Latent hyperopia

[stephert]

Hey, I was diagnosed with latent hyperopia of +3.5 a while back, and my doctor has told me to use OTC glasses to titrate up to where I feel I need to be.  So I was at +2.0 about 1 week ago and then I switched to +2.5 1 week ago.  I never had any real problems with blurry farsighted vision because my eyes would always adjust in a day or two.  Now though it has been a week, with the +2.5, and my farsighted vision still hasn't fully adjusted and is still blurry (it has gotten better though since I started wearing them).  My question is will it take longer to adjust to +2.5 glasses? Or will I never adjust? Also, what do people usually do when they need stronger glasses for latent hyperopia but these glasses blur their long range vision? Finally, the +2.5 is definitely better than any other pair I've used and I feel it's getting close to my vision (before latent hyperopia) but it's still not there yet.  So since I jumped from +2.0 to +2.5 could it be that I should go back to +2.25 to see if that would work perfectly or would +2.5 be just about the same? Just wondering because my doc told me I could jump in intervals of +0.5/+0.75 and I would call her back but it's an ordeal and she's always busy and it seems like I'm bothering her.  So I just decided to ask these two questions here.  I'm definitely going to call her back when I figure out what strength I need though. Thanks!

[stephert]

oh yeah and I mean too strong for long distance reading/vision. I can still read fine within a nearby vicinity.

[stephert]

Hey, I had another quick question. I've moved up to +4.0 because I had a latent hyperopia of +3.5 and a manifest hyperopia of +1.0. My question is I'm supposed to wear my glasses all the time, and I do except when I play basketball which is usually every 2-3 days for about 2 hours.  Since my glasses of +4.0 are too strong (I've been wearing them for about a week now I think) I just want to ensure that taking them off for about 2 hours every 2-3 days isn't going to inhibit my eyes from adjusting to the +4.0 glasses. Would this affect my eye "relaxation" process of getting used to the new glasses?

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

Good luck. Perhaps in a few years hyperopic lasik will be as successful as myopic lasik.  Do not consider, in my opinion, thermal keratoplasty which burns the cornea to make it more curved and less hyperopic.

That is a procedure that has lots of problems and a wake of unhappy patients in my office.

JCH MD

[stephert]

Well my old opthamologist thought I had Convergence Insufficiency Syndrome (I didn't though) so my new opthamologist gave me a focusing test and said I had the best focusing of almost anyone she'd ever seen so at least that's good for the focusing when I get older.  Anyways, thanks for your answer! It's really helpful. I'm going to increase my Rx (as long as I can still stand it and it is practical for the long-term vision part) to 2.75 now. Thanks!

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

What that means is that you eye is working much harder than it should all the time and the closer things get the more it has to work. To make matters worse the older you get the harder it is to focus. At distance the normal eye does no work of focusing (its all done by the cornea and relaxed lens) you do 3.5 diopters of focus. At 1/3 meter the normal eye does 3 diopters of work you do 6.5.    Because the eye is working so hard it cannot relax completely which is why when you put on a 3.5 it seems way to strong. As you experience eye fatigue with near work and computer you need to move to stronger lens and it will probably take a couple of weeks before they seem comfortable. Initially as you move up that is from +200 to +2.50 the latter will seem to strong for distance. So what you are doing is fine.  So consider staying with 2.50  until it isn't giving you enough help at near then move up in quarter diopter steps  to +2.75    Finally realize that as you get older your vision without glasses will get a lot worse, you willl be in bifocals sooner than most people.    JCH MD  

[stephert]

I just turned 24.

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

What is your age? JCH MD