Vision Issues: Seeking Solutions for Eye Health and Focus - Ophthalmology

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Vision problems


Hello, doctor.
When I look in the mirror, I notice that my left eye seems unable to focus, and I wonder if I might have some degree of strabismus.
(When I was a child, the doctor mentioned that I had strabismus.) I haven't changed my glasses in eight years, and the frame is peeling and rusted, turning green.
Recently, I don't want to wear glasses anymore since I've been wearing them for over ten years, and my prescription keeps increasing.
However, without glasses, I can't see distant objects, and I've recently noticed that even with glasses, it's becoming more difficult to see things far away.
I would like to ask if there are any other methods to restore my vision besides laser surgery for my myopia.
Are there any limitations? If I do have strabismus, can it be corrected? I haven't seen an ophthalmologist in twelve years, so I would like to know if regular eye examinations are necessary.
If so, how often should they be done? Should I go to the hospital for an eye examination? Thank you.

Xiao Hong, 20~29 year old female. Ask Date: 2010/08/10

Dr. Gao Pilin reply Ophthalmology


Hello, strabismus is not simply a condition where one eye cannot focus, but rather a situation where the two eyes are unable to fuse images (with one eye deviating).
Sometimes, this can lead to diplopia (seeing two images).
If strabismus was present in childhood, it is still possible to have it now, so please visit a nearby ophthalmology clinic for an examination.
If you haven't changed your glasses in eight years and they are rusty, it's time to check your prescription.
Wearing glasses with an incorrect prescription for an extended period can cause discomfort and blurred vision.
If your prescription continues to increase, it is temporarily unsuitable for laser surgery for myopia, as the prescription will still increase afterward.
Strabismus can be treated and corrected, but it requires evaluation by a specialized ophthalmologist before proceeding.
Regular eye examinations are necessary, ideally every six months to a year, depending on your situation, so please follow the follow-up schedule set by your doctor.
Wishing you good health.

Reply Date: 2010/08/10

More Info


Hello! Thank you for reaching out with your concerns regarding your vision and eye health. It sounds like you are experiencing a combination of issues, including potential strabismus (commonly known as "crossed eyes"), difficulty focusing, and the need for an updated prescription for your glasses. Let's break down your questions and concerns.

Firstly, regarding your observation that your left eye seems unable to focus properly, this could indeed be related to strabismus, especially since you mentioned that a doctor noted this condition in your childhood. Strabismus can lead to amblyopia (lazy eye) if not addressed, which could explain why you might be experiencing difficulty in focusing with that eye. It’s important to have a comprehensive eye examination to determine the exact nature of your condition and whether strabismus is present.

Your current glasses, which you mentioned have not been updated in eight years, may no longer provide the correct prescription for your vision needs. Over time, our vision can change, and wearing outdated glasses can lead to eye strain, headaches, and difficulty seeing clearly, especially at a distance. It’s recommended to have your eyes checked regularly, typically every one to two years, or more frequently if you notice changes in your vision. Given that you haven't seen an eye doctor in twelve years, it would be wise to schedule an appointment soon.

As for your concerns about laser eye surgery, such as LASIK, it is indeed a popular option for correcting refractive errors like myopia (nearsightedness). However, not everyone is a suitable candidate for laser surgery, especially if there are underlying conditions like strabismus or if your prescription is still changing. An eye care professional can evaluate your eyes and discuss the potential risks and benefits of surgery based on your specific situation.

In addition to laser surgery, there are other options available for vision correction. These include:
1. Contact Lenses: These can provide a wider field of vision and may be more comfortable than glasses for some people. There are also specialized lenses for astigmatism or presbyopia if needed.

2. Orthokeratology: This involves wearing specially designed contact lenses overnight to reshape the cornea temporarily, allowing for clearer vision during the day without the need for glasses or contacts.

3. Vision Therapy: If strabismus is confirmed, vision therapy may help improve coordination and focusing abilities between your eyes. This is a structured program that involves exercises and activities designed to improve visual skills.

4. New Prescription Glasses: Updating your glasses to reflect your current prescription can significantly improve your visual comfort and clarity.

Regarding your question about the frequency of eye exams, it is essential to have regular check-ups, especially if you have a history of vision problems. For adults, an eye exam every one to two years is generally recommended, but if you have specific issues like strabismus or significant changes in vision, more frequent visits may be necessary.

In summary, I encourage you to schedule an appointment with an eye care professional as soon as possible. They can provide a thorough examination, assess your vision needs, and discuss the best options for you, whether that involves updating your glasses, considering contact lenses, exploring laser surgery, or addressing any potential strabismus. Taking proactive steps now can help ensure better eye health and clearer vision in the future. Thank you for your questions, and I wish you the best in your journey toward improved eye health!

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