Slashdot Mirror


Ask Slashdot: Are Progressive Glasses a Mistake For Computer Users?

An anonymous reader writes I'm a daily, all-day computer user and use two 19-inch monitors for my work. I'm at the age now where I need reading glasses, and my optometrist steered me to progressive lenses. I don't need any correction for distance, only reading. I'm trying very hard to get used to them, but I hate them. The focal point seems to be about 1 inch big, with everything around that blurry. Reading books on my iPad is a struggle; I have to turn my head side to side simply to keep the line of text in focus, and when I do that, the page warps and flow in a dizzying manner. I don't think reading should be like watching a tennis match. And using my two monitors at work? Hopeless and frustrating! Has anybody here who uses either very large or multiple computer monitors figured out how to comfortably use progressive glasses? Or are they simply inappropriate for this kind of use?

69 of 464 comments (clear)

  1. if it doesnt work by ganjadude · · Score: 5, Insightful

    dont use it. Now pay my secretary

    --
    have you seen my sig? there are many others like it but none that are the same
  2. Optometrist? by Anonymous Coward · · Score: 5, Insightful

    What did your optometrist say when you asked these questions?

    1. Re:Optometrist? by thechemic · · Score: 4, Insightful

      He likely paid more for the progressive lenses, and as a result, the optometrist also made more money. Therefore, any professional opinions provided by the optometrist are going to be biased by the money involved. In fact, money is probably the reason he ended up receiving a product he didn't need or want in the first place.

      I was sold the same bottle of snake oil when I was 40. Asking his optometrist these questions is the last thing you would want to do.

      --
      Let's make like a bird... and get the flock outta here.
    2. Re:Optometrist? by Rob+Riggs · · Score: 4, Interesting

      This is "the boat payment is due" theory of medical and automotive malpractice first postulated by Click and Clack, the Tappet Bros. This was later bolstered in a recent landmark article in JAMA. The upshot is when the doctor is away and unable to schedule unneeded costly procedures, the patient is more likely to survive. The corollary is that the doctors have their best interest in mind, not the patient's.

      --
      the growth in cynicism and rebellion has not been without cause
    3. Re:Optometrist? by Dragon+Bait · · Score: 3, Funny

      Therefore, any professional opinions provided by the optometrist are going to be biased by the money involved.

      This.

      The second to the last optometrist that I went to insisted that I get trifocals. I insisted that I wanted a single focal point with the focal point set for the computer monitor. He huffed and puffed and finally gave me a single prescription -- with a focal point about 20 feet away. The bastard. He knew what I wanted and decided to screw me over so that I would have to come back. I didn't; I went elsewhere.

      I must admit that I read his obituary with great glee.

    4. Re:Optometrist? by itzly · · Score: 3, Funny

      I must admit that I read his obituary with great glee.

      I trust it was in focus ?

    5. Re:Optometrist? by Rob+Riggs · · Score: 4, Funny

      You totally massacred the recent research that was in the news

      Take it up with my lawyers: Dewey, Cheetham and Howe.

      --
      the growth in cynicism and rebellion has not been without cause
    6. Re:Optometrist? by Black+Copter+Control · · Score: 2
      It can depend. When my mother (an optometrist) first prescribed progressives for me, she had my best interests in mind. Money wasn't an object because I got my glasses for free. However, she was going by optometric best practices -- which were set when 'standard' distances were far away (20 foot nominal focus distance) and arm's length (reading). Computer work doesn't fit neatly into those best practices. It was a long discussion with her, and money had absolutely no part to do with anything.

      Your results may vary based on the professional. A real professional is professionally bound to do what is 'best' for you. Nominally, this is standard 'best practice'. Again, computer user distances don't properly fit into the standard 'best practice' fold, so some sturdy discussions may be required to get proper compliance. It helps to come from an understanding of the optometrist's point of view -- which is that (s)he is working with a couple of century's worth of trial, error and research, and knows what is best for you.

      I'm asking for something non-standard is likely to get you better results in such a conversation than "I know what's best for me better than your century's worth of history and decades of experience". The latter conversation won't do you well with pretty much any professional in any field. The former will take some sternness and understanding on your part, but is much more likely to ultimately succeed.

      --
      OS Software is like love: The best way to make it grow is to give it away.
  3. They don't work for me by Bearhouse · · Score: 4, Insightful

    Just as you, on "expert" advice I got some progressives...hate them. The "sweet spot" is just too small.

    I now have a pair just for screen work; much, much better.

    Thinking of getting laser corrective surgery, then will need a pair just for close reading.

    1. Re:They don't work for me by bluefoxlucid · · Score: 2

      I decided LASIK is sub-optimal due to high risk of complications. If you get the wrong strength contacts or glasses, you change them; if you get LASIK and your eyes get worse, you can't re-LASIK them. You're burning off part of the cornea, which means you get one shot; and it's minimally possible that heat stress will damage your cornea, which is an non-mitigatable risk, and will destroy your vision permanently.

      My final solution is probably going to be contact lenses. I have found glasses sub-optimal, and I can control the risk of contact lenses much more reliably than I can control the risk of LASIK. The severity of contact lens complication is lower: most issues can be caught before they're a problem (ill-fitted lenses will irritate you before causing damage), and the ones more likely to be caught late are just stuff like growing blood vessels in the eyes because you got low-permeability lenses and didn't take them out at night like the instructions say (this is purely cosmetic). That last one can be mitigated with silicone soft lenses (30 days without removal is safe).

      When given something that almost never happens, can't be detected until it's happened, and destroys viability, I look for other viable solutions with risks I can control and accept. LASIK is not unreasonable, and it's perfectly reasonable for you to get it and not worry about any complications, because they're dismally unlikely; but it is outside my risk tolerance, because those complications are of high severity and impossible to detect beforehand.

