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Eyeglass issues

I had strabismus surgery in my OS as a child in 1968/69? for exotropia, but no vision therapy whatsoever as it was not invented yet.  Current optometrist is telling me I really need the vision therapy--no argument there.  I'm currently wearing my first pair of progressive lenses (Varilux Physio--got them Nov 5, 2009) prescribed by current optometrist and have a pair of computer glasses (same material) with a reading segment in them since the 2nd week of Dec.   I'm having a pulling-in sensation/pressure/feels like there is a balloon in my head with some dizziness/tension headache after wearing the computer glasses for about an hour on a good day (today earlier I got these symptoms and headache after a few minutes on the computer) and also get the same sensation with the progressives after wearing those for about an hour or two, on some days and not others !

The last eyeglass Rx that I wore was for single vision computer glasses (no problems whatsoever with them) which was:
OD  +2.75 x -1.25 x  78
OS  +2.50 x -1.00 x  84

The current PAL lense (Varilux Physio) Rx I wear is this:
OD +1.50  x -1.25 x 76  Add + 1.75
OS  +2.00 x - 0.75 x 79 Add + 1.75

Not sure what the computer glasses numbers are, but they are the same as the PAL lenses' intermediate range.  

Any ideas on why I would still be having issues with the computer glasses if they are the same Rx as the PAL lenses (intermediate range)--I was told there would be no adjustment because I've been wearing the PALs that have the same Rx for the intermediate distance for about two months (albeit with intermediate probs).  I've been to see this current doctor twice after seeing about six others for a total of 12 visits!  I work on a computer for a living right now and it's very hard to get any work done because of the problems listed above.

Thanks in advance!

Bluegreeneyes46
3 Responses
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517208 tn?1211640866
MEDICAL PROFESSIONAL
Dear Bluegreeneyes46,

I would recommend that you seek the care of an eyeMD to determine the prescription that is needed.  I would recommend that you obtain a cycloplegic refraction to determine whether the prescription is enough.

Dr. Feldman

Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California
Helpful - 1
Avatar universal
Hi Sandy

Thanks for the info!  I saw two ophthalmologists along my journey here and five optometrists all who have more than 10 years of experience in their respective fields, and I've gotten a different Rx each time with one dilated exam where no refraction was done! Go figure!  I did noticed when my eyes were dilated at the one ophthalmologist's office that my eye muscles seemed to relax as the drug took affect.  I could literally feel my eyes moving out the other way from I guess being pulled in?  It was a very weird sensation, but I do remember this.  After the exam was all said and done and was heading home, waiting for the drops to wear off (took about 5 hours!), I could see very well out of the glasses I currently had, although these were ditched later on for the new Varilux Physios because of continuing and rather uncomfortable headaches.  The new Varilux lens add power was upped to 1.75 from 1.50 and it made a difference.

I do wonder about something.  The last optometrist (private practice) that I saw said I was more farsighted in my left eye (the one I had the strabismus surgery on) than my right.  I was very surprised as the vision in my left eye is blurry now (didn't use to be) as the day goes on, but not so much when I first awaken in the a.m.  Would this make my OS Rx numbers higher or lower??? Also, something interesting here...all the new docs (a mix of optometrists and ophthalmologists) that I've seen in the last six months have had my OS numbers always higher, but the doc (optometrist) I've seen for the last 10 years (and whose Rxs I've never had a problem with) has my OS weaker.  Could this shift in the balance of my eyes cause the issues I'm having??? If so, will these symptoms subside once my eye muscles get used to new balance from the new "headache goggles"..ur..uh I mean glasses :-D  

Thanks in advance!

Bluegreeneyes46
Helpful - 0
233488 tn?1310693103
MEDICAL PROFESSIONAL
1. As a generalization the only good that visual therapy does is help the optometrist pay his/her rent. Visual therapy has been subjected to rigorous scientific study and been found to be ineffective and inordinatly expensive.
2. Ther are many variables in a pair of glasses. Just like two pair of shoes that are the same size may not feel the same when you wear them so it is with glasses. You will need to work through these problems.

JCH MD
Helpful - 0

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