Understanding vision/glasses/contacts

Soldato
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I'm lost with this whole eye thing... I'm classed as the smallest amount long sighted as possible being +0.25 in both eyes with the right eye having a 'cyl' of -0.25 and 'axis' of 130. As I understand it, having had my eyes tested in April last year, this simply means I should wear my glasses for reading, whilst using a pc etc, which is what I was advised. I do this without issue currently at close range. Why is it that now, my long distance vision seems fractionally better through the +0.25 glasses, as if my long distance vision is now worse? I was under the impression that glasses like mine would make my vision worse at distance? Contacts a possibility? :confused:
 
That's not a reading prescription, it's a general one to 'take the edge off' and sharpen things up that can be used for all distances. If you get headaches or use computers for prolonged periods, it should make things easier for you. It's a minute prescription anyway, so contacts would be worthless.
 
That's not a reading prescription, it's a general one to 'take the edge off' and sharpen things up that can be used for all distances. If you get headaches or use computers for prolonged periods, it should make things easier for you. It's a minute prescription anyway, so contacts would be worthless.

What I don't understand is how a lens designed to improve close vision can seemingly make long distances seem better sometimes - or is this just me perceiving it to be better? Wouldn't this defeat the object of multifocals?

[FnG]magnolia;28165554 said:
Have you considered talking to an optometrist?

Yes, but not at 9:55PM on a Friday. Plus it's more fun discussing with none qualified people via the internet.

with that prescription you do not need glasses.

Believe it or not, they do help a lot. Without them I find things not sharp enough. I literally woke up one morning and could tell my eyes weren't 100%. Apparently most people don't notice until 0.50 or more?
 
What I don't understand is how a lens designed to improve close vision can seemingly make long distances seem better sometimes - or is this just me perceiving it to be better? Wouldn't this defeat the object of multifocals?
Just due to it being so minimal. Multifocals come into play when the reading add is at least +0.75 over your regular rx.

Yes, but not at 9:55PM on a Friday. Plus it's more fun discussing with none qualified people via the internet.
Some may be qualified :p

Believe it or not, they do help a lot. Without them I find things not sharp enough. I literally woke up one morning and could tell my eyes weren't 100%. Apparently most people don't notice until 0.50 or more?
It's completely individual to you. I have a cyl of -1.50, but never wear glasses as it's only in one eye; my other eye compensates so well to bring them both together with binocular visual acuity of 6/6 (or 20/20 in US terms) :)
 
My eyes are like +5.25 I think at last eye exam. Long sighted and glasses are for everything/distance so I wear them all the time.
 
My eyes are like +5.25 I think at last eye exam. Long sighted and glasses are for everything/distance so I wear them all the time.

...and they aren't multi focals, just single basic lenses at +5.25? I would have thought this corrects your vision for reading and the like and then for distance it's like looking through jam jars :eek:
 
...and they aren't multi focals, just single basic lenses at +5.25? I would have thought this corrects your vision for reading and the like and then for distance it's like looking through jam jars :eek:

Just normal glasses, I wear them from when I wake up to when I go to bed otherwise I can't see clearly or read anything without straining.

They would be like 'jam jars' if I didn't have the high index thin lenses.
 
What I don't understand is how a lens designed to improve close vision can seemingly make long distances seem better sometimes - or is this just me perceiving it to be better? Wouldn't this defeat the object of multifocals?

For a simple and very small error in focusing, it's not surprising that a simple correction could make vision better at all distances. The shape of the lens in your eye is changed by muscles to be the right lens to focus on whatever distance you're looking at. A simple error in that lens shape changing can easily produce a consistent disparity between the correct lens shape and the actual lens shape, which would be consistently corrected by a fixed lens in front of the eye.

In any case, 0.25 is so small that it could be a placebo effect.

My eyesight is so poor (myopia and astigmatism) that apparently my uncorrected eyesight would qualify as "functionally blind", according to an optician who tested me. I'd certainly be rather limited by it, although I can see colours and blurry blobs just fine if there's enough light. Right now, for example, without my glasses I see a thin fuzzy black rectangular blur against a big yellow blob and a mostly blue blur inside the black rectangle with patches of grey blur. If I look carefully, I can see faint fuzzy black splodges on the grey bits. Far from blind, but rather limited in terms of visual functionality. I have simple lenses on my glasses and that gives me slightly better than normal visual acuity at all distances. No need for different lenses at different distances. Not yet, anyway. Probably will as I get older.

EDIT: I forgot the bit about multifocals. They're to correct a different problem, usually caused by aging. Prior to middle age at least, errors in vision caused by defects in the shape of the eyeball and/or lens are generally consistent at varying distances and so can be corrected at varying distances by the same lens. Short-sightedness, long-sightedness and astigmatism fall into that. Differences in focusing between short range and long range are a different problem and that's what bi/varifocal lenses are for.

