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Over the last few months I've noticed my eyesight worsening again. A couple of years ago my near vision got bad enough that I had to start wearing glasses to comfortably read small print or work at a computer. The glasses fixed that - very nicely at first - but of late I was starting to find that even when wearing them close objects weren't as sharp as they had been. I also began to notice that the same problem was affecting my hitherto very sharp distance vision. The world around me didnt look blurred as such, but if I tried to read a sign a few tens of metres away it was definitely much harder to do so than it once had been.

The crunch though came when I began seeing double.

A couple of weeks ago I was finding my near-sight blur particularly noticeable. It seemed that one eye was worse than the other so I put a hand over each in turn. With my left eye, text was blurry, but with my right, it was a bit blurry and doubled. By 'doubled', what I mean is that it looked like I had copied a line of text in Photoshop, and pasted it a little offset and with the transparency wound up.

This felt Not At All Right and I spent an anxious half hour searching online. That actually reassured me, as it seemed that double vision in one eye only was a symptom of eye problems, whereas double vision only when both eyes are open can indicate all sorts of issues, many of them in the brain. But I made an appointment with my opticians anyway (who had in any case been bugging me to get my 2-year check done.)

That led to an hour-long eye exam, starting with a lot of health-related questions and moving on to a very thorough vision test that was cross-checked by a senior optician. The verdict was that my spherical aberration has not in fact changed, but that in the last two years I have managed to develop quite a significant case of astigmatism in each eye. Apparently my distance vision has slowly worsened to the point that I was close to needing glasses to drive, which was quite a shock to hear; I really didn't think it had got that bad. It's amazing what a good job the brain can do of integrating the input from two differently wonky eyeballs to get a superficially adequate field of view - until you try to see fine detail.

After some discussion of how I work (i.e. a lot of time staring at computer screens) the suggestion was two pairs: a varifocal pair for wear most of the time (and I was advised that I should wear them by default) and a pair optimised for correction at my typical monitor reading distance. The varifocals in particular were apparently not a trivial production job so I was told they'd be ready in a couple of weeks. Sure enough, today I got a text to tell me they were ready.

I had heard stories of problems with distortion and nausea adapting to varifocals, and although I'd bitten the bullet and paid for the supposedly lowest-distortion option I was a little apprehensive. Putting them on I found a little distortion looking side to side, but this was barely noticeable against how sharp everything looked. Not only for distance vision, but even objects within a few metres. The varifocal part worked fine as well, although I quickly realised I'm going to have to get used to reading close objects (like my phone when I get a text) by casting my eyes down rather than bending my head to look. 

Once outside, the walk though Birmingham city centre was a revelation. It's like I've suddenly found the 'Image Sharpen' command for my eyes, combined with a slight but noticeable improvement in contrast. Remembering to wear the new glasses shouldn't be difficult, not with this level of improvement. The computer-work pair are fine too; oh dear, I can suddenly see the point (quite literally) of a retina display...

Date: 2013-10-17 05:48 pm (UTC)
From: [identity profile] dorispossum.livejournal.com
The alternative my optician offered to varifocals was 'monovision' contact lenses: i.e. one eye wearing normal distance vision lens, and the other with a weaker prescription more adapted to reading and middle distance tasks (marking and screenwork). It tricks the brain into making an adjustment that balances everything, but only works with contacts. It's worked very well for me so far, so I don't use reading glasses any more. But as my tolerance for contact lenses is decreasing with age, I can see at some point the dreaded VFs coming.

A friend who uses VFs told me you need to be careful going down stairs, as the looking down into what are basically reading glasses can be a problem with steps.

Your issue sounds quite extreme - did the optician suggest what the cause might be? (e.g. a lot of screen work and/or reading?)

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Simon Bradshaw

January 2022

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