Showing posts with label eyes. Show all posts
Showing posts with label eyes. Show all posts

Sunday, April 23, 2023

Days of Yore Post-Credits 2: Glasses

Some movies even have two post-credits scenes! I'm pretty sure this is the last "Days of Yore" post, but never say never! :-)

Back in January of this year, I shared my story about when I had retinitis pigmentosa, and it miraculously healed! I got my first glasses at that time, and it took a long time before I really enjoyed wearing them. Now I'm proud to be bespectacled, and wouldn't have it any other way! I wish more people understood how helpful and awesome they are. Many who need them don't realize it for various reasons, such as not knowing anything different, or their eyesight diminishing so gradually that they don't notice it. It's common for the newly-bespectacled to be shocked how much better they can see with their glasses. I've heard multiple people comment that they can suddenly see the leaves on the trees that they couldn't distinguish in the past. I was one of those who didn't know any different.

Image by bravissimos on Adobe Stock

The process of getting glasses has changed a bit over the course of my lifetime. When I was younger, the doctor had to put drops in my eyes to dilate them, in order to be able to look into my eyes easier. After the exam was done, I had to wear sunglasses for a while because they were sensitive to light while the dilation was wearing off. While people still do this sometimes, I much prefer the Optomap that they do now. You put your eye up to a fancy camera, and it takes pictures. I also like this because I can then see the inside of my eye on the computer screen as well. It's a more educational experience, as the ophthalmologist can point out parts of my eye, as well as indicate any issues. I find that fascinating, and I like to ask them to send me the pictures. (I call it my super extreme closeup.) The Optomap costs extra, but it's worth it for me, particularly because then I'm not super-sensitive to light for the next while. I've never particularly been a fan of the part of the exam where they puff a burst of air in the eye to test the pressure, though. While painless, it's a weird feeling.

In a different part of the office, you sit on a chair, cover one eye, and read from an eye chart on the wall. Then you do the same with the other eye. Then they pull out the phoropter. It looks like this, or some variation on it:

Image by ijeab on Adobe Stock

You look through the eye holes, which have panes of glass in them that the doctor can change. They look a bit like magnifying glasses in there. They then have you look at the eye chart and compare two thicknesses of glass... "Can you see better with 1...or 2? 1...or 2?" After going through these and trying different ones, they can tell your prescription. That part hasn't changed much at all in my experience.

There is of course more to the eye exam than that, but those are the highlights. This site has good descriptions and pictures of the common equipment, if you'd like to learn more.

Once that is done, they can give you a printout of your prescription, though you sometimes have to ask for it if you want it.

Then you get to select frames (I love this part). Once you've picked out your frames, the optician (in the front office) has you put them on and look straight forward, and marks the temporary lenses where the centers of your pupils are. This tells the pupillary distance (PD), which is important for the people adding the lenses. (If you order frames online, you need the PD, and you usually have to ask for it. There are other ways of measuring it if you aren't picking frames in the shop.)

I went into changing frame styles over my lifetime in my post about what the cool kids wore.

Anatomy of Glasses (some of these may seem obvious, but people may find this useful):

  • Lenses. These are the clear (or sometimes tinted) panes that have the prescription. The rest of the glasses are there to hold these in place in front of your eyes.
  • Frames. These go around the lenses to hold them in place. They are basically everything that is not lenses. They can be made of any number of materials, such as various metals (such as titanium) or plastic. The frames have several parts:
    • Rims. These are the part of the frames that go around the lenses. There are also half-rim (also called semi-rimless) glasses, which have a rim around the top and a fishing-line-type cord made of nylon around the bottom to give the illusion of no bottom rim. (Occasionally, mainly in some readers, this is switched and the rim is around the bottom and the fishing line on top.) They also have rimless glasses, which don't have rims, but they drill holes in the sides of the lenses to attach the rest of the frame.
    • Bridge. This is the bar (or sometimes bars) between the lenses that holds the sides together. It goes over the top of your nose.
    • Temples. Also called stems or arms, these are the two bars that go from the sides of your glasses back over the temples of your face, and rest over your ears.
    • Temple Tips. These are at the end of the temples to provide padding for the ears. They can be varying shapes, from straight back, to bent down a bit, to a half circle that wraps around the ears. (That latter one isn't very common any more in my observation.) If you wear headphones, I find it's best to have the ones that go straight back as there's less touching the ears that the headphones could squeeze.
    • Nosepads. These are small gizmos that provide padding for the nose. Depending on the material of the frames, they look different between frames.

