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About Mitchell Axelrod
(Top Expert on this page)

Expertise
I'm happy to answer questions about eye exam findings and procedures, glasses and contact lens types/prescriptions/problems. I can also answer questions about general eye conditions/diseases. I do not answer questions concerning surgical techniques/procedures. Please state your age or within a small range when asking questions, as it is often important.

Experience
Optometrist 19 yrs.

Education/Credentials
Doctor of Optometry, cum laude; Residency in Ocular Disease

   

You are here:  Experts > Health/Fitness > Medical Specialists > Ophthalmology & Optometry

Questions Answered By Expert  Mitchell Axelrod 
In Category  Ophthalmology & Optometry

SubjectDate Asked

Toric to spherical?9/4/2008
  Q: Doctor. I am a 25 year old female and have a prescription question. I have an prescription for ...
  A: Yes you could switch to a sperical with a little blur as the result similar to wearing a lens that's ...
CONTACTS9/4/2008
  Q: I JUST HAD AN EXAM YESTERDAY FOR REFILL ON CONTACTS. MY OLD PRESCRIPTION WAS -100 IN LEFT -75 IN ...
  A: so the right didn't change, but the left went from -1 to -.5; now the right is the weaker eye: you ...
Gunnar Optiks9/3/2008
  Q: Axelrod, I am an office worker who is constantly staring at a computer monitor 5 days a week, 8-12 ...
  A: I checked out the website. What a load. But nice slightly yellow or pink lenses with a good ...
Dizziness, light headed and glasses8/31/2008
  Q: I am 43 years old and have began wearing reading glasses with strength at 1.50 for reading. I did ...
  A: It makes sense that wearing near only glasses while moving around or viewing other than near objects ...
red eyes lasting more than a week8/30/2008
  Q: I am a 47 year old female and have had red irritated eyes for over a week now. I do not smoke or ...
  A: It can be tricky to diagnose a red eye as you describe. I agree with you that if it doesn't start ...
sudden onset flashing light left eye8/28/2008
  Q: Just this evening I started having lights flashing in my left peripheral vision. I am 67.5 years ...
  A: You probably had or are having a "posterior vitreous detachment" and do not worry. It is a normal ...
sunglasses8/28/2008
  Q: i have a pair of sunglasses which i dont know its trademark!!! i wish to know how much is its UV ...
  A: that info is about the frame, and doesn't tell anything about the lenses. But if the lenses are ...
Paracentral Scotomas8/27/2008
  Q: I am a 42 year old male and have had Scotomas for about 20 years. When I was first diagnosed I went ...
  A: Unfortunately without a diagnosis there is no prognosis. There also should be no invasive or risky ...
should i get glasses?8/26/2008
  Q: In high-school i had a mild prescription for glasses because i had trouble reading the board - it ...
  A: Getting glasses won't make your eyes get worse because of using or not using glasses. Your doctor ...
eye8/25/2008
  Q: i have just had a eye test done and i have a small squint and also have stigatisum in both eyes. i ...
  A: The stigatisum doesn't matter. Some strong prescriptions can reduce the squint, but the contact ...
Schooling8/24/2008
  Q: My daughter who is now 8yrs old is interested in becoming an Ophthalmologist. What areas of study ...
  A: For ophthalmology our daughter would first go to medical school, and there are many. Generally ...
Acuvue 28/23/2008
  Q: I am currently out of the US and ordered my usual prescription 8.3 (curvature), 14.0; and they said ...
  A: Yes you are correct not to take the wrong base curve. It is odd that they would not have the ...
Seeing veins in my eyes8/21/2008
  Q: i am a 73 year old male. For about 5 months I have been seeing veins in both my eyes when I wake up ...
  A: The morning veins: it could be a web-like floater the is laying close to your retina so it causes a ...
Are the glasses I'm getting really worth it?8/21/2008
  Q: I've had this problem for awhile now...I have trouble seeing things that are far away. I went to the ...
  A: I think a couple of things. First, if you drive, get them. Or if you are in school and have to see ...
Glaucoma8/17/2008
  Q: I recently went to a new eye doctor for a routine exam and he told me I was questionable for ...
  A: No, I would not tell a patient they were "questionable for glaucoma" and come back in a year. I ...
