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G17
Posted: Sun Jan 07, 2007 5:28 pm
Guest
I've been wearing the same pair of prescription glasses for the past 5
years and have noticed no real significant changes in that time. When
examined by an O.D. in December 2001 I was prescribed the following
which I still wear to this day:

SPH. CYL. AXIS
O.D. -225 -75 105
O.S. -250 -75 095

In December 2005 I went to a different O.D. for a way overdue exam. He
prescribed:

SPH. CYL. AXIS
O.D. -2.50 -1.25 095
O.S. -2.50 -1.00 085

This doctor told me that the changes were pretty minor and that I
would only notice a slight difference. So I passed on getting new
lenses at that time.

Then 7 months later, in July 2006 I was exposed to a fiber optic cable
at work. My co-worker plugged in the other end of the cable while I
was removing the protective covering on the other end. At most I was
exposed for maybe a second or two and wasn't seeing spots or anything
so I figured there was no damage. I did however go to an M.D. for a
precautionary exam and thankfully there was no damage done. At that
same time I also asked the doctor for an eye exam. This doctor
prescribed:

SPH. CYL. AXIS
O.D. -350 1.00 15
O.S. -375 1.25 04

Now I'll admit I have no clue as to what these numbers mean but this
third prescription just looks way out of line considering I haven't
noticed any major changes in my vision even with 5 year old glasses.
Is this kind of change possible within the span of only 7 months from
the previous exam?

Also, I've been recently shopping around for a new pair of glasses
that are preferably frameless. At a few places where I've shown my
latest prescription I have been told that it is a pretty high
prescription and that the thickness of the lenses may be a problem for
frameless glasses.

So do I trust the prescription by the M.D. or should I just go back to
an O.D. and get another exam?

Thanks
otisbrown@pa.net
Posted: Sun Jan 07, 2007 5:39 pm
Guest
Dear G17,

Go back to the OD for another refractive check.

Otis

G17 wrote:
Quote:
I've been wearing the same pair of prescription glasses for the past 5
years and have noticed no real significant changes in that time. When
examined by an O.D. in December 2001 I was prescribed the following
which I still wear to this day:

SPH. CYL. AXIS
O.D. -225 -75 105
O.S. -250 -75 095

In December 2005 I went to a different O.D. for a way overdue exam. He
prescribed:

SPH. CYL. AXIS
O.D. -2.50 -1.25 095
O.S. -2.50 -1.00 085

This doctor told me that the changes were pretty minor and that I
would only notice a slight difference. So I passed on getting new
lenses at that time.

Then 7 months later, in July 2006 I was exposed to a fiber optic cable
at work. My co-worker plugged in the other end of the cable while I
was removing the protective covering on the other end. At most I was
exposed for maybe a second or two and wasn't seeing spots or anything
so I figured there was no damage. I did however go to an M.D. for a
precautionary exam and thankfully there was no damage done. At that
same time I also asked the doctor for an eye exam. This doctor
prescribed:

SPH. CYL. AXIS
O.D. -350 1.00 15
O.S. -375 1.25 04

Now I'll admit I have no clue as to what these numbers mean but this
third prescription just looks way out of line considering I haven't
noticed any major changes in my vision even with 5 year old glasses.
Is this kind of change possible within the span of only 7 months from
the previous exam?

Also, I've been recently shopping around for a new pair of glasses
that are preferably frameless. At a few places where I've shown my
latest prescription I have been told that it is a pretty high
prescription and that the thickness of the lenses may be a problem for
frameless glasses.

So do I trust the prescription by the M.D. or should I just go back to
an O.D. and get another exam?

Thanks
William Stacy, O.D.
Posted: Sun Jan 07, 2007 6:22 pm
Guest
Disregard what our resident quack said. The m.d. Rx is almost identical
to the second o.d. Rx, just written in a different format.

w.stacy, o.d.