Over the centuries, there have been multiple kinds of eyewear:

  • Monocle. This was a round frame with a lens that people could either hold over their eye, or scrunch their cheek and brow muscles to hold it in place. It only went over one eye.
  • Lorgnette. This was a pair of glasses without temples/stems that people had to hold over their eyes. It often had an extra bit to hold so you didn't have to get fingerprints on the lenses.
  • Pince-nez. Literally translated "pinch nose," this was similar to a lorgnette in that it didn't have temples, but you didn't have to hold it because it clamped to the nose.
  • Glasses. For lack of a better term, as most of these could be classified glasses, this is what we normally think of as glasses. They have temples so they can rest on the ears.
  • Bifocals and Progressive. Bifocals were invented by Benjamin Franklin and provided an option for both far vision and close-up vision in one lens. They had a line down the middle that marked sections. More recently, they have developed progressive lenses, which serve the same purpose, but eliminate the line. (I just got my first pair of progressive lenses a couple weeks ago. It is a bit of an adjustment, but not as bad as I was expecting. The biggest adjustment for me has been getting used to looking through the right part of the lens for what I'm doing.) Some people need trifocals, which add another level of complexity.
  • Reading Glasses. Also known as readers, these have magnification rather than prescriptions. They generally sell them in drugstores, and they can be helpful for people who don't necessarily need a prescription, but do need to have their text magnified a bit. They are only used for reading or other close-up stuff, as they don't work for distance.
  • Blue-light Glasses. These look like regular glasses, but have a film over the lenses to filter out harmful blue light from screens and other sources. (This includes computers, cell phones, tablets and more. I think many mistakenly think they're only for computer use.) This is a fairly recent development. Depending on the strength of the filter, it can look different from regular glasses, though. The strongest filter has an amber tint. The kind I prefer is clear, but has a bluish sheen if you look at it from certain angles. The past few years I have made sure my glasses have a blue light filter, but they are also available in non-prescription glasses, which I recommend even for people who don't normally wear glasses. They are most commonly worn when using screens, but as the biggest source of blue light is the sun, I think it's a good idea to wear them all the time, even if they are non-prescription (unless of course you have a blue light filter on your readers).
  • Sunglasses. Some people call these glasses, and while they are a kind of glasses, I don't feel they count. They are very useful, though, and I feel everyone should have a pair. For people who wear regular glasses, there are several options. There are some that attach magnetically to glasses. Some clip on the glasses. Some are larger and fit over glasses. Transitions lenses are clear when you are inside and turn dark when you go outside. (While I like the concept of Transitions, I wish they had a way of turning the sunglasses off when you want to take pictures outside and sunglasses seem odd.)
  • Smart Glasses. These have been developing in recent years and have various capabilities, depending on the brand. Some have earphones built into the temples and can play music. Some can take pictures. Some can count steps and do many of the things a cell phone can. There has been some controversy around these, and while I'm excited about the possibilities, I'm waiting for further development before getting some.
  • Contacts. These are small lenses that fit in the eyes. I'm not a fan of the idea of putting something in my eyes, but they do have some advantages. For me, it isn't worth the eyedrops, keeping track of them, the risk of them shifting back in the eyes (I've heard horror stories, though I don't think this is common), and more. But that's just my opinion.
  • LASIK. While not eyewear, this replaces eyewear. It is an operation where doctors use lasers to correct some vision problems. It doesn't work for everyone, and depending on your age and other factors, may or may not hold for long. For people who are good candidates, it works great. It is a bit expensive, though. In some cases, it is necessary to prevent blindness due to injuries.
  • Sports Glasses. These are specifically made for people who are into sports. They are more durable than normal glasses, and often have better padding. (Speaking from experience, I don't recommend wearing regular glasses while playing basketball, because the ball hitting them is a painful experience, but I think sports glasses take that kind of thing into account.)
  • Doggles. These are also a fairly new development, but now they have glasses specially designed for dogs with vision problems!
  • Safety Glasses. These are generally used for industrial work, and anything where you need to protect your eyes from being hit by flying objects. They also have versions that fit over regular glasses.
  • Goggles. These protect the eyes when diving, and for various other purposes.
  • I'm sure there have been others, but those are the ones that come to mind.
I have a theory that, especially with the development of blue-light glasses that come in prescription and non-prescription, everyone should wear them even if they have good vision. In the case of people with good vision, it can help preserve their vision longer by protecting from the harmful blue light. Some people object that they don't look good in glasses, but I have another theory that if you feel you don't look good, you just haven't found the right pair for you. Opticians can help with that, but it also depends on your tastes. There are also sometimes issues with discomfort in the nose and ears. Opticians can help with this too. 