Reading my prescription8/16/2008
  Q: How does my prescription tell me the vision ratio that I have. Such as 20/20 (I know I don't have ...
  A: You have a mild astigmatism, and are the tiniest amount slightly nearsighted also in both eyes ...
Messing up an eye exam8/15/2008
  Q: I had an eye exam last week and they had me look into a machine that had a picture in it that came ...
  A: You are probably young though you didn't say: people less than 35 or so can use their 'focusing ...
OCT Test8/14/2008
  Q: My daughter is 7 years old and is going for an OCT Test as her eye pressure is not normal for her ...
  A: It is rare indeed for a 7 year old to have glaucoma, which is the concern here. First, even if it ...
Re;8/11/2008
  Q: In late 2005 I noticed onset of involuntary upper eyelid movement in my right eyes. It lasted for ...
  A: Since there has been no change in years per photos means no worry. That is the best way to know, ...
Herpetic Keratitis Flare-up8/11/2008
  Q: I am 35 years old and I was diagnosed with herpetic keratitis since I was in 5th grade. I had not ...
  A: I would suggest your contact your ophthalmologist and discuss your desire for a second opinion. You ...
Eye swelling with pain - not red8/7/2008
  Q: Sir, My son (11 yrs old)is having a swollen eyelid (right eye only)and mild pain in the eyelid for ...
  A: It sounds like either a stye (infected gland) or an insect bite that is resolving and draining. ...
Color testing8/6/2008
  Q: I am currently looking into a career in Fire/Rescue services. The requirements to be a successful ...
  A: If you did not pass the Ishihara, you will not pass the D15, but you can try it. It will give more ...
eyeglass8/4/2008
  Q: Last year The prescription was RE:-sph 0,cyl -2.75,axis 90 LE:-sph -.50,cyl -2.50,axis 87 this year ...
  A: Your brain can get used to anything, but it can take a few days to a few weeks. The overall powers ...
cloudy vision in my left eye8/2/2008
  Q: I'm wanting to ask somebody, I'm 13 years old, and it seems that the vision of my left eye is quite ...
  A: You certainly should have an eye doctor examine you and they will find and explain the reason for ...
Anisocoria in newborn8/2/2008
  Q: I have a 3 month old newborn and I have noticed since birth that she has a slight difference in the ...
  A: anisocoria of 1mm or less is normal/common in at least 25% of us. Size is less important than ...
Small after-image spot8/1/2008
  Q: I was researching spots, floaters, and after-images that can occur within one's eye. I am only 20 ...
  A: It may be a small floater or it may be a small area of occasional tugging or tension on your retina ...
Gas Permeable Contacts7/31/2008
  Q: I have been wearing hard lenses for 28 years. Last 14 with gas permeable. My problem is with my left ...
  A: I usually have to do a good bit of looking and discussing to get to the bottom of something like ...
multifocal lens7/28/2008
  Q: As a surgical nurse who also scrubs cases glasses became very difficult to wear. I currently wear ...
  A: Best depth perception and best acuity, both needed for your job, is obtained by single vision ...
Condition name.7/28/2008
  Q: I have a condition in which I am only able to focus out of one eye at a time, but am able to switch ...
  A: I think you are describing 'strabismus' (one eye misdirected) of the 'constant, alternating' type. ...
Blurry contacts and clear glasses7/26/2008
  Q: I'm a 28 year old male living in Arkansas. I was recently fitted for contacts during my latest ...
  A: It is not reasonable to fear blindness because you are seeing poorly with a prescription. ...
Photophobia7/23/2008
  Q: I have been experiencing photophobia for a month or two. At first it was not too bad and i could ...
  A: I'm glad you've been cleared of any eye disease, as that's what I would have suspected. After that, ...
Dry red sore eyes7/22/2008
  Q: I recently moved to southern Colorado from the Houston area and since I have had major problems with ...
  A: I'll assume the contacts haven't changed. If all was well in Houston, and your job was similar, ...
wavy vision7/22/2008
  Q: i was driving the other day and the road became wavy. i slowed and pulled to the side of the road. ...
  A: It sounds like you had what's called variously an ophthalmic/ocular/visual migraine. It does ...
