Vision Issues with New Glasses: Causes and Solutions - Ophthalmology

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Issues with Wearing Glasses


It seems that you have myopia of approximately -5.75 diopters and astigmatism of -1.50 diopters.
Today, you received glasses with a prescription of -4.50 diopters for myopia and -0.50 diopters for astigmatism, with an axis of 180 degrees.
However, you are experiencing dizziness when wearing them, especially when looking up or down.
Additionally, you feel uncomfortable after removing the glasses.
This issue could be due to several factors, including:
1.
Incorrect Prescription: The glasses may not have the correct prescription for your vision needs, particularly for astigmatism.
2.
Adaptation Period: If the glasses are significantly different from your previous prescription, your eyes may need time to adjust.
3.
Frame Fit: The shape and fit of the glasses can affect how the lenses align with your eyes, potentially causing distortion.
4.
Lens Design: If the lenses are slightly curved, this could also contribute to visual distortion, especially if the prescription is not optimized for that frame type.
It is advisable to return to the optometrist or ophthalmologist who prescribed the glasses to discuss your symptoms and possibly reevaluate your prescription.

Jie, 20~29 year old female. Ask Date: 2016/02/03

Dr. Wang Zhishun reply Ophthalmology


Hello, based on your description, it is more likely that the issue is related to the frame (such as the tilt angle, bridge height, etc.).
You may want to have the eyewear store make adjustments.

Reply Date: 2016/02/03

More Info


When you experience discomfort and visual disturbances after getting new glasses, it can be quite frustrating. Based on your description, it seems that the new prescription is significantly different from your previous one, which could be contributing to the issues you're facing. Here’s a breakdown of potential causes and solutions for your situation.


Causes of Visual Disturbances with New Glasses
1. Prescription Discrepancy: You mentioned that your new glasses have a prescription of -4.50 for myopia and -0.50 for astigmatism, while your previous prescription was -5.75 for myopia and -1.50 for astigmatism. This is a substantial change, particularly in the astigmatism correction. When the prescription is altered significantly, your eyes may struggle to adapt, leading to symptoms like blurriness, dizziness, or a feeling of distortion.

2. Lens Type and Frame Design: The fact that you have chosen a large square frame with slightly curved lenses can also play a role. Larger frames can introduce peripheral distortion, especially if the lenses are not perfectly aligned with your line of sight. If the optical center of the lenses does not align with your pupils, it can cause visual discomfort.

3. Adaptation Period: It’s common for individuals to experience an adaptation period when switching to new glasses, especially if the prescription has changed significantly. During this time, your brain and eyes are adjusting to the new visual input, which can lead to temporary discomfort.

4. Lens Quality and Fitting: If the lenses were not manufactured correctly or if they are not fitted properly in the frame, this can also lead to visual disturbances. Issues such as incorrect lens curvature or misalignment can exacerbate the problem.


Solutions to Consider
1. Consult Your Optometrist: The first step is to return to the optometrist or optical shop where you purchased your glasses. Discuss your symptoms in detail. They may need to check the prescription accuracy, the lens fitting, and the alignment of the glasses. Sometimes, minor adjustments can make a significant difference.

2. Give It Time: If the optometrist confirms that the prescription is correct, it may be beneficial to give your eyes some time to adjust. Typically, this adaptation period can last from a few days to a couple of weeks. During this time, try to wear the glasses consistently, as taking them off frequently can prolong the adjustment period.

3. Consider a Different Prescription: If after a reasonable adjustment period you still experience discomfort, it may be worth discussing the possibility of a different prescription. Sometimes, a slight modification can alleviate symptoms.
4. Lens Type Adjustment: If you are experiencing significant distortion, you might want to explore different lens types or designs. For example, high-index lenses or aspheric lenses can reduce distortion and improve visual clarity, especially in larger frames.

5. Frame Fit: Ensure that the frame fits well. A poorly fitting frame can cause the lenses to sit incorrectly in front of your eyes, leading to discomfort. If the frame is too large or heavy, it can also contribute to visual fatigue.

6. Eye Health Check: If you continue to experience discomfort, it may be wise to have a comprehensive eye exam to rule out any underlying eye health issues that could be contributing to your symptoms.

In summary, while it’s common to experience some discomfort when adjusting to new glasses, persistent issues should not be ignored. Consulting with your eye care professional is crucial to ensure that your prescription is accurate and that your glasses are fitted properly. With the right adjustments and time, you should be able to achieve clearer and more comfortable vision.

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