Eyeglass prescription question - near-sighted + presbyopia

I’m at an age where I’d need reading glasses. Except I’m severely near-sighted, so I need a 2nd pair of glasses with weaker prescription. My optometrist has provided me with the 2 prescriptions.

Strangely though, the 2 prescriptions have slightly different astigmatism correction on one eye (+2.00 vs +2.25). Diopter difference between the 2 eyes is different too - normal glasses are -8.50/-9.00, “reading” glasses are -7.00/-7.75.

And sure enough, when I got the 2 pairs made, whenever I switch between the 2 pairs, it takes a long time (maybe 5 minutes) for my eyes to adjust. During that time it feels the lens in one eye is way too strong.

Anyone else had to deal with these problems? Would I be better off getting “reading glasses” that’s just 1 or 1.5 diopter off from my normal pair (e.g. -7.5/-8.0)?

Why not progressives? I am severely nearsighted, now need reading glasses, so have a pair of progressive lenses that have my regular prescription at the top and prescription for reading at the bottom. Although I was warned about difficulty adjusting to them, I’ve had no problems at all, and can read, use a computer, and see for distance as well as I did before.

I haven’t yet paid extra for progressive lenses because I figured I wanted a full field of view for work (I use a 32-inch monitor at work) as well as for distance vision (including bicycle commuting on recumbent bike). Do you think progressive lenses would work OK in these situations?

There may be some initial adjustment in how you hold your head for different situations, but yea, that’s exactly what progressives are for. I target shoot with mine just fine, and that involves focus on small things at both arm’s length and anywhere from 12 to 30 feet away. Took a couple sessions to find my new sweet spots with these lenses, but it’s fine. The only sticking point I can imagine for you would be if you use the 32 inch monitor from less than arm’s length away. From 2’ or less you’ll likely get distortion - but with fully corrected vision you’ll likely find it’s more comfortable to have the monitor farther away anyway. I use just a 18" monitor and it’s pushed up to the wall behind my desk.

Same here, although I went for old-school bifocals instead of progressives, since my eyeglasses are narrow top-to-bottom.

I did get new frames that are designed for progressives and are much larger top-to-bottom than my old frames. I actually think they look much cuter on me than my old frames. :cool:

OK, I think you’ve convinced me to get bifocals/progressives, at least to give it a try.

I was mildly near-sighted and I got progressives. It literally took no time at all to adjust to them. Now the bottom part has essentially no correction and I don’t need correction for distance. But the middle of the lens is fine for the distance of a computer.

One downside. If you have to read something that is below you (for example the dials on my CD reader), you would have to read it through the top of the glasses which may be hard of impossible. The solution is a cheap pair of drugstore glasses for that situation. But I have no astigmatism to speak of.

Can’t say enough for monovision contacts.

I also have astigmatism and have always been nearsighted. I deal with a form with small print at work all day and have two 32" monitors. I use reading glasses when I need to read something for a half hour or more, but for shifting from monitor A to monitor B to a form, to my phone, back to the monitor B, etc. I love my monovision. Right eye is focused for distance so I can look at the calendar or clock or person walking in the door. Left eye is focused for near vision so I can read documents and my monitors without finding my reading glasses. I resisted for a long time because I thought it would screw with my depth perception. It does NOT.

The monovision thing varies from person to person - some people do not and never will adapt to it, other have no problems.

Personally, when my eyes manage to get slightly differently sighted on their own (has happened a couple of times) it drives me batshit so I am probably not someone who should opt for that particular solution.

But hey, if someone wants to try it, great. Unquestionably it does work for some people.

You also have to be able to wear contacts at all. I’ve had dry eye since my late 20’s and stopped using contacts altogether by age 35 because they’re just too damned uncomfortable after about 4 hours. Even when I was wearing them comfortably, I had to use the ones that are for a week of constant wearing, as dailies, I could NOT sleep in them and still was uncomfortable by bedtime. I’d love to wear contacts again, but they just don’t work with dry eye.

I get my progressives from Zenni for $105 with shipping. The minimum lens height is 3cm. Not quite as narrow as the single visions I wore (which were $20-$30 from Zenni), but acceptable for sure.

I’m another huge fan of monovision. Although I do know people who could just not get accustomed to it. So yeah, it’s not a panacea.

Same exact Rx scenario with 2 pairs of glasses. Zero adjustment time. I’d get your prescription double checked before ordering more glasses or progressives. Get a good nights sleep before getting re-checked so your eyes are rested.

Let me modify that. I have only one fully seeing eye if your issue is related to left right stereo vision differences it may have nothing to do with prescription errors. Since I only see (fully) out of one eye this is not an issue for me.

Ditto here as well. Last year was my first year with progressives and I just got a new batch. I love them. (I just turned 40 last year and the presbyopia hit me on schedule–my near-sightedness is a -3.5 diopter. Looking at some of the number here, holy cow. I didn’t realize they got that strong.) Took me no time at all to adjust (like, almost literally. Maybe the first 10-20 seconds felts a bit odd), but the optometrist did say some people have difficulty and feel dizzy in them. To me, it feels completely normal and it’s great not having to take off my glasses or adjust them to the tip of my nose to be able to read something.

I used Internet glasses to try out progressives without spending a bunch. Zenni worked out fine.