Prism Glasses7/21/2008
  Q: I recently had an eye exam because I was having headaches daily. I am 30 yrs. old, and a ...
  A: Any kind of reading glasses or computer glasses prescribed to you should feel good to use right away ...
Glasses7/20/2008
  Q: My friend suffers from myopia with a slight astigmatism. He has been wearing glasses since ...
  A: There is no magic about glasses. The physics of optics is old and known. The problem for you is ...
Pain in eye7/18/2008
  Q: I am 35, and I was prescribed a new glasses prescription earlier this year and had new glasses made ...
  A: The glasses and contact lens prescriptions are essentially identical, so we'll discount the actual ...
Is it normal to see noise in the dark?7/17/2008
  Q: -I normally see my field of vision is fill with noise when I wasn't wearing my glasses in the dark, ...
  A: Yes you can 'see' visual noise from brain activity. Just like entoptic phenomena, it is best seen ...
contact vs glasses prescription7/17/2008
  Q: My son is away at Marine Boot Camp. He asked me to order him new contacts with his new prescrition ...
  A: I don't see a quesion here, but I cannot help you convert prescriptions or order contacts. Perhaps ...
Sore Eyes from Contacts7/16/2008
  Q: i have had my contact lenses for 2 months now, they are disposable ones (every month needs a new ...
  A: You must see your eye doctor to make sure your eyes, specifically your corneas, aren't suffering. It ...
hi7/16/2008
  Q: I HAVE BEEN WEARING EYE GLASSES FOR YEARS NOW IM AM 18, AND HAVE NOTICED THAT MY VISION IS GETTING ...
  A: That simply means the computer is further away than your nearsighted eyes naturally focus. If you ...
eyeglass prescripton7/15/2008
  Q: this year I had two eye examinations. first one: right eye 0 sph,-2.75 cylindrical ,axis 90 left eye ...
  A: the right eye is equal exactly, so no issue. The difference in the left eye is essentially nothing. ...
my eyesight? please help7/15/2008
  Q: My eyesight is OD -5.00 and OS -7.25 is this bad? how do i know what this means? is their a chance ...
  A: First, your chance of going blind is not affected by your degree of nearsightedness, which is called ...
glaucoma7/14/2008
  Q: My niece, who is 12 now, got her eye ball pressure ,NCT 22, 24 .Actually it was the myopia of -3.25 ...
  A: It would be rare indeed for a 12 year old to have glaucoma. An Nct of 22 or 24 is not high but is ...
I can see without gasses or lenses??7/14/2008
  Q: i have worn glasses nearly all of my life, when i came to 13-14 i started wearing contact lenses i ...
  A: I can answer the question if I have a little more info. First, what is the current power of the ...
Bausch & Lomb Soflens 667/13/2008
  Q: I am having problems finding contact lenses that are similar in fit to the discontinued Bausch & ...
  A: Base curve parameters are fairly meaningless for interbrand and intermodel comparisons. If your ...
hi7/13/2008
  Q: I HAVE BEEN WEARING EYE GLASSES FOR YEARS NOW IM AM 18, AND HAVE NOTICED THAT MY VISION IS GETTING ...
  A: I am concerned if you can't see up close either with or without your glasses. Although I don't care ...
Mypermetropia7/12/2008
  Q: My 5 month old has neuro transmitter problems and has hypermetropia (which I know is common). I ...
  A: Hypermetropia, or hyperopia = farsightedness is the normal expected refractive status for children, ...
eye exam7/12/2008
  Q: I have not had an eye exam in about 8 years. I have noticed my eyes having trouble focusing on ...
  A: You can see either (if they're not too close). You'll likely get more information and education ...
Swelling under one eye...7/11/2008
  Q: I have noticed some swelling under my right eye since yesterday. I don't have pain, and my eye ...
  A: The area under the eye is easily swollen from allergy, fluid retention, and even some health ...
axis7/11/2008
  Q: I recently obtained new glasses with a new prescription. For many years my prescription has ...
  A: Axis refers to the angle of the cylinder, or astigmatism, power. so if the axis is gone, so is the ...
Child prescription7/9/2008
  Q: My son went for his Kindergarten eye exam and they said he was farsighted and had an astigmatism. ...
