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Posted by u/jbornhorst 6 months ago
Ask HN: Do your eyes bug you even though your prescription is "correct"?
I’m digging into an idea around eyeglasses, screen-time, and vision discomfort. If you wear prescription glasses but still get headaches, eye strain, or blurry vision after long screen days, I’d love to chat briefly (20–30 min).

Pure research, zero selling.

Interested? Drop a comment below or email me directly at jbornhorst [at] gmail.com. I’ll coordinate a convenient time to talk.

jasode · 6 months ago
The solution for me to eliminate headaches when working at computer screens was getting an extra set of intermediate distance glasses specifically for computer work. The "computer screen distance" of 3 ft is in between book-reading distance of 1 feet and driving distance 20'+ feet. I also avoid progressive lenses or high-index lenses for computer work. I commented about how arrived at this solution previously: https://news.ycombinator.com/item?id=15375221

Reading glasses work fine when the screen is very close to your face such as a laptop screen. However if it's a separate monitor that's ~30 inches away, reading glasses are slightly blurry which can lead to eyestrain and headaches.

https://www.warbyparker.com/learn/wp-content/uploads/2023/04...

Look into it if you suspect it's a contributor to headaches: https://www.google.com/search?q=computer+glasses+%22intermed...

kps · 6 months ago
> I also avoid […] high-index lenses for computer work.

Yes! You're the first to mention this.

It's not refractive index itself that's the problem, it's dispersion (roughly, the degree to which refractive index varies across the visual spectrum, described by ‘Abbe number’). We've all seen pictures of a prism splitting a beam of white light into a rainbow — for visual purposes, the less split the better.

Higher-index materials tend to have poorer dispersion, but especially in the mid-range 1.6ish, there are wide variations in quality at the same index. Glass tends to be best, if your prescription is light enough that you can handle the weight. Polycarbonate and acrylic are awful. MR-8 is in the middle, and what I've settled on for recent computer glasses.

globnomulous · 6 months ago
Hear, hear!

Here's a good way to test your glass's refraction index. On your desktop find a small red icon with something white in the center. Stare directly at it. Now turn your head until the icon is at the edge of your vision. If your lenses are cheap polycarbonate, the white part of the icon will appear to move towards the edge of the icon or even out of it.

Most non-cheapo glasses today in the US use Trivex. It's a polymer, not glass, but its Abbe number is 43, which is perfectly adequate.

Crown glass, with its Abbe number of 59, is superior, but the eyeball can discern differences only up to 45-50, so most of Crown glass's improvement over Trivex is imperceptible.

This is partly why it's not offered in glasses (again, in the US, at least according to my optometrist). It is also twice as heavy, shatters (polymers like Trivex don't), and scratches more easily.

corysama · 6 months ago
A fun fact I learned recently, after years of casually skimming color science, is that our eyes cannot focus the entire visual spectrum at once.

That’s why our cone response to the spectrum looks like https://en.m.wikipedia.org/wiki/Cone_cell#/media/File%3ACone... instead of having cleanly segregated red vs. green responses. If it was segregated, we could only focus on red or green but not both. By having a heavy overlap, we can get a sharp focus on yellow. And, the visual system makes the full spectrum work by deriving the red vs. green concepts from the difference between the two cone responses. Blue focus is accepted as a necessary sacrifice.

fy20 · 6 months ago
A few years ago an optician convinced me to get some fancy 1.67 index lenses, but I couldn't deal with the chromatic abrasion. The text at the peripheral parts of my monitor were clearly split into their RGB components. For frontend work it was impossible, as I couldn't tell if something was not aligned or it was just the chromatic abrasion.

Now I always go for the thickest lenses (which are also usually the cheapest) for this reason. My prescription is -3.75, and there isn't any noticeable difference with thinner lenses.

roncesvalles · 6 months ago
It's not just about the material. It's also about how the lens is made. For me, choosing "freeform" over "aspheric" was night and day.
TylerE · 6 months ago
One problem I have (well, one of many these days, including some double vision, sigh) is that I'm very far sighted in one eye, and near sighted in the other, so one lens is barely anything, and the other is a coke bottle.
dnh44 · 6 months ago
You could also try Trivex instead of MR-8. Lens thickness should be similar but it has a higher ABBE value.
cableshaft · 6 months ago
I do the same. In fact I usually just wear the intermediate distance glasses all the time around the house, and only switch to my primary glasses when I leave the house. Considering I work from home that can mean that I wear my intermediate glasses almost all day long most days.

