Jake S.
Post count: 8756

1. I’m not certain what you mean in your response by (3)—could you please explain further?

–> Not sure specifically what is unclear. Make sure the habits with the correction include regular active focus.

If we’re talking about two *diopters* of cylinder, that is a very large correction, and correction increase. Going from zero to two diopters in cylinder is alarming. Should be reviewed what’s really required there.

Like I mentioned above, I’m not getting as much sharpness when I check my blur horizon, as compared to what I used to. My left eye has been examined after I did the stupid-phone-at-night experiment. Apparently I didn’t damage it, but it now has two cylinders of diopter in that spot, whereas before it used to have none.

So, 2. I’m wondering whether it’s this or the presbyopia, or both, that are causing the slight blurring of my previously perfect near focus?

–> I couldn’t say. This would require a test lens kit to examine. Certainly a big difference in the type of blur with astigmatism vs. presbyopia. The first is double vision / directional blur / ghosting, the latter is simply a straight blur as you get closer.

3. Should I wait until my updated eye exam to “dial in” my normalized and differential—-and in the meantime, just work on clearing strain?

–> I don’t recommend relying on external exams solely or primarily, for diopter choices. Best starting point is what you’re using now, and what you may want to change. Starting only with differentials.

4. I’m concerned about going back to work on Monday. Work is my primary source of eye strain. (I’m in school, but I’ve gotten myself an app that reads PDFs aloud and that’s really helpful.) I know I need better lighting; but my back office is pretty darn dark. So I see all my video clients in my waiting room (which has natural light), but my in person clients love my back office. Do you have any suggestions for how I could look for better lighting options (without causing more eye strain from long internet searches)?

–> Eyesight changes slowly. Making dramatic changes as part of starting this course, not recommended. Especially with diopters – things like addressing lighting is totally ok.

Super easy to self assess. Just hang up an eye chart, and have some way to check centimeters in various of your usual environments. See what it takes to make the eye chart comfortable, and maximize centimeters, as you may play around with lighting. It’s very tangible in terms of feedback and with these tools you can easily tell what’s useful and what may not be necessary.

I recommend being in no rush. If you for example buy bulbs that can be adjusted via an app, you might change the light output one day, see how that works. Change again next day. Not too much at once. Or moving a standing lamp, adding one for more spotlight for you while keeping the overall room at similar low levels, etc.

5. Thanks to my long history of Bates work, my eyes actually feel more relaxed without lenses, as long as I’m sitting, relaxing and looking into the distance without straining or expectation of focus. If I do this long enough, my eyes actually do this thing on their own, where they pull in these clear flashes. If there’s high contrast letters around, all the better: it’s like my eyes use them to pull focus, and suddenly I can see them clearly. I’m guessing that’s not a bad thing to do once in a while, given that I enjoy it and it’s relaxing?

–> Totally fine. Relaxing. Not that productive in terms of improvement, though. Ideally you find a similar experience by gradually adjusting diopters, which eventually should feel relaxing as well.