    2. Re:They don't work for me by nkhorman · · Score: 2

      My "expert Optometrist" (who is in bed with the frame & lens supplier next door ( pick your favorite )) also did the same thing. Even after I told her that I "stare" at multiple 21" monitors for 12-18 hours a day, and rely heavily on the use of my peripheral vision, and eye movement. She, at some point, babbled on about how I'm going to need bi-focals, but that progressives would be better... bla... bla... bla. So, taking the attitude, Dr. knows best, I stupidly got the progressives. I like you, had the same problems, "Sweet" spot, exaggerated head movement to use the sweet spot, etc. etc... I took them back within 2 hours, after having driven and trying to work at my computer, I vowed never to get them again. It was like trying to look at the world through a straw. Absolutely ridiculous! How does anyone "get used" to that ? If needed, I'll get one or two pair of cheap reading glasses for near/reading/computer use, and a perscription for distance.

    3. Re:They don't work for me by EETech1 · · Score: 2

      FWIW my Lasik came with lifetime free adjustments so I can have them touched up if I ever need to, but after 15 years I still have perfect vision.

      I was very hesitant because of all of the corrections they were doing. I really really wanted to have one eye done, and wait a few months for the other one, but they told me they only do that in rare cases, and not to worry.

      The average time the laser is on for a normal person is about 6 - 8 seconds, and I needed almost 60 seconds per eye. I was terrified that something was going to go wrong, and once they open your eye and you go blind, sitting there for a minute wondering if I will ever see again, while the laser takes pot shots at my quivering eyeballs is nerve wracking to say the least.

      I also had a nine eleven (sneaky code word so you don't know something is wrong) incident where an eye booger or skin flake blew into my eye while it was opened, and they just flushed out out, and kept on going.

      I still have the VHS tape of the surgery and it is the most terrifying thing I have ever watched. It has the strangest effect on me because of the alternate viewpoint (looking into my eyes) and the stress and fear I can see and recall. The seconds seem to take hours, and every time I watch it, I remember every instant, every thought, even the smell of my own eyes being vaporized right inside my head.

      Do I regret it? NO

      Would I do it again? YES

      Would I recommend you give it a second thought? YES

      When I told my doctor how scared I was in the follow-up, he said he was sorry, he should have given me a Valium.

      He showed me the before and after plot of my lenses focal abilities, as well as the correction plot that showed what it wanted to do VS what it actually did, and it was spot on. Even with how much I moved during the surgery. It tracks your eye, and stops if you move. You can hear the laser zzzzzzzzzzt, then tk tk tk tk zzzzzzzzzzzzzt tk tk zzzzzz tk as it tracks your eye and takes every chance to zap it till it moves again.

      I could see faint speckled greenish dots flickering through the blindness where the laser was doing the correction, and I could see the pattern it was trying to achieve, and it was very reassuring that I never saw a misplaced dot. The amount of technology making sure it only does what it is supposed to is pretty impressive. Seeing it do exactly what I thought it should do, while I was so incapable of holding still, made me know deep down everything was going to be alright. I was even impressed how well it managed to sneak in little zaps here and there whenever it could. Without that to keep my mind occupied and reassured, I would have went batshit insane.

      Best thing I ever spent money on!

      My mom just had her lenses replaced at 70, and said that she wishes she would've done it a long time ago. Might also be an option.

      Cheers

  4. I've got progressives by Schaffner · · Score: 2

    I'm mainly near sighted, but had been using bifocals. That was very annoying when trying to see a monitor while standing higher than the monitor. Had to get new glasses a year ago so I went with progressives. The place I got them said I could return them within one month if I didn't like them. At first they were very annoying, but after a little over a week I got used to them and now they're great. They work fine for me with multiple monitors. But everyone is different and some people never can get used to them.

  5. Try low, wide, non-progressive by evenmoreconfused · · Score: 2

    After about ten years of struggling with this I've settled on two 27" 1920p monitors, using broad but low +1.5 glasses that I can peer over when I glance at anything else in the room. I can actually work with the monitors without the glasses as long as Chrome is set to 125% zoom, but it's slightly more comfortable with the glasses, since I can then use the default fonts for virtually everything.

    --
    No. Well...maybe. Actually, yes. It really just depends.
  6. From your description of the problem by Scareduck · · Score: 3, Informative

    I suspect you have a very high correction. My corrections are +1.50 and +1.75 or thereabouts, and I have had progressive lenses for years. They work fine without the problems you describe. My wife, however, has corrections of around +8.0 in both eyes and could never make a go of progressive lenses for the reasons you state. Eventually, she decided on Lasik surgery, which has unfortunately not really gone well -- we're over six months out from the initial surgery and she still needs glasses. She's one of the 1% or so for whom it does not work on the first try.

    Good luck.

    --

    Dog is my co-pilot.

    1. Re:From your description of the problem by Anonymous Coward · · Score: 2, Informative

      I know 5 people who did the laser stuff and 4 of them are under the "1%". Dry eyes or constant pain etc.. Only one of them has no problem.

  7. Plain Readers are what you want by jsrjsr · · Score: 2

    I have a pair of bifocals (non-progressive, as I don't wear them often). My opthamologist recommended normal bifocals over progressives as I usually wear contacts (only need glasses for reading). He said that the progressives take quite a while to get used to.

    I use a single-prescription pair of reader glasses (-1.5) for computer work -- and they are less than what I use for reading books and newspapers (-2.0) as I usually sit further from the monitor than I hold printed material for reading. My opthamologist recommended the cheap ones from the drug store as opposed to a custom made pair. He said that's what he generally recommends unless someone has a dramatic difference between eyes.

  8. Custom progressives by SemperUbi · · Score: 3, Interesting

    I feel your pain. I wear progressives, and for my first pair, the optimal focal area was ridiculously small just as you describe. A couple of years ago I went to a new optometrist and explained that I wanted glasses that had a more natural feel for close viewing. That 'spot' effect isn't there, and I love them.

