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    Old 07-09-2011, 11:19 AM   #1
    parondvo
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    Help for anisometropia

    Hi I have -4 in my left eye and +2 in my right eye. I notice that I use the right eye for distance and left eye for close-up work. Does anyone know which eye is considered the weak eye. And which eye should I patch.

     
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    Old 07-10-2011, 02:23 AM   #2
    earthworm88
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    Re: Help for anisometropia

    Quote:
    Originally Posted by parondvo View Post
    Hi I have -4 in my left eye and +2 in my right eye. I notice that I use the right eye for distance and left eye for close-up work. Does anyone know which eye is considered the weak eye. And which eye should I patch.
    Hi parondvo,
    Unfortunately or fortunately depend on how you look at it, you have a built in monovision. There is quite a difference between the two eyes here. If you were born like that and your vision is perfect monocularly and you are not having trouble, I don't see why you want to patch? There really isn't a "weak" eye in your case, if the left eye is helping you see great for close-up work and your right eye is helping you see great at distance, then in my opinion, they are both good eyes (just happen to be working singularly). Of course there are disadvantages of not having binocular vision.

    I have a few questions, are you currently wearing correction ie glasses or contacts? and if you don't mind me asking, how old are you now? and why do you feel that you need to patch the "weak" eye?

    Cheers!

     
    Old 07-10-2011, 02:30 PM   #3
    parondvo
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    Re: Help for anisometropia

    Quote:
    Originally Posted by earthworm88 View Post
    Hi parondvo,
    Unfortunately or fortunately depend on how you look at it, you have a built in monovision. There is quite a difference between the two eyes here. If you were born like that and your vision is perfect monocularly and you are not having trouble, I don't see why you want to patch? There really isn't a "weak" eye in your case, if the left eye is helping you see great for close-up work and your right eye is helping you see great at distance, then in my opinion, they are both good eyes (just happen to be working singularly). Of course there are disadvantages of not having binocular vision.

    I have a few questions, are you currently wearing correction ie glasses or contacts? and if you don't mind me asking, how old are you now? and why do you feel that you need to patch the "weak" eye?

    Cheers!
    Hi

    I am 19 years old, I didn't always have anisometropia. I think I need to patch because I get headaches from doing close-up things even 1 hour. And yes I wear glasses for 3 weeks now. I was wondering if I should patch my right eye when doing close-up work and patch my left eye outside.

     
    Old 07-11-2011, 12:21 AM   #4
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    Re: Help for anisometropia

    Quote:
    Originally Posted by parondvo View Post
    Hi

    I am 19 years old, I didn't always have anisometropia. I think I need to patch because I get headaches from doing close-up things even 1 hour. And yes I wear glasses for 3 weeks now. I was wondering if I should patch my right eye when doing close-up work and patch my left eye outside.
    Hello!
    What do you mean you didn't always have anisometropia? Do you mean that when you went to have your eyes checked before, there were no prescription present until recently? Or did you have an injury to your eyes that is causing this type of change? You are very young and if you are symptomatic, then it is a very tricky unfortunate situation.

    Do you wear glasses for everything now since 3 weeks ago? Do you feel better if you don't wear glasses? The headaches likely stem from the fact that you are only using one eye at a time. Because you have 6 diopters of anisometropia, wearing glasses by itself can also lead to aniseikonia. This is an image difference due to the different prescription you have in each eye. The prescription has to be very well thought out and a special design on the base curve of the lenses are required to reduce the amount of aniseikonia so that your brain can try to fuse the images together. Unfortunately there is a limit as to how much an aniseikonia design can help which requires an expert to do a theorectical calculation and then a practical test. Sometimes many trials are required. If you want to stick with glasses, then you need to find a specialist who can design these glasses for you. In this case, it is as much science as it is art to come up with the best combination and solution.

    The possible alternative which you may want to keep in mind is Lasik surgery to eliminate the anisometropia. Of course, whether this is the route to take depends on a lot of factors and your doctor would be the best to advise you.

    Patching usually carries a positive connotation in helping to improve something, in your case, it is just to cover the eye to eliminate the "obstacle". Have you discussed all these with your doctor at all?

    I am very sorry you are encountering this problem. It is definitely not an easy case to deal with. I wish you the best of luck in getting this resolved or at least reached a satisfactory solution.

    Cheers!

     
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    Old 07-11-2011, 01:52 AM   #5
    roger555
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    Smile Re: Help for anisometropia

    Anisometropia is the condition in which the two eyes have unequal refractive power; that is, are in different states of myopia (nearsightedness), hyperopia (farsightedness). It is really difficult to deal with such a situation. Thanks for posting.

     
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    Old 07-11-2011, 10:47 AM   #6
    parondvo
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    Re: Help for anisometropia

    Thanks for your help. I mean I had it for nearly 4-5 years and it gradually increased. Lasik is definitely not possible. I went to 2 optometrists recently, but they didn't tell me anything about special design and everything, just told me to do visual therapy. What do you think is it better to go to opthomologist (medical doctor)?

     
    Old 07-11-2011, 11:09 PM   #7
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    Re: Help for anisometropia

    Quote:
    Originally Posted by parondvo View Post
    Thanks for your help. I mean I had it for nearly 4-5 years and it gradually increased. Lasik is definitely not possible. I went to 2 optometrists recently, but they didn't tell me anything about special design and everything, just told me to do visual therapy. What do you think is it better to go to opthomologist (medical doctor)?
    Hmmm....you had it for the last 4-5 years. When you say increase, was it the left one that increase and becoming more nearsighted or both eyes (going in the opposite direction)? When someone is predisposed to being nearsighted, unfortunately it usually tends to increase gradually with age if they were young. So looking at family history is just as important. And you may be unlucky to inherit one kind of eye from one and another kind of eye from another parent/grandparent. Not knowing the full history, I can only give you my opinions and suggestions based on what you disclosed.

    May I ask why you said Lasik is not possible? Do you have a medical or ocular condition that is preventing this in the future? No, not all doctors are created equal and not all have the same training, background, interests, and specialty. So not every optometrist know how to design iseikonic lens, it is a special specialty and requires experience and extensive training.

    Where is your current location? I know one personally who specializes in this type of cases and he is in California, USA. In my experience, if you are dealing with anisometropia, ophthalmologist may not be the right person to go to as their general interest and specialty is more surgery based (this is a generalization here). Ideally, you need to find optometrists specialize in binocular vision/vision therapy/pediatric optometry.

    Cheers!

     
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