Mike wrote:
Hi,

I recently had my prescription updated and went to get a new pair of glasses but ran into some visual distortion issues.

My normal optometrist (that I have been seeing since I was 10, I am 27 now) was not available at the time, so I made use of the in-house one where I was getting my glasses.

The prescription [I don't have it] (which was later checked by my normal optometrist) was accurate, save for the prism. For whatever reason, She could not see it while taking the measurements. So she added the prism from my glasses that I was wearing at the time (a 1 B0 prism).

The optician did the glasses. When I tried them I noticed a significant distortion of the ground immediately in front of me, it was like I was walking up a 3′ hill all the time. This was looking ahead normally while walking. It was also like they were magnifying the image as well, as if I looked straight down, my body/legs appeared to be about 2′ tall (I’m 6′). I made a point of wearing them for a few days to see if it was an adaptation issue but there was not noticeable improvement.

At that point I went back to the opticians and they rechecked everything PD, prescription, as well as positioning of the frames on my face to no avail. They suggested that I go to my normal optometrist to double check the prescription. Which I did and ended up with:

OD -800 -075 175 1.5 B0
OS -650 -050 008 1.5 B0

I took this back to the opticians and they re-did the lenses with the new prism. These were a no go as well. Same visual distortion. Again, they checked the lenses, position etc. All seemed ok. Though they noted that the base curve of the new lenses was not the same as my old ones. So they suggested that they re-grind the lenses with the old base curve to see if that would fix the situation.

While it did improve the distortion it was no longer a 3′ hill immediately in front of me, there was still a significant rise in the ground probably from 6 to 10′ away, I would have to guess that it looked like it was about 1′-2′ rise, though it was smooth not abrupt, kinda like a pronounced crown in the road.

At that point I had given up on the glasses as the opticians could not provide any answers or other things to try, other then to check the prescription with my optometrist again. Which I did and ended up with the most recent prescription of:

OD -775 -075 175 1.5 B0
OS -675 -050 006 1.5 B0

I have not had this made into a set of glasses yet, as I don’t know what was causing the problem and I am a little leery of going through this again considering the cost of the lenses alone usually runs about $300+.

The lenses they were using above were Zeiss 1.67 RI, their lab was using Essilor Kappa. The frame size was 49-19, Oakley Rotor S.

My old glasses (which I am still wearing) were from Lensecrafters, the lenses are Featherweights (polycarb 1.54 RI?). Frame size 46-18, similar lens shape to the Oakleys, rounded rectangle. Old glasses prescription is:

OD -750 -050 180 1.0 B0
OS -625 -050 180 1.0 B0

Any ideas what was happening?

Thanks for your time.

ANSWER

Mike
Dear Mike
I will do my best to offer some suggestions based on the information that you have given me. For starters, yours is a fairly high prescription, and high prescriptions create more distortions than lenses made in a lower prescription. Secondly, I suspect that you are a sensitive observer and that you may be bothered by induced distortions that might otherwise go unnoticed by the average observer.
It appears that your new prescription is a little bit stronger, that you are wearing a slightly larger frame, that the amount of “base in” prism has increased slightly and that the axis of the astigmatism has changed slightly (going from exactly horizontal to being tipped up slightly at the outside of the frame). Each of these changes, by themselves, would probably not cause a great change in visual perception. However, these four small changes, in combination, may be enough for a sensitive observer to notice. In addition, it is possible that the “wrap” of the new frame is different that the vertical centration of the lenses may be different from what you are used to wearing. These factors could make your adaption to the new glasses a little more difficult.
Fortunately, most patients do eventually adapt to changes in prescription and lens design. If you have worn the glasses for a period of a few weeks and do not experience any improvement in your symptoms, you may want to try to go back to a smaller frame. As a last resort, you may also want to go back to the polycarbonate lenses, but any improvement in spatial perception you might gain may also be offset by the generally lower optical quality that polycarbonate lenses provide away from their optical centers.
I wish you luck. It sounds that you and your different care providers are doing their best to make things work for you. Hopefully with a little more perseverance you will be successful.
Best of luck
Dr. Smit

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