1. Glasses issues 2. Glasses causing red, blue, and yellow fringes around objects 3. Eye pain issues
Hello, doctor.
I have the following questions that are troubling me, and I would like your clarification:
Question 1:
1.
Are pressure-relieving lenses / comfort lenses / student control lenses (similar to multifocal lenses) generally not recommended for use?
2.
If I have been wearing them for a long time, will it really lead to a loss of accommodative ability or other serious issues?
3.
Given that I have been wearing them for many years, would you recommend continuing with pressure-relieving lenses or switching to regular lenses?
*I am unsure of the correct terminology for the lenses.
The optical shop referred to them as student control lenses (pressure-relieving lenses), similar to multifocal lenses.
When I wear them, I notice that nearby objects appear larger compared to regular lenses, and I use the lower part of the lenses for close-up viewing and the middle to upper part for distance viewing.
Here are the details: I am currently 27 years old and have high myopia, with a prescription of approximately -7.00 to -8.00 diopters and astigmatism around -2.00 to -3.00 diopters.
I have had floaters since middle school and had uncorrected amblyopia during childhood.
Essentially, I have been wearing glasses for myopia since elementary school, and the amblyopia has not been treated.
During regular check-ups, there has been no special note regarding the amblyopia.
I started wearing pressure-relieving lenses around the age of 16-17 and have been wearing them for over 10 years (I have changed glasses during this time but continued with the same type of lenses).
A few months ago, when I visited a new ophthalmologist, the doctor and optometrist were surprised that I had been wearing these lenses for over 10 years.
They stated that these lenses are typically used by individuals over 40 years old and that wearing them at 27 is detrimental to my eyes.
Their claims were:
1.
It will lead to a loss of accommodative ability, and I should switch to regular lenses as soon as possible.
2.
Wearing pressure-relieving lenses without using a cycloplegic agent offers no benefit.
I was quite frightened and ended up purchasing new regular lenses at that clinic, but I found them very uncomfortable and experienced dizziness for over a month.
Additionally, I noticed that the edges of objects appeared to have red, blue, and yellow halos.
After three months, the dizziness has improved, but the issue with the colored halos around objects persists.
The doctor at that clinic advised me to rest and adapt more (but resting has not improved the situation).
As a result, I consulted several optometrists: Optometrist A from another clinic said that young people can wear these lenses; they do not control myopia but can reduce eye pressure, and there is no loss of accommodative ability.
Another optometrist from a different optical shop shared the same opinion.
However, another optometrist from yet another shop stated that generally, they do not prescribe these lenses for customers outside the age range of 30-45, as it can affect accommodative ability.
They do not provide these lenses to customers without a prescription or special issues.
As a result, I still cannot find an answer because my new glasses (regular lenses) are uncomfortable, and my old glasses (pressure-relieving lenses) are not strong enough, so I need to get new glasses.
I urgently want to confirm whether wearing pressure-relieving lenses at my age will indeed lead to a loss of accommodative function.
I am confused about whether I should return to my accustomed pressure-relieving lenses or switch to the regular lenses that require adaptation.
*Additionally, regarding my discomfort with the regular lenses, the optometrists have categorized three potential issues (but none could definitively tell me which lenses would be best for me):
1.
The frame size of the regular lenses is too small for me.
2.
Adapting from pressure-relieving lenses to regular lenses is challenging.
3.
The astigmatism prescription may be incorrect.
Question 2:
I have had persistent pain in my left eye for a long time, which has not improved.
Retina, macula, and cornea examinations have shown no issues, but I often experience sudden pain in my left eye, which sometimes extends to the area above my eyebrow and forehead.
What direction should I take to address this issue for improvement?
Thank you very much for your assistance with these questions!
Xiao Yu, 20~29 year old female. Ask Date: 2024/05/11
Dr. Gao Pilin reply Ophthalmology
Hello:
Question 1: 1.
Generally speaking, multifocal lenses are not discouraged; rather, they should be evaluated by a qualified ophthalmologist or optometrist to determine their suitability for you.
2.
Currently, there is no clear evidence indicating that long-term use of multifocal lenses leads to loss of accommodative ability.
3.
If you have already adapted to wearing multifocal lenses and are not experiencing any discomfort, you may continue to wear them.