That almost seems to reduce eyestrain as well, at least for me, as they're still good enough to see everything (I can't read text across the room but I can halfway across the room), just not without some light blur on things, and I seem to have trained my brain to stop trying to focus on things, just let it stay in the blur (at least while I have my intermediate glasses on), and that seems to relax my eyes more.

But the intermediate glasses are super clear for when I'm on the computer, which is a good chunk of the day and where I really need to see nice and sharp, as I'm manipulating things with pixel precision at times (game ui, web ui, board game graphic design).

raffraffraff · 6 months ago
I have a very weird situation where my right eye was fine but my left, for reasons unknown, has a thicker lens. This can be happen with cataracts but I'm just under 50 and have zero clouding. The eye doctor said it's not myopia in the "usual" sense but the end result is the same: myopia prescription lens.

Thing is, I ignored it for about 10 years and my brain simply ignored whatever signal was coming from that eye. I'd look at things and see no blurring unless I closed my right eye. However, at a certain crossover distance my brain "switches over" because my left eye has amazing close vision and my right eye doesn't. I can actually feel it when this happens, like a physical sensation. No headaches, but it is "odd".

Anyway, I decided to get glasses, and it turns out I need two different prescriptions. One is close up (not longsightedness, it is still a myopia lens). The other is for 1m-∞

accountcreated2 · 6 months ago
A myopic prescription can actually be good for seeing things close up but not in the distance- explains why you’re able to see close up with that eye OK
darrylb42 · 6 months ago
This worked for me as well. I just asked the eye doctor for something that would work just past my out stretched finger tips which is where my monitor lives.

What kills me is going into the office where I am switching between glasses. Different rooms with different Zoom screens. At home is much nicer where I just have one big monitor to watch.

I take my glasses off to read my phone most of the time. Technically my primary glasses are progressives but it is nicer to take them off.

UncleOxidant · 6 months ago
> I take my glasses off to read my phone most of the time. Technically my primary glasses are progressives but it is nicer to take them off.

Same. I wear progressive lenses and I feel like they do fine as far as being able to read the text on my phone or for reading a book. But I tend to take off my glasses anyway to do these things. I'm not entirely sure why this is since I seem to be able to read the text fine with the glasses. My hypothesis is that I like being closer to the text so that it fills up more of my visual field which helps me mentally focus on the text better.

jen729w · 6 months ago
I only need a basic 1.0 reading prescription but I have about 5 pairs of glasses. I'm hyper-sensitive to even the slightest deviation in prescription.

Currently wearing, to look at arms-length monitor screen, add +1.0. Will move out to the porch to read and switch to add +1.5. Will come back to cook and switch to my basic prescription.

I must put on and take off 300 pairs of glasses a day. But I don't care. I can't do anything else.

jbornhorst · 6 months ago
I’d love to speak with you - your experience is right in my target zone to research. If interested ping me at jbornhorst [at] gmail.com
Vivtek · 6 months ago
Same - the funny thing is that right now my 3-foot prescription is zero (plus a bunch of astigmatic correction). Apparently my mortal frame has accepted its purpose.
crazygringo · 6 months ago
I'm in a similar boat.

I'm nearsighted and don't need glasses to see my computer screen clearly at all. But nevertheless I started getting headaches from eye strain.

Went to the optometrist, got a pair of glasses just to reduce eye strain at screen distance. Zero difference in sharpness, but I can work all day long with zero eye fatigue.

ddmf · 6 months ago
I got a pair of these just before Christmas and they've really helped - I tried "occupational lenses" which are a strange bifocal with a central focus of 3ft and then outwards it changes to the reading prescription, did not work with how I use the display in that my head is usually fixed and I move my eyes.

The intermediate distance lenses are great and my headaches have vastly reduced - because they were specific for VDU, my work paid for a portion of them.

