Prescription Strengths for Myopia Glasses: What You Need to Know - Ophthalmology

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Regarding prescription lens correction power?


Is it common for prescription glasses for myopia to be prescribed with a vision of 1.2 or 1.5? I have been wearing my current glasses for five years, and during my recent vision check, my eyesight was measured at 1.2 and 1.5! During my last routine eye exam, my intraocular pressure was slightly elevated (22 and 23 mmHg).
A friend mentioned that my glasses might be causing pressure due to being too strong.
However, wouldn't wearing an insufficient prescription make it harder to see clearly? Should I consider getting a new prescription? Thank you for your response!

Mei Mei, 30~39 year old female. Ask Date: 2009/08/11

Dr. Ke Meilan reply Ophthalmology


Hello: Generally, individuals aged 30-40 may experience a reduction of about 100 diopters in myopia.
If they wear a higher prescription, it may lead to eye strain; achieving a visual acuity of 1.0 in one eye is sufficient.
If squinting is necessary to see clearly, it can also cause fatigue.
I recommend undergoing a cycloplegic refraction for an accurate measurement and then comparing it with your current glasses prescription.
Wishing you peace and good health.

Reply Date: 2009/08/11

More Info


When it comes to understanding prescription strengths for myopia glasses, it's essential to grasp how prescriptions work and what they mean for your vision. In general, myopia, or nearsightedness, is measured in diopters (D), with negative values indicating the strength of the lenses needed to correct your vision. The numbers you mentioned, such as 1.2 or 1.5, typically refer to visual acuity rather than the prescription strength itself. Visual acuity is a measure of how well you can see at a distance, with 1.0 (or 20/20 vision) being considered normal vision.

If your recent eye exams have indicated visual acuities of 1.2 or 1.5, this suggests that your vision is better than average, which is a positive sign. However, it's crucial to understand that the prescription for your glasses might not directly correlate with these visual acuity numbers. Instead, the prescription is determined by the degree of myopia you have, which can change over time, especially if you have high myopia.

Regarding your concern about eye pressure, it's important to note that elevated intraocular pressure (IOP) can be a risk factor for glaucoma, a condition that can lead to vision loss if not managed properly. The readings you provided (2.2 and 2.3) seem unusually low, as IOP is typically measured in millimeters of mercury (mmHg) and normal ranges are usually between 10 and 21 mmHg. If your readings were indeed in mmHg, they would be considered low, but if they were in a different unit, it would be best to clarify this with your eye care professional.

As for the concern that wearing glasses with too strong a prescription could cause pressure on your eyes, this is a common misconception. Wearing the correct prescription is crucial for optimal vision and comfort. If your glasses are too strong, it can lead to visual discomfort, but it won't directly cause elevated eye pressure. Conversely, wearing an insufficient prescription can lead to eye strain, headaches, and difficulty seeing clearly, which might make you squint or strain your eyes further.

If you've been wearing the same pair of glasses for five years, it's wise to consider getting a new prescription. Vision can change over time, and regular check-ups are essential to ensure that your prescription is up to date. If your recent eye exam indicated any changes in your vision or if you are experiencing discomfort, it would be prudent to discuss this with your eye care provider. They can assess whether a new prescription is necessary and address any concerns regarding your eye pressure.

In summary, while visual acuity numbers like 1.2 and 1.5 indicate good vision, they do not directly correlate with the strength of your glasses prescription. Regular eye exams are vital for monitoring changes in vision and eye health, including intraocular pressure. If you have concerns about your current glasses or eye pressure, consult with your eye care professional for personalized advice and potential adjustments to your prescription. Maintaining good eye health involves not only wearing the correct prescription but also being proactive about regular check-ups and addressing any symptoms or changes in vision promptly.

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