  9. Solution *for me* by Anna+Merikin · · Score: 2

    I had a similar problem with bifocals. My optometrists and I settled on a pair of glasses for working on my desktop computer which were corrected to three feet, my usual distance from my monitor. I find they are also useful for reading off paper, too.

    See your doctor for a single-vision prescription for the distance from which you use your monitor.

  10. Re:Resist bifocals/trifocals and progressive lense by Anonymous Coward · · Score: 2

    I would suggest UVA/UVB filtration as well as polarization

    Polarized lenses often don't play well with LCDs.

  11. Re:if it doesnt work by ShanghaiBill · · Score: 2

    dont use it. Now pay my secretary

    Really. If you only need glasses for reading, then get a $2 pair of reading glasses and only use them when you read.

    More generally, if your glasses are not helpful when using a computer, then, while using a computer, TAKE THEM OFF.

  12. I feel the same by Radical+Moderate · · Score: 2

    I'm not a big fan of progressives either. Got a couple pairs last year, but as I type this I'm wearing my old glasses, I find they're better for computer work.

    --
    Never let a lack of data get in the way of a good rant.
  13. Re:if it doesnt work by Jhon · · Score: 4, Interesting

    AC author should go to his nearest CVS (or rite-aid or whatever) and pick up a cheap pair of reading glasses to try. Hell, you can find some at your local $0.99 store. Test them out for reading.

    I opted for a pair of Birth Control Glasses (as my wife calls them). They basically look like 'Santa' or 'Ben Franklin' glasses. Little half-sized rectangular lenses that sit at the tip of my nose most of the time. I just look over them for EVERYTHING except reading. When I sit down to work or read a book I push them back up to the bridge of my nose and read comfortably. They ran me something like $4. For "events", I have a normal looking pair of bi-focal glasses (not progressive). They are just clear glass on top and 1.25 mag on the bottom (those I spent ~$40 -- they are also transition lenses). They look decent for weddings and parties where I wont embarrass my wife (heh).

    The reason why *I* opted for this is because I HATE taking glasses on/off all the time. This works for me. You might find that glasses with some type of string or cord that hangs at your neck works for you. Or glasses you hang on your collar when you aren't reading/working works for you. The point is that there are cheap alternatives and it's easy to test.

    I've also tried progressives and don't have a problem with them -- you just need to learn to use your neck in place of your eye muscles. Tilt replaces eye focus. I prefer my little glasses right now, but I may move to progressives eventually.

  14. You bought cheap(er) progressive lenses. by Hamster+Lover · · Score: 3, Informative

    I have the same problem as the OP with age related astigmatism and my optometrist suggested progressive lenses. One thing my optometrist was clear to point out was the limitations of the cheaper progressive lenses, where the area in focus was narrow. More expensive lenses offered a much wider field of view, which is what I purchased, but they weren't cheap at $800. The only downside to the lenses I bought was significant barrel distortion on the extreme edge of the lens.

    For general use I love my progressives as I can drive and read with the same pair of glasses. I do keep several pairs of general reading glasses around for reading and computer use.

    This site has a great comparison, at least for Nikon lenses:

    http://www.nikoneyes.com/produ...

  15. Re:Hmm. by pushing-robot · · Score: 2

    Sorry if that came off a bit harsh, but it should be fairly obvious that multifocal lenses are not suited for viewing objects at a fixed distance. Everyone I know with 'progressive' lenses dislikes them; they find them disorienting and only wear them because they want a single pair for all purposes and hate the look of bifocals.

    Your eyes are not something to be trifled with; get a pair of proper conventional lenses that suit the distance you will be working at and save yourself the misery of 90% of your vision being out of focus all the time.

    --
    How can I believe you when you tell me what I don't want to hear?
  16. Re:if it doesnt work by bluefoxlucid · · Score: 5, Informative

    With proper, prescription lenses, the lenses are designed to accommodate your eyes. That means you may have a +0 (non-corrective) and a +0.25 or a +1.75 and +1.25. Interpupiary distance is also important: poorly-centered lenses are the cause of painful headaches. All in all, prescription lenses, even prescription reading glasses, are vastly superior to off-the-shelf bifocals.

    I got transition lenses in a single-focus design, and I hate them. They're fantastic, except when they get dirty every 5 minutes, get a burrito shoved into them (they're further from my face than my eyes are), or cause my eyes to water. I plan to have contact lenses fitted; this will be more annoying at first, but will have the incredible advantage of being cleaned every 11 seconds, as well as providing a larger field of view. Silicone soft lenses transmit enough oxygen to safely use them for 30 days straight, rather than removing them at night time; I can elect to remove them at night if desired, but I'll still minimize the risk of complications by providing oxygen permeability similar to not having lenses.

    Optometry is hard. Some of us are decisionary maximizers, so it's hard even being the patient!

  17. Get two pair by erp_consultant · · Score: 2

    I wear progressives as well and they are terrible for computer use. I have to tilt my head way back to focus on that little sliver at the bottom of the lens - and then move my head from side to side across the screen. After about an hour of that I was getting a stiff neck. So now I have two pair. One pair of progressives for everyday use and a second pair that are focused for about arms length that I use for the computer.

    It's a bit of a hassle changing them back and forth but it's better than what it was before.

  18. I find progressive lenses to be terrible by jeffmflanagan · · Score: 2

    I could not get used to them, so I went back to regular lenses.

    It sounds like you may need regular glasses just to wear for close work.

    For those of us who are near-sighted, we just need to wear glasses when driving or watching TV, and take them off for close work. I suspect you could do the opposite. If not, maybe you need two sets of glasses, one for close work, and another to see clearly at a distance.