  A: Those two prescriptions are almost equal, if they were any closer they would be exactly equal. We ...
Broken Blood Vessel in My Eye7/9/2008
  Q: One of my co-workers was recently out of work with bacterial conjunctivitis. This evening I ...
  A: If it is blood red as if painted red then probably no worries. Occasionally a blood vessel ...
stray veins7/8/2008
  Q: I wear contacts and have worn them for about a year now. Recently, I visited my eye doctor for an ...
  A: The white cell buildup we call 'infiltrates' and are often a sign of a contact lens solution ...
Glasses/Contacts Prescription Variation7/7/2008
  Q: I have read that it is pretty standard for glasses and contacts prescriptions to be different, ...
  A: the numbers make sense it should be fine. Don't be fooled by the difference: your glasses are ...
little brown and red dots on rigjt iris7/7/2008
  Q: I have been having optical migraines as they have told me. I get the aurora lights and squiggly ...
  A: I don't think the spots on your iris have anything to do with your migraines. I'd be surprised if ...
Eye troubles7/6/2008
  Q: Dr. Axelrod, I have a question regarding some weird things I have noticed happen to my eye recently. ...
  A: See an eye doctor if the spot is on the eyelid or eyeball. Depending on the experience of the ...
Eye troubles7/6/2008
  Q: Dr. Axelrod, I have a question regarding some weird things I have noticed happen to my eye recently. ...
  A: It sounds like your eyes may have been irritated and dry a lot. Make sure you are well hydrated and ...
eye drops and glasses7/5/2008
  Q: Can artificial tears cause one to feel dizzy, and can it affect the vision both with and without ...
  A: No, Artificial tears can't make you dizzy. The artificial tears can, however, affect vision ...
Do human visual and colour receptor work differently? do human have the same visual experience?7/4/2008
  Q: I got question on human vision -Does Human have the same colour vision receptor? Do they work ...
  A: There are the 'visual acuity' measurements taken at typical eye exams. There are tests for ...
Do human visual and colour receptor work differently? do human have the same visual experience?7/3/2008
  Q: I got question on human vision -Does Human have the same colour vision receptor? Do they work ...
  A: You ask some interesting questions. I would say that as far as color vision goes, we are all ...
Vision dimming with elevated heartbeat7/1/2008
  Q: Dr. Axelrod, I am a 35 year old male in perfect health, good blood pressure, cholesterol good, and ...
  A: I used to notice a similar pulsing years ago. I asked a neuro-ophthalmologist I worked with about ...
Blinking6/30/2008
  Q: My son is almost 4 years old and for the last 3 weeks has been blinking his eyes really hard. Its ...
  A: First have him examined an optometrist used to examining young children or by a pediatric ...
the use of reading glasses to improve night vision6/29/2008
  Q: I went to the opthalmologist and have better than 20/20 vison! I do have poor night vision-mostly ...
  A: You don't state your age, and it does matter. The eye doc is thinking probably that you have ...
blood pooling in back of eyes6/29/2008
  Q: I have just been told that i have some blood pooling in the back of my eyes and need more tests one ...
  A: I'm sorry to hear about your eyes. Blood pooling in the back of your eyes is another way of saying ...
Wrong eyeglass prescription6/28/2008
  Q: Can an incorrect eyeglass prescription damage your eyes? I went in for a checkup and my doctor said ...
  A: All three prescriptions are similar in power and honestly in my opinion not that different. You ...
Small bubble on the whit of my eye6/27/2008
  Q: I am 26 years old. Yesterday, I my eye felt like something was in it and I did rub it a bit. This ...
  A: It's OK. If it's new, bubble-like, it is a conjunctival cyst, but if it is adjacent to the colored ...
child nearsightedness6/23/2008
  Q: I adopted an 11 yr old girl she has a prescription of -5.25 in one eye and -6.25 in the other to ...
  A: How nice that you have a new daughter. I'll assume that with her current new glasses she sees ...
Wearing new glasses6/22/2008
  Q: My new glasses prescription is OD -2 OS -2.50 x -0.50 In your experience, typically how much (and ...
  A: When young, you would probably wear them full time, perhaps off for near work. When old you'd take ...
Base curve in contact lenses6/21/2008
  Q: I have been wearing contact lenses since I was 16 years old and I am now 49. I have always had a ...
