Aa
Hyperopia muscle imbalace
Hello, I have always had a problem with keeping focus on near objects ; the object wil became blurry and I would see two objects . My eyes would also feel tired at the end of the day. I am now 16 years old , and around Janurary of this year , I began to notice my vision begin to go down . In school my eyes were getting very tired , and the double vision problem became more frequent . I then closed my right eye , and I noticed the near vision in my left eye was blurry , but my right eye seemed clear. Then my vision got worse , things were blurry up close and far away in my left eye , and things were blurry up close in my right eye . I went in March to see the Eye MD that saw my younger brother for high hyperopia and crossed eyes, and he did a cyclopegic refraction on me, and found I have hyperopia with a prescription of OD sph +1.50 OS sph +2.25. He lowered my prescription down to OD sph +.75 OS sph +1.50 . He said to wear them mainly for reading. He did not explain much at all. He did not say anything about the double vision . I asked his assistant about it, and she said it is intermittent exotropia, and the glasses will help. When I got the glasses , I noticed an improvement in distance especially in my left eye , but my near vision was still not good and the double vision did not improve . I noticed that the vision in my left eye was worse than my right with the glasses on. I just saw him again in May, and he gave me OD sph +1.25 OS sph +2.00. When I got the glasses , I noticed an improvement , but my near vision was still not that great , and the double vision was still there. My left eye is worse than my right eye with the glasses for near vision . I went to the dollar store to experiment . I tried a +1.50 for my right eye , and near and far vision was very good and comfortable . I tried my left eye with a +2.25 , and my near vision was still blurry . I tried +2.50, +2.75, then +3.00.At +3.00 , I can read comfortably and still see the distance ok . What could this mean? Could my muscle imbalance have something to do with it ? Could it have bucked the cyclopegic for my left eye ? I am going to go to a different doctor . Thank you.
Best Answer
Thank you for your comment. Would the prism only be for near?. Very occasionally I notice slight doubling in the distance too.
You need a binocular vision workup. Prismatic correction in your glasses should help with the double vision.
Thank you for the great information and advice ! Yeah, when he did the cyclopegic , after about 10 minutes , I could not see much out of my left eye , but when I went into his room , I felt like I could focus out some blurry vision in my left eye . I bet that has something to do with what you were talking about . I am definitely taking what you said into account .
Have an Answer?
You are reading content posted in the Eye Care Community
Top General Health Answerers
Kansas City, MO
Grand Prairie, TX
San Diego, CA
Discharge often isn't normal, and could mean an infection or an STD.
In this unique and fascinating report from Missouri Medicine, world-renowned expert Dr. Raymond Moody examines what really happens when we almost die.
Think a loved one may be experiencing hearing loss? Here are five warning signs to watch for.
When it comes to your health, timing is everything
We’ve got a crash course on metabolism basics.
Learn what you can do to avoid ski injury and other common winter sports injury.
This is a common problem in hyperopes, especially when they are young. For example, according to measurements my boyfriends right eye is a +2, and his left eye is a +6. The most he will take for glasses right now is a +1.5 in the right eye and +4 in the left eye (even though he needs a +2 and a +6) because he has gone his whole life without wearing glasses. He needs to come back every few months for a new prescription as his eyes learn to relax so they can make his glasses stronger. He also has double vision and crosses his eyes and has pretty much the same problems you are describing. The "muscle problem" is caused by his left eye being blurrier than his right because it needs a stronger prescription so his brain focuses on his right eye and lets his left eye do pretty much whatever it wants.
You need a new optmetrist, and you need a good one. Preferably one that uses machines to measure your prescription before they start putting lenses in front of your eyes and asking you if things look better or worse. Its good they did a "cyclopegic refraction" which is where they give you drops to paralyze your eye muscles before they check you for glasses which stops you from hiding your hyperopia temporarily so they can see what prescription you really need. However, sometimes the drops they give you aren't strong enough and you will continue to focus for near anyway. When they refract you, try keeping your eyes completely relaxed and pretending you are looking at something in outer space, and NOT at the board with the letters on it, but rather, look through it (behind it) when you read it. I suspect that your left eye is probably even more than a +3.00 but you may need to go through a few pairs of glasses to get used to not straining before your brain will allow it to be corrected. You should not be wearing your glasses for reading, you should be wearing them all the time.