  19. Re:if it doesnt work by smooth+wombat · · Score: 2

    More generally, if your glasses are not helpful when using a computer, then, while using a computer, TAKE THEM OFF.

    You said that wrong . It should be:

    More generally, if your glasses are not helpful when using a computer, then, while using a computer, . . .

    TAKE THEM OFF.

    YEEEEAAAAAAAHHH!!!!!

    --
    We will bankrupt ourselves in the vain search for absolute security. -- Dwight D. Eisenhower
  20. A really big tip on progressives after 20 years by Anonymous Coward · · Score: 4, Interesting

    I got progressives 20 years ago and it has taken some learning to get best use. Here are alternatives:

    1. Get simple, fixed focus lenses for screen work. This is the absolute best vision quality.

    2. The big tip: Forget about stylish narrow lenses. They don't have enough vertical space for progressives to work well.

    3. The really big tip: Make sure that your optician doesn't set your normal vision spot too low on the lens. That crams all the progression in the bottom third of the lens. My normally head position is slightly "chin up". I make sure I'm looking at the optician slightly "chin down" has he places the mark on the lens for normal vision.

    Presbyopia is hell.

    1. Re:A really big tip on progressives after 20 years by ColdWetDog · · Score: 2

      I got progressives 20 years ago and it has taken some learning to get best use. Here are alternatives:

      1. Get simple, fixed focus lenses for screen work. This is the absolute best vision quality.

      2. The big tip: Forget about stylish narrow lenses. They don't have enough vertical space for progressives to work well.

      3. The really big tip: Make sure that your optician doesn't set your normal vision spot too low on the lens. That crams all the progression in the bottom third of the lens. My normally head position is slightly "chin up". I make sure I'm looking at the optician slightly "chin down" has he places the mark on the lens for normal vision.

      Presbyopia is hell.

      This is a perfectly reasonable approach - I have a pair of bifocals for computer / workbench stuff. It focuses out to about 30 inches with a stronger bifocal than I usually use for reading (the better to pick out little tiny parts off the work bench). The only problem is that they had the same frame as my regular bifocals so for the first week I ran around confused as to why my eyes worked sometimes and sometimes not. A bit of the old tape cured that issue.

      I tried progressives - couldn't stand them. Barely tolerate bifocals. So I have a number of different prescriptions - Hiking / out doors single focals, typical bifocals, the work bifocals. If you shop around frames and simple lenses are cheap enough to have a couple pair. The all-in-one techniques don't appear to work for Screen People like us (see the comments above and below) but are obviously popular for some groups.

      According to my optometrist, he makes more off of bifocals than progressives because the latter cost him more and he can't mark them up as much. YMMV.

      --
      Faster! Faster! Faster would be better!
  21. I had them by kdub007 · · Score: 2

    I had progressive trifocals for a while. I kept them for a couple years...you get used to them. But, the last time I got a new prescription, I told my doctor that I didn't really think I needed them. He agreed. I'm back to normal lenses, and saved a bunch of money.

    --
    The correct answer is 42.
  22. Get three types of glasses by Anonymous Coward · · Score: 2, Interesting

    Like you, I used a pair of progressive glasses and hated them. When it came time to replace them, I got the optometrist to write out three prescriptions:

    1. Distance use as in driving or moving about.

    2. Medium-distance for computer displays

    3. In close for reading and reading only.

    Three single-vision glasses have proved far better than those progressive lenses. If money is tight, look into buying them online.

  23. Progressives have limited use by Burdell · · Score: 2

    I'm lucky enough to still have great eyesight at age 42 (still use the good old-fashioned 6x13 aka "fixed" font in my xterms on my 108 dpi monitor).

    However, my mother got progressives at one point, and wore them for a very short time before replacing them. She plays church organ, and has to be able to see music, keys, stops, and (optionally) the choir director. Different organs have different numbers of keyboards (called manuals), and with more manuals, the music stand just gets farther up and farther away. She has different pairs of glasses for 2, 3, or 4 manual organs. She tried progressives, but they were terribly distracting; she also tried traditional bifocals, but they didn't really work either.

  24. Re:Somewhat OT. Bill Gates by ShanghaiBill · · Score: 2

    Every time I think about getting Lasik surgery or similar, I think of Bill Gates .... And so far, it hasn't.

    Some people are just squeamish about a laser burning away their eyeball tissue. You should not assume Bill made the decision based on logic. Also, some people just aren't candidates for LASIK. I had it done (very satisfied) but my wife was told her lens was too thin for the amount of correction she needed.

  25. Re:if it doesnt work by dkman · · Score: 5, Informative

    Coke-bottes: think lenses generally used by far-sighted people who need glasses to see in focus up close.
    Bi-focals: have a half-circle shaped area in the bottom of each lens at a different power (for reading) while the rest of the lens is set for regular viewing
    Progressive: has the regular lens gradually change to reading power so you don't have the tell-tale line (and power jump) associated with bi-focals.

    --
    I refuse to sign
  26. We're building an online eyeglasses store.. by ECXStar · · Score: 2
    Here's what I've learned, and has been mentioned a few times before in this post already with different perspectives.

    I had the exact same experience as yours with my first set of bifocals. What solved my issues with it is getting what's called a computer grind on the lens. This type of grind widens the peripheral view while sacrificing a bit for reading paper based documents. Since I don't do anywhere as much book reading as I do computer, this was the perfect tradeoff.

    The computer grind in the industry is well understood and not the exact technical term they use, but it helps them understand the type of lens grind your looking for.

    Hope this helps a bit...

  27. Re:if it doesnt work by wonkey_monkey · · Score: 5, Funny

    TAKE
    THEM
    OFF

    Coincidentally, the same eye chart as seen in Naughty Optometrists 4.