QuantumGood · 6 months ago
I use a 60" TV and get farther from it. Stopped needing glasses.
Marsymars · 6 months ago
I don't wear glasses (yet) but came to this thread to ask what effect this would have. (I do a good chunk of my computing on a 65" display at 2m.)
jwr · 6 months ago
Same here: my reading glasses are great for reading, but when I work with computers, my screen is halfway between wrist and knuckles on an extended arm. That's too far for reading glasses. So I got a set of intermediates and things are great. I use them for working with a screen or a laptop, while I use the reading glasses for reading, soldering and other work where the objects I'm looking at are within 40cm of my eyes.
creer · 6 months ago
I use different corrections for laptop at about 18-28" and reading in an armchair at 15-23" -ish. It's really not a big difference in distance!! - and still very noticeable.

It's not for avoiding outright headaches (I don't get vision headaches) but it's clearly more comfortable. It's quite possible that what's pleasant is in part the change of pace - but it is also better adapted for sharpness.

KurSix · 6 months ago
That makes a lot of sense. I've heard of people using computer-specific prescriptions, but I never really thought about how much difference that intermediate distance can make. I wonder how many cases of "mystery" eye strain are just from using the wrong focal range all day
Suppafly · 6 months ago
>The solution for me to eliminate headaches when working at computer screens was getting an extra set of intermediate distance glasses specifically for computer work.

My wife is getting bifocals for basically this same reason.

nixonpjoshua · 6 months ago
I can second this, after getting PRK I ended up slightly farsighted after being majorly nearsighted, I did a intermediate pupillary distance between my distance PD and near PD and its great for how I use a computer which is 99% of reading I do.
Projectiboga · 6 months ago
How do you do with driving and seeing smaller things on your automobile dashboard? I'm up around 7 diopters nearsighted so maybe it depends on the range of needed focusing.
tiahura · 6 months ago
What sort of prescription is right for Oculus?
bartman · 6 months ago
You can get specific insets for the headsets from places like VR Optician. I’ve had some made with my normal prescription and they work perfectly. The people running VR Optician are actual opticians so you can also ask them if any correction factor would be needed for your particular situation.
pier25 · 6 months ago
> book-reading distance of 1 feet

12 inches?

that's way too close

fn-mote · 6 months ago
Can’t find the message you’re replying to but I think you’re imagining the person sitting up.

Imagine them lying down or propped up on their elbows with the book on the floor. Then that distance seems about right.

bmurphy1976 · 6 months ago
Yes, I'm very nearsighted. I've worn progressive lenses for years but they continue to drive me crazy. I can see fine with them, but my eyes easily get fatigued and I have to take long breaks to get them to calm down.

Over the summer I added a pair of progressive occupational lenses (not reading glasses). They are focused arms length in front of me. This has been a complete game changer. I can now see my monitor crisply, clearly, and easily in a way that I haven't seen it in a decade.

When I swap back and forth between my regular lenses and my occupational lenses, the difference is stark. With my regular lenses there's a part of the screen that's about a half dollar coin in size that's clear and in focus. The rest of the screen is every so slightly blurry. I have to move my head to constantly adjust the focal point, or move my eyes and struggle to focus.

When I switch to my occupational lenses, the entire screen is clear. I don't have to move my head. I don't have to fight to focus. Where I look, it's crisp.

No wonder I was struggling! I was fighting to focus all day long. I suffer from almost no eye fatigue now. If my eyes are tired, it's usually because I'm tired and it's been a long day.

The downside is I now have to juggle two pairs of glasses instead of one, but that's oh so totally been worth it. I'm not going back.

dinfinity · 6 months ago
Unsure if this will work for your case, but I am _very_ happy with my implanted contact lenses. They sit behind my iris and optically function as normal contact lenses. No hassle, just a straight up body upgrade.

See https://en.wikipedia.org/wiki/Intraocular_lens

I was very surprised that this is not a more common thing to hear about amongst people with bad eyesight. Laser correction sucks in comparison, with more risks of complications, generally worse vision outcomes, longer recovery, etc. The lens implantation process is even undoable and as safe as cataract surgery which has been done since the 1970s.

bmurphy1976 · 6 months ago
Honestly, I'm absolutely terrified of doing anything that might damage my eyesight. I know the common procedures (i.e. Lasik) have come a long way in the last two decades and are very low risk, but they are not zero risk. I won't even wear contact lenses, I long ago fully committed to glasses. That type of procedure doesn't fit my risk tolerance.
dmpayton · 6 months ago
In my case, I've had multiple ophthalmologists recommend against getting IOLs until I'm much, much older, as the risk of side affects (specifically retinal detachment) outweighs the benefit I would get from having them.

