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Latent Hyperopia?

Hi, I am farsighted, and I am having difficulties with near work. My eyes get tried quickly, and I occasionally see double, like the words duplicate themselves and they move to the right of the page. I also sometimes get some slight doubling at farther away objects. The words that I am reading move in and out of focus, especially if I shut one of my eyes. When I look up from reading almost every time my distance vision becomes blurry. What could this be?
Thank you
Best Answer
177275 tn?1511755244
You said you are farsighted. Your symptoms suggest a significant amount of uncorrected hyperopia. You need to have a cylcoplegic refraction. The eye needs to be widely dilated and the focus muscle (ciliary body) totally relexed with 'cycloplegic' eyedrops. Only by that method can the full amount of your farsightedness be determined.

Once that is down you may need glasses possibly even bifocals.

It is sometimes difficult for the young eye to "accept" all the hyperopic correction so often 30-40% might be corrected then after several months of wearing if still symptomatic the glasses might be strengthened another 20%.

JCH MD
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177275 tn?1511755244
Be sure the doctor knows of your reading near problems, your concern about latent hyperopia and talk to the doctor before the tech puts any drops in your eyes. JCH MD
Helpful - 1
1 Comments
I will be sure to tell him
177275 tn?1511755244
Glad it went well. All your near work should be much easier since your eyes will not have to do the extra work correcting the latent hyperopia.
Helpful - 0
Avatar universal
Hello Dr. Hagan! My eye exam went very well. I went to a different doctor because I was recommended by a friend to go have an appointment with him. Before the test I was placed in front of an autorefractor to get a pre reeding and I had a glaucoma test which I am grateful I don't have it. I told hi my concerns with latent hyperopia, and he placed the dilating eye drops into my eyes. Before he refracted me, he had me took a t near card and trace the movement of two triangles through a phoroptor. He said after the exam that test was for binocular dysfunction because of my double vision symptoms, and I do not have any eye teaming problems. I was talking to a friend of my mom who is an ophthalmologist tech, and she said I could have something like convergence insufficieny, but I do not. After that test when the drop took full effect, he had me look at projected lenses across the room. He flipped through the  lenses and asked me what I saw best out of. He told me after the phoropter refraction that my left eye was at a +3.5 although he would not give that to me in full at first and I am not sure about my right eye.He had me go to another room to an autorefractor. He also told me that I have a little bit of astigmatism too where my other doctor said I did not. I had my prescription filled and he gave me. OD: +1.75 sph -.5 cyl axis 130 OS: +2.75 sph -.5 cyl axis 49. My old glasses where OD: +1.25 sph OS: +2.00 sph and before that they were OD: +.75 sph OS: +1.50 sph. My old doctor did a cycloplegic refraction, and he found an addition of +1.50 for my right eye and +2.25 for my left eye. My doctor also prescribed my eye drops and ointment for dry eye. I was without my glasses for a week, and it was a struggle especially at school. I just got them today, and I am very happy. I will be seeing my new doctor in 2 weeks for a follow up. Thank you so much for your help, if It was not for your help, I probably would not have gone!
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Avatar universal
I have an eye exam scheduled for tomorrow. I will definitely ask the doctor about a push plus and cycloplegic refraction. Thank you so much for your help. I will tell you the result of my exam after it happens.  
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177275 tn?1511755244
=
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177275 tn?1511755244
Yes Merry Christmas and Happy New Year to you also Harisonford234.
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Avatar universal
Thank You Dr. Hagan! have a good Christmas
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177275 tn?1511755244
Yes, presbyopia for most people becomes symptomatic age 40-45.  For hyperopes sooner.  Myopic people often start removing their glasses to read.

With modern no line progressive lens its not possible to tell if someone has single vision or multivision lens

JCH MD
Helpful - 0
Avatar universal
Makes sense. If the doctor has me wear bifocals, would I eventually not have to wear them until I become presbyopic in the future? Thank you
Helpful - 0
177275 tn?1511755244
It's a technique of refracting where you make the glasses too strong then slowly reduce the power to where the person sees "barely" 20/20 or 20/25. It tells the opthalmologist or optometrist how much he/she can make the glasses stronger for the eye to accept stronger glasses.  After a farsighted person wears the glasses for a week or two the focus muscle usually relaxes, the glasses seem clear and the eye has less work to do correcting the latent hyperopia
JCH MD
Helpful - 0
Avatar universal
How would the "push plus" work?
Helpful - 0
177275 tn?1511755244
If you are still symptomatic your eye doctor may need to "push plus" (make the glasses stronger to help you accept more of your correction or go to bifocals. JCH MD
Helpful - 0
Avatar universal
Thank you very much for your comment. I currently wear glasses to correct for the Hyperopia my doctor found. I am 16 years old.
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177275 tn?1511755244
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