G17 wrote:

Quote:
I've been wearing the same pair of prescription glasses for the past 5
years and have noticed no real significant changes in that time. When
examined by an O.D. in December 2001 I was prescribed the following
which I still wear to this day:

SPH. CYL. AXIS
O.D. -225 -75 105
O.S. -250 -75 095

In December 2005 I went to a different O.D. for a way overdue exam. He
prescribed:

SPH. CYL. AXIS
O.D. -2.50 -1.25 095
O.S. -2.50 -1.00 085

This doctor told me that the changes were pretty minor and that I
would only notice a slight difference. So I passed on getting new
lenses at that time.

Then 7 months later, in July 2006 I was exposed to a fiber optic cable
at work. My co-worker plugged in the other end of the cable while I
was removing the protective covering on the other end. At most I was
exposed for maybe a second or two and wasn't seeing spots or anything
so I figured there was no damage. I did however go to an M.D. for a
precautionary exam and thankfully there was no damage done. At that
same time I also asked the doctor for an eye exam. This doctor
prescribed:

SPH. CYL. AXIS
O.D. -350 1.00 15
O.S. -375 1.25 04

Now I'll admit I have no clue as to what these numbers mean but this
third prescription just looks way out of line considering I haven't
noticed any major changes in my vision even with 5 year old glasses.
Is this kind of change possible within the span of only 7 months from
the previous exam?

Also, I've been recently shopping around for a new pair of glasses
that are preferably frameless. At a few places where I've shown my
latest prescription I have been told that it is a pretty high
prescription and that the thickness of the lenses may be a problem for
frameless glasses.

So do I trust the prescription by the M.D. or should I just go back to
an O.D. and get another exam?

Thanks
VicTek
Posted: Sun Jan 07, 2007 6:43 pm
Guest
snip...
Quote:
Now I'll admit I have no clue as to what these numbers mean but this
third prescription just looks way out of line considering I haven't
noticed any major changes in my vision even with 5 year old glasses.
Is this kind of change possible within the span of only 7 months from
the previous exam?

Also, I've been recently shopping around for a new pair of glasses
that are preferably frameless. At a few places where I've shown my
latest prescription I have been told that it is a pretty high
prescription and that the thickness of the lenses may be a problem for
frameless glasses.

So do I trust the prescription by the M.D. or should I just go back to
an O.D. and get another exam?

As an eyeglasses wearer I would agree that's a pretty big prescription

change. If it were me I'd want to make sure it was correct before investing
in new lenses and frames.
William Stacy, O.D.
Posted: Sun Jan 07, 2007 6:56 pm
Guest
VicTek wrote:

Quote:

As an eyeglasses wearer I would agree that's a pretty big prescription
change. If it were me I'd want to make sure it was correct before investing
in new lenses and frames.

O.D. -350 1.00 15

O.S. -375 1.25 04

The above, which is written in + cyl format, translates directly to

R. -2.50 -1.00 x 105
L. -2.50 -1.25 x 94

which is not so much different from either of the o.d. Rxs:

SPH. CYL. AXIS
O.D. -225 -75 105
O.S. -250 -75 095

In December 2005 I went to a different O.D. for a way overdue exam. He
prescribed:

SPH. CYL. AXIS
O.D. -2.50 -1.25 095
O.S. -2.50 -1.00 085
Mark A
Posted: Sun Jan 07, 2007 9:20 pm
Guest
"William Stacy, O.D." <wstacy@obase.net> wrote in message
news:GUeoh.32544$Gr2.7994@newssvr21.news.prodigy.net...
Quote:
O.D. -350 1.00 15
O.S. -375 1.25 04

The above, which is written in + cyl format, translates directly to

R. -2.50 -1.00 x 105
L. -2.50 -1.25 x 94

which is not so much different from either of the o.d. Rxs:

SPH. CYL. AXIS
O.D. -225 -75 105
O.S. -250 -75 095

In December 2005 I went to a different O.D. for a way overdue exam. He
prescribed:

SPH. CYL. AXIS
O.D. -2.50 -1.25 095
O.S. -2.50 -1.00 085

I would use the original Rx with the minus cyl format for the OD. There are
many idiot dispensers who will assume the cyl should have had a minus sign
and get it wrong.
Dan Abel
Posted: Mon Jan 08, 2007 12:59 pm
Guest
In article <lbp2q2h35hnr4h6b6ajjlsohgf9316ctaj@4ax.com>,
G17 <G17@Nothanks.com> wrote:

