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Blind and Visually Impaired Community

Full History - 2020 - 12 - 22 - ID#ki101h
11
Previously correctable vision no longer correctable. (self.Blind)
submitted by kerrielou73
I feel really weird posting this here, because I'm not that vision impaired, but I didn't know where else to post. I've worn corrective lenses since 6th grade and until a few years ago they were always able to correct vision to near 20/20, but this last time not only could they not really "perfect" it, he really couldn't even come very close. Is this better or is this better? I've never been in a situation where it's all just... bad. He's telling me he can't understand why I can't read the last line when I can't even read the second line. I've always been near-sighted and at 45 I'm now losing my near vision like most people. I'd always worn contacts, but a few years ago I switched to progressive glasses, because of all the horror stories I'd heard about multi-focal contacts. At first, I was thrilled, because I'd gone so long without an exam or updating my prescription. By that time my middle and near vision was horrible. The progressive glasses seemed like a near miracle, but as normally happens in a couple of years they weren't enough again. No problem. I'm used to that. What I'm not used to is the impairment being so apparently difficult to correct BOTH my near and far vision AND the optician being so perplexed. There was none of the, oh well you have a slight astigmatism in your left eye we can't totally correct, it was just... nothing was much better in either eye. He was an older man and I didn't get the sense he's just not good at his job, nor did he make me feel like I must not be being truthful, but that he was so obviously unusually frustrated and seemed to have NO IDEA why he couldn't correct my vision to anywhere near his expectations has left me unsettled.

The weirdest part was that when he finally gave up and gave me a pair of concentric multi-focal contacts, they were incredible! It felt like I was back to all the years I wore contacts. I had zero issues getting used to them and drove home in them, which he also said was unusual. I've been wearing them most of the time, but tonight my eyes were tired and I've slowly begun noticing they aren't as magical as I first thought. So I put on the progressive glasses I purchased at the same time. I cannot see nearly as well. Everything is blurry no matter where I look through the lenses. They're pretty much the same as my previous pair. Is this a thing where they can't prescribe a prescription for glasses that corrects your vision nearly as well as contacts?

If he had told me yeah, this happens when you get older that everything can't be corrected that would be one thing. But he was clearly frustrated and confused that he was able to correct it so little. I actually floated the idea to him that maybe I've just reached a point\\age where it can't be corrected all that well and he was adamant he should be able to, but he really couldn't find lenses that were any better than my previous glasses and when I got home and looked at the strength of my new contacts they aren't that much higher than the contacts I wore 5 years ago. They're only -3.75 med +2.00 for near.

I'm sure I sound like I'm whining, because they can't make my vision perfect, but I'm really not. I'm just very unsettled that I feel like something more is going on than just normal aging. My father was legally blind as were his 2 brothers. I watched his struggles and theirs to find corrective lenses that worked. He wore hard contacts and I didn't really understand the depth of his impairment until he decided to get his pilot's license and he had to work with his ophthalmologist through trial and error to find lenses he could see through well enough to pass the vision test. They all eventually had cataract surgery (they didn't have cataracts) which corrected their far vision to almost perfect. Their vision problems are hereditary and I don't believe it's related to whatever is going on with my vision. I only bring it up in that I learned fairly early that not everything is correctable and you just do the best you can. I just really feel like something isn't right and I want someone to be able to tell me yeah, this is happening and it's just a thing and it's going to get worse and we can only do so much. How could the optician have NO IDEA why he couldn't correct it? He said there was nothing wrong with my eyes, but something is wrong. I know in my gut something is wrong, it's getting worse, and I'd really like to know if this is normal or if I should expect things to get much worse and to be less and less correctable because that's what it feels like.

Tldr: Previously correctable vision is less and less correctable. Optician believes this should not be the case and seems to have not the vaguest idea why this is. His confusion\\frustration is\\was more unsettling than corrective lenses being significantly less successful than in the past.
80percentaccurate 10 points 2y ago
Yup! Time for an ophthalmologist! The guy that fits you for glasses basically only fits you for glasses and checks for any other major problems he would need to send you to an ophthalmologist for. I’m a little confused what you mean when you said your family has had cataract surgery but didn’t have cataracts. That basically means they had the lens of their eye removed. Typically they do that because the lens isn’t clear and able to be seen through though, which is cataracts. They remove the whole lens just the one time and sometimes put in a fake one.

