Ophthalmology & Optometry/Inquiry about glasses


Respected sir
Recently i have made a eye check up. I am having current power on both of my eyes are
Right: Sph: -2.75 , cyl:-2.0 ,Axis:180
Left:  Sph:-2.50, cYL:--2.25, Axis:180

past i had following power in my eyes
Right: Sph: -2.50 , cyl:-2.25 ,Axis:180
Left:  Sph:-2.75, cYL:--2.50, Axis:180

now i have got less cylindrical power and vision is clear but problem is that when i look with new power of glasses object is not in clear shape when it closer to my eyes and goes away from eyes at certain distance shape of an object becomes original. So why it happens?Does glasses may cause to traverse the image shape and depend on thickness of glass? earlier i was wearing optical glasses and now i have fiber glasses so any difference from migration to fiber glasses?How many days an eye can adjust the new glasses to fix the original vision? I dont have any problem with my eyes like stain, fatigue.
For instance , if i holding a piece of paper each of edges dont concentrate or in original shape only one side of edges seems to be somewhat slant.Plesae sir give me necessary solution to get rid from it. Thanking you...

Yours sincerely
Chirag Patel

The slight change in prescription is based on the responses you gave the doctor during the exam, and not the material of the lenses you are using.  The prescription can fluctuate over time, even in the best, most 'stable' eyes.  A quarter diopter of sph or cyl is usually so low that most patients will be fairly unaware of a change, but some people are more sensitive.
If you're noticing some visual changes (the shapes that are slanted) this is a very typical occurrence with changes in cylinder.  The more you wear the glasses, the quicker this will go away.
If it persists for more than 14 days I would return for a prescription check.
For now, I would wear the glasses and not worry about it much - it sounds very typical.
Good Luck!

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John M. Dovie, OD, FAAO


As a residency-trained Fellow of the American Academy of Optometry I am able to answer most questions regarding eye and vision health. Anything is welcome, ranging from dry or allergy eyes, bifocal contact lenses, or thoughts on LASIK surgery. As I am not a surgeon, detail-oriented surgical-related questions may be better answered by an ophthalmologist.


Selected to participate in the PCO residency program in Philadelphia at The Eye Institute, where I worked OD and MD specialists gaining invaluable experience in various clinics including glaucoma, cornea and cataract, oculo-plastics, retinal disease, neuro-ophthalmic disease, primary care, emergency medicine, and special populations. Have practiced and trained in numerous settings including hospital, academic, retail and private practice. I earned my Fellowship in the American Academy of Optometry (FAAO). There are currently only about 3000 active fellows worldwide, and there are only about 70 Fellows in the state of Virginia. I currently own and operate my own optometric practice/clinic.

American Academy of Optometry, American Optometric Association (Contact Lens/Cornea Section member since 2001), Southwest Virginia Optometric Association, Virginia Tech Alumni Association

“Nyctalopia as the Presenting Sign of Vitamin A Deficiency: A Late Complication of Gastric Bypass Surgery.” Clinical Case Study Poster presented at The American Academy of Optometry Denver, Colorado, December 2006, co-authored with Bradley Lane, OD.
“The Importance of Considering Paranasal Sinus Mucocele as a Differential Diagnosis in Diplopia.” Clinical Case Study Poster presented at The American Academy of Optometry San Diego, California, December 2005, co-authored with Kelly Malloy, OD, FAAO and Cherie Farkash, OD.
“Acute Onset of Halos and Glare: Bilateral Keratitis—An Atypical Presentation of Amiodarone Keratopathy.” Clinical Case Study Poster presented at The American Academy of Optometry Tampa, Florida December 2004. Also Presented to New Jersey Academy of Optometry, Neptune, New Jersey March 2005.
“The Opportunity for an Optometrist to Save a Life.” Clinical Case Study and Grand Rounds Presentation presented at The Pennsylvania College of Optometry, Philadelphia, Pennsylvania, September 2004.
“Corneal whorls cause wonder.” Clinical Challenges Quiz, co-authored with Andrew Gurwood, OD, FAAO, Review of Optometry. Published 10/15/2006.
“Acute onset of halos and glare: bilateral corneal epithelial edema with cystic eruptions--atypical presentation of amiodarone keratopathy.” Co-authored with Andrew Gurwood, OD, FAAO. Published February, 2006, Optometry.
“Pondering the posterior polka-dots.” Clinical Challenges Quiz, co-authored with Andrew Gurwood, OD, FAAO, Review of Optometry. Published 5/15/2005.
Professional Involvement:
“AION: Amiodarone-Induced or Anterior Ischemic Optic Neuropathy?” Participated as a peer-review referee for Expert Review of Ophthalmology (London, UK); refereed 10/2006.

Bachelor of Science, Cum Laude, Virginia Tech. Bachelor of Science, Pennsylvania College of Optometry. Doctorate (OD), Pennsylvania College of Optometry Residency, Pennsylvania College of Optometry Fellow of the American Academy of Optometry

Awards and Honors
Winner, First Place, "Best Beside Manner" by Our Health Magazine: 2012, 2013, 2014 Winner, First Place, "Best Eye Doctor" by The Roanoke Times: 2013, 2014 Recognized as a Fellow of the American Academy of Optometry, December, 2006 Recipient of the Onofrey G. Rybachok Memorial Scholarship, 2000-2001 Member: The Golden Key International Honor Society Member: The National Biological Honor Society Member: The National Honor Society Eagle Scout awarded 1994

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