Answered
  • Creator
    Topic
  • #75682
    nrmalo2020
    Participant
    Post count: 60

    Hi Jake,

    I believe that I have a greater than 15% divergence between left and right eye (left is stronger). In the lessons it said to reach out to you before continuing. What should I do? I’ve been practicing patching from time to time.

    Natalie

Viewing 22 reply threads
  • Author
    Replies
    • Jake S.
      Keymaster
      Post count: 8757

      Please include diopter values and measurements so we can look at this in more detail. πŸ™‚

      • nrmalo2020
        Participant
        Post count: 60

        Of course. Yes yes πŸ™‚

        Current reduced normalized: -3.0 L, -3.5 R (dropped a little over two months ago from -3.5 L +0.5 cyl, -4.5 R)

        CM measurements (most recent 7 days’ worth)

        Left: 41, 38, 40, 42, 39, 40, 39, 37
        Right: 33, 31, 33, 35, 33, 32, 33, 31

    • Jake S.
      Keymaster
      Post count: 8757

      Awesome!

      So yes, occasional 15 minute patching with a bit of active focus will be useful. How is the centimeter with your differentials? Same diopter ratio there?

      • nrmalo2020
        Participant
        Post count: 60

        Thanks!

        Ok, cool. The diopter ratio for the diffs are the same as the reduced normalized. -1.5 L and -2.0 R.

        Some recent centimeter results with diffs:
        Left: 71, 65, 70, 71 68, 68, 67, 68
        Right:59, 56, 58, 62, 54, 56, 54, 56

        Now that I’m comparing them side-by-side, it seems like a much bigger gap between left and right with my differentials on than without them. Maybe it’s a measuring error? I might not be measuring right.

    • Jake S.
      Keymaster
      Post count: 8757

      Take your time with the measuring. Also if you do a bit of patching, just at most 15 minutes a day with close-up and some active focus, compare your measurements over 3-4 weeks and se if the right eye responds with slight increase.

    • nrmalo2020
      Participant
      Post count: 60

      Ok, will do. Thank you!

    • Jake S.
      Keymaster
      Post count: 8757

      [reviewed]

      • nrmalo2020
        Participant
        Post count: 60

        oh, sorry, I meant to ask, should I continue with the courses or wait to see if my right eye catches up with the patching and active focus?

    • Jake S.
      Keymaster
      Post count: 8757

      I’d probably wait and just take some time for the right eye to get caught up. Not a race! 😬

      • nrmalo2020
        Participant
        Post count: 60

        Ok, perfect. I can do that. By caught up, what should I be looking for? Less than 15% divergence? Or same centimeters?

    • Jake S.
      Keymaster
      Post count: 8757

      Same improvement for both eyes. So basically you should be back to the same distance as with the previous glasses. πŸ˜‰

    • nrmalo2020
      Participant
      Post count: 60

      I’m not sure I follow. What do you mean by “the same distance as with the previous glasses” ?

    • Jake S.
      Keymaster
      Post count: 8757

      You should be able to see the same distance as with your previous, higher diopter glasses.

      • nrmalo2020
        Participant
        Post count: 60

        ah, ok. Got it! πŸ˜‰ So if I was seeing 20/15 in those, is that what I’m aiming for? Or will 20/20 suffice?

    • Jake S.
      Keymaster
      Post count: 8757

      20/20 is more than enough. 20/30 even. This is personal preference and a very basic foundation of the whole program. Pick the focal plane that gives you a comfortable blur challenge, discussed often. Where is your blur challenge / active focus habit with 20/15? πŸ€”

      • nrmalo2020
        Participant
        Post count: 60

        Yes, exactly. I completely get it! There is no blur challenge/active focus with 20/15. Sometimes I’m very literal when I read things, because I want to make sure I don’t miss any important details, so that’s why I asked that question. [Can you tell I was a nerd in school? Hence why I ended up in this program haha πŸ˜‰ ] But yes, the concept of blur challenge and picking the right focal plane makes perfect sense to me. I’m actually seeing 20/20 pretty consistently in my left eye, which is awesome. The right eye is struggling to catch up, but I’m starting to get a clear-ish 20/30 line more often than not, so progress. I’m just a little worried that it’s taking too long for me to fully adjust to my reduced normalized (going on 3 months with them now).

        Once both of my eyes have caught up to the 20/20 line, then I will continue on with the lessons and eventually reduce. Thanks for the help and clarification! πŸ™‚
        -Nat

    • Jake S.
      Keymaster
      Post count: 8757

      Once both of my eyes have caught up to the 20/20 line, then I will continue on with the lessons and eventually reduce. Thanks for the help and clarification! πŸ™‚
      -Nat

      That’s great. 3-4 months is a normal window.

      You want both eyes “caught up” so the next reduction doesn’t introduce ghosting and double vision. It doesn’t mean that both eyes have to see the same line on the eye chart, just that they’re both back to the previous relative levels. So if one eye is a bit “stronger” as long as they’re both back to the same relative acuity, it’s usually fine to reduce again.

      No rush!

    • nrmalo2020
      Participant
      Post count: 60

      Ok, excellent.

      Thank you!!

    • Jake S.
      Keymaster
      Post count: 8757

      [reviewed]

      ☺️

      • nrmalo2020
        Participant
        Post count: 60

        Hi Jake,

        It’s been a little over a month of patching and practicing active focus close up, but my right eye has not improved in centimeter results. It even feels a bit difficult to practice active focus with the left eye patched now. Do you think I ought to get another pair of normalized glasses with a slightly stronger diopter in my right eye and keep the left eye the same? Or should I keep trying to get it to catch up?

        Thanks!

        Natalie

    • Jake S.
      Keymaster
      Post count: 8757

      No changes at all? Not just centimeter but subjectively, or with the screen otherwise?

      4 weeks still a bit early to necessarily change diopters. It can take a few months for this type of stimulus to create change.

    • nrmalo2020
      Participant
      Post count: 60

      Some changes, but it seems that my centimeter results are actually getting worse, if that’s possible. (The average was smaller this time around than before). It could also just be that I’ve been more mindful about measuring lately, so perhaps my previous results were overinflated. I should probably keep trying patching and active focus because over the past month I wasn’t as consistent about it, especially with the holidays. I also wasn’t getting nearly as much outdoor time as I wanted (like 20 min a day instead of an hour). Also, my Snellen chart results have not improved much for my right eye. Overall, it feels like my distance vision active focus practice is slowing down. I kind of feel like my left eye wants to do all the work and my right eye just wants to coast on the left’s progress. I may give it one more month, though, with more consistent habits and practice and see what happens.

    • Jake S.
      Keymaster
      Post count: 8757

      Yea give it a bit more time and consistency. πŸ™‚