Quote:
I've been wearing the same pair of prescription glasses for the past 5
years and have noticed no real significant changes in that time. When
examined by an O.D. in December 2001 I was prescribed the following
which I still wear to this day:

SPH. CYL. AXIS
O.D. -225 -75 105
O.S. -250 -75 095

In December 2005 I went to a different O.D. for a way overdue exam. He
prescribed:

SPH. CYL. AXIS
O.D. -2.50 -1.25 095
O.S. -2.50 -1.00 085

This doctor told me that the changes were pretty minor and that I
would only notice a slight difference. So I passed on getting new
lenses at that time.

Then 7 months later, in July 2006 I was exposed to a fiber optic cable
at work. My co-worker plugged in the other end of the cable while I
was removing the protective covering on the other end. At most I was
exposed for maybe a second or two and wasn't seeing spots or anything
so I figured there was no damage. I did however go to an M.D. for a
precautionary exam and thankfully there was no damage done. At that
same time I also asked the doctor for an eye exam. This doctor
prescribed:

SPH. CYL. AXIS
O.D. -350 1.00 15
O.S. -375 1.25 04

Now I'll admit I have no clue as to what these numbers mean but this
third prescription just looks way out of line considering I haven't
noticed any major changes in my vision even with 5 year old glasses.
Is this kind of change possible within the span of only 7 months from
the previous exam?


For some reason, probably historical, ODs write prescriptions with minus
cylinder, and MDs write them with positive. There is an easy
translation which somebody else already posted. If you have this
filled, make sure the optician understands that it was written by an MD.
William Stacy, O.D.
Posted: Mon Jan 08, 2007 2:55 pm
Guest
Dan Abel wrote:

Quote:

For some reason, probably historical, ODs write prescriptions with minus
cylinder, and MDs write them with positive. There is an easy
translation which somebody else already posted. If you have this
filled, make sure the optician understands that it was written by an MD.

Almost, but not quite. It is partly historical, but many m.d.s write in
- cyl just as some o.d.s write in + cyl. It's mostly to do with the
kind of phoropter or refractor in their exam room. The older style of +
cyl refractors actually have + cyl lenses in the toric lens wheel, and
it's easier for the doc to just write off the machine rather than
convert. Labs almost always convert to - cyl form because that's how
most modern lens grinding is done. There are still some + cyl lens
machines around (these grind the cyl on the FRONT (convex or +) surface
whereas most modern lenses have the cyl on the BACK (concave or -) surface.

One other reason some docs actually prefer the older method is that
certain IOL calculations seem easier for them. Can't remember why, but
I'm pretty sure it's true.

w.stacy, o.d.
Dan Abel
Posted: Mon Jan 08, 2007 3:14 pm
Guest
In article <Vswoh.57750$qO4.47640@newssvr13.news.prodigy.net>,
"William Stacy, O.D." <wstacy@obase.net> wrote:

Quote:
Dan Abel wrote:


For some reason, probably historical, ODs write prescriptions with minus
cylinder, and MDs write them with positive. There is an easy
translation which somebody else already posted. If you have this
filled, make sure the optician understands that it was written by an MD.

Almost, but not quite.

It was an oversimplification. Why my old OD wrote my contact lens
prescription with plus cyl and my glasses prescription with minus is
beyond me.
William Stacy, O.D.
Posted: Mon Jan 08, 2007 3:35 pm
Guest
Dan Abel wrote:
Why my old OD wrote my contact lens
Quote:
prescription with plus cyl and my glasses prescription with minus is
beyond me.

Now there's a mystery, since no CLs that I know of are specified that
way. The only thing I can think of he has an old +cyl refractor in his
CL exam room and is too lazy to do the conversion...
Dan Abel
Posted: Mon Jan 08, 2007 3:57 pm
Guest
In article <r2xoh.57753$qO4.27758@newssvr13.news.prodigy.net>,
"William Stacy, O.D." <wstacy@obase.net> wrote:

Quote:
Dan Abel wrote:
Why my old OD wrote my contact lens
prescription with plus cyl and my glasses prescription with minus is
beyond me.