I still dream of being able to see first thing when I wake up.

rypskar · 6 months ago
I did the same more than 10 years ago, still perfect vision. It did take around 15 minutes for each eye, with 2 weeks between and 10-15 minutes recovery time
theogravity · 6 months ago
Same, I have occupational lenses that are also focused to arms length, and it has made a huge difference for me as well when using it for reading things on my computer screens. It makes reading small text easier and feels crisp.

Using it outside of its intended distance will cause eye strain since your eyes won't be able to focus properly.

My provider calls them "computer glasses". It does not have blue light filtering as I do work with implementing web designs and color accuracy does matter to me.

I totally recommend computer glasses for anyone who works all day looking at a computer screen.

They would be a separate prescription / lens type (as in not progressive I think) compared to daily use glasses. I do have to swap to my daily use when not using my computer glasses outside of sitting and looking at a monitor.

Using my daily use for computer monitor reading doesn't feel "right" compared to my computer glasses. There is a clear difference between them.

bmurphy1976 · 6 months ago
>Using it outside of its intended distance will cause eye strain since your eyes won't be able to focus properly.

Mine are more useful that I anticipated when I'm not using them for work. I would advise against anybody driving with the wrong pair of glasses, but I can see significantly better with my occupational lenses than without. I would not trust them at night, but during the day I can see well enough I am not concerned about my driving. I don't intend to drive with them, but there has been the occasion here or there when I had to run somewhere quickly and forgot to swap my glasses.

It also helps that mine are progressives, so the very very top part of the lens is my "regular" prescription. I can use that to focus on something at a distance if necessary.

>They would be a separate prescription / lens type (as in not progressive I think) compared to daily use glasses. I do have to swap to my daily use when not using my computer glasses outside of sitting and looking at a monitor.

Like I mentioned above, mine are both occupational and progressive. I'd like to try non-progressive occupational lenses to see if I like them better, but I'm not convinced it would be worth the money.

cableshaft · 6 months ago
> Using it outside of its intended distance will cause eye strain since your eyes won't be able to focus properly.

I don't find that at all, personally. I wear my computer glasses almost all the time in the house and just let myself not try to focus on things. If anything it seems to be better than my normal distance lenses for eye strain, for me, because my eyes do try to focus with my normal lenses since it's supposed to be perfectly clear, where I know there's a good reason they're not in focus when I'm not wearing them.

My distance glasses have progressive lenses, which may be part of that, as there's different strength depending on where you're looking at in the glasses. I've been tempted to remove progressive lenses from my next pair, as I tend to take them off to read anyway, and then I'd get a flat prescription like I have on my computer lenses.

mdnahas · 6 months ago
Me too. My progressive lenses give me eye strain and it is much worse at the computer. I have non-progressive lens for work and they’re much more comfortable. (Especially with my large monitor.)
jbornhorst · 6 months ago
Would love to speak with you for 20 mins to learn from your experience. If interested, ping me at jbornhorst [at] gmail [dot] com and I'll coordinate times.
onurtag · 6 months ago
> With my regular lenses there's a part of the screen that's about a half dollar coin in size that's clear and in focus. The rest of the screen is every so slightly blurry.

I have two glasses that have lenses with a similar prescription. The older one has some basic lenses and anything outside the center gets gradually less clear towards the edges. The newer one has aspherical lenses and even the areas near the edges are quite clear. It wasn't expensive either. The best lens I have used was probably a zeiss one but I'm guessing the full featured zeiss is probably quite expensive.

bmurphy1976 · 6 months ago
Look at the image in this article, it shows very clearly why my occupational lenses work so much better than my standard progressives:

https://www.presbyopiaphysician.com/issues/2024/march/the-un...

walterbell · 6 months ago
> now have to juggle two pairs of glasses instead of one

