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Ophthalmology & Optometry/Astigmatism changing and changing

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Question
Many questions have been asked about changing astigmatism axis, but no answers address how to deal with it. Concerning my right eye: My axis was 180 a year ago. It changed to 120 three months ago. 45 days ago it was 160. Now it's trending back to 180.

My vision can be very blurry (double images) on one day and not as bad on another. I have monitored blood pressure and blood sugar levels but see no correlation. Reducing sleep to 3 or 4 hours improves my vision, but is not sustainable.

I've had glasses redone numerous times, only to find that my eye has changed again. Currently my vision is so blurry with the glasses that were just redone last week I can't wear them at all. I have glued an old lens (spun 90 degrees) to an old frame and that works... this week. My left eye is quite stable and hasn't changed in years.

Is there a design of glasses that enables the user to rotate the lens?   Two recent ophthalmologist appointments and many tests have not revealed anything. All doctors just say, "Gosh, I've never seen this before."

Thank you.

Answer
Dear Feff:  You may want to consult with a corneal specialist and have a corneal topography done to determine if you are developing keratoconus which causes irregular astigmatism and changing axis and fluctuating vision, or corneal edema. If you were contact lenses, this may be a reason for the changing vision and astigmatic changes. Fluctuating vision like you decribe is not normal and you need to find out what is causing your changes. A good start is a complete medical workup to see if there is any underlying medical issues.  Good luck

Dr. Ken

Ophthalmology & Optometry

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DR. KENNETH BERGER

Expertise

Any and all questions with regard to ocular ailments, eye diseases as cataracts, glaucoma, macular degeneration, diabetic retinopathy, etc , eye and visual sympomatology, eyeglasses, contact lenses, low or subnormal vision, pediatric vision conditions,and special and unique ailments will be discussed.

Experience

36 years of clinical experience in opticianry and therapeutic optometry. Still in private practice with special interests in vision conditions, diagnosing and treating ocular ailments, prescibing treatment plans which include medicine, eyeglasses, and contact lenses primarily. Although surgery is not within the realm of my area of expertise, I co-manage many pre and post -op surgical cases which include Lasik and PRK procedures.

Organizations
New Jersey Society of Optometric Physicians American Optometric Association

Education/Credentials
B.A.,1968, Hunter College of the City University of New York B.S.,1970, Pennsylvania College of Optometry O.D.,1973, Pennsylvania College of Optometry Therapeutic Pharmaceutical Administration Certification, New Jersey 1992

Awards and Honors
Clinical Efficiency Award, 1973, Pennsylvaania College of Optometry

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