Now there's a mystery, since no CLs that I know of are specified that
way. The only thing I can think of he has an old +cyl refractor in his
CL exam room and is too lazy to do the conversion...

I was mistaken. The box says the power is +1.75 and the cyl is -1.75.
I am plano in both eyes, so I don't know what that means.
William Stacy, O.D.
Posted: Mon Jan 08, 2007 4:58 pm
Guest
Quote:
I was mistaken. The box says the power is +1.75 and the cyl is -1.75.
I am plano in both eyes, so I don't know what that means.

It means the contact lens will have a power of +1.75 along whatever axis
is specified, and 0.00 along the meridian that is at right angle to the
axis. If you are 0.00 in both eyes with no astigmatism, these contact
lenses are not yours, and I'd wonder why you have contacts at all.
Dan Abel
Posted: Mon Jan 08, 2007 5:21 pm
Guest
In article <9gyoh.14412$yC5.3976@newssvr27.news.prodigy.net>,
"William Stacy, O.D." <wstacy@obase.net> wrote:

Quote:
I was mistaken. The box says the power is +1.75 and the cyl is -1.75.
I am plano in both eyes, so I don't know what that means.

It means the contact lens will have a power of +1.75 along whatever axis
is specified, and 0.00 along the meridian that is at right angle to the
axis. If you are 0.00 in both eyes with no astigmatism, these contact
lenses are not yours, and I'd wonder why you have contacts at all.

I have astigmatism. Here is my prescription from last October:

OD +.25 +1.50 130
OS PL +.25 60

add of 2.25
G17
Posted: Mon Jan 08, 2007 6:41 pm
Guest
On Sun, 07 Jan 2007 22:56:38 GMT, "William Stacy, O.D."
<wstacy@obase.net> wrote:


Quote:

O.D. -350 1.00 15
O.S. -375 1.25 04

The above, which is written in + cyl format, translates directly to

R. -2.50 -1.00 x 105
L. -2.50 -1.25 x 94

which is not so much different from either of the o.d. Rxs:

SPH. CYL. AXIS
O.D. -225 -75 105
O.S. -250 -75 095

In December 2005 I went to a different O.D. for a way overdue exam. He
prescribed:

SPH. CYL. AXIS
O.D. -2.50 -1.25 095
O.S. -2.50 -1.00 085

This makes things much clearer now. I did not realize prescriptions
could be made into two different formats. Thanks for the help
everyone.
William Stacy, O.D.
Posted: Mon Jan 08, 2007 7:42 pm
Guest
OK then that CL is for the right eye, and the axis on it should be about
40 + or - 10 degrees or so, no? He is overcorrecting your astigmatism,
with which I disagree.

I'm wondering if you wouldn't be happier with a pair of glasses:

R + 1.75 - 1.50 x 40
L + 0.25 - 0.25 x 150

add +2.25

in some kind of bifocal, trifocal or progressive. Why would you want to
mess with contacts?

If you really want to be free of glasses, you might try a
+2.50 - 1.25 x 40 or so toric soft lens
on that right eye, for a decent monovision deal, unless the corrected
acuity on either eye is not up to par (20/20 or close to it), in which
case don't bother.

w.stacy, o.d.

Dan Abel wrote:

Quote:
In article <9gyoh.14412$yC5.3976@newssvr27.news.prodigy.net>,
"William Stacy, O.D." <wstacy@obase.net> wrote:


I was mistaken. The box says the power is +1.75 and the cyl is -1.75.
I am plano in both eyes, so I don't know what that means.

It means the contact lens will have a power of +1.75 along whatever axis
is specified, and 0.00 along the meridian that is at right angle to the
axis. If you are 0.00 in both eyes with no astigmatism, these contact
lenses are not yours, and I'd wonder why you have contacts at all.


I have astigmatism. Here is my prescription from last October:

OD +.25 +1.50 130
OS PL +.25 60

add of 2.25
 
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