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Ask HN: Do your eyes bug you even though your prescription is "correct"?

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Re: Ask HN: Do your eyes bug you even though your prescription is "correct"?

#81

If you're over 40 and have been wearing glasses for years, you might now need a pair with a weaker prescription just for computer use.

What's the reasoning behind being over 40? I recently complained to my optometrist that I was having a harder time seeing things up close and he prescribed me weaker lenses for work/reading. My regular prescription is right around -7 in both eyes. I'm not over 40.

Presbyopia - the lens in our eyes begin to harden at age 40, making it harder for our eye muscles to "squeeze" the lens to focus. Presents itself as blurriness and eye strain. We usually encounter a change in our Rx during this time too, sometimes needing a weaker Rx (counterintuitively).

Would love to chat about your experience in any case. I'm at jbornhorst [at] gmail.com if interested.

Re: Ask HN: Do your eyes bug you even though your prescription is "correct"?

#82

I am very nearsighted (-7.5 in both eyes), I've worn daily contact lenses almost exclusively for 20 years. I also have non glaucoma ocular hypertension which puts me at a higher risk for retinal detachment. I have no headaches or eye strain after long screen days, but I do get blurry vision and lots of floaters after long screen days. If you want to know anything else I'd be happy to chat.

would love to chat - i'm at jbornhorst [at] gmail [dot] com if you have 20-30 mins to spare.

Re: Ask HN: Do your eyes bug you even though your prescription is "correct"?

#83

If you're over 40 and have been wearing glasses for years, you might now need a pair with a weaker prescription just for computer use.

What's the reasoning behind being over 40? I recently complained to my optometrist that I was having a harder time seeing things up close and he prescribed me weaker lenses for work/reading. My regular prescription is right around -7 in both eyes. I'm not over 40.

Most people get this after 40. Some people get it earlier.

Presbyopia: https://www.mayoclinic.org/diseases-conditions/presbyopia/sy...

  Presbyopia usually becomes noticeable in your early to mid-40s and continues to worsen until around age 65.
If you're much younger than 40, maybe google "early onset presbyopia".

Re: Ask HN: Do your eyes bug you even though your prescription is "correct"?

#84

I've had the bad luck that my first prescription was quite wrong: incorrect axis for astigmatism, and incorrect spherical (I basically have only astigmatism, no spherical). So for years I was suffering through the days. Optometrists flat out refuse to correct such mistakes (I've been to many!), preferring only minor changes. I finally started ordering a bunch of glasses cheaply online, and eventually found a prescrip…

I would love to speak with you. This is the exact case I'm interested in. I'm at jbornhorst [at] gmail [dot] com if you have 20-30 mins to spare.

Re: Ask HN: Do your eyes bug you even though your prescription is "correct"?

#85

Yes, they bug me. I am nearsighted (-7.5 with astigmatism in left, -6.0 in right). Recently been experiencing slight spasms and fatigue in the left eye. Always been very sensitive to light changes. Dry eye isn't frequent (yet), but I assume will get more so with age. Night-time driving is awful even with full correction, it seems like I get afterflashes for a fraction of a second after seeing every single oncoming ve…

I would love to speak with you. This is the exact case I'm interested in. I'm at jbornhorst [at] gmail [dot] com if you have 20-30 mins to spare.

Re: Ask HN: Do your eyes bug you even though your prescription is "correct"?

#86
Lassik surgery got rid of all those issues for me. Completely.

20 minutes of (intense) discomfort. 30 minutes later I was seeing the world in high definition (with sand-in-my eyes, yes. But high definition). I took eyedrops 3 times per day for months. Totally worth it. 20 years later I remain glasses-free.

Granted, I was a mild case: Some myopia (3 and 4 if my memory serves) and .5 astigmatism on each eye. And not everyone is eligible; some people's corneas are too thin to be "sculpted".

Only drawback is that when driving at night the lights from incoming cars and traffic lights have "extra halos" around them. Very minor inconvenience for me and definetly worth it.

Re: Ask HN: Do your eyes bug you even though your prescription is "correct"?

#88
post #39

Also look at a doctor specializing in small prisms. Sometimes your eyes don't perfectly align at their resting state so one eye is constantly constantly using muscles to pull it centered. For me, that means when I get tired and those small muscles can't keep up, I get headaches and it gets worse. Neurovisual places can give very tiny prism additions so your eyes don't have to move but the light is "shifted" over.

would love to chat to learn more from your experience. i'm at jbornhorst [at] gmail [dot] com if you have 20-30 mins to spare.

Re: Ask HN: Do your eyes bug you even though your prescription is "correct"?

#89

Earlier quoted context omitted.

Unsure if this will work for your case, but I am _very_ happy with my implanted contact lenses. They sit behind my iris and optically function as normal contact lenses. No hassle, just a straight up body upgrade. See https://en.wikipedia.org/wiki/Intraocular_lens I was very surprised that this is not a more common thing to hear about amongst people with bad eyesight. Laser correction sucks in comparison, with more ri…

Honestly, I'm absolutely terrified of doing anything that might damage my eyesight. I know the common procedures (i.e. Lasik) have come a long way in the last two decades and are very low risk, but they are not zero risk. I won't even wear contact lenses, I long ago fully committed to glasses. That type of procedure doesn't fit my risk tolerance.

I understand the hesitation, but that's the thing about this: It's even simpler than cataract surgery (where they actually _replace_ your own lenses instead of just flopping one in front of it), which is very very common, and very very safe.

See: https://en.wikipedia.org/wiki/History_of_cataract_surgery

IIRC the chance of complications for Lasik is about 10x that of the one for intraocular lens implantation. The nature of the complications for the latter is also more along the lines of "an eye infection for a month" instead of something permanent.

I definitely suggest researching it (and not mentally lumping it in with Lasik, because they are quite different). Cheesy, but my only regret is not having done it years sooner.

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