For some people, their eyesight gradually declines. For others, it can happen quickly. When it comes to wearing glasses, the choice can be between getting prescription glasses or non-prescription “readers” also known as “cheaters”.
With either choice, it is important to get an eye examination to determine if you need prescription glasses, if there’s an issue related to your vision, or if readers are okay to use.
Most people can use over-the-counter (OTC) readers if they match the power of their prescription. An example of this is if their eye doctor recommended +2.00 in each eye, and they purchased OTC readers that had the same power.
It is important to note that despite OTC readers being less expensive than prescription glasses, they are mass-produced, and the quality of their lenses and the materials they are made of are usually inferior to those of prescription glasses, which are privately manufactured.
Additionally, there are rare cases when the pupillary distance, which is the distance between the pupils of the eyes, is very small or very wide, and the lenses in the OTC readers can cause eye strain or double vision.
If you experience any of these symptoms with OTC readers, it is recommended to replace them with a pair of prescription glasses.
However, if you do purchase OTC readers, here are some tips to follow to make sure you get the most benefits from them:
Find a pair of readers with the right power. Reading glasses will have signs or stickers describing their power. In many cases, they will range from +1 to +4 diopters, increments of +.25. Diopters are the unit of measurement used to calculate the focusing strength of a pair of glasses or contact lenses. Look for the number that matches your prescription. If you don’t have a prescription, try +1 first, as it is the lowest power
Test the glasses by using them to read. If you have a book or magazine, try using the glasses to read at a comfortable distance. You can also use the eye chart at the eyeglass display to test the glasses. It is important to try different powers until you can read clearly at a distance that is most comfortable for you
Try glasses with larger lenses first, as they offer more of an optimal zone where the prescription is. This will make it easier to use smaller lenses once you get used to wearing glasses.
If you decide to wear prescription glasses instead of OTC readers, you may want to know how to read your prescription.
An eyeglass prescription is made up of an odd series of letters and numbers that are instructions for making your glasses. Here is what they mean:
In a typical prescription, there are two acronyms, one for each eye.
O.D.- is short for oculus dexter, which is your right eye
O.S.- is short for oculus sinister, which is your left eye
The sphere column is often abbreviated as SPH. This is the lens power needed to fix your vision. A minus sign (-) next to the number means nearsightedness. This means you see better up close and need distance correction. A plus sign (+) indicates that you are farsighted and can see better from far away and need your near vision corrected.
Since lens power is measured in diopters, if the sphere field is written as -9.00 D, which means there are 9 diopters of nearsightedness. The measuring system is an integer line, with zero in the middle, needing no correction. The further you get away from zero on either the minus or plus side, the stronger your prescription is.
The cylinder number is how much astigmatism you have, if any. This is when part of the cornea has a different curve. Normally, an eye is shaped like a basketball, rotated in any direction, with the curve staying the same. An eye with astigmatism is oval, or egg-shaped, or more like a football, with one curve being longer than the other. Their CYL number corrects the different second curves.
The axis number tells you where astigmatism is on the cornea. The axis is written in degrees between 1 and 180, indicating which way the astigmatism lines up.
The add column is where any additional lens power is written. For example, some people over the age of 40 may not want an extra pair of glasses for reading and may choose to wear bifocals instead. The lower half of the lens will give them their reading vision.
Additionally, there may be a field for prism on the right side. This is a special type of correction built into the lens for some people with double vision. This means they see two separate images of the same object. The prism fuses the two images together, so they will only see one image.
If you need an eye exam, you can schedule an appointment at Jamaica Hospital Medical Center’s Ophthalmology Center by calling (718) 206-5900.
All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

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