V.S., Finland

As a myope and a person who does continuous precise close work daily, it has been an interesting experience to switch from doing the near work with the distance minus glasses to ones with weaker minus values (well ahead of the presbyopia -age).

I received my first glasses at 13 years and by 32, I had lenses of -4.25 in the left, and -3.5 in the right eye.

At that point I obtained glasses with a -3.0 prescription (both eyes) for distance (with the lower part of the lens “empty”) and -1,25 for close work. Reading I did without glasses.

Now I am able to do my occupation related close work either without glasses or with a -0.75 pair (the working distances can vary). I tend to read with +1, and use the computer with +0.50.
20/20 vision I achieve with -2.75 glasses, but usually I use -2.00 (with lower part empty) ones for distance.

Through this experience, my distance vision has improved somewhat and also the worsening of the myopia has stopped. It feels much “lighter” to use the glasses with distinctly weaker minus values for close work.
The recent fogging examination I took, implied that there still is quite a bit of accommodation spasm present. It took a couple of hours to achieve
indications of an approximate refraction value of -1.5 (estimated by extrapolation), with clues of further release of the spasm being possible. It taking such a long time to reveal the spasm, hints that the daily precise close work required by my occupation, probably slows the further release of it.
As I received my first glasses at a fairly young age, some irreversible elongation of the eyes has probably happened as well, so all of the myopia would not be relieved even in an ideal case.
It is quite revealing trying the old distance glasses for near work now. One realizes how much unnecessary accommodative strain there has been present, as trying near work through the old glasses feels truly stressing and one could say, painful.

It really brings home how using distance minus glasses continuously for close work strains the eye, worsens the myopia and can cause complications.

It is encouraging to know, that with relieving the accommodation spasm “well in advance”, the possibility of future complications like retinal detachment is diminished.As a myope and a person who does continuous precise close work daily, it has been an interesting experience to switch from doing the near work with the distance minus glasses to ones with weaker minus values (well ahead of the presbyopia -age).

I received my first glasses at 13 years and by 32, I had lenses of -4.25 in the left, and -3.5 in the right eye.

At that point I obtained glasses with a -3.0 prescription (both eyes) for distance (with the lower part of the lens “empty”) and -1,25 for close work. Reading I did without glasses.

Now I am able to do my occupation related close work either without glasses or with a -0.75 pair (the working distances can vary). I tend to read with +1, and use the computer with +0.50.
20/20 vision I achieve with -2.75 glasses, but usually I use -2.00 (with lower part empty) ones for distance.

Through this experience, my distance vision has improved somewhat and also the worsening of the myopia has stopped. It feels much “lighter” to use the glasses with distinctly weaker minus values for close work.
The recent fogging examination I took, implied that there still is quite a bit of accommodation spasm present. It took a couple of hours to achieve
indications of an approximate refraction value of -1.5 (estimated by extrapolation), with clues of further release of the spasm being possible. It taking such a long time to reveal the spasm, hints that the daily precise close work required by my occupation, probably slows the further release of it.
As I received my first glasses at a fairly young age, some irreversible elongation of the eyes has probably happened as well, so all of the myopia would not be relieved even in an ideal case.
It is quite revealing trying the old distance glasses for near work now. One realizes how much unnecessary accommodative strain there has been present, as trying near work through the old glasses feels truly stressing and one could say, painful.

It really brings home how using distance minus glasses continuously for close work strains the eye, worsens the myopia and can cause complications.

It is encouraging to know, that with relieving the accommodation spasm “well in advance”, the possibility of future complications like retinal detachment is diminished.