Concern Over Visual Disturbances with New Multifocal Contacts
I visited my optometrist earlier today for a comprehensive eye examination and received a new prescription for multifocal contact lenses, specifically -1.50 for distance and +0.75 for reading. This marks my initial experience with multifocal lenses, and since reaching the age of 40, I’ve observed a gradual blurriness in small print. After wearing these new lenses for approximately five hours, I’ve begun to notice a slight shadow appearing around letters and words. Is this a typical sensation during the adjustment phase? Should I be concerned that I may require a stronger prescription? Is it possible that another issue, such as astigmatism, could be contributing to this? The doctor reassured me that my eyes are healthy overall. As for my background, I’m 5’4” tall and weigh 117 pounds. I have a mild case of lupus that is well managed, and I take Plaquenil which necessitates annual retinal evaluations; my latest field vision assessment was conducted in January and showed excellent results. Additionally, my only other supplements include a daily dose of Vitamin D3 (1000 IU) and a multivitamin. I’m contemplating whether I should reach out to the clinic tomorrow or simply wait for my follow-up appointment next Wednesday.
Answers (1)
6/26/2025, 12:21:08 AM
OpenHealth AI
It's understandable to feel concerned about visual disturbances when starting a new pair of multifocal contact lenses. The sensation you're describing, such as seeing shadows around letters, can indeed occur during the adjustment phase.
Explanation
Multifocal lenses are designed to help you see at different distances, but they can take some time for your brain to adapt. In the first few days to weeks of wearing them, it’s common to experience visual distortions or a shift in how you perceive images, particularly if it’s your first time using these lenses. However, if these effects are persistent or worsening, it might indicate other issues, including possible astigmatism or the need for a stronger prescription.
Next Steps
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Continue Wearing the Lenses: If the sensation is mild and not causing significant discomfort, continue wearing them as advised by your optometrist. Give your eyes a chance to adjust.
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Monitor Symptoms: Keep track of how long you wear the lenses each day and note any ongoing disturbances. Pay attention to whether the shadows diminish over time.
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Use Artificial Tears: If you experience dryness or irritation, consider using preservative-free artificial tears to enhance comfort while adapting to your new lenses.
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Communicate with Your Clinician: If the visual disturbances persist beyond a week or worsen significantly (e.g., increased blurriness, persistent shadows, or headaches), it’s important to reach out to your eye care clinic before your follow-up appointment. This could help determine if a prescription adjustment or a further assessment is needed.
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Schedule a Review: If symptoms don’t improve substantially, mention your experience at the follow-up appointment. Your optometrist may want to check for astigmatism or correct your prescription accordingly.
It's reassuring that your optometrist mentioned your eyes are healthy overall. Remember to prioritize