So the lenses in your glasses aren't "designed to improve close vision". They're designed to compensate for the slightly incorrect shape of your eyeballs and lenses, which would improve your visual acuity at all distances. Close vision would probably be mentioned because people use and therefore notice visual acuity far more for closer things. "Small text slightly out of focus at normal reading distance" registers a lot more than "marginally less clear vision of that tree 100 feet away", even though it's the same reduction in visual acuity.
 
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The -0.25 'axis' part is for astigmatism, which blurs things at all distances.

Both my eyes are +0.25 but -0.75 in one eye and -0.50 in the other for astigmatism. In general I don't need them, can still see most of the bottom line at the opticians without, and opticians said I don't actually need to use them, however they help massively when using a computer otherwise I get eye strain.
 
I'm +0.25 in both eyes.

I've got a pair of glasses I use occasionally while driving, but I can go perfectly fine without them. It seems to help with focus at all distances.
 
...and they aren't multi focals, just single basic lenses at +5.25? I would have thought this corrects your vision for reading and the like and then for distance it's like looking through jam jars :eek:

That's not how it works.

If you're short sighted you just have normal lenses and it corrects all vision. If you're short sighted you may struggle to focus on distant objects but you may be able to read a book without glasses, however, wearing glasses may still improve clarity even at short distances - the correction factor at short distances isn't as great at long distances, which is why you can keep your glasses on if you're short sighted.

Multi focal lenses (or bi focals) are designed for long sighted people. You can see objects at a distance but you can't see objects up close, so for example you could drive a car but you couldn't read a book. Bi-focals with both elements having an index exist as often you might still need a small amount of correction for long distance and more correction for short distance.
 
That's not how it works.

If you're short sighted you just have normal lenses and it corrects all vision. If you're short sighted you may struggle to focus on distant objects but you may be able to read a book without glasses, however, wearing glasses may still improve clarity even at short distances - the correction factor at short distances isn't as great at long distances, which is why you can keep your glasses on if you're short sighted.

Multi focal lenses (or bi focals) are designed for long sighted people. You can see objects at a distance but you can't see objects up close, so for example you could drive a car but you couldn't read a book. Bi-focals with both elements having an index exist as often you might still need a small amount of correction for long distance and more correction for short distance.


All makes sense. What I fail to understand is how my minor prescription of +0.25 can correct close up vision and yet make mid to longer distance vision also better. This would render multi focals/bi focals useless?
 
All makes sense. What I fail to understand is how my minor prescription of +0.25 can correct close up vision and yet make mid to longer distance vision also better. This would render multi focals/bi focals useless?

Because you're short sighted, not long sighted. Glasses for short sightedness restore focus "at infinitum" - i.e. they work regardless of the distance the object you are viewing, but there will be a point close to you where everything is naturally in focus.

Test it - without your glasses on, grab a book, hold it out at arms length and slowly move it towards you - is there a point where it becomes crystal clear, regardless of whether you have your glasses on or not?
 
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On a slightly different topic, what is 6/36 in regards to eyesight? Would you need to have really poor eyesight not to achieve this?
 
On a slightly different topic, what is 6/36 in regards to eyesight? Would you need to have really poor eyesight not to achieve this?

On the comparisons I've seen, the first number is the distance at which your vision is as clear as normal adult human vision at the distance given by the second number, e.g. 20/10 would mean that person could see things as clearly at 20 feet as a person with normal adult human visual acuity could see them at 10 feet. This is the origin of the term "20/20".

I think it's most likely that the number you give is the metric version - 6 metres. If so, then 6/36 would be very poor eyesight - the person would see things 6 metres away as clearly as a person with normal adult human visual acuity would see things 36 metres away.

On the usual test with my right eye, I can count myself as 20/600 in that I can usually tell what the letter is although it's very fuzzy. With my left eye, I fail the standard test entirely so it's worse than 20/800. So in metric I'd be 6/180 with my right eye and something worse than 6/240 with my left. Thank goodness I live in a time and place with readily available prescription glasses.

EDIT: There's a simple online test at http://www.smbs.buffalo.edu/oph/ped/IVAC/IVAC.html if anyone fancies a quick estimate. You'll need to measure the size of a line on your monitor and the distance between you and the monitor so the right text sizes can be displayed. It should be accurate - the calcuations involved are simple and standardised.
 
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All makes sense. What I fail to understand is how my minor prescription of +0.25 can correct close up vision and yet make mid to longer distance vision also better. This would render multi focals/bi focals useless?

Different visual problems. Multi-focal lenses would indeed be useless for the visual defects you have, but they're far from useless for a different one.

Long-sightedness, short-sightedness and astigmatism result in consistent errors in focus at all distances so they can be corrected at all distances by a single lens. You have long-sightedness in both eyes and astigmatism in your right eye, so your vision is corrected at all distances by a single lens (well, one for each eye of course).

Presbyopia (which you haven't got) results in different errors in focus at different distances, so it's corrected by different lenses at different distances. That's what bi/multi/varifocal lenses are for - they're essentially different lenses at different positions in the same piece of material. It's often called long-sightedness, but it's not the same thing as the long-sightedness that you have.

There's a brief summary here:

http://www.webmd.com/eye-health/eye-health-presbyopia-eyes
 
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