have anyone noticed that...

**wilddevil** · 08-31-2010, 01:38 PM

I am sorry for some people included in the category that I will mention.
Have anyone noticed that nearsighted persons are the most difficult ones when choosing a frame,lens and are very hard to pleased.
I am not telling that they all are the same but I can say that the large majority of my clients (from 5 years of experience ) that are grumbler are the ones with minus lens. And the bigger the nearsightedness the more difficult as a person he/she is.
So is myopia a refraction error related to some brain problems or is it only a problem that they need always to bring closer objects and notice all the details?

**Chris Ryser** · 08-31-2010, 02:03 PM

Originally Posted by wilddevil

I am sorry for some people included in the category that I will mention.
Have anyone noticed that nearsighted persons are the most difficult ones when choosing a frame,lens and are very hard to pleased.
I am not telling that they all are the same but I can say that the large majority of my clients (from 5 years of experience ) that are grumbler are the ones with minus lens. And the bigger the nearsightedness the more difficult as a person he/she is.
So is myopia a refraction error related to some brain problems or is it only a problem that they need always to bring closer objects and notice all the details?

You just about got it.........................

They do not need to bring object closer..................They do see more details clearly without glasses, they see all the small irregularities enlarged and can make the difference between good details and the not so good ones.

They do become picky and stay that way all their life. One of my best cooworkers is a
-12.00D short sighted person and everything he does has to be perfect. They deliver perfect work and expect it from others. It has become a habit of them.

I have been taught that when being a young optician apprentice and have taken the lesson and always watched out that myops will check everything out like no others.

**guinnessfan** · 08-31-2010, 03:28 PM

We didn't even get to myopic engineers yet !

**Striderswife** · 08-31-2010, 05:22 PM

I hear most often from hyperopes or presbyopes that I'm going to have to help them pick out their frame. They just can't see the style that well. I think, frankly, it doesn't matter as much; they're just happy to be able to see. From what I understand, "farsighted" doesn't actually mean the patient can see clearly at a distance. One of the sage opticians I've worked with a long time ago was somewhere over a +2.00 OU with at least +2.25 add (this is pretty generic of an estimation; in detail it was a little stronger), and I remember her telling me about her visual experience. She just couldn't see! On the other hand, like Chris said, myopes have excellent near vision, able to focus on tiny details up close. And the stronger the prescription (plus or minus), the patient will be more sensitive to when something is wrong or out of tolerance.

There's another thread about engineers here somewhere. That is a whole separate discussion!!

**DragonLensmanWV** · 08-31-2010, 06:56 PM

I always thought high myopes were the most intelligent people. Does that make me dumber since I'm no longer minus 15?:shiner::shiner:

**icmor** · 08-31-2010, 09:01 PM

Being a former -12.00 wearer, I can definitely agree with you about being picky. One reason might be a lot of us (myself included), were bookworms in our youthful days. So, we're well read. We're high minused due to the focusing mechanism locking up from all that reading. When a person is very high minus, the proper adjustment of glasses is very critical to see our best. My last job, as a lab manager, I did a lot of final inspection and quality control. No surprise there. Now that LASIK has changed everything, I could care less! Just kidding.

**cocoisland58** · 08-31-2010, 09:07 PM

I am a myope. You have to consider that we have been wearing glasses since childhood most of us and have become quite discerning in our eyewear. Our glasses are the first thing we grab in the morning and the last thing we leave on the nightstand before bed. We are picky because our eyewear is a very personal thing to us and an important part of our lives. That and the fact that when you can't see a darn thing beyond your arm the fact that you can see tiny details up close is pretty cool. So give us a little break for being anal.

**uncut** · 08-31-2010, 09:24 PM

More rods, more cones, more detail.

**guinnessfan** · 09-01-2010, 12:31 PM

Seriously in my 20+ years in the field one thing remains constant. High myopes are MUCH tougher to deal with in general, not just with eyeglasses.

**harry a saake** · 09-01-2010, 01:16 PM

i think everyone has covered the whys, with myopes, and of course at near is thier best vision. In the lab they are the one person you want to go to when you want to identify a progessive, pick the highest myope and he/she will find it every time

**AngeHamm** · 09-02-2010, 10:10 AM

I'm a high myope and I am incredibly persnickety about every aspect of my glasses. Fortunately for my patients, I am equally exacting about theirs.

Further complicating the matter is the fact that high myopes tend to crave more power in the refracting chair. They tend to know their prescriptions, and look askance when the doctor pulls off power.

**Pogu** · 09-02-2010, 10:58 AM

They also tend to shell out more $$ for their specs, what w/ the high index, high diopter charges, etc. I am lucky enough not to need glasses yet, but when I pay a lot of money for something my expectations rise in tandem w/ the dollar amount.

**cleyes** · 09-05-2010, 08:53 PM

Having just gone 'round & "round with a -13.00 -3.50 OU patient for the last YEAR with best corrected VA of 20/40- & 20/25- due to cataracts, NIGHTMARE science professor, who went for another refraction opinion [new rx was a disaster 2D over minused, VA down 3 lines] Was in for glasses ck monthly, after getting same ref. three times I flat out refused to do it again, my MD boss ditto. But he could see "better" if he tilted and mashed frame to brow, so I volunteered to staple it in place. Not better acuity on chart, just illusion of better. Lenticular astigmatism had probable multiple axes and power; pre-cataract cyl was low. His denial of cataracts was mind blowing, wish I had recording of our conversations!! Finally consented to surgery, with planned DV rx of Plano to -.50 I can't wait to see how he handles a "normal" rx.

