Regarding issues related to optic nerve atrophy!
If both eyes originally had myopia, with the left eye at -2.75 diopters and the right eye at -3.00 diopters, and due to right optic nerve atrophy, the later measurements showed the left eye at -4.50 diopters and the right eye at -5.00 diopters, I would like to ask the doctor if the worsening of my left eye's prescription is related to my habit of using it more for seeing things.
If this continues, will the left eye's prescription keep worsening? Additionally, if I need to wear glasses, should I get prescriptions based on each eye's individual measurements, or should I match both lenses to the left eye's prescription? Also, if I cover my left eye and use my right eye with optic nerve atrophy to write or do tasks, will this be detrimental to the right eye? Could it worsen the optic nerve atrophy? If so, how can I protect the right eye with optic nerve atrophy? Thank you for your response, doctor!
wan nian ju hui, 20~29 year old female. Ask Date: 2014/04/01
Dr. Gao Pilin reply Ophthalmology
Hello: Myopia is indeed related to your reading habits, such as distance, duration, and lighting.
Generally, both eyes are used simultaneously, and both can worsen, which is not significantly related to the habit of using the left eye more.
To prevent the worsening of myopia, it is important to maintain good reading habits and take appropriate breaks.
Your prescription for both eyes is similar, and you can have them corrected according to their respective prescriptions.
There is no need to cover your left eye and use only your right; please use both eyes normally.
Currently, there are no specific methods to improve optic nerve atrophy.
Adequate rest, continuing the medication prescribed by your neurosurgeon, and regular check-ups with an ophthalmologist are recommended.
Thank you for your message.
Reply Date: 2014/04/01
More Info
Understanding optic nerve atrophy and its implications for vision can be quite complex, especially when considering the interplay between eye health and corrective measures. In your case, it appears that you have a history of myopia (nearsightedness) in both eyes, with the left eye at 275 degrees and the right eye at 300 degrees. Following the diagnosis of optic nerve atrophy in your right eye, your recent measurements show an increase in myopia, with the left eye at 450 degrees and the right eye at 500 degrees.
Firstly, it is indeed possible that your left eye's increasing myopia is related to your habitual reliance on it for vision. When one eye is compromised, the brain tends to favor the functioning eye, which can lead to increased strain and potentially exacerbate myopia in that eye. This phenomenon is often referred to as "monocular dominance," where the dominant eye becomes more heavily relied upon for visual tasks, leading to increased visual demands and possibly worsening refractive errors over time.
Regarding your concern about whether the left eye's myopia will continue to deepen, it is difficult to predict with certainty. Factors such as genetics, environmental influences, and visual habits all play a role in the progression of myopia. If you continue to use your left eye predominantly, it may indeed lead to further increases in myopia. Regular eye examinations are crucial to monitor changes in your vision and to adjust your prescription as needed.
When it comes to corrective lenses, the decision on whether to prescribe glasses based on the individual eye's measurements or to use a uniform prescription for both eyes depends on several factors. If your left eye is significantly stronger than your right, it may be beneficial to have glasses that cater to each eye's specific needs. However, if the difference in prescription is too great, it could lead to discomfort or visual distortion. An optometrist or ophthalmologist can provide personalized advice based on your specific visual requirements and comfort.
As for your question about occluding (covering) your left eye and relying solely on your right eye with optic nerve atrophy, this practice is generally not recommended. Using the affected eye exclusively can lead to increased strain and may worsen the condition of the optic nerve. It is essential to maintain a balance in using both eyes to prevent further deterioration of vision. Instead, consider using your left eye for most tasks while ensuring that you do not overexert the right eye.
To protect your right eye with optic nerve atrophy, consider the following strategies:
1. Regular Eye Exams: Keep up with regular check-ups to monitor the health of both eyes and adjust prescriptions as necessary.
2. Visual Hygiene: Practice good visual habits, such as taking breaks during prolonged tasks, ensuring proper lighting, and maintaining a comfortable distance from screens.
3. Protective Eyewear: If you are exposed to bright lights or screens for extended periods, consider using blue light-blocking glasses or sunglasses to reduce glare and strain.
4. Healthy Lifestyle: Maintain a balanced diet rich in vitamins and minerals that support eye health, such as omega-3 fatty acids, lutein, and vitamins A, C, and E. Staying hydrated and managing overall health can also benefit your vision.
5. Vision Therapy: In some cases, vision therapy may help improve visual function and coordination between the eyes. Consult with an eye care professional to see if this is a suitable option for you.
In conclusion, while your left eye may be compensating for the right eye's condition, it is crucial to monitor its health and manage your vision carefully. Regular consultations with eye care professionals will provide you with the best strategies for maintaining your vision and protecting your optic nerve health.
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