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Easing Eye Strain with the Right Lenses (2012)

nytimes.com

51–60 of 97 posts

Re: Easing Eye Strain with the Right Lenses (2012)

#51
post #2

I got a little pushback (not a lot) from my optometrist when I first requested an FD set at laptop distance. However it has made a huge quality of life difference for me. I also gave up on progressives and now have two pairs: readers and drivers. My current correction is insanely good for reading and for driving. In fact, my opto said it was quite a bit better than 20/20 with no eye strain. Well, there was some eye s…

>I also gave up on progressives and now have two pairs: readers and drivers.

Yes, both progressives and high-index lenses suffer from the same problems: smaller field-of-vision and higher distortion of peripheral vision

If I sit with my eyes 36 inches away from a 30-inch screen...

With a single-vision lens, without my head moving at all, my eyes can move within their sockets to see the bottom corner of screen showing the date & time, and to the top corner showing the [x] button to close windows. Single-vision lenses have edge-to-edge clarity.

With progressives or high-index lenses, it requires rotating & tilting my head to put those corner locations directly in my central field of vision. Imagine a horse with blinkers[1]. The edges of those lenses are blurrier so you have to move your head to move the lens' center spot toward the item of interest for maximum sharpness.

Maximum field-of-vision is the optimal ergonomics of looking at multiple windows of text on a 30" monitor. Yes, high-index lenses are thinner and more fashionable but I don't need that when concentrating on programming code and reading web pages.

>You cannot depend on optometrists+opticians to make the right choice for you. You need to educate yourself on the available choices.

That's why I bought my own set of trial lenses[2]. I can methodically optimize my computer distance vision without exhausting the patience of my optometrist repeatedly asking, "which is better? 1? or 2? (again) 1? or 2?". I then go to Zenni and order the exact diopters I need. (I'm not going to buy a glaucoma tester so I'll still go to the eye doctor for that.)

I end up with 3 separate pairs of single-purpose glasses: 1 for reading books ~12 inches, 1 for computer distance ~36 inches, and 1 for driving 20+ feet. Swapping out glasses for each purpose is inconvenient but the larger field-of-vision makes it worth the hassle.

[1] https://en.wikipedia.org/wiki/Blinkers_(horse_tack)

[2] http://www.ebay.com/sch/i.html?_nkw=trial+lens+set

Re: Easing Eye Strain with the Right Lenses (2012)

#52
post #42

I do have eye floaters since last year, which are quite annoying. Anyone has any experience on preventing further problems? My OCT scans are fine, so it's a bit puzzling. Floaters came at the same time as tinnitus.

This is fascinating. I have had eye floaters and tinnitus for many years. Both problems have been frustratingly intermittent for me. But over time, I have gotten them under control. The answer for me was food. If I had a burst of eye floaters or tinnitus I would ask myself “what have I eaten recently” and make note of it. Soon patterns emerged, for example, beer caused really bad eye floaters and candy would set off my tinnitus. So I ate less of anything correlated with my symptoms. Not a sexy solution(especially if you like beer), but has worked wonders for me in the long run. Good luck.

Re: Easing Eye Strain with the Right Lenses (2012)

#53

Earlier quoted context omitted.

The maximum thickness is about 4mm -- very reasonable, given the strength of the correction. This is with a fairly small round frame (lens width 41mm). The first RGB LED monitor I ran into was an Apple Cinema Display, several years ago. I initially didn't understand why I found it so uncomfortable to use. I think all the iMacs built in the last 7 years or so are RGB, as are all the Retina MacBook Pros. -- Well, as th…

Hmm, does it apply to iPhone and iPad screens, especially with Apple’s “True Tone” display? Given the size of the iPhone user base, your blog post should be better known. edit: web search did not locate definitive statements about RGB LED in either iPhone or Macbook retina screens.

Well, I'm not certain about past models, but the current MacBook Pro advertises "Wide color (P3)", referring to the DCI P3 gamut. This obviously requires a wide-gamut backlight of some kind. I found this [0] blog post talking about DCI P3 vs. Adobe RGB.

