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Ophthalmology & Optometry/Stinging/Sore Eye Pain With New Glasses

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Question
Hello Dr. Dovie, I recently got new glasses and they are making my eyes feel sore/stinging after some hours of wearing them. They do not fit tight and I have had them adjusted perfectly. The prescription is also the same it has always been. The only difference is I use to wear Silhouette Rimless glasses which are very light and the new glasses are the plastic Rayban frames. I'm thinking that I'm not use to the slightly more heavy frames but my face does not hurt it is only the eyes. Do you have any idea what the problem could be. Thanks for your time.

Answer
Sore/stinging is typically not related to the frame as much as it is the vision.  The soreness typically speaks of fatigue of the muscles in or around they eyes.  They may be working harder than they used to, or trying to adjust to something.  The stinging usually is a sign that the front of the eye is drying out - similar to chapped lips.  If dryness gets too bad, your eyes may actually water as a reflex.  When the vision or comfort is not right, we tend not to blink as much, which can cause the drying effect.
My guess is that while the prescription may be the 'same,' surely the lenses aren't.  There are many small measurements applied to a lens other then just the overall strenght.  Pupillary distance, optical center, pantoscopic tilt, and basecurve are a few.  
So, for example, you could have an Rx of -1.00 with basecurve of 5.0 will work and more importantly, "feel" different than on with a base 4.0.
Another example: Rx -2.00, base 4.0, pupillary distance is perfect.  compared to Rx -2.00, base 4.0, pupillary distance is off by 1.0mm in the left eye.  1 millimeter doesnt sound like a lot, but if you're not looking through the center it impact comfort.
I would suggest having a licensed optician (not just *anyone* who works in an optical) compare your old lenses/frame to the new and look for those subtle things.
Good Luck!
Dr.D

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John M. Dovie, OD, FAAO

Expertise

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.

Experience

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.

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

Publications
Seminars/Presentations:
“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.
Publications:
“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.

Education/Credentials
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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