Dramatic change in axis

[trekker28]

I am not feeling great about my recent choice for an optometrist.

My prescription is the same as it was 2 years ago... but the axis changed dramatically.

2 yrs ago:

OD Sphere -3.50 cylinder -..25 axis 090
OS Sphere -3.50 cylunder -.25 axis 002

Present day:

OD Sphere -3.50 cylinder -.25 axis 090
OS Sphere -3.50 cylunder -.25 axis 138

I am concerned that everything is the same except the left axis.....136 degrees different???

I am 49, and have become a lot more prebyoptic than ever.  Could that explain why the AXIS is reportedly so much different?  Could this be a big mistake?  I truly wasn't all that confident about my new  optometrist's performance.

[SoftwareDeveloper]

re: "pay to find there is nothing wrong"

If that is implying your old prescription works better, then stick with your old glasses or ask the doctor if they can just prescribe that again. Or as I think was suggested before, get another opinion, perhaps an optometrist. Or try a different optical shop if you've been using the same one in case they are the problem. You provide no detail on the prescription changes for people to be able to comment on whether the changes are minor.

[Betonaster]

"Don't sweat it."  You might as well say, "Get a life."  Look, Sir, what you fellows insist are small changes, do have an effect on how one sees.  If the change is insignificant, then why change it at all.  Patient satisfaction?  If a patient doesn't see a changed prescription, they won't be satisfied because they had to pay to find there's nothing wrong?

I've had 4 changes in prescription over the past three months - from an MD - and none of the lenses have worked properly.  None.  I have nothing odd going on with my health or vision.  So, you tell me, just how insignificant these "minor" changes are.

[trekker28]

Oh my gosh, that brings me huge relief!!  Thank you so much for taking the time to respond. I really appreciate it.

[John C Hagan III, MD, FACS, FAAO]

those RX are 99.999% the same. You have virtually no astigmatism. With such a tiny amount it is often difficult to get reproducible cylinder axis. Don't sweat it.

JCH MD