Looks like the iPhone 7 was the first iPhone with a wide gamut [1]. No idea about the iPad.

[0] http://www.colourspace.xyz/the-new-apple-imac-and-the-dci-p3...

[1] https://www.reddit.com/r/apple/comments/5287c3/lets_talk_abo...

Re: Easing Eye Strain with the Right Lenses (2012)

#54
post #51
post #2

I got a little pushback (not a lot) from my optometrist when I first requested an FD set at laptop distance. However it has made a huge quality of life difference for me. I also gave up on progressives and now have two pairs: readers and drivers. My current correction is insanely good for reading and for driving. In fact, my opto said it was quite a bit better than 20/20 with no eye strain. Well, there was some eye s…

>I also gave up on progressives and now have two pairs: readers and drivers. Yes, both progressives and high-index lenses suffer from the same problems: smaller field-of-vision and higher distortion of peripheral vision If I sit with my eyes 36 inches away from a 30-inch screen... With a single-vision lens, without my head moving at all, my eyes can move within their sockets to see the bottom corner of screen showing…

That's a really good description. My TL;DR would have been that everything was bad with progressive lenses. I can drive with my readers and if I slide them down my nose, I can read with my drivers.

I'm lucky I guess. I'm myopic with an FD of about 12 inches. So it was really dumb to have progressives with the near FD set to 12 inches.

Re: Easing Eye Strain with the Right Lenses (2012)

#55
try https://www.jins.com/

I picked up two pairs, one in Taipei and one in Tokyo. The filtered one has been great so far; I have not experienced any eye strain. What a relief since I stare at the computer screen for at least 14 hours daily.

Caution: the filtered lens does affect color accuracy a little and makes the surrounding seems a bit darker.

Re: Easing Eye Strain with the Right Lenses (2012)

#56
post #52
post #42

I do have eye floaters since last year, which are quite annoying. Anyone has any experience on preventing further problems? My OCT scans are fine, so it's a bit puzzling. Floaters came at the same time as tinnitus.

This is fascinating. I have had eye floaters and tinnitus for many years. Both problems have been frustratingly intermittent for me. But over time, I have gotten them under control. The answer for me was food. If I had a burst of eye floaters or tinnitus I would ask myself “what have I eaten recently” and make note of it. Soon patterns emerged, for example, beer caused really bad eye floaters and candy would set off…

Very interesting, thanks for commenting.

I've seen papers where floaters and tinnitus are associated to lyme disease. It can also be linked to thyroid issues that have led to autoimmunity. Autoimmunity can be connected to food.

The weeks prior to my floater onset, I had really bad migraines and pain "behind" my eyes, close to the nose.

My floaters are permanent. Most seem to be. I also get occasional mild flashes, which are probably caused by little changes in pressure within vitreous regions close to my retina.

Re: Easing Eye Strain with the Right Lenses (2012)

#57
I have a fairly large power difference between my eyes; my right eye is nearly perfect (maybe -0.5 or so) but my left eye is -2.75. This has been the case since 7th grade or so.

At the time, I was prescribed glasses and advised to wear them all the time. But, of course, since I didn't need them in order to function (because I had a good right eye), I didn't. Moreover, I grew up programming and spent much of my adolescence in front of a screen with uncorrected vision. I was warned that there might be problems due to this later, and ignored them, since everything seemed fine. What's more, my glasses' focal point was unquestionably long-distance and simply added fatigue to computer use that was not present without them.

I first started experiencing occasional bizarre headaches in 2010, one of which landed me in the ER because it was so bad. At the time it was treated as an atypical migraine. But things really came to a crisis point in spring and summer 2012. I started getting brief episodes of vertigo after more than ten minutes at a screen. The problem was particularly bad when going from near to far focus or vice versa; I'd get this "need for speed" effect where it felt like the world was topsy-turvy, rushing past me. It was very disturbing for a person who is deeply uncomfortable with not feeling in control. Anyway, I couldn't work, and spent the entire summer doing the one thing that seemed tolerable -- watching TV shows and movies at close range. I did a little bit of travelling and had an absolutely miserable time, compounded by the dryness of the places I visited. The economic and quality of life impact could not be overstated. I was miserable, anxious, and unproductive. I was lucky to be self-employed and somewhat flexible in how I went about working, but getting through even ten minutes of e-mail was a struggle some days.

