Prescription Glasses After Dilation: Common Concerns - Ophthalmology

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Eyeglass prescription issues?


Hello: After undergoing dilation in the ophthalmology department, I went to the optical shop to get glasses, but the optician said that the prescription after dilation cannot be used for fitting glasses.
Isn't the prescription after dilation supposed to be more accurate for fitting glasses? Thank you.

Ms. Huang, 40~49 year old female. Ask Date: 2023/03/16

Dr. Liang Ce reply Ophthalmology


It is advisable for you to consult with your attending physician regarding the aforementioned issues.
Thank you, and wishing you good health.

Reply Date: 2023/03/16

More Info


After undergoing dilation during an eye exam, many patients have questions about the accuracy of their prescription glasses. It's common to feel confused about why the prescription obtained after dilation may not be suitable for fitting new glasses. Let’s break down the reasons behind this and address some common concerns.


Understanding Dilation and Its Effects
Dilation is a procedure where eye drops are used to widen the pupils, allowing the eye doctor to examine the retina and other internal structures more thoroughly. While dilation is essential for a comprehensive eye exam, it can temporarily alter your vision and the way your eyes focus. The drops used for dilation can cause the following effects:
1. Blurred Vision: Dilation can lead to temporary blurred vision, especially for near tasks. This is due to the paralysis of the ciliary muscle, which controls the eye's ability to focus on close objects.

2. Increased Sensitivity to Light: With larger pupils, more light enters the eye, which can make bright environments uncomfortable.

3. Changes in Refraction: The dilation process can affect the eye's refractive state, leading to a temporary change in the prescription needed for glasses.


Why Dilation Prescription May Not Be Used for Fitting Glasses
1. Temporary Changes: The changes in vision caused by dilation are often temporary. After the effects of the dilation wear off, your vision may return to its normal state. Therefore, using the dilation prescription for glasses could result in discomfort or an incorrect prescription.

2. Best Practices: Eye care professionals typically prefer to wait until the effects of dilation have completely subsided before finalizing a prescription. This ensures that the prescription reflects your true visual needs.

3. Different Measurements: The prescription obtained during dilation may not account for your natural focusing ability. For instance, if you are presbyopic (having difficulty focusing on close objects due to age), the dilation might not accurately reflect your near vision needs.


Recommendations for Patients
1. Follow-Up Appointment: If you have concerns about your vision after dilation, it’s advisable to schedule a follow-up appointment. This allows your eye care provider to assess your vision once the dilation effects have worn off.

2. Communicate with Your Eye Care Provider: If you feel that your vision has changed significantly after dilation, discuss this with your eye care provider. They can provide insights and determine whether a new prescription is necessary.

3. Be Patient: Understand that the effects of dilation can take several hours to fully dissipate. It’s essential to give your eyes time to return to their normal state before making any decisions about new glasses.

4. Consider Your Lifestyle: When discussing your prescription with your eye care provider, consider your daily activities. If you spend a lot of time reading or using a computer, ensure that your prescription accommodates these needs.


Conclusion
In summary, while dilation is a crucial part of an eye exam, the resulting prescription may not be suitable for immediate use in glasses fitting due to the temporary changes it causes in vision. It’s essential to communicate openly with your eye care provider and follow their recommendations for the best visual outcome. If you have further questions or concerns, don’t hesitate to reach out to your eye care professional for clarification and guidance.

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