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[-] NABDad@lemmy.world 1 points 1 month ago

I asked my retired, optometrist wife.

She didn't have time to respond fully because she's dealing with a plumbing hardware supplier to get a defective toilet tank replaced*, but she sent this:

Those are for adults with presbyopia and near vision. The PD is standard for average adults. If we assume people will get the right distance prescription via over-the-counter means, then who is responsible if they buy the wrong thing and get into a car accident because they couldn't see at a distance?

I had to look it up, but "presbyopia and near vision" means you used to be able to see up close, but now you're old and you can't focus up close anymore. As opposed to: you're young, but your eyes are the wrong shape.

PD would be pupillary distance, ie the gap between your two pupils. One of the things they measure when they're ordering lenses for your glasses. As has been explained to me previously, if the PD is wrong, it's adding prism to the lenses, and headaches to your experience.

* She didn't retire to become a plumber. We're getting a powder room renovated, and the tank for the new toilet arrived damaged.

[-] folekaule@lemmy.world 1 points 1 month ago

I'm addition to what was already mentioned, I will say that is not like that everywhere. In Europe I can go to an optician and they will do the eye test and sell you glasses without any kind of medical prescription. I would only see the actual eye doctor if I had some medical issue (e.g. diabetes).

I suspect some of that relates to reimbursement. My insurance in the US covers my eye glasses and checkups. In Europe my glasses were not covered.

[-] Pieisawesome@lemmy.dbzer0.com 1 points 1 month ago

That’s what people in the US mostly do.

You are still getting a glasses prescription, but since you are purchasing from the eye doctor who examined you, the “need” for a prescription is abstracted away.

If you called and asked for a written prescription, they would give it to you

[-] choco_crispies@lemmy.ml 1 points 1 month ago* (last edited 1 month ago)

I suspect that you are correct about reimbursement.

However, when a person visits an optician or an optometrist, at the end of the visit they receive a set of specifications for correcting their eyesight back to as close to "normal" vision as possible. The catch for those specs being called a prescription is that a person cannot walk in and purchase any corrective lenses that they choose. Instead, they are limited to options that fit their specific corrections only.

Edit: not including reading glasses

[-] folekaule@lemmy.world 0 points 1 month ago

Yep. You still get the measurements done and can get a piece of paper with the numbers on it from the optometrist.

Things have improved over time in the US. As someone mentioned, you can submit your prescription to an online store and get cheaper glasses that way. It used to be I had to go to an eye doctor's office for that.

They still try to convince you to stay with them, of course. When I needed bifocals they tried to tell me I had to come in for training on how to wear them. I declined.

As is typical for the US, if you have good insurance you're generally in good shape. I haven't had out of pocket expenses for glasses for years, and I only paid a small amount to have laser surgery later.

[-] shalafi@lemmy.world 1 points 1 month ago

Things seems to have got better! My optometrist wouldn't give the PD, only the prescription numbers. Was so mad I quit going for a few years, but in 50 years of wearing glasses, he really is the shit. So, went back. Now I get my PD and numbers, no hassle.

And yeah, I got my last pair from his office because I had solid insurance. Still could have got glasses from Zenni for the same or less, without insurance.

Are there now better places for specs online? Have only ever used Zenni.

[-] EponymousBosh@awful.systems 1 points 1 month ago

I've used EyeBuyDirect before and they were alright. It's been a couple years tho.

[-] zxqwas@lemmy.world 0 points 1 month ago

The target audience for the gas-station reading glasses are people aged 45+ that need something good enough to read about 30 minutes per day.

If you are near sighed you'll probably use them all day every day.

[-] captainlezbian@lemmy.world 0 points 1 month ago

Yeah, my prescription is + and gas station reading glasses are wearable magnifying glasses, not sufficient for "I need vision correction all day" hyperopia.

I think myopic people sometimes assume all hyperopia is presbyopia. For many farsighted people though, its literally just the inverse of nearsightedness. Like, without my glasses my instinct is to hold something at arms reach to try to read it

[-] altphoto@lemmy.today 0 points 1 month ago

The ophthalmologists in the room have spoken.

I call it bullshit. No ophthalmologist has ever gone to jail because some dude with myopia ran over two cats and a cute puppy dog. Usually, whoever is driving gets into trouble.

But let's think for a moment. If wearing glasses that are not your prescription actually affect your prescription in some way, then couldn't we figure out a way to reverse near-and far-sidedness? Like if you're near sighted and then use +10 (strong positive lenses, thicker in the center) maybe that makes your eye revert to better vision. And vise versa for far sighted people wearing -10 lenses for say 2 hours per day or something.

Instead of the bull, I would love to be able to find some glasses at the Walmart that I can use because I just lost my prescription or something. If there's a lens center position problem that too could be adjustable.

In short there's no reason. Its just how dumb things work.

[-] RedWeasel@lemmy.world -1 points 1 month ago

Pupillary distance is more important for looking at a distance than looking at something close and eyes often have different prescriptions. Reading glasses are just magnifying glasses on your face.

[-] shalafi@lemmy.world 1 points 1 month ago

Um, there's a bit more to glasses than that.

this post was submitted on 18 Aug 2025
4 points (100.0% liked)

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