@Eve Did your friend ever make progress?
I agree with this sentiment.
L +0.50 -2.25
R +0.75 -2.25
There’s 2 working definitions of hyperopia. One is farsightedness, + lens user. The other is “weak accomodative muscles” which gives this wide range from strongest axis being “-2.25” and “weakest” axis being +.75. So even though the spherical equivalent here indicates that the glasses is myopic. The nature of this prescription indicates that the doctor wanted to give the person a prescription from +.75 to -2.25. She’s a near-sighted hyperopic. And the spherical equivalent would be -2.25/2 + .75 = -.375
So, generally our advice for myopic people is to relax. Oppositely,
For someone with this type of hyperopia. As long as there isn’t something fundamentally wrong with their muscles, they can also reduce their prescription .25 at a time. Astigmatism exercises are valuable (see jake’s latest podcast w/ Andie.) And, most importantly is for them to focus on detail. Honing into how things look to work on their focusing muscles. And at some point as you increasingly decrease the gap this person will go from being hyperopic, to being myopic with low -SPH and comparatively high -CYL
So like for the R eye,
0 -1.75 (note, Some places don’t give 0 SPH)
There’s some therapy for this type of stuff that could quickly speed up the gains at a much faster rate than .25 at a time but finding a worthwhile and not too expensive place is difficult.
Alternatively though, the person can just focus on reducing their astigmatism per reduction. This path should have the least amount of overall reductions needed to 0. But the previous path has the least amount of overall reductions in reducing the gap between SPH and CYL. Not sure which path is better, since we don’t get a lot of hyperopic people. My gut instinct is that the below path is better than the above path.
… Until the SPH equivalent is 0
And at this point the person can continue reducing .25 at a time, alternating between CYL and SPH or some other method of your choosing. They can possibly even go bare at this point but a 2.25 diopter gap is still huge