    --
    systemd is Roko's Basilisk.
  28. Use single vision by drkim · · Score: 4, Informative

    Don't use progressives or bi-focals. Do this:

    Take a tape measure and measure the exact distance to your monitors when working.

    Go to an optometrist and get a written prescription for that exact distance (bring the tape measure with you*) including the "PD", pupillary distance, at that range. Do not buy the glasses from them.

    Go to Zenni Optical
    http://www.zennioptical.com/u6... ...and order some $6.95, single vision prescription glasses from them that fit your PD size.
    Add the standard anti-reflective coating for $4.95

    For about $12 you have custom computer glasses.

    * Yes, I actually do this. And, yes; I'm a nerd.

  29. My advice by Psicopatico · · Score: 2

    I've been using glasses for 40 years now (myopia) and staring at computer screens for 30, and everything went fine.

    Three years ago presbyopia arose, and I took a pair of progressive lenses.

    Learn to move your head, not your eyes.
    Basically, re-train yourself.

    --
    Mastering the English language is fucking easy: all you have to do is to put an f* word in every fucking sentence.
  30. Solution: Wide Corridor Progressive Lenses by traildog · · Score: 2

    Been doing this for 10 + years.

    Regular Progressive Lenses have very little width in the mid-vision which is used for computer screen viewing. Wide Corridor Progressive Lenses have a much wider view area in mid-vision.

    Talk to your optometrist. Some lens brands to ask about: Definity by Essilor and Unique Digital by Kodak. Also get anti glare coating.

    Wide Corridor Progressive Lenses are expensive, but worth it, if you are using computers for a living.

  31. Re:if it doesnt work by Grishnakh · · Score: 4, Informative

    Yeah, but contact lenses won't work for close-up stuff. Contacts are for when your eyes are the wrong shape; the reason older people can't read well is because their intraocular lenses are no longer flexible and they can't focus on close-up things. Contacts won't help with that; if you put contacts in to correct that, you won't be able to see anything farther than arms' reach. And unlike bifocals/progressive-lens glasses, you can't really orient contacts so that a region with different correction is at the bottom.

  32. Re:if it doesnt work by bluefoxlucid · · Score: 2

    That sounds like a problem I'll have later, and not the problem I have now.

  33. Re:if it doesnt work by voidptr · · Score: 2

    And unlike bifocals/progressive-lens glasses, you can't really orient contacts so that a region with different correction is at the bottom.

    I don't use them specifically and couldn't tell the OP if they would help their specific situation, but there are bifocal contacts on the market now. I do use toric astigmatism lenses in one eye which are similar, they're designed in a way that causes them to settle into a certain "up" and "down" orientation when installed.

    --
    This .sig for unofficial government use only. Official use subject to $500 fine.
  34. You need a new doctor by Lord+Byron+II · · Score: 3, Insightful

    Look at what happened here: You needed new glasses, your doctor suggests progressives, which you try and don't like. Then, instead of approaching your doctor about the issue, you post on /. instead. Maybe you're just looking for a second opinion, but it sounds like you're not comfortable talking to your doctor. You should find a doctor that you can bring up these issues with. Also, your doctor should have asked you about what you do all day (reading the iPad, using your computer) and offered you choices based off of your health and habits, not just your health alone. Just my two cents.

  35. Re:if it doesnt work by sconeu · · Score: 3, Insightful

    I always figured coke-bottle referred to lens thickness.

    Pre-PRK, I had horrible near-sightedness (-7.50 or so), and referred to my glasses as "coke bottle" due to the thickness. As in "as thick as if they were cut from a coke bottle".

    --
    General Relativity: Space-time tells matter where to go; Matter tells space-time what shape to be.
  36. Re:if it doesnt work by Applehu+Akbar · · Score: 3, Interesting

    I started life with coke-bottle glasses, and then got contact lenses right after high school. Now fifty years later, I have just stepped up to implanted lenses. These give me crisp distance vision again, and the Milky Way at night, with no more obscuring glare rays coming out of oncoming headlights. We're a Dark Sky Community, and I can now see M31 naked eye, which I never could reach before.

    But implants are fixed focus, so I have to pay close attention to near-diatance correction. I bought Walgreens readers for the computer/reading distance and another pair for the "TV distance" of ten feet or so. This combination gives me a large focus area in both modes at very low cost.

  37. I wound up with three by McLae · · Score: 2
    I currently use 3 glasses:

    1. driving and long distance, like TV across the room.

    2. Near distance, like Computer monitor, stuff on the table I am eating.

    3. Reading, 1-2 feet. I use this for reading or working in detailed model assembly.

    The long distance makes a big difference when driving at night. Otherwise, change is not required all the time, I can adjust close enough for a bit with any set.

    I never could get used to head bob, and pointing my nose at the ceiling to read text on a monitor was crap for dignity.

    Try a few options, and look for cheap prescription glasses from China. (You can get 3 pairs vs one at the local Dr's office)

    Mclae.

  38. Re:if it doesnt work by qubezz · · Score: 4, Informative

    Reading glasses, those off-the-shelf from a rack with a positive prescription, are not for those that need prescription glasses. They are for older individuals who still can focus at distance, but who have lost the muscles and lens plasticity to focus their eyes on closer objects.

    The eye becomes able to focus on a smaller range of distances in older age, and for a person with good vision who has not needed prescription glasses, this might mean they can focus from infinity to 100 cm instead of infinity to 10 cm of their youth, making reading a book difficult.

    The majority of those needing prescription glasses are myopic, or short-sighted, meaning that they can focus well on close objects, but cannot bring far objects into focus with their eye's lens. They will never be able to see far objects such as the stars clearly without optical correction. Unfortunately, after correcting the vision with prescription glasses, the same problem also occurs in older age, individuals can no longer bring closer objects into focus while wearing prescription glasses.