  A: I still doubt that the base cure is responsible, but if it is you have to try a different contact ...
measuring prescription without an optometrist6/19/2008
  Q: I have been a good contact/glasses wearer for 12 years, with no problems. I haven't needed to update ...
  A: No, there is no way without the trial lenses we use to see what you'd need for contacts (or glasses ...
Disciform/Herpetic Stromal Keratitis6/18/2008
  Q: I am a 44-year-old male in good physical condition. I do not smoke nor have any other diseases that ...
  A: Well, its probably too early to say that any scarring is permanent. Give it time, continue steroid ...
eye dilation6/18/2008
  Q: My 3 yr old daughter had eyes dilated. We were given no instructions on care for dilated eyes. We ...
  A: Absolutely no damage, don't worry. Depending on the eye drop used, it may keep her pupils dilated ...
Disciform/Herpetic Stromal Keratitis6/17/2008
  Q: I am a 44-year-old male in good physical condition. I do not smoke nor have any other diseases that ...
  A: Sorry it's taken a while to reply. You asked some great questions and have explained your history ...
I'm not sure if I need glasses or not...6/16/2008
  Q: 1/2 of the time, my vision is crystal clear, but every few minutes or so, my right eye becomes far ...
  A: It sounds like you could use glasses to synchronize your two eyes so that they each have the same ...
Contact Lenses effect?6/15/2008
  Q: I just got contact lens' in February. I never sleep in them, and store them in their case in ...
  A: Any new redness should cause you to discontinue your contact lens and also call or see your contact ...
Question6/14/2008
  Q: how are you going? My name is Christina and I live in Australia. Thank you for taking the time to ...
  A: I could tell you were Australian from your accent! In the old days of CRT (cathode ray tube) ...
Contacts6/13/2008
  Q: I am thinking about wearing contacts but for cosmetic reasons. I want my eyes to be hazel, but if I ...
  A: You would have to try some on and see for yourself. Some are better than others, but in my opinion, ...
nystagmus normal?6/12/2008
  Q: I have an eight week old infant and I have noticed on 3 separate occassions her eyes shaking back ...
  A: While it may be of no concern, I would have your daughter examined by a pediatric ophthalmologist. ...
eyeglasses on-line6/12/2008
  Q: I have a prescription that says: Sph Cyl Axis OD -.75 ...
  A: You might google the terms "converting plus cylinder to minus cylinder" or consult in the library ...
SIMPLE MYOPIA6/12/2008
  Q: Respected Sir/Ms, I am 17 years old. I have SIMPLE MYOPIA (-1.5) in both eyes. There is no ...
  A: Yes, I understood precisely your question, as it was well worded. And the answer, again, is in the ...
eyeglasses on-line6/11/2008
  Q: I have a prescription that says: Sph Cyl Axis OD -.75 ...
  A: There are two conventions when writing spectacle prescriptions. Most use "minus cylinder" while ...
SIMPLE MYOPIA6/11/2008
  Q: Respected Sir/Ms, I am 17 years old. I have SIMPLE MYOPIA (-1.5) in both eyes. There is no ...
  A: A normal healthy eye that is -1.5D and no astigmatism can see unaided at far distance between 6/24 ...
Rx vs readers6/11/2008
  Q: if your Rx to see far is 2.75, does it matter if you have a presc. pair or if you pick up a +2.75 ...
  A: From a physics standpoint, it doesn't matter. There are some other qualities that may matter. ...
20/206/11/2008
  Q: I wear contacts -8.0 & -10.50 w/BC 8.6; have bad astygmatism and believe to be developing diabetes. ...
  A: You've asked several questions here. First, eyes that got dry within one week: have your diabetes ...
Air bubble in sclera6/10/2008
  Q: I am 20 and have bad hayfever and tonight i rubbed my eye especially hard and when looking in the ...
  A: Some surgical procedures to repair detached retinas use a gas bubble inside the eye to float the ...
Contact lens expiry date6/9/2008
  Q: A few years ago, I purchased a pair of soft contact lenses that I wore for a few days and then ...
  A: NO!!!!DON'T DO IT!!! NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO Here's ...
loss of peripheral vision?6/9/2008
  Q: Since February it feels like I've had something small behind my right eye (not painful) and a slight ...