This can be mitigated with custom magnetic clip lenses, e.g. Chemistrie. Tiny magnets are implanted into your current frame. Clip lens changes the focal length of your existing glasses by a fixed offset. Computer or reading clip can be changed in seconds. They also have polarized clips for instant sunglasses on your existing frame, which are better than Transitions/photochromic because they work while driving and are instant on/off.

bmurphy1976 · 6 months ago
It's an interesting approach. I used clip on sun glasses for years, but you still have the problem of having to juggle the clips and while they are smaller and easier to carry they are also far more fragile and easier to lose. I'm not sure they would provide any benefit over what I have now but it's good to know there are options!
jbornhorst · 6 months ago
oh these are super interesting - i've never seen magnets in the len's before. thanks for sharing.
convolvatron · 6 months ago
this totally works. I also had a someone add in prism, which really did help fatigue. but for reasons I ended up using the occupational almost all the time, and ended up really screwing with my ability to use perspective to gauge distance. now I'm really poor at judging the sizes of things and I used to be able to tell you at half a meter if it was a 10-32 or a 5mm screw
walterbell · 6 months ago
The brain and visual perception system are incredibly adaptable, even to incorrect prescriptions. Some unwanted adaptions can be reversed by slowly changing any problematic parameters, like (un)training wheels. This would have been inordinately expensive before the era of self-service online glasses.
jbornhorst · 6 months ago
Hey, thanks for replying! I’d love to chat briefly. Can you shoot me a quick email at jbornhorst [at] gmail [dot] com so we can coordinate?
KurSix · 6 months ago
Do you find yourself swapping glasses a lot throughout the day, or do you mostly stick with the occupational ones when working?
bmurphy1976 · 6 months ago
I wear my occupational lenses 100% while working at my computer/laptop or doing some up close and small fiddly work (i.e. soldering a circuit board). I wear my regular glasses otherwise, but find myself frequently taking them off to focus on things close to me (i.e. if I want to read something really quick or use my phone for more than a quick glance).
ben_sisko · 6 months ago
Before I got my first pair of progressives lenses I saw a lot of conflicting anecdotal accounts. After doing research, the conclusion I came to was simple: I got the very best progressive lens that Lens Crafters sells because the best lens has a much larger intermediate “corridor” size than less expensive progressive lenses. I have had zero issues with my progressive lenses. I forget I even “have” progressive lenses at all!

By asking to talk to only those who have problems, you could be self selecting for a population who may not help you actually solve your problem, even if they mean well.

This is just my experience of course. When I did my initial research, I asked a question on Blind about progressive lenses. Lots of people said they have progressive lenses and they have zero problems.

If I was forced to guess, I would say that some (or maybe even all) of these folks who start talking about the computer glasses……it makes me wonder if they simply under-bought their lenses. Yes glasses are expensive. Getting a better lens will cost more. Yes yes, the Luxotica this and that. I don’t care about any of that crap. All I care about is getting the best lens possible and so should you!

Do what I mean!

jasperry · 6 months ago
I thought similarly and went with the most expensive lenses with the largest "corridor" for my first pair of progressives. They're great for up close and distance, but for me so far, the middle distance region for screens is a sham. There's almost no spot where the monitor is both clear and non-straining, and the tiniest shift of my head causes warping or blurring. I've had them redone but it didn't solve the fundamental problem.

Maybe my astigmatism correction is causing problems, though it's a small correction. Do you have any astigmatism in your prescription?

wvenable · 6 months ago
I'm not the person you replied to but the solution, in my opinion, is computer vision lenses. I have progressive lenses and, at my current prescription, I really can't use my computer well with them. It's basically a necessity to use my computer glasses now.

What's great with this lenses for computer use is that anything from screen to close up is clear so they're great for hobby work, etc.

BugsJustFindMe · 6 months ago
> If I was forced to guess, I would say that some (or maybe even all) of these folks who start talking about the computer glasses

Not all, because I'm one of them and I think progressive lenses are dumb and won't buy them, but I will buy top of the line distance correction and get it checked to make sure it's correct and then get top of the line computer glasses and make sure that they're correct too. I will get transition lenses though. Those are pretty great (except in a car I guess).

I don't need glasses that sacrifice fov for distance and also for my computer when I can just keep the right glasses with my computer.

mauvehaus · 6 months ago
I'm not sure I'm entirely on board with the idea that we've got optometry down to the point where anyone can claim to have arrived at the correct prescription without the wearer having tried a bunch and finding what works in reality. Having worn glasses for over 75% of my 40-ish year life, I've come to the conclusion that optometry is as much art as it is science. I think every time I've gone to a new optometrist, I've been told something along the lines of "wow, your old prescription is way off" and ended up with a half diopter or more change.

I don't sit at a screen much these days, but for a while when I did, I had a computer prescription pair that I swapped on every day when I sat down at my desk, and swapped off when I went to leave. The distance vision with it was good enough to walk around the office or down the road to lunch, but not good enough to drive to and from the office.

After moving and getting a new optometrist, I got a different main prescription, and was told to try wearing them at the computer instead of swapping. Lo and behold, they worked without causing headaches, which is why I ended up with a computer pair previously.

For all of the time I've been in glasses, I've read books without them.

I'm probably not interesting to talk to, because I'm no longer in front of a computer when I can avoid it and I'm in my 40's so I'm staring down (pun intended) some vision changes in the near future anyway.

Minus 2 or 3 in both eyes with a cylindrical correction as well.

jfengel · 6 months ago
I recently made an optometrist appointment, and was surprised to discover that I could do virtual appointments. And they were a lot easier to get.

I'm skeptical that that can work. I suppose you can administer a basic eye test and get a close-enough prescription, but this is really important and I want to get it exactly right.

I kinda wish I could give it a try, just to see what they can manage to do without all of the tools that an optometrist would apply. But I've got some concerns (which is why I made the appointment) and I'd rather have somebody look closely.

bluGill · 6 months ago
Getting your correct prescription is easy. They have had machines that do that for 30 years. The optometrist might tweak that a little, but the machine is good enough.

What you also need though is someone to look into your eye and machines still don't do everything an optometrist does there. (though there are other machines that do things your optometrist cannot)

GianFabien · 6 months ago
There is no way that some computer or smartphone app can replace optometrist equipment. I have different prescriptions for reading glasses and occupational glasses, the distance difference is about 20" and it does call for different lens.

Furthermore an assessment by an optometrist should also check for glaucoma and macular issues.

jbornhorst · 6 months ago
I’d still love to chat for 20 mins if you’re up for it. Want to better understand your frustration with the typical optometry process. I’m at jbornhorst [at] gmail.com.
01100011 · 6 months ago
About 15 years ago or so I was part of a study for Zeiss wavefront lenses. They used some sort of interferometer to map my vision and generated a set of aspherical lenses based on that. They were absolutely the best pair of glasses I ever owned hands down. No chromatic aberration. Absolutely crystal clear vision. Granted, this was before presbyopia set in. As far as I could tell, they never really rolled out the system for anything but progressive lenses. It's a shame.

Anyway, I've been fighting progressives for about 5 years now. I have 2 pairs that I got a couple years apart but could never bring myself to wear them. Like some others have said, I much prefer having a pair of medium distance computer lenses. They end up being the glasses I wear when I'm at home even when I'm not in front of the computer. I now have to lift them up to see up close, but that's a reasonable compromise to wearing progressives.

I really want to find an optometrist who uses some alternative to the old phoropter system. My prescription is currently a bit "off" and I swear it's because the phoropter system is fundamentally flawed. My eyes adjust and adapt during the test, causing me to misreport the optimal setting. There just isn't enough time in a typical appointment to detect eyestrain or other issues with a particular prescription.

chiph · 6 months ago
The problem as I see it is that the diopter system only has a limited number of different profiles. So if you fall in between a diopter (need more than a 2.5 but less than a 2.75, say) the lenses won't be perfect and you'll have eyestrain.

Presbyopia hit me about 10 years ago. Some people I know use all-day contacts for distance vision then wear glasses on top for computer use and reading. I'm considering it.

bartman · 6 months ago
Zeiss i.Scription, linked in a sibling thread, solves the coarse diopter scale as well.
TylerE · 6 months ago
Yes. Another huge problem is that, at least for me, my mind switches into "compeitive" mode and I start squinting, etc.
walterbell · 6 months ago
Zeiss i.Scription seems to be their single-vision wavefront lens, https://www.zeiss.com/vision-care/us/eye-care-professionals/...

$10K MSRP for the optician's profiling equipment, https://navaophthalmic.com/product/i-profiler-plus/

jbornhorst · 6 months ago
I tried this recently and it’s the real-deal. Really neat to see a Rx written in .01 Diopter accuracy. Haven’t tried the Zeiss lens yet that takes advantage of the resolution info, but plan to. You can find providers with inscription on the the Zeiss website.
jbornhorst · 6 months ago
I’d love to speak with you - would like to learn more about your phoropter comment, and any steps you’ve taken to mitigate. I’m at jbornhorst [at] gmail.com if you have 20 mins to spare.
thastings · 6 months ago
Since it hasn't been mentioned yet, I must add this: when we work and focus, especially when using digital screens, we tend to blink a lot less frequently. If tear composition is not good or there are other exacerbating factors (e.g. an AC with high flow), the break-up of the tear film can easily lead to eyestrain and even blurry vision. In such situations, preservative-free artificial tear drops 3-5x a day can lead to pretty good results. In some cases, one needs to try a few, each for a week or two, before finding the correct one. Pro tip: any eye drop can cause discomfort for a few seconds, especially if the dry eye symptoms have persisted for a long time.

Further reading: https://eyewiki.org/Dry_Eye_Syndrome

jaggederest · 6 months ago
There's an interesting new treatment, Miebo in the US, Evotears in other areas. It's basically a tear film reinforcer (pure PFAS!)

https://en.wikipedia.org/wiki/Perfluorohexyloctane

It's really eerie how moist it makes your eyes feel after even a few uses. I have definite reservations about instilling megadoses of PFAS directly into my eyes but there's no doubt that it is amazingly effective.

thastings · 6 months ago
Thanks for this! Haven't heard of this agent yet, but it really seems promising.
convolvatron · 6 months ago
just a +1 here. I thought I had serious eye fatigue and focus problems. screwed around with various prescriptions. changed optometrists twice. went to an opthamoloist, and she just said..wow, yours eyes are really dry, use these drops. helped immensely
LexGray · 6 months ago
I asked by eye doctor why there was so much mucus around my eyes and after she dumped in a little dye she noted my eyes were almost like sandpaper from not blinking enough.

This seems like something that could have a technical solution beyond just putting liquid in your eyes. I am wary as liquids are sometimes contaminated with bacteria or other substances. Perhaps screens or headbands that trigger blink reactions.

jbornhorst · 6 months ago
+1. Something interesting I’ve learned - there can sometimes be a .25 - 1 Diopter difference in the Rx depending on one’s tear film. (Which intuitively makes sense - it’s the surface of the focusing lens, essentially). PF free eye drops have been very helpful for me.
walterbell · 6 months ago
Yawning helps with tear production.
stevebmark · 6 months ago
I don’t know what your intentions or hypothesis are, but this is a dangerous place to be a novice in. Eye health is misunderstood and most people are ignorant of the basics. If you don’t know what emmetropization is, if you don’t know who Bates is, and if you don’t know why Bates is a quack, then I strongly discourage you from experimenting with user surveys.
augusto-moura · 6 months ago
I mean, what are the risks of the surveys? I don't think it will be dangerous to survey people without the full knowledge. Better to be curious about it than do nothing. Discouraging low risk research just for being pendantic sounds a like toxic gatekeeping.
serial_dev · 6 months ago
It really is just unnecessary and arrogant gate keeping.

OP for now just wants to talk to people, I assume to understand their issues, what they tried, what makes it better and what makes it worse for them. Talking to people volunteering for a call is not dangerous.

For all we know, OP will not see any pattern that fits their hypothesis and leaves it at that.

femto · 6 months ago
Get checked for keratosis? Prescription lenses make certain assumption about the shape of your eye. Keratosis means your eye is a slightly wonky shape and doesn't fit the "spherical with cylindrical astigmatism" model, so a lens won't correct your vision properly.

Does the problem persist with contact lenses? Soft contact lenses can do a better job of correcting vision for someone with keratosis, as they conform to the wonky surface of the cornea.

Edit: Just realised you're probably doing market research rather than asking for yourself. Either way, people with keratosis, who don't fit into the box, might be something to consider.

jimbobimbo · 6 months ago
This, but also look into the rigid lenses. Was a game changer for me.