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Dr. Tom
Dr. Tom, Board Certified MD
Category: Eye
Satisfied Customers: 263
Experience:  30 years experience treating patients with eye problems
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what does: Sph / cyl / axis: Rt +0.25, -100, 85 ; Left C,

Customer Question

what does: Sph / cyl / axis: Rt +0.25, -100, 85 ; Left :C, -050, 70 mean? Will I be better off with glasses? with both eyes.. i can see quite well... but, with only the right eye......a bit blurred


 


Actually......i'm also in the medical profession (non eye related) and at the OR... it requires good visual acuity ... want to ask if this will affect the precise acuity required  

Submitted: 1 year ago.
Category: Eye
Expert:  Dr. Tom replied 1 year ago.

Dr. Tom :

Hi, I'm online now and would be happy to help you with your question.I understand what you are asking. Just reply and we'll get started. Dr. Tom

Dr. Tom :

are you available to chat about your question now?

Customer:

Hi Dr Tom..

Customer:

yes.. thx

Dr. Tom :

OK..give me a minute to type a reply.

Customer:

to add more info....I'm actually a urologist.

Customer:

seems that none of my eye colleagues can give me an answer..

Expert:  Dr. Tom replied 1 year ago.
Something just happened, and I must start over...sorry give me a minute.
Customer: replied 1 year ago.

Hi.. i'm new to this system..


suddenly offline & asked for a rating..


 


Dr expert.... i just want to know the severity of my vision & whether i need glasses,, thx

Expert:  Dr. Tom replied 1 year ago.

Something just happened, and I must start over...sorry give me a minute.

Something erased my typed reply...so I will start over...sorry

firstly I say that

your refraction is very minimal , so it's not surprising that you see as well as you do .. The second observation is that, yes the use of that prescription could increase your visual precision, particularly in lowlight conditions , such as reading x-rays in a dark room .

Now to the explanation of your numeric refraction . in your right eyeyou have .25 of a spherical correction . This is meaningless , however, you have one diopter of astigmatism and that could be a useful prescription to use. in your left eye you have -.50 of spherical correction and that could give you a a little bit of blurred vision at distance. The last numbers in the formula are just the axis in which the astigmatism ne needs correction, please let me know if this clarifies your question and what else I can answer for you . again, I am sorry for the delay in your answer

Expert:  Dr. Tom replied 1 year ago.

So again, Doctor Ada, I too was knocked off-line. I apologize for that because it does make the flow of dialogue difficult. I hope my above explanation was what you needed, and again let me say that you have a very minor prescription. It certainly would not hurt you to go without the use of it, and even if you did use it, you would only see a minimal improvement in your already very good vision. If this satisfies your needs. Please re-rate the answer. We online doctors get a bad profile from poor ratings and I don't think you really meant to rate my help. for you so poorly. you will be able to re-rate my help for you, and continue to ask me questions until you're satisfied.

Dr. Tom, Board Certified MD
Category: Eye
Satisfied Customers: 263
Experience: 30 years experience treating patients with eye problems
Dr. Tom and other Eye Specialists are ready to help you
Customer: replied 1 year ago.

Thx Dr Tom.


I have rerated Excellent.


 


THanks for precise answer


 


Probably, wil get the glasses & wear on prn basis


 


thx again

Expert:  Dr. Tom replied 1 year ago.
Best wishes. BTW....how is the market for ophthalmologists in Hong Kong?
Customer: replied 1 year ago.
The market for ophthalmologists is lucrative in Hk....

>80% of school children have myopia... I happen to be a minority

Many lasix / cataracts operations....

In the public setting... Clinic cases include >40 pts per session (4 hrs)

And btw.... Any conservative ie non operative means for improving astigmatism?

Thx dr Tom
Expert:  Dr. Tom replied 1 year ago.

Hello again Dr. Ada....the answer , and you probably already thought of it , is the use of a gas perm contact lens. It will flatten or mask the minimal toric status of your corneas. Here is a website that discusses a procedure that is somewhat related. http://www.allaboutvision.com/contacts/orthok.htm

The procedure is not applicable to your eyes...but it's informative.

There are no, drops, salves or "potions" that will chance your minimum astigmatism.

You might be a candidate for a corneal relaxing procedure, but that is surgical, and you asked for non operative means.

So your best bet would be a trial of a gas perm CL.

Thank you for the information regarding Ophthalmology in HK. Can you add anything regarding availability or feasibility for an American ophthalmologist to find a locum tenens temporary position in the private or public setting in HK or who one might contact? Many thanks.

Customer: replied 1 year ago.

Thx Dr Tom.


 


In HK.. licensing with the Medical Council of HK is necessary...similar


to USMLE


 



http://www.mchk.org.hk/licensing_exam/index_e.htm


 


There are a few exceptions:


(1) with the public sector...


http://myjobs.classifiedpost.com/index.php/Job-Search/a/b/623651?jobTitle=Service+Resident+Positions+for+Experienced+Doctors+without+Full+Registration&jobCompany=HOSPITAL+AUTHORITY

(2) University of HK
http://www.eyeinst.hku.hk/

(3) Chinese university of HK
http://www.cuhk.edu.hk/medint/ovs/dovs/index00.htm

Expert:  Dr. Tom replied 1 year ago.

Dear Dr. Ada,

Thank you for that information. I'll be in touch if anything comes from further inquiries.

Best wishes, Tom

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