Unexpected Increase in Eyeglass Prescription: What to Do Next? - Ophthalmology

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Hello! It sounds like you're experiencing a concerning increase in your eyeglass prescription, which can be quite unsettling, especially when you expect your vision to stabilize at your age. Let's break down your situation and discuss what steps you can take moving forward.

First, it's important to understand that an increase in your eyeglass prescription, especially by 100 degrees in each eye, can be attributed to several factors. These may include changes in the shape of your eyeball, the health of your cornea, or even conditions like cataracts or other eye diseases. Given that you mentioned your previous prescription was stable for a year, this sudden change warrants further investigation.

1. Regular Eye Exams: While you mentioned that you already have regular eye exams, it's crucial to ensure that these exams are comprehensive. A standard vision test may not always reveal underlying issues. You should request a thorough examination that includes:
- Refraction Test: To determine the exact prescription needed for clear vision.

- Dilated Eye Exam: This allows the doctor to see the back of your eye, including the retina and optic nerve, which can help identify conditions like diabetic retinopathy, macular degeneration, or glaucoma.

- Corneal Topography: This test maps the surface of your cornea and can help detect irregularities that might affect your vision.

2. Additional Tests: Depending on the findings of your initial examinations, your eye doctor may recommend further tests, such as:
- Optical Coherence Tomography (OCT): This imaging test provides detailed images of the retina and can help detect swelling, fluid, or other abnormalities.

- Visual Field Test: This assesses your peripheral vision and can help identify issues related to glaucoma or other optic nerve problems.

3. Lifestyle Factors: Consider your daily habits that may contribute to eye strain or vision changes. Prolonged screen time, inadequate lighting, and poor ergonomics can exacerbate vision problems. Implementing the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) can help reduce eye strain.

4. Health Conditions: If you have any underlying health conditions, such as diabetes or hypertension, these can significantly impact your vision. Ensure that these conditions are well-managed, as they can lead to complications affecting your eyesight.

5. Consultation with a Specialist: If your regular eye doctor cannot determine the cause of your vision changes, consider seeking a second opinion from a retinal specialist or an ophthalmologist. They may have more advanced diagnostic tools and expertise to identify potential issues.

6. Monitor Symptoms: Keep track of any additional symptoms you may experience, such as headaches, blurred vision, or changes in your peripheral vision. Documenting these can provide valuable information to your eye care provider.

In summary, while an increase in your eyeglass prescription can be alarming, it is essential to take proactive steps to investigate the underlying causes. Regular and comprehensive eye exams, along with lifestyle adjustments and monitoring of your health, can help you maintain your vision and overall eye health. Don't hesitate to reach out to your eye care provider with your concerns, and ensure you advocate for the thorough examinations you need. Your vision is vital, and addressing these changes early can lead to better outcomes.