    Simply taking the glasses off allows for seeing close objects again, but is suboptimal. First, the prescription glasses likely also correct for astigmatism, another type of distortion in the eye's lens or shape. Secondly, uncorrected vision in people that are quite myopic, such as myself at over -4, means that I can read a book when held a bit closer than would seem normal, but cannot focus on 2x24" monitors when they are 0.5m away, computer monitors are too far away to see. I would travel the world in a bubble where only things 15" or closer can be seen without glasses.

    When the eye's lens becomes less plastic in older age, this may mean that the 0.5m monitor can neither be seen cleary with traditional prescription glasses or without correction. A second pair of glasses could be tuned for things 0.5m-5m away

    The problem with bifocals and progressive lenses is that they assume you are looking down to see close objects. For those that do close-up work, from SMD soldering repair to dentistry as well as individuals working in front of monitors, they are not a good solution, as the work is directly in front of the eyes.

    One practical solution for computer work is 40" 1080p monitors at a farther distance. This takes research when subsituting a television, because many HDTVs that one might try to use at 1920x1080 do not have clear 1 to 1 pixels as advertised, even with digital input.

  39. Re:if it doesnt work by jismay · · Score: 2

    They are weighted, so under normal use they properly orient themselves.

    --
    Let Microsoft know, whether it wishes us well or ill, that we shall pay any price, bear any burden, meet any hardship
  40. Re:if it doesnt work by DaTrueDave · · Score: 2

    BCGs were popularized by the massive, rugged glasses issued for free in the military, but, by definition, they're any glasses that will ensure that nobody will want to procreate with you. BCGs come in many styles, but they're all incredibly ugly.

  41. Re:if it doesnt work by Albanach · · Score: 2

    Optometry is hard

    Totally agree. I also happen to have been in the OP's position.

    I too went down the progressives route when I had began to have more trouble reading. They were great for books where the near focus area was well designed, but for computer use all they do is give a clearer view of the keyboard.

    Now I have reading glasses and regular glasses. If I have a long day at the screen, I'll be wearing my reading glasses. I can still use them during breaks as there's not a a great difference in my reading and far-sighted prescription, but the difference for screen work is very noticeable and helpful.

  42. Re:if it doesnt work by crath · · Score: 2

    The problem with bifocals and progressive lenses is that they assume you are looking down to see close objects...

    I wear progressive lenses and they work very, very well with my laptop + external monitor setup. The key is properly positioning the monitors. Yes, the monitor needs to be lower than you may have positioned it prior to needing reading glasses; but, it's really not a problem to position the laptop and external monitor to accommodate this.

  43. Minkwitz is the key by ColoradoAuthor · · Score: 2

    Since you're on /., you probably will care to understand the Minkwitz relationship:
    deltaA/deltaX = 2 × deltaM/deltaY
    where A is the astigmatism created by the lens, M is the power of the correction provided by the lens, and X and Y are the usual coordinates. Thus progressive lenses always get blurry in direct proportion to the difference between your near and far correction, and in inverse proportion to the vertical distance between the near and far sweet spots.

    In practice, some advanced techniques such as grinding both sides of the lens and applying wavefront or raytracing optical simulations can make the problem less noticeable (mainly by moving the worst areas from one spot to another). Some brands of lenses are better than others, and some labs do a better job of making them than others. If you go for progressive ("PAL") lenses, ask to see the "occupational" lenses from several different manufacturers. Learn how to see the "invisible" manufacturing codes printed on your lenses.

    My solution at the moment: fixed-distance computer glasses, plus Hoya Summit iQ PAL lenses adjusted to increase the size of the reading zone a bit.

  44. My mother is an optometrist by Black+Copter+Control · · Score: 5, Informative
    coke-bottle, generally, refers to thickness. Technically speaking coke-bottle is the effect you get from stong near-sighted...

    The coke-bottle tickness for glasses can now be much reduced by using high-densidy (and now even ultra-high-density) glass/plastics which have a (much) higher than normal refraction index, The higher refraction index means that you don't need as sharp a curve (and, thus thickness) to achieve the needed focus correction.

    A you get older, your ability to change focus for various distances reduces, and so multi-focal lenses start to become valuable. When you first get them, they suck, but as your focus ability declines, they can become more useful. Bifocals (and, similarly progressives) are meant to give you easy access to reading at short (book) distances. Progressive lenses have two advantages over regular bi/tri focals:

    1. you can focus at ANY distance by choosing how low in the progressive field you place the prime focal point, and
    2. they look nicer (they make it less obvious that you are now old enough to need bifocals.

    The problem with progressive is that (as pointed out), they have a smaller sharp-focus field, at any distance, and they take more getting used to. (once you get used to them, they are, actually, pretty useful for a lot of things)

    One problem for computer users is that -- especially for desktop uses, we often are reading at mid distances -- neither far focus nor book distances. This is outside the historical "Best Practice" for the optometric profession. The first time my mom 'surprised' me with progressive lenses, we had a long talk about how my distances were not 'normal'.

    What I would suggest doing is talking to your optometrist about the standard distances you encounter at work. (use a tape measure and actually MEASURE the distances), then come up with a bifocal pair for those> distances... having some hard numbers will also make it a bit easier for your optometrist to determine whether multi-focal lenses are even a good idea. This would probably also mean talking to a real optometrist, and not just an optician (essentially just an optical technician).

    The probable best result (my guess) would be two pairs of glasses -- one set for work distances, and another set for 'normal' uses. If you go that path, you might want consider avoiding the 'pretty' stuff for the 'work' pair (i.e. don't bother with really high density glass, or anti-reflection coatings) It'll make the second pair that much cheaper.

    --
    OS Software is like love: The best way to make it grow is to give it away.
    1. Re:My mother is an optometrist by Insightfill · · Score: 3, Interesting

      The probable best result (my guess) would be two pairs of glasses -- one set for work distances, and another set for 'normal' uses.

