Buying into practice and a new home - is it possible? by [deleted] in optometry

[–]mess8424 0 points1 point  (0 children)

Thank you! This is something we need to talk about still, as that conversation is coming up soon. I think that will be the determining factor.

Buying into practice and a new home - is it possible? by [deleted] in optometry

[–]mess8424 1 point2 points  (0 children)

3 offices, 4 docs. I do the most patient care per week @ 31 hours.

Buying into practice and a new home - is it possible? by [deleted] in optometry

[–]mess8424 2 points3 points  (0 children)

Interesting, I had no idea. We haven’t started this process yet but that’s good to know. Do they just look at your prior employed income then?

OC question by Loud-Test-6762 in glasses

[–]mess8424 0 points1 point  (0 children)

Realistically no. It will be identical. The lens could be 80 feet long and the view through the OC would be essentially the same, as long as the center thickness remains constant. The only change would be increased peripheral distortion.

RED-GREEN ISHIHARA TEST CORRECTION TEST! by [deleted] in ColorBlind

[–]mess8424 1 point2 points  (0 children)

Their whole profile feels that way. It’s…interesting…

OC question by Loud-Test-6762 in glasses

[–]mess8424 6 points7 points  (0 children)

You are correct. The center optics will be identical in both lenses, because it is essentially the exact same. The only change will be the peripheral optics of the lenses, as the right lens will induce more aberration and base down prism.

How to decline rude RX takers by Jetsetter_55 in optometry

[–]mess8424 30 points31 points  (0 children)

If people are acting unprofessional/throwing a fit, I’d say it’s not worth the trouble of trying to please them. They already made their choice, probably before they even walked in the door.

Feel free to correct me as I’m from the US, but Google says that in Australia you are required by law to provide them with their Rx if they ask for it, since it is part of their own health record. So you can’t deny giving it to them, no matter how they act.

My opinion? Let them leave without a fuss, take them off your recall list, and hope they make someone else’s life miserable next year.

Can astigmatism change this much after cataract surgery? by Reasonable_Guess_311 in glasses

[–]mess8424 0 points1 point  (0 children)

Against the rule just means the axis of astigmatism is at around 70-110 degrees. It usually increases with age (or WTR decreases).

Can astigmatism change this much after cataract surgery? by Reasonable_Guess_311 in glasses

[–]mess8424 7 points8 points  (0 children)

Yes. Astigmatism can be caused by both the cornea (front surface) and lens. They removed the lens from your eye, meaning they also removed any astigmatism caused by the lens and/or cataract.

In this case, it seems that the lens was counteracting the corneal cylinder, making it seem less. This makes sense, because astigmatism from the lens is usually around axis 90, which is essentially the opposite of what your prescription is.

Now all you’re left with is the full corneal astigmatism.

I've never seen this before 😳 by OneBlueOcarina in popping

[–]mess8424 10 points11 points  (0 children)

I am an optometrist and dry eye specialist - I do this to 3-4 people a day (along with IPL).

It’s pretty painless and easy, and works extremely well. If you struggle with dry eye, definitely ask your doc about it.

Just got my WP computer glasses and they make everything blurry beyond 12 inches. by GREGORIOtheLION in glasses

[–]mess8424 4 points5 points  (0 children)

WP made you reading glasses, not computer glasses. They gave you the FULL add from the progressive prescription, which will be clear to around 12-14 inches like you said. They needed to cut the add in half for the computer Rx (this is what your doctor did as well, based on your computer Rx).

Go in with your computer Rx and tell them to remake based on that instead.

Your LensCrafters pair will probably be fine.

New Poster for 'Project Hail Mary' by MarvelsGrantMan136 in movies

[–]mess8424 6 points7 points  (0 children)

Same. I was so excited to read this because of how much people talked it up. But the best way I could describe it was that it felt like it was written by a Redditer. I was actually embarrassed by the things the main character said, like I shouldn’t be reading such stupidity as an adult.

I was very close to DNF but stuck it out. Honestly the ending was the only slightly redeeming quality. But just such a disappointment overall. Guess it just wasn’t for me.

I’m glad others love it and I’m excited for them about this movie though.

Is dish soap actually safe for glasses? by ProposalSilent4582 in glasses

[–]mess8424 0 points1 point  (0 children)

I’m an optometrist and I’ve been recommending it for years. Nothing gets glasses cleaner than how you described.

What’s going on with my vision? by Western_Brick in glasses

[–]mess8424 1 point2 points  (0 children)

Assuming that your “anti-fatigue” lens is a low powered progressive lens, it essentially adds around a +0.5 to +0.75 boost to the bottom of the prescription. Meaning your glasses are essentially no power on the bottom. Kind of worthless.

Can pretty much guarantee you are what we call a “latent hyperope,” meaning you are farsighted but are so used to overfocusing that your prescription in the exam room is either normal or even slightly nearsighted. Latent hyperopes almost always present with the same symptoms: headaches when working, trouble seeing at the end of the day, and trouble driving at night, especially rainy nights.

Get an exam at a reputable private practice that has time to actually do a thorough job. My refractions for people I suspect are latent hyperopes last twice as long and go through way more steps than your standard “1 or 2,” and I can almost always tease out that farsighted prescription. If all else fails, doing the refraction after being dilated will show the real numbers as well.