However, it is advisable to have regular eye examinations to monitor your eye health.
Regarding your issue with discomfort from single vision lenses, it is recommended that you seek assistance from an ophthalmologist or optometrist again, as they can help assess the fit of your glasses and make adjustments to the prescription or frame size to alleviate your discomfort.
Question 2: The pain you described in your left eye may be related to various factors, including but not limited to issues with the eye itself.
Although your examinations of the retina, macula, and cornea showed no problems, there may be other ocular conditions or non-ocular causes contributing to the pain.
It is advisable to seek a detailed examination from an ophthalmologist again, and further tests such as fundus examination and intraocular pressure measurement may be necessary to determine the cause of the pain.
Additionally, if the ophthalmologist rules out ocular issues, you may consider consulting other specialists, such as a neurologist or headache specialist, to exclude other systemic conditions that could be causing the pain.
Wishing you a speedy recovery!
Reply Date: 2024/05/11
More Info
Your concerns regarding the use of pressure-relieving lenses, also known as "stress-relief lenses" or "student control lenses," are quite valid, especially considering your long history of high myopia and the specific symptoms you are experiencing. Let’s break down your questions and provide a comprehensive understanding of the implications of wearing these types of lenses, as well as address your ongoing eye pain.
Question 1: Impact of Pressure-Relieving Lenses
1. General Recommendations on Pressure-Relieving Lenses:
Pressure-relieving lenses are designed to reduce the strain on the eyes, particularly for individuals who are at risk of developing myopia or those who already have it. However, they are typically recommended for younger individuals, particularly children and adolescents, whose eyes are still developing. For adults, especially those over 40, these lenses may not be necessary and could potentially lead to issues with accommodation (the eye's ability to focus on near and distant objects).
2. Long-term Use and Effects on Accommodation:
There is some debate among eye care professionals regarding the long-term effects of wearing these lenses. Some studies suggest that prolonged use may lead to a decrease in the eye's ability to adjust focus, particularly if the lenses are not properly prescribed or if they are used inappropriately. However, other professionals argue that if the lenses are well-fitted and suited to your vision needs, they should not cause significant accommodation issues.
3. Switching to Regular Lenses:
Given your age and the length of time you have been using pressure-relieving lenses, it may be beneficial to transition to standard lenses, especially if they are causing discomfort. However, this transition can take time, and it is not uncommon to experience symptoms such as distortion or color fringes (red, blue, yellow light at the edges of objects) when switching lenses. These symptoms may indicate that your eyes are still adjusting to the new prescription or that the new lenses may not be perfectly suited to your needs.
Question 2: Ongoing Eye Pain
Your left eye pain, which radiates to the surrounding areas, is concerning and warrants further investigation. Since you have already undergone examinations for retinal, macular, and corneal issues, consider the following potential causes and next steps:
1. Possible Causes of Eye Pain:
- Dry Eye Syndrome: Chronic dryness can lead to discomfort and pain. This is particularly common in individuals with high myopia or those who spend long hours in front of screens.
- Migraine or Tension Headaches: Sometimes, eye pain can be a symptom of migraines or tension headaches, especially if the pain radiates to the forehead and brow area.
- Refractive Errors: If your prescription is not accurate, it can lead to eye strain and discomfort. This is particularly relevant given your recent switch in lenses.
- Neuropathic Pain: In some cases, nerve-related issues can cause persistent pain in the eye area without any apparent structural problems.
2. Next Steps for Management:
- Consult a Specialist: If you haven’t already, consider seeing a neuro-ophthalmologist or a pain specialist who can provide insights into the nature of your eye pain.
- Comprehensive Eye Exam: Ensure that your current prescription is accurate and that your lenses are appropriate for your needs. You may also want to explore options for managing dry eye if that is a contributing factor.
- Pain Management Strategies: Depending on the diagnosis, treatments may include medications, lifestyle changes, or therapies aimed at reducing eye strain and discomfort.
Conclusion
In summary, while pressure-relieving lenses can be beneficial for some, their long-term use in adults is still a topic of discussion among professionals. It is crucial to ensure that your lenses are correctly prescribed and suited to your visual needs. Regarding your eye pain, further evaluation by a specialist may provide clarity and help you find relief. Always prioritize regular check-ups with your eye care provider to monitor any changes in your vision or eye health.
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