      THIS!

      I'm in my mid-40s, but just as I crossed 40 I found I had to start looking over my regular lenses to read tiny print. I also found that if I didn't get away from the screen at least once an hour, I'd start getting eyestrain and headaches. I knew what was next.

      My prescription is about -5 diopters. I've got a set of prescription lenses at about -3.5, with a slightly smaller PD (pupil distance) since your eyes narrow as you look closer. The nice optometrist gave me my full prescription written down, including the PD, and I was able to mail order new glasses - with nice frames - for about $30. I can use these at the screens all day without any fatigue.

      I've got a set of bifocals as well, but my current manufacturer only does those in regular index plastic, so those are pretty thick. My single-vision lenses are pretty thin, however.

    2. Re:My mother is an optometrist by Imagix · · Score: 3, Informative

      I just had my prescription redone. My optometrist recommended my current prescription for "normal" stuff, and a second set of glasses for my computer work. She'd mentioned that progressives were possible, but if I didn't mind switching glasses, I'd probably be happier with two different sets of glasses.

    3. Re:My mother is an optometrist by Obfuscant · · Score: 3, Interesting

      The higher refraction index means that you don't need as sharp a curve (and,The higher refraction index means that you don't need as sharp a curve (and, thus thickness) to achieve the needed focus correction.

      The downside to high refractive index is higher chromatic aberration and more flare. The former means that things you aren't looking through the center of the lens at have colored edges. The latter is ... think of the annoying distractions during all of the bridge scenes in the new Star Trek movies.

      I let the optometrist talk me into two sets of glasses -- both progressives -- the last time I got new ones. I really hated them, and I still don't like them very much. One has a band of far at the top, monitor-distance in the middle, and a band of reading at the bottom. The other is reading at the bottom third, far for the rest. When I forget to change to my "normal" glasses (the latter) when I leave work, I'm miserable.

    4. Re:My mother is an optometrist by swimboy · · Score: 3, Informative

      This is exactly what I did. I measured the distance from my eyes to each of the three monitors on my desk. My optometrist made me a single-vision pair of glasses that was appropriate for that range of distances, but not for anything else. I got a second pair of progressives for everything else.

      --
      Ask me how the Heisenberg Principle may or may not have saved my life.
    5. Re:My mother is an optometrist by srmalloy · · Score: 2

      One problem for computer users is that -- especially for desktop uses, we often are reading at mid distances -- neither far focus nor book distances.

      The other primary problem is that both bifocals and progressive lenses have the near-focus section of the lens at the bottom, where for most computer work you are looking at your screen through the middle and upper parts of the lens. This makes both bifocals and progressive lenses pretty much useless for computer work.

      What I did was to visit a supermarket and use the display of reading glasses to determine what amount of additional correction gave me clear view at normal monitor distances, then order some clip-on reading glasses with that correction. The clip-ons are about $12 -- much less than another full pair of glasses with a different distance correction -- and just as easy to keep around. I look like more of a geek while wearing them, but they're less trouble than keeping track of which glasses I'm wearing.

  45. Re:if it doesnt work by tlambert · · Score: 5, Informative

    Thanks for the elaboration, so there's basically four different styles of glasses? Is there another 'professional' or 'official' name for normal glasses or they're basically just 'glasses' and we refer to everything else with those names? I expect there's probably a more professional name than 'coke bottle'.

    "Coke Bottle" is a pejorative term referring to the lensing effect on the persons eyes in order to correct their vision. The most common reason, historically, for "Coke Bottle" lenses was cataract surgery to remove the lens of the eye, before we had the ability to replace the lens. Mostly they are provided to very small children these days, when cataracts occur earlier, and general replacement of the lens is contraindicated.

    The generic professional term for all non-vanity based glasses is "corrective lenses".

    There are various lenses for various conditions:

    - "myopia" is near-sghtedness

    - "presbyopia" is far-sightedness, and if age related, is usually corrected by over the counter "readers" or "reading glasses"

    - "macular degeneration" can be age related, or caused by a number of other conditions, such as diabetes, and results in damage from the center of the retina outwards; special glasses can "work around" the problem by focussing all light as a ring around the retina outside the area of damage, and depend on the ability of the brain to reintegrate it into a normal field of view.

    - "Keratoconus" is a cone shaped cornea that will prevent a full field of view, since light no longer focusses un the retina; unlike macular degeneration, there is no retina damage, and this is fully correctable with special lenses.

    Generally, if you care about thee things, or just find them interesting, you can always stop by a not-very-busy Len Crafters or other similar store, and chat up their optometrist or opthamologist, or just read about them on the net.

  46. Re:if it doesnt work by Will.Woodhull · · Score: 2

    I have been near sighted since early grade school, needing pretty strong correction. I have probably used more than 100 prescription glasses over the years, including various bifocals and progressives.

    I did okay with my first pair of bifocals, from about age 40 to 45. I was building custom computer systems and repairs, so a mix of close-up bench work and general vision.

    Between 45 and 50 I was doing more classroom and group support and the bifocals were not working well for this. I was having to do a lot of middle distance work as well as close up and far distance. The job required standing at the back of the room and scanning client/student computer screens where distances ranged from 4 feet to 30 feet. Shifting focus in those middle distances was very fatiguing, which made me grumpier than my usual lovely self, which did not win awards from the managers. Fatigue from eyestrain can develop without you being aware of it; you might have a kind-of, sort-of headache or you might just get more obnoxious without realizing what's happening.

    Progressives worked well for me, after I deliberately set out to learn how to use them. Your neck gets more of a workout, since you need to tilt your head to bring things into focus. It takes a few days of deliberate practice to get the habit. It is not natural for humans, though I'm told that it is common in other species. Horses were mentioned. I never really looked into it. Once I learned how to use them they were a delight: I never before had such good vision at all distances.

