ALERT : This is a long read.
This is my first post and wish to create a log of progress, learn from the people here and their experiences. For me the EM journey is not only for me but for my daughter as well (8.5 yrs).
I have been wearing glasses for the longest of time (25+ yrs) and my power before i knew of EM was:
RE: -2.5, -0.25 cyl Axis 90
LE : -3.00, -0.25 cyl, Axis 90
I believe the above was overcorrected by 0.25D. but then who wouldn’t want the sharpest vision?
I started researching EM in July 2021 when my daughter’s power jumped (more on this later) . I measured my cms ( RE : 36cm, LE : 32cm) First step was taking the strain away by not wearing any correction while reading books, 20-20-20 rule etc. A few days later I got my eyes checked and this time I was ‘aware’ of the glasses being prescribed. And my results were:
RE -2.25 sph, -0.25 cyl (85 Asix)
LE -2.75 sph, -0.25 cyl (90 axis)
cms – RE : 41cm, LE : 34cm
So ciliary spasm and/or overcorrection went out and I had dropped -0.25 D from each eye just like that.
Got my first differentials soon after in Aug 2021:
RE : -1; LE : -1.5
Over my first 6-8 weeks of use of differentials I could see the my distance to blur for close-up work steadily increased from 65 cm to ~80cm.
I moved to my first normalized in early Sept 2021. A difference of -0.25D and dropped the cyl altogether.
RE : -2
LE : -2.5
I can read partial 6/6 with the above and hope that soon enough (4-6 weeks hence) I will move to my N2.
I have moved to my second pair of differentials (D1) a few days back.
RE : -0.75; LE : -1.0
So things I am trying now are equalizing my eyes a bit starting with D2. For equalizing I am patching my RE for 15-30 min a day while pushing focus.
Question : For equalizing I dropped my LE by an additional -0.25 for my D2. When I am not patching, will it make the LE work harder to improve or the LE will stop trying altogether if I keep my screen at the edge of clarity most of the time I work (4-6 hrs).
Meanwhile I got my eyes tested at a couple of places A 6ft Snellen measured them as RE: -2 and LE: -2.5 while a 20 ft measured it as -2.25 and -2.75 respectively. So understood how 6ft and 10 ft Snellens arent the most accurate.
I can see with Snellen and my cms that I am traversing my journey from 2.25 to -2 in my RE and -2.75 to -2.5 in my LE but the autorefractor still shows -2.5 in RE and -3.00 in LE.
Question : Do autorefractors measure the distance between retina and where the image is formed? And do the autorefractor measurements lag the ones on Snellen or in cm.
My current cms are: RE : 46; LE: 38. I want to take the gradual and steady path with interventions for equalizing. I hope and wish to move to sub 2 category in the next few months.
My daughter’s journey
This is an emotionally draining topic that pushed me to EM in the first place - positive action from an otherwise sad event.
My daughter got her first prescription in July 2019 when she was 6.5 yrs old. Her prescription was
RE : -1.5, cyl -0.5 100axis
LE: -1.5, cyl -0.5 120 axis
She was able to read 6/9+ with the above correction.
I was told genetics was the main reason and she started wearing those prescriptions.
Then the black swan even of the century came and lo and behold she was home 24 hrs. She is a voracious reader and with no physical classes (no school board as a reference marker) her power jumped and we couldn’t catch it. We got her tested in July 2021 and her power had gone up
RE : -5.5, cyl -0.5 180axis
LE: -5.75, cyl -0.5 180 axis
She was able to read 6/9+ with above correction. Without glasses it was only 6/60 blurry.
So my daughter’s and my EM journey has started together. I got her a reduced correction in end July 2021
RE : -4.5, cyl -0.5 180axis
LE: -4.75, cyl -0.5 180 axis
so as to not burden her with two pair of glasses. She could see 20/50 or 6/15 with the above and some bits of 6/12.
Things that I did to minimise strain:
a) Online classes projected on TV 10 ft away
b) bookstand to read
c) 20-20-20 rule (as much as I could)
d) Reduced investment in books
e) Spent more time outdoors
f) diet with beetroot, carrot juice
She doesnt wear glasses for most part and wears it only for her classes or when we are travelling and outdoors.
With all of the above I was hoping to see improvements which came in Snellen. With her lower prescription she can now (Sept 2021, 3 months after starting EM) read 75% of 20/30 line and sometimes a few letters from 20/25 as well. Went for a casual check at autorefractor and there was no change to her power. In fact it said the LE had deteriorated.
I am a little confused. I know her visual acuity has improved. But we all look for some tangibles and I was disappointed by what I saw.
Happy to hear other’s thoughts and responses to my questions.
PS: there is lot more to share in terms of AF, other things I have tried but thats for another day and another topic.