Latent hyperopa question

[stephert]

I was diagnosed with latent hyperopia (and was told I had +3.5). However, I knew that I had manifest hyperopia of +1.0 from previous opthamologist/optometrist visits. So I titrated myself up (with the permission of the opthamologist) with OTC glasses up to +2.5 no problem. Each time I went up to that high my eyes completely adjusted within 2-3 days. Once I went back +2.5 my distance was blurry and my eyes didn't adjust (long-vision wise) that quickly. Also, I was pretty desperate to fix my reading problem since I was in the middle of school so I quickly escalated my glasses up to +3.5.  At 3.5 (it was a lot better than before), I still had some vision problems so I continued to escalate my dose up to +4.5. Because while my doctor told me I had latent hyperopia of +3.5 I knew I had +1.0 manifest from before. +4.5 seems to definitely be helping very well and more than +3.5 so I'm pretty certain that it's the right dose.  However, I've had these +4.5 glasses for a month now and (while my close vision has improved a lot) my distance vision is still not good. My distance vision had changed from being extremely blurry to having a lot of double-vision type thing where I look at a word in the distance and I see the same word above and below it but the word itself isn't as blurry. It's hard to explain but it seems to be a positive stpe. However, I don't know how to determine if my Rx is too strong. How would I know this? Also, for strong Rx does it take this to adjust (since I jumped from 2.5 to 4.5 in a period of 2 weeks or so). thanks

[John C Hagan III, MD, FACS, FAAO]

No further comments from me.
JCH MD

[stephert]

oh yeah and I've emailed my opthamologist to determine the correct Rx dose but I thought my eyes would adjust in less than a month so I was seeing if this was normal for high doses.