Lots of misdiagnoses and rabbit holes along the way; migraines (of which I had no history), sinus problems, allergies, etc. I took nasal steroids, did this, did that.

An optometrist prescribed me near-distance computer glasses alongside my long-distance ones, and this did not immediately solve the problem. I struggled with such symptoms for another year or so before the problem was anything like resolved. Even so, I depend on having two pairs of glasses and switching among them scrupulously depending on what I am doing. I can get by with long-distance glasses for a little while when doing computer work, but it's ultimately too straining. The most dangerous of all is no glasses: my problems come back quite quickly if I do that.

That's what happens when you ignore computer vision issues.

Edit: I've also found that I do better with a single large monitor than two medium to large ones.

Re: Easing Eye Strain with the Right Lenses (2012)

#58
post #2

I got a little pushback (not a lot) from my optometrist when I first requested an FD set at laptop distance. However it has made a huge quality of life difference for me. I also gave up on progressives and now have two pairs: readers and drivers. My current correction is insanely good for reading and for driving. In fact, my opto said it was quite a bit better than 20/20 with no eye strain. Well, there was some eye s…

Single vision lenses are always going to be better at that one thing than anything else which tries to cater for all (or multiple) distances, at the expense of everything else.

I also agree with educating yourself to protect yourself. However, there will be many holes in your research which a good optometrist should be able to fill in. Together you can make the best choice.

One area I never see discussed, especially from the "I can find my own prescription" crowd, is binocular vision. How your eyes work together at certain distances and with certain tasks will determine not only which prescription you need but also how the spectacles are set. I'm not only talking about setting the PD and lens height (which may need to be different for your right lens compared to your left, at different at all distances). There are many more considerations such as vertex distance, pantoscopic tilt, frame choice, lens material, wrap angle etc.

Sometimes the optical centration is intentionally different from the PD to induce prism to decrease eye strain. This is not uncommon with complex prescriptions and in the older population.

And sometimes there are other solutions such as vision training. Not the woo woo Bates method, but real vision training used to fix real problems.

Good optometrists provide a lot of value. There just way too much information and most patients will be happy to just let them do what is needed.

And sometimes you just need to get off the PC for a bit.

Re: Easing Eye Strain with the Right Lenses (2012)

#59

I have a fairly large power difference between my eyes; my right eye is nearly perfect (maybe -0.5 or so) but my left eye is -2.75. This has been the case since 7th grade or so. At the time, I was prescribed glasses and advised to wear them all the time. But, of course, since I didn't need them in order to function (because I had a good right eye), I didn't. Moreover, I grew up programming and spent much of my adoles…

I had a similar experience. I got severe migraines all throughout my childhood. When I was studying my masters I couldn't handle all the reading so I went to the optometrist, who sent me to a binocular vision specialist who prescribed a vertical prism on my right eye, which points slightly down at rest. I had been correcting for this manually for 20 years which is what had caused the migraines, since independent vertical movement is super strenuous on the eyes. Haven't had a migraine since!

Re: Easing Eye Strain with the Right Lenses (2012)

#60

I have a fairly large power difference between my eyes; my right eye is nearly perfect (maybe -0.5 or so) but my left eye is -2.75. This has been the case since 7th grade or so. At the time, I was prescribed glasses and advised to wear them all the time. But, of course, since I didn't need them in order to function (because I had a good right eye), I didn't. Moreover, I grew up programming and spent much of my adoles…

I have anisometropia even more extreme than yours. I wonder, have you ever tried contacts? For anisometropia, the closer the prescription is to the eyes, the better. I choose to wear glasses now, but I still have to go out of my way to find small enough frames (unfortunately out of fashion) that the lenses sit close enough to my eyes that the images converge.
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