How to Correct Vision with Different Degrees of Myopia in Each Eye - Ophthalmology

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How to prescribe glasses for binocular myopic disparity?


Hello, I am a third-year junior high school student.
I would like to ask about my glasses prescription.
My right eye has a myopia of -1.75 and my left eye has a myopia of -2.75.
How should I get my glasses fitted? If I get the full prescription, I experience dizziness while walking.
Will this discomfort improve? Should I consider reducing the prescription for my left eye by 0.25 to 0.50 diopters? After 3 to 6 months, will I need to get a new prescription? Thank you for your response.
3Q.

su, 10~19 year old female. Ask Date: 2016/02/21

Dr. Wang Zhishun reply Ophthalmology


Hello, your prescription is not high, and the disparity is not significant.
You should aim for a comfortable vision when looking with both eyes simultaneously, ensuring clarity at both near and far distances.
It is not necessary for each eye to be perfectly clear or to have a full correction.

Reply Date: 2016/02/21

More Info


When it comes to correcting vision with different degrees of myopia in each eye, there are several important considerations to keep in mind. In your case, you have a right eye with -1.75 diopters of myopia and a left eye with -2.75 diopters. This difference in prescription is known as anisometropia, which can lead to various visual challenges, including discomfort and difficulty with depth perception.


1. Choosing the Right Prescription:
When you visit an optometrist or ophthalmologist, they will perform a comprehensive eye exam to determine the most appropriate prescription for your glasses. Given the difference in your myopia, the optometrist may recommend a full correction for both eyes. This means that your glasses will have lenses that fully correct the vision in each eye to their respective prescriptions (-1.75 for the right eye and -2.75 for the left eye).


2. Addressing Discomfort and Dizziness:
If you experience dizziness or discomfort when wearing glasses with a full prescription, it could be due to several factors:
- Adaptation Period: It may take some time for your brain to adjust to the new lenses, especially if the difference in prescription is significant. This adaptation period can vary from person to person.

- Lens Type: The type of lenses you choose can also affect comfort. High-index lenses are thinner and lighter, which may reduce discomfort. Additionally, consider anti-reflective coatings to minimize glare.

- Frame Fit: Ensure that your glasses fit well. Poorly fitting frames can lead to visual distortions and discomfort.


3. Partial Correction:
If you find that full correction causes significant discomfort, some optometrists may suggest a partial correction for the more myopic eye (in your case, the left eye). Reducing the prescription by 0.25 to 0.50 diopters can sometimes help alleviate symptoms while still providing adequate vision correction. However, this should be done under the guidance of a professional.


4. Regular Check-Ups:
It is essential to have regular eye exams, especially if you are considering changing your prescription. After wearing your glasses for 3 to 6 months, you should return to your eye care provider for a follow-up examination. This will allow them to assess whether your vision has stabilized and if any adjustments to your prescription are necessary.


5. Consider Contact Lenses:
If glasses continue to cause discomfort, you might want to explore contact lenses as an alternative. Contact lenses can provide a more natural field of vision and may reduce the visual disparity between your two eyes. However, they also require proper fitting and care, so consulting with an eye care professional is crucial.


6. Vision Therapy:
In some cases, vision therapy may be recommended to help improve coordination between the two eyes, especially if you experience issues with depth perception or eye strain. This therapy involves exercises designed to enhance visual skills and can be beneficial for individuals with significant differences in prescription.


Conclusion:
In summary, correcting vision with different degrees of myopia in each eye requires careful consideration of your specific needs and symptoms. It is essential to work closely with an eye care professional to determine the best approach for your situation. Whether through full correction, partial correction, or exploring alternative options like contact lenses, the goal is to achieve clear, comfortable vision while minimizing any discomfort or dizziness. Regular follow-ups will ensure that your prescription remains appropriate as your vision changes over time.

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