If you order glasses online, it's important to know the size of your face, as well as your PD and prescription. Once they arrive, it's best to go into an optical shop to get them adjusted for your face. When selecting glasses, in the shop or online, you want to be sure they aren't too large (which could make it easy for them to fall off) or too small (which could cause them to squeeze your face and cause pain in the temples and possible headaches). If they become loose or askew, you can go into any optical shop, and they typically adjust them for free.

The size is often indicated on the interior of one of the temples (or occasionally on the back of the bridge). It also generally tells on the website when you are ordering online. For example, if the size numbers say 54-20-140, that means each lens is 54mm wide, the bridge is 20mm long, and the temples are 140mm long.

Personally, I've been a big fan of the Oakley brand in recent years. My new glasses are Nike, and they are just as great. I love how both brands cling to my face, and I don't need to push them up as often. Your optician can advise on other brands, but those are my recent preferences.

If you are looking for more information on glasses and eye health, I have found some great YouTube channels. Doctor Eye Health and That Glasses Guy are two of my favorites.

Monday, March 6, 2023

I Will Praise the Lord

In January I blogged about my childhood diagnosis of pigmentary degeneration of the retina, also known as retinitis pigmentosa, which doesn't have a cure. As I explained in that post, it was miraculously healed after people around the world prayed.

A few years ago, our pastor challenged us to write a poem or prose giving thanks to God for something. I didn't record the date, so I don't recall when exactly I wrote it, but this poem is the result. If it weren't for God's miracle, I would be blind today!

I will say, I recommend getting your eyes checked regularly, and taking precautions such as blue light filters. I didn't know before getting them checked that there was an issue, and I thought my peripheral vision, or lack thereof, was normal. I feel this world would be safer if everyone who needs glasses actually got them.

I like to call this my super extreme close-up.
It is the interior of my eyes, side by side,
with no sign of retinitis pigmentosa.
It's called an Optomap.


I will praise the Lord
For He has healed my eyes
My vision was leaving me
And His children prayed

I will praise the Lord
For my brothers and sisters who prayed
Their cries reached Heaven
And God heard and healed

I will praise the Lord
For giving me my sight
Right now I should be blind
But that was not God's will

I will praise the Lord
To Him I give all the glory,
All the praise and all the honor
I cannot thank Him enough for my vision!

