearing during my student years; the frames are different, but the lenses are similar in shape, both being oval.
One pair has parameters that can be identified as 138, 48, 19.
Due to gradual wear and tear, I got a new pair of rectangular frames in 2016 near my home (parameters 150, 57, 16).
The lenses are noticeably larger than the previous two pairs, and because the prescription was fully corrected and the pupillary distance (PD) changed significantly (from 69 to 74), I experienced intense discomfort.
The optical shop remade the lenses to match the old glasses, but I still couldn't adapt.
Eventually, I adjusted the curvature of the new frames to be similar to the old ones, which helped me gradually adapt.
However, a month later, I felt uncomfortable again, and due to my busy work schedule, I switched back to the old glasses.
Three years ago, my old glasses were no longer usable, so I went to an optical shop recommended by a friend for their professional eye exams and shared my previous unsuccessful experience.
The optometrist suggested correcting the incorrect PD first, so we adjusted the frames several times to stretch the PD as much as possible.
I was also informed that my oily skin causes the lenses to slide down easily, but the optometrist advised against making the nose pads too tight, so they weren't overly concentrated.
However, after I tightened the nose pads myself, I found I could adapt to them most of the time.
The optometrist initially wanted me to fully adapt before returning, but due to the pandemic and occasional minor changes causing discomfort around my eyes for several days, I didn't go back, such as when getting a haircut that reduced hair volume around my ears, which made my eyes uncomfortable for a few days.
Last week, while at the dentist, my glasses were pressed against my face, and I couldn't adapt to them again for a week.
The main symptoms were pain in the eyeball, around the eyes, and forehead.
I returned to the optometrist, and since I had done some research, I asked if the frame size and vertex distance could also be significant factors.
After adjusting the frame, he believed it was still a PD issue and told me to go home and adapt.
He mentioned he would be going back home for the New Year next week.
However, a week later, I still hadn't adapted, and the symptoms remained the same.
I plan to get a new pair of glasses to resolve this issue, but the optometrist thinks I should first adjust the PD with the current glasses.
I don't quite understand; since I was able to go most of the time without symptoms after the adjustments three years ago, shouldn't I have already adapted to the maximum PD that these glasses can provide? (Perhaps it's not my true PD of 74 but maybe around 70-71?) This situation is quite troubling, and I've looked into many resources and visited several optical shops, some of which have not responded due to the complexity of my case.

Could you please provide me with some advice? For instance, should I aim for a new pair of glasses that closely matches the lens size and curvature from my student years? Should I get new glasses or continue adjusting the PD? Or could my situation be caused by other parameters of the glasses? Currently, I am certain that the discomfort is related to the glasses, as symptoms gradually alleviate two hours after removing them.
I sincerely hope you can guide me on how to handle this situation.
Thank you, and I wish you a happy New Year, good health, and prosperity.

Mr. Huang, 30~39 year old female. Ask Date: 2023/01/14

Dr. Gao Pilin reply Ophthalmology

Hello: From your description, it seems that you haven't had an eye examination.
I recommend visiting an ophthalmologist to have your vision checked and to determine the correct prescription.
It seems like there might be an issue with your prescription.

Reply Date: 2023/01/14

More Info

It sounds like you are experiencing significant challenges with your glasses, particularly given your high prescription and the discomfort that arises from the adjustments made to your eyewear. Your situation is not uncommon, especially for individuals with high myopia and astigmatism, as well as those who may have other physical conditions affecting their vision, such as cervical disc herniation, which can impact eye accommodation and overall comfort.

First, let’s address the importance of proper fitting and prescription in eyewear. The parameters you mentioned—such as the frame size, lens shape, and pupillary distance (PD)—are crucial for ensuring that your glasses provide the best possible vision correction without causing discomfort. A mismatch in any of these parameters can lead to visual strain, headaches, and other symptoms, which you have described.

Given your history, it seems that the adjustments made to your current glasses have not fully resolved your discomfort. Here are some recommendations to consider:
1. Re-evaluate Your Prescription: Since you have experienced discomfort with your current glasses, it may be beneficial to have a comprehensive eye exam to ensure that your prescription is accurate. Changes in your vision can occur over time, and it’s essential to have the most current prescription.

2. Pupillary Distance (PD): You mentioned that your PD was adjusted from 69 mm to 74 mm. This is a significant change, and if your glasses are not made with the correct PD, it can lead to visual discomfort. If you suspect that your PD is closer to 70-71 mm, you should communicate this to your optician and ensure that any new glasses are made with the correct measurement.

3. Frame Fit and Style: The shape and size of the frame can greatly affect comfort. Since you found some relief by adjusting the nose pads, it suggests that the fit of the frame is critical. If possible, consider frames that are similar in size and shape to your previous, more comfortable glasses. The curvature of the lenses and the overall design can also impact how well the glasses sit on your face and how they align with your eyes.

4. Lens Type and Material: The type of lenses you use can also make a difference. High-index lenses are often recommended for high prescriptions as they are thinner and lighter, which can reduce the weight on your nose and ears. Additionally, consider anti-reflective coatings, which can help reduce glare and improve visual comfort.

5. Trial and Adjustment: If you decide to get new glasses, it may be helpful to request a trial period where you can test the new lenses and frame for a few days. This way, you can assess comfort and vision before finalizing the purchase.

6. Communication with Your Optician: It’s crucial to maintain open communication with your optician. Share your concerns about the adjustments and the discomfort you are experiencing. A good optician will take your feedback seriously and work with you to find a solution that meets your needs.

7. Consider Professional Help for Eye Strain: If you continue to experience discomfort, it may be worthwhile to consult with an eye care professional who specializes in vision therapy or ocular health. They can provide additional insights into whether your symptoms are related to your glasses or if there are other underlying issues at play.

In conclusion, while it may be tempting to simply adjust your current glasses, it might be more beneficial to explore a new pair that aligns more closely with your previous, comfortable experience. Ensuring that your prescription, PD, and frame fit are all optimized will likely lead to a more comfortable and effective solution for your vision needs. Remember, your comfort and visual clarity are paramount, and it’s worth taking the time to find the right fit. I wish you the best of luck in resolving these issues and hope you find a solution that works for you!

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