If you aren’t feeling like things are right it might not have anything to do with the shape of your eye or the ability of your lens to bend as you need it. Those two things are what glasses are for. Go talk to an ophthalmologist and make note of any and all symptoms you have including blurriness, headaches, tripping on things or running into things, more trouble seeing on really bright days or dark nights etc. you might be one of those people that needs hard contacts and glasses.
Turnover-Party 10 points 2y ago
This happened to me too and it was an optic nerve problem. My vision corrects to 20/200 now. See an ophthalmologist, preferably a neuro specialized one. I'm sorry this is happening to you!
dupersuperduper 6 points 2y ago
Might also be worth having a blood test for diabetes and thyroid and b12 as these things can also affect your vision
TwoSunsRise 5 points 2y ago
Yeah, normal eye doctors literally have no idea what to do with people that don't have basic, corrective vision. It's super frustrating but just how it is. Hopefully you'll get more information with your new ophthalmologist. Good luck and feel free to post any time!
LibraryGeek 5 points 2y ago
I don't have an answer but I also have blurred vision that is correctable to 60 on a good day and 80 on a bad day. My various eye specialists (front of the eye and back of the eye and glaucoma) don't see what is causing the problem for my good eye. My ophthalmologist retired. So, I asked for an appointment with an ophthalmologist and got an optometrist instead. When COVID is under control I'm going to look for a new ophthalmologist. I have a probable diagnosis of fibromyalgia on top of everything and I've met other people with blurry vision that is not stable...so I mentioned that to the optometrist and he said, fibro is a neurological disease, it doesn't affect the eye. Um if the nerves to the ocular muscles aren't right that can cause problems and you also have the optic nerve. sigh
TheBlindBookLover 3 points 2y ago
See an ophthalmologist and not an optometrist. Also see your primary care doctor. They can provide answers that Dr. Reddit cannot. COVID-19 will probably impact your wait time, but at least make an appointment.
[deleted] -1 points 2y ago
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TheBlindBookLover 1 points 2y ago
How am I acting like optometrists are a joke? I simply recommended that OP should see an ophthalmologists and not an optometrist. I did not describe any attributes that degrade the work of am optometrist.
AlwaysLilly 3 points 2y ago
I agree I would get another opinion. Having your vision functioning at a level that works for you is important and especially with all that family history, it’s worth deducing any possibilities.
IllustriousWords 1 points 1y ago
Did you go to the opthalmologist? What happened? I ask because this is happening to me now with ONE eye only and even though it's not terrible (I had lasik 12 years ago, I remember what really bad eyesight was like) it's frustrating and a little scary.
kerrielou73 [OP] 1 points 1y ago
I can see with contacts, but my progressive glasses are fairly useless. Can't even drive with them. It freaked me out for a while, but apparently, it's not that uncommon. I don't know much about lasik other than it being possible for vision to correct on it's own under certain circumstances.

When my sister was working on her PhD her eyes got really bad. Her prescription went way up, higher than mine. She was seriously considering lasik. Once her PhD was over and she wasn't reading constantly her prescription went way back down. When she had her last eye exam and brought up that her prescription kept decreasing he said it's not uncommon. As a nearsighted person, she was spending a huge amount of time not looking into the distance so the muscles weren't being exercised. When she finally got to spend some time looking up they slowly got back into shape. She doesn't even have to wear them unless she wants everything to be really sharp. I blur out at a few feet, so it's crazy she went from worse than me to not \*needing\* to wear anything.

No idea what impact having lasik done when her prescription was at its highest would have had, if any.

edited to add: Her prescription now is lower than it was in highschool and she's 40. What is that even a thing??? From -3 to -5 to -2.5. She really needs to stop spending so much time outside looking into the distance.
azxkfm 1 points 2y ago
As others have suggested, it is time to see an ophthalmologist. There are many vision problems that are not merely a matter of near or farsightedness and astigmatism. I've always had poor vision with farsightedness with heavy astigmatism, but it hadn't changed much over the years. I am in my sixties. The last couple of years though, I've had significant changes and was recently diagnosed with MacTel.
thicccdragon 1 points 2y ago
I used to post health questions on Reddit. I'll be honest, it's good for advice but NOONE can give you medical advice here. No one can diagnose you. Please try to find a decent opthamalogist
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