  A: Loss of peripheral vision can be caused by a defect in the retina itself or a neurological defect in ...
eye6/8/2008
  Q: If i drive over ten miles my right eye hurts and turn into severe headaches in the top of my head, ...
  A: During an eye exam, you would be asked several questions to help decide if the use of your eyes was ...
black dots6/8/2008
  Q: i am 18 years old. i always see black dots floating around my eyes and it bothers me especially when ...
  A: Cool, man. You can play a game where you try to touch the dots with your finger called 'polka ...
Vision problems6/7/2008
  Q: I am a 26 yr old female, and last year, I noticed a sudden difference in my vision. The vision in my ...
  A: If you mean that the prescription needed for the right eye to see well suddenly got stronger, and ...
Progressive lenses6/6/2008
  Q: I have had cataract surgery, I have normal distant vision & need + 2.5 glasses for reading. ...
  A: The bifocal, as you know, has two discreet lenses, a top one for distance and the lower one for ...
blurry right eye6/5/2008
  Q: I have a blurry right eye for about 4 weeks. can see clear up to 2 meters then after that its gets ...
  A: Paul. Perhaps the light is causing more scatter or glare from hazy optical components within your ...
wrong base curve?6/4/2008
  Q: I have been wearing contact lenses for 20 years. For the last several months, my contacts have been ...
  A: You don't say if you wear soft or gas permeable, which makes a difference when discussing base ...
Tobradex6/4/2008
  Q: My doctor said my pink eye was caused by a viral infection, but she prescribed me Tobradex. I read ...
  A: There are a few rationals for prescribing a steroid/antibiotic. Some want to "cover" for a ...
blurry right eye6/4/2008
  Q: I have a blurry right eye for about 4 weeks. can see clear up to 2 meters then after that its gets ...
  A: This can be complicated. An eye that is blurry for a medical reason is blurry at all distances, not ...
Rx getting better6/3/2008
  Q: I just got back from an eye exam with a new doctor. According to his Rx my eyesight has improved ...
  A: You are right on both counts. The .25 difference is a "just noticeable difference" and the minimum ...
Contacts for a blind eye6/2/2008
  Q: I was born with a blind right eye. I have been to an optometry specialist for 18 years. I am 22 ...
  A: There are several companies that market contact lenses exactly for your purpose. You need to call ...
Eye Dilation after drops6/1/2008
  Q: I had my eyes dilated yesterday for an eye exam for new glasses. I got the drops that dilated my ...
  A: If you're having one pupil dilate and go back to normal within minutes or an hour, and you've not ...
problem with my eyelid6/1/2008
  Q: I am not sure if this falls under your area of expertise because it pertains to my eyelid and it is ...
  A: Yes probably surgery would be the only answer. You don't say how old you are, but as we age it is ...
my eye5/31/2008
  Q: All last week my eye was twitching and today I woke up and my top left eyelid was a little swollen ...
  A: Sounds like you have or had an infected eyelid, probably a gland. These are common, known as a ...
trouble reading5/31/2008
  Q: I am finding it very difficult to read at the moment. Could this be because my vision is different ...
  A: Prisms change the apparent direction or location of an object. So if an eye has trouble looking up, ...
problem with my eyelid5/31/2008
  Q: I am not sure if this falls under your area of expertise because it pertains to my eyelid and it is ...
  A: Asymmetric eyelids often are congenital along with mild structural differences between the right and ...
Long term effects from scratch?5/23/2008
  Q: ) About a year ago a hair scratched my eye while I slept and I was treated by a specialist for a ...
  A: Normally a healed cornea, even if left with a scar, is stable and causes no problems except perhaps ...
Drusin and optic nerves5/22/2008
  Q: I am a 30 yr. old male who is mildly nearsighted. I am a research attorney, so I spend most of my ...
  A: Generally optic nerve head drusen are inherited, if significant can cause visual field defects, but ...
induced vertical prism5/22/2008
  Q: I had an RX of -5/-1/105 left eye and -3.75 right eye. It was an overcorrected rx and now I am ...
  A: The question is: is this difference between the eyes new (like after cataract sgy) or old. If ...

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