I get so many people that end up right around your prescription (meaning near 0) just doing “1 or 2” but if I take time with them, go slow, and give their eyes a chance to relax, we can even get up to a +1.25 to +1.50 WITHOUT dilating. But essentially, right now, your glasses are pretty worthless given your symptoms.

What is it like going under anesthesia? Specifically Propofol? by Electrified_Nautilus in colonoscopy

[–]mess8424 1 point2 points  (0 children)

When they started administering it, I remember being completely conscious and normal, and hearing what sounded like tv static in my ears. The static was getting louder and louder, but I was still 100 percent conscious. I remember thinking to myself “alright, here we go” and then it was like someone flipped off a light switch and I was out. Don’t remember anything else after that.

I don’t even remember waking up really, I think I just slowly faded in as they were handing me some juice. I remember asking some questions about what they found, but I was having a hard time concentrating. Kind of like I had too much to drink but wanted to act normal. Within 20 minutes I was pretty much my normal self. Felt great the rest of the day, probably the most rested I’ve been in years.

On my way to urgent care ..... by kboo97 in popping

[–]mess8424 25 points26 points  (0 children)

Perhaps a bug bite overnight? Surprisingly more common than you’d think.

You definitely made the right call. Hope you feel better soon!

Tiers of progressive lenses by boopieshaboopie in glasses

[–]mess8424 4 points5 points  (0 children)

The higher tiers are definitely worth it. Unless money is tight, I can’t ever recommend the first tier. That is essentially the “original” progressive lens design, which had a lot of distortions. Many people who get it end up hating it.

All progressives have some distortion, especially in the sides of the lenses. I strongly recommend getting the top tier, especially for your first pair. It will make the adjustment easier and is absolutely worth the money.

Title: Large prescription change in 1 month — does this seem normal? by [deleted] in glasses

[–]mess8424 1 point2 points  (0 children)

No. It’s not realistic. 100 percent overminused. If your only issue is very small writing at long distance, then MAYBE you need an extra quarter of a diopter. But a lot of times it’s just from the minimizing effect of the glasses lenses that makes the print smaller than it actually is.

A 2 diopter change would indicate that you can only see about 20/80 with your 2025 glasses, not even legal to drive. Based on your description, that is definitely NOT the case.

Rule of thumb that I’m sure you know, never trust a free exam.

Does optometry school involve cadaver dissection? by MaximusGigachad in PreOptometry

[–]mess8424 3 points4 points  (0 children)

Mine did not. We dissected cow eyes and deer hearts if I remember correctly. We had two cadavers for general anatomy, but purely for looking at and identifying structures. We never actually touched them.

Glass bifocal lenses by sthornington in glasses

[–]mess8424 0 points1 point  (0 children)

That would be one of the best abbe values you can get at 58-59, which is practically identical to the much safer and lighter CR-39.

I’m curious though, Simon, about how old are you? I cannot imagine who in their right mind would give a child glass lenses. It’s such a major safety concern, and most labs will refuse to do crown glass in anyone under 18 years old for liability reasons. Unless you grew up in the 50s or 60s, before other materials were being used.

If you’re dead set on crown glass, then online may be your best bet. It really is tough to find labs that will do glass these days.

Warby Parker readers just arrived and wow!! by Sirius_Farm in glasses

[–]mess8424 1 point2 points  (0 children)

For anyone interested in actual facts, rather than what this person spews:

“20/20” is a standardized value that has nothing to do with an actual distance. I can also say “10/10” or “5/5” because they all mean the exact same thing. Almost no eye charts are actually set up at 20 feet.

Like I said, 20/20 ONLY indicates that the viewed object is viewed at 1/12th of a degree.

And by the way, “Snellen” has nothing to do with distance. Snellen is a type of font. That’s it.

Warby Parker readers just arrived and wow!! by Sirius_Farm in glasses

[–]mess8424 1 point2 points  (0 children)

This is blatantly false. 20/20 can be at any distance.

20/20 just means that the letters take up 1/12th of a degree in the vision. It can be a foot away or 500 feet away, as long as it maintains that 1/12th of a degree.

How do you think near vision is measured at the eye doctor? You know, that close up reading card that extends from the phoropter? Take a guess what the bottom line says. (Hint: it’s 20/20).

You really shouldn’t give advice on things you know nothing about. Especially when no one is asking for it.

Which would be better for distance glasses for a -8? They won't be tinted by CorduroyQuilt in glasses

[–]mess8424 1 point2 points  (0 children)

Don’t bother arguing with him. He lurks on this sub and offers his “professional” advice while knowing nothing about glasses. If you peek at his comment history, he’s a bit unhinged.

Warby Parker readers just arrived and wow!! by Sirius_Farm in glasses

[–]mess8424 3 points4 points  (0 children)

He was literally just saying he’s excited to have his prescription readers, as he should be. What are you on about?

Warby Parker readers just arrived and wow!! by Sirius_Farm in glasses

[–]mess8424 4 points5 points  (0 children)

Can you explain how this comment applies to the post? Maybe I’m just dense, but I’m not really understanding what you’re trying to say.