Thursday, January 12, 2023

Pigmentary Degeneration of the Retina

My first grade teacher spoke with my parents. They were noticing that I was having trouble in class and wondered if I had trouble seeing. I didn't know any different, so didn't realize there was an issue. My face was nearly back to normal following the monkey attack earlier that year (though the monkey did just barely miss my eyes...that in itself was a miracle). So my parents took me to the ophthalmologist, who diagnosed me with pigmentary degeneration of the retina. (I was proud of myself for remembering what it was called at that age, as it is a mouthful.) More commonly known as retinitis pigmentosa, it is similar to its cousin macular degeneration, in which the vision slowly diminishes as the retina degenerates. The two conditions go in opposite directions. Where macular degeneration starts with the central vision and works outward, retinitis pigmentosa starts with the peripheral vision and works inward. Both conditions lead to blindness, and neither has a cure. My peripheral vision was starting to go, and the doctor predicted I would be blind by the time I was a teenager. I would never be able to drive. It's likely I was born with the condition. The news was devastating to my parents. They got multiple opinions, just to be sure, but everyone agreed. In October 1984, in first grade at the age of 6, I got my first glasses. The following day, we got our family picture:

I remember my first day going to school wearing glasses. I was embarrassed at first, and it would be years before I actually liked wearing them. With the humidity in the Philippines, where we lived at the time, we quickly discovered that my metal frames rusted due to sweat, so I would have plastic frames for the next few years. (I haven't heard of that happening in recent years, so I'm not sure if there have been developments in that area, or if it was just the pair I had.) As a fairly active kid, I also went through glasses. One memorable time was when we went to Expo '86 in Vancouver, BC, and they fell off and shattered. (Fortunately, I had another pair at the hotel, but I had to go the rest of the day without them until we got back to the hotel. After that we were much more careful to make sure the material they used for the lenses was shatter-proof. I also used straps and cords at times to hold them on my face.)

My parents only told my grandparents and some fellow missionaries about the diagnosis. Unbeknownst to us, my grandparents shared it at a national conference for our mission organization with delegates from around the US and around the world. In short order, people around the world were praying for me.

After second grade, we returned to the US in the summer of 1986. We did this every few years for a year at a time to visit our supporting churches and update them on our ministry, as well as to have time with family. There was a lot of travel involved. While in the US, we went to the foremost expert on retinitis pigmentosa west of the Mississippi. He examined my eyes and found no sign of it!

Retinitis pigmentosa has no cure. It leads to blindness. My vision was going starting from the peripheral vision, and had it progressed normally, I would eventually have had tunnel vision, and then it would be gone. I was forecast to be completely blind by the time I was a teenager, and I would definitely never be able to drive. My RP was completely healed! I love telling ophthalmologists that it healed, as that's something it doesn't do. The retinas don't just grow back, but mine did! I got my driver's license when I was 24 - delayed not because of my eyes, but due to slow reflexes as a child. I still wear glasses, but it is due to astigmatism (the corneas are slightly misshapen, which distorts the vision a bit), a condition I much prefer to blindness. They are mild, and one doctor a few years ago told me I could legally drive without them, though it's better to be wearing them. A more recent eye exam revealed 20/20 vision in one eye (I forget what the other eye was, but it wasn't quite as good). Following is my Optomap of both eyes side by side from a few years ago. (Optomap is a picture of the back of the eye, which presents an alternative to having to dilate the eyes, and you get to see a cool picture afterwards. I find it fascinating.) It shows no sign of RP. The doctor showed me Optomaps of patients with RP, and they showed holes in the retinas. None here.


This was the most dramatic miracle I have experienced, and it has made me super thankful that I can see. By all accounts I should be blind, but I can see! God's healing is mindblowing. It has reinforced the amazing power of prayer. It has also given me a passion for things related to vision. I am thankful for my glasses, and I have done research in recent years to figure out ways of raising awareness of the benefits of them. They don't heal anything, but they can be a big help with seeing things, reading, driving and more. With blue light blockers gaining popularity in the past few years, they can also help to keep (or minimize) harmful kinds of light from causing damage to the eyes. I definitely recommend getting regular checkups, as vision trouble can be subtle, and people often don't realize they need glasses and are surprised how much better they can see once they get them. I feel if everyone who needs glasses actually got and wore them, the world would be a safer place. They sometimes have a bit of a stigma, and I feel they're actually something to be proud of. I want to do what I can to remove the stigma.