**uncut** · 09-05-2010, 11:04 PM

Originally Posted by cleyes

Having just gone 'round & "round with a -13.00 -3.50 OU patient for the last YEAR with best corrected VA of 20/40- & 20/25- due to cataracts, NIGHTMARE science professor, who went for another refraction opinion [new rx was a disaster 2D over minused, VA down 3 lines] Was in for glasses ck monthly, after getting same ref. three times I flat out refused to do it again, my MD boss ditto. But he could see "better" if he tilted and mashed frame to brow, so I volunteered to staple it in place. Not better acuity on chart, just illusion of better. Lenticular astigmatism had probable multiple axes and power; pre-cataract cyl was low. His denial of cataracts was mind blowing, wish I had recording of our conversations!! Finally consented to surgery, with planned DV rx of Plano to -.50 I can't wait to see how he handles a "normal" rx.

I'm a minus 4 myope, and if and/or when I require cataract surgery, I pity the ophthalmologist that will face my request to be at least -2.50 when I'm done. I have a lifetime of ability to do close detail work without optical devices, and would not be willing to give it up. I wish there was a critera for vision restoration involved in the procedure, as opposed to making everybody presbyopic and having to deal with that.

**cleyes** · 09-05-2010, 11:12 PM

The choice was given to the patient, as of yesterday he chose plano, I anticipate many consultations over the next few weeks debating the wisdom of his decision. I agree, I would remain a myope. My boss and I discuss the issue with myopes ALWAYS.

**Yeap** · 09-06-2010, 03:26 AM

hi, so far for my 3 years of experience i don't encounter this.. but somehow the complaint of the glasses tend to be thick is there but i think everyone agree that is normal but usually we will inform them during the frame selection while suggest what we think is the best for them. sometime i do think that those who are low myope is even hard to deal with such as -0.50 on both eye with complain that can't see clearly in class when sit at the back.. while their parent seem to be hard to accept the fact that their child need to have a proper pair of glasses and say that -0.50 i don't want him to put on and i must try to communicate with the school to make their son to sit in front.. any one have this issue before??

**ldyflsh** · 09-09-2010, 08:05 PM

personally speaking, as a -8.00 myope who is closer to cataract surgery than considering lasik...I'm the lab's nightmare optician...I find things that they never see. As far as the patients being more particular for frames and lenses...I have a web camera on my computer. Have the patient put on the frame, snap a photo and print it out so they can take it home and show family if they need to think about it. Since my glasses are "first thing on, last thing off" everyday, I can relate to what they're going through.

**I-Care** · 09-10-2010, 08:35 AM

Originally Posted by uncut

I'm a minus 4 myope, and if and/or when I require cataract surgery, I pity the ophthalmologist that will face my request to be at least -2.50 when I'm done. I have a lifetime of ability to do close detail work without optical devices, and would not be willing to give it up. I wish there was a critera for vision restoration involved in the procedure, as opposed to making everybody presbyopic and having to deal with that.

Completely agree! I recently had a post-cataract pt with rx of -1.00/2.50 add- prior to surgery she was about -4.00. She now feels that she cannot see near OR far!! The Dr doesn't understand that prior to surgery her near vision was great- she misses that upclose, fine detail ability:)

**I-Care** · 09-10-2010, 08:39 AM

Originally Posted by guinnessfan

We didn't even get to myopic engineers yet !

I would love to post a sign on the front door " Myopic Engineers NOT welcome"

**Jana Lewis** · 09-10-2010, 11:16 AM

I have a theory about severe hyperopes. They are all CRAZY.

**AngeHamm** · 09-10-2010, 11:19 AM

Originally Posted by Jana Lewis

I have a theory about severe hyperopes. They are all CRAZY.

I heard that!

**Uncle Fester** · 09-10-2010, 11:28 AM

I'd like to hear ilahn's opinion on this. I suspect this problem is far more common among rookie MD's.

**vegaspilot03** · 09-10-2010, 03:45 PM

Originally Posted by guinnessfan

We didn't even get to myopic engineers yet !

thats funny.

**Java99** · 09-11-2010, 02:26 PM

That's me, too. If I'm not dilated during refraction, I want at least 1-2D more minus, then of course six months later I have all sorts of eyestrain issues and start seeing flashes of light--muscular related says my OD, not detachments.

I'm hell on final inspections, but while it irritates whoever's at the edger, it's good for the patients :)

**PhotonicGuy** · 09-14-2010, 07:43 AM

Originally Posted by cocoisland58

I am a myope. You have to consider that we have been wearing glasses since childhood most of us and have become quite discerning in our eyewear. Our glasses are the first thing we grab in the morning and the last thing we leave on the nightstand before bed. We are picky because our eyewear is a very personal thing to us and an important part of our lives. That and the fact that when you can't see a darn thing beyond your arm the fact that you can see tiny details up close is pretty cool. So give us a little break for being anal.

I agree with you! And yes I'm a myope too. Not a higher myope (I hope that I will not be labeled as dump because of this :) ), only a moderate myope. Never I was thinking that my attention to details can be attributed to myopia.