    I am now retired. I wear contact lenses set for distance vision and carry reading glasses with me. I still have progressives as a backup. The contacts are partly vanity: near-sighted eye glasses make the eyes look a little smaller than is natural, in a sort of reverse-cute ugliness. But mostly the contacts are better for photography and outdoor sports (I can wear proper hazard glasses when bicycling, etc).

    TL,DR SUMMARY: Progressive lenses require doing some training to learn to position your head correctly for different distances. They are very much worth the effort if one is constantly having to shift between middle distance viewing as well as far and near. For photography, hiking, bicycling, kayaking, etc the best is contacts set to make one mildly far sighted, and carry reading glasses.

    --
    Will
  47. Re:if it doesnt work by TWX · · Score: 2

    More generally, if your glasses are not helpful when using a computer, then, while using a computer, TAKE THEM OFF.

    I wish I'd been smart enough to have figured this out during my teenage years. Got glasses at twelve for being barely nearsighted, but kept wearing them when doing up-close tasks like reading and using the computer. I think my eyes got lazy with the correction and I made my vision worse. In the last few years I've started taking them off when indoors when I'm going to work on an arms-length task and I've found that my distance vision seems to also be improving a bit.

    In really bright light I can see further without my glasses than in dim light, and I'm starting to wonder if I could pass a driving eye exam without my glasses. Haven't had a whole lot of desire to try, but it would be nice, in case I break or lose my glasses and need to get home without them.

    --
    Do not look into laser with remaining eye.
  48. Re:if it doesnt work by Will.Woodhull · · Score: 4, Informative

    I have one toric lens contact for mild astigmatism. If I'm laying on my side for a while to work on the car or take a nap, my vision will be strange for a minute or so when I straighten up. They might not be the best choice for someone into extreme sports, figure skating with lots of high speed twirling, aerobatic pilots, etc.

    --
    Will
  49. Re:if it doesnt work by bev_tech_rob · · Score: 2

    I should have said that coke-bottles are the ones that make peoples eyes look big from the other side (ie, make the wearer's eyes look big when you're not the wearer). I should have also included Normal: what we consider normal glasses are those for near-sighted people who need them to see far away. These are thinner than coke-bottles and don't have the bug-eyed affect.

    Kinda like Milton's glasses in Office Space...

    --
    You're messin' with my Zen Thing, man.....
  50. Good computer glasses, other non-computer glasses by billstewart · · Score: 2

    I've never been nearsighted, but I've now needed reading glasses for a decade due to age. Some astigmatism, plus slightly different magnifications for one eye than the other. What works well for me is to have my optometrist prescribe one set of glasses for computer use (with the focus distance set for computer distance, which is longer than the book-reading distance that standard reading glasses focus on), and a combination of drugstore glasses and older computer glasses scattered around the house and car, and a couple of special pairs (like the reading-lens safety glasses and the extra-strength readers for close work.)

    So there are computer glasses at home and work that (almost) never leave their desks, and general-purpose reading glasses elsewhere. Most of them come from Zenni Optical, who make decent glasses really cheap ($10-20 for boring frames, unless you need progressives.) The catch with them is that you do need to know the pupillary distance, which your optometrist won't always write down unless you specifically ask, and that measurement depends on the focus distance (so computer glasses will be different than book-reading glasses or distance glasses.)

    I also have a few of those skinny drug-store glasses that come in tubes, so you can leave one in the laptop bag or jacket pocket and it won't get squashed. Not perfect, but good enough for short periods of reading, or for restaurant menus.

    --

    Bill Stewart
    New Fast-Compression-only CPR http://preview.tinyurl.com/dy575ks
  51. Re:if it doesnt work by jeffb+(2.718) · · Score: 4, Informative

    - "presbyopia" is far-sightedness, and if age related, is usually corrected by over the counter "readers" or "reading glasses"

    Not exactly. Far-sightedness is hyperopia. Presbyopia refers specifically to the loss of "focal accommodation" with age; if you have otherwise normal vision, this usually manifests itself as loss of the ability to focus on close objects.

    I've been strongly myopic from childhood. Now, in my early 50s, presbyopia means that without glasses I can only focus on things about six to ten inches away from my eyes, instead of things from two to ten inches away. With glasses, I can still see normally to infinity, but I need bifocals to cover both far and near ranges -- unless I hold the target up close and peer under my glasses.

    If you start out with hyperopia (far-sightedness), and presbyopia sets in, you may not be able to focus at any distance -- your nearest focus distance may be beyond infinity.

  52. Re: if it doesnt work by CPUmonster · · Score: 2

    Coke bottle glasses...think Bubbles from Trailer Park Boys.

  53. Thin lens formula by Richard+Kirk · · Score: 2

    Remember 1/object_distance + 1/image_distance = 1/focal_length ?

    If you have your screen at R meters away, add (1/R) to your lens strength in diopters. Diopters are 1.0/focal_length in meters. That will give you the same comfortable image_distance at your eye when looking at your screen.

    Suppose you have your monitor 0.5 of a meter away, and you use -5.0 diopter glasses because you are short-sighted. You add (1/0.5) = 2.0 to -5.0 diopters and get -3.0 diopters. The person who had -5.0 diopters and used -3.5 diopter lenses for computing work probably uses a screen 2/3 meters away. If you are short-sighted, the diopter values should get smaller in magnitude; if you are long-sighted, the diopter value will get bigger.

    Add 2 diopters if your screen is 50 cm away.

    Add 1.5 if your screen is 67 cm away.

    Add 1 if your screen is 1m away (a bit far, but maybe you have a big monitor)

    Hot damn, that school physics is actually good for something! Too bad they had to black out the lab to show us, and we all fell asleep. Now, all I need is some frictionless pulleys and massless string...