20/what?

[cellio]

The results of my distance-vision test this morning were a little better than normal. In fact, my weaker eye scored its best ever. (We only got the "denominator" into double digits in the last year...) I commented on this and my ophthamologist said it might be partially due to her newer equipment: the contrast is better on the new LCD "eye chart" than it was on the old projection chart, which in turn gives better readings than the posters of yore. (Personally, I think my gadget-assisted glasses prescription helps, particularly in the weaker eye.)

Measured visual acuity depends on the equipment. What it also depends on (based on my own observation) is operator variation. Your vision score includes a judgement call by the person administering the test. Whether you get an extra point can depend on how quickly or how certainly you read a letter. When you say "um, I think it's an F -- no, wait, it's a P", what happens to your score is not well-defined.

This doesn't really matter for an individual patient with a consistent doctor (presumably what the test was designed for); what matters is not so much your raw score but whether and how it changes from year to year. But when that score is used for other purposes, like deciding who can drive and who can fly a plane, it gives me pause. According to today's eye test, if both of my eyes were as bad as my weaker one I would still be allowed to drive (albeit only during daylight). Yikes.

Comments

[byronhaverford.livejournal.com]

I'm struck by the fact that your eyesight is improving. (Even if some of it is artifactual, I get the sense that some of it is real.)

About a year ago, my vision took a sudden turn. I started getting the familiar headaches and optical migraines that first heralded my need for glasses. I went to an ophthamologist who told me that my vision was half a diopter better in each eye than what my glasses would predict. I have yet to hear a satisfying explanation. The best theory seems to be that this is a temporary improvement on the road to bifocals, but that's depressing so I grant it no credence.

[cellio]

It's hard to tell what's real. Technology has allowed me to get a more accurate glasses prescription, which certainly makes a difference. (One eye especially, but it happens to both, gets jumpy if staring at something with the other one closed/obscured. That makes extended sessions of "which is better, A or B?" challenging and ineffective. I also seem to require more time to focus when doing that than the technician wants to give me. But now, due to the wonders of technology, I can stare into a gadget and it'll do the first 90% of the work. Woot.)

In the last year or two my ophthamologist has changed my glaucoma medicines around a little, dropping one that had a side effect of causing my pupils to contract more than usual. I'm already light-sensitive so that change seemed unfortunate to me, but maybe it's letting more good light in indoors, even if I have to wear sunglasses more often outdoors.

Are my eyes getting better or holding steady while benefitting from technology and medical advances? Darned if I know. If they're not getting worse, that alone is a win. I am having trouble with floaters (still), but my optic nerves got a "beautiful!" so that's good. I've been wearing bifocals since I was a child, so I guess I'm spared the road to that at the more typical time. :-) (Don't worry; they aren't that bad.)

I went to an ophthamologist who told me that my vision was half a diopter better in each eye than what my glasses would predict. I have yet to hear a satisfying explanation.

That's interesting. Short of speculating about the quality of the glasses (but, then, why wouldn't you have had problems earlier?), I have no guess either. But hey, sounds like a win!

[multislackerkim.livejournal.com]

My Mom got glasses in third grade when she had to sit too close to the TV to see it (her last name started with a B, so it didn't come up sooner in the classroom). Her vision improved gradually over time so that a couple years ago (early 60s maybe?), she actually didn't need to wear glasses. (She did anyway.)

[cellio]

Cool! So there's hope for me yet. :-) (Yeah, ok, that's ambitious...)