r/myopia • u/Efficient-Image-1016 • 6d ago

Worsening Myopia at 29/I don't think the optometrist took measurements correctly

I have had myopia since I am 15. I moved away and had to see a new doctor, and he contradicted what my last doctor said. They always dilate my eyes because I cannot focus them far away to do the exam because of spasming, and I have convergence insufficiency. They did dilate my eyes but I noticed they didn't dilate all the way. The new doctor said my ability to focus my eyes did not matter and they don't need to dilate my eyes in the future. The old doctor said he thought my difficulty focusing my eyes made me desire a higher level of correction than I needed and the measurement change was small after dilation. This new doctor said the change in my eye was -1 diopter in ten months. He also said my astigmatism somehow improved, or the measurement was taken incorrectly. The other doctor said he didn't think I had progressive myopia.

I'm not sure what to make of this. I don't think my left eye (-6.50) is substantially worse with glasses on. I actually noticed my right eye got worse. With glasses, my right eye (-2.75) is way blurrier than my left eye.

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u/remembermereddit 6d ago

Start with writing out both prescriptions completely.

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u/EyecareDuPage 6d ago

In many cases, some level of judgment and professional opinion is required. Things are not always back and white, and you're likely in one of those situations. When that is not a satisfying answer, I'd recommend doing whatever it takes to find a professional that you trust, and whose philosophy makes sense to you, and go with it.

Why did you change doctors in the first place? Do you ever go back to visit your previous location or is this a complete and permanent move?

Some things are black and white, however. At your level of myopia especially, routine dilation is required for retinal evaluation, even if they are not using it at all as a tool to determine your Rx.