Reply To: New differentials

[Simone Burke]

#77940

Thanks Jake.

Yes it is infuriating. They suggested Misight lenses to stop the progression and in 6 months of using the contacts they said she had increased by .5 dioptors in both eyes despite saying the Misight would stop the progression. The final straw was when I was told she was now a glaucoma suspect as her pressure was up. I found your work and it made sense! Finally something that made sense! At her last check her eye pressure was fine.

On the eye chart using her differentials she is 20/40. She can easily recognize faces and expressions. I think she was ready to use her diffs as normalized when I would send her to school with her normalized and differentials to change depending if she was in the classroom or playing outside and she would come home and tell me she forgot to change them and had worn her diffs all day even playing outside and saw fine with them. At first I was concerned but I tested her with different signs to read outside and she was ok. I hope I am not moving too fast.

For her new diffs, do you think I need to increase SPH when I lower the CYL for the new diffs?

Based on her cm to blur that would equate to -4 SPH, then -1.5 = 2.5. Add .5 so it would be SPH 3 and reduce CYL by .25 ( – 2.5 from -2.75). If I reduce the CYL by .5 it would be -2.25 CYL.

I was considering lowering to OD and OS -3 SPH, -2.25 CYL with the relative axis for her differentials.

Her new normalized would be OD and OS -3.5 SPH, 2.75 CYL

Your thoughts on whether I am on the right track would be appreciated 🙂

Thanks for getting back to me 🙂
Simone