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Dr. Stevens
Dr. Stevens, Ophthalmologist
Category: Eye
Satisfied Customers: 1404
Experience:  Board Certified Ophthalmologist
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I am a 35 yr old female, with myopia and an astigmatism in

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I am a 35 yr old female, with myopia and an astigmatism in both eyes. Last year, when I saw my optometrist for my yearly exam, my eyesight had improved by more than half. Previously, my contacts were at powers of -4.00 and -3.75. Now both eyes are at -2.50. My astigmatism is mild, and not corrected at this time, except for a slightly higher lens power. I haven't changed my diet, had eye surgery, or done anything special to improve my vision. What could make such a drastic difference in just one year?

Hello there

do you remember what the previous prescription may have been...the time before the -4 and -3.75 reading....also, is your night vision withe the -2.50 as sharp as it was with the previous prescription?

Customer: replied 8 years ago.

2 years ago, -4.25 & -4. Worst ever: -4.5, -4.25, about 4-5 years ago now. Sharpness & acuity remain the same for night vision.


Left eye used to worse than right, it started going bad first. Got glasses when I was 13, and contacts when I was 16. Now I wear extended wear (48 hr) soft lenses, 2 wks at a time, never had astigmatism corrected. Lenses taken out every night, and I rarely even nap in them.

Hello there

there are several thoughts come to mind....It is very possible that the previous prescriptions were what we call over minused. What that simply means is that during the exam, your eyes were not fully relaxed and your eye basically liked to take up more minus power during the exam. You see, you can actually take more minus power than needed, your lens in the eye (behind your pupil) simply accomodates more than it has to bring things into perfect focus. A young person can tolerate this well, older folks will get headaches and eye fatigue. So if your current prescription seems more comfortable, this is possible.

Second, is that astigmatism has slightly improved and that leads to an overall reduction in the amount of minus in the lenses (this means less negative power).

Third is that your corneas are becoming more flat as you age, this is possible and leads to an overall reduction in minus power needed.

Fourth, and this is unlikely, is that there is something that is causing the eyes to become shorter in lenght such as some increase in orbital fat or tissue, this can be seen in things like hyperthyroid graves disease, rarely tumors. Typically the scenario is that a person was -5 in each eye and comes back a year later and they are -2 and -5....the point is there may be a tumor in the -2 eye socket. These are all the things that could be playing in this, my guess is a combo of scenario 1,2 and 2 above. It is even possible that you are more likely around -3 or -3.5 and can still see relatively well in the opposite direction. The reason is that contacts can bend your cornea and induce a bit more power in the cornea. Lots of optics issues come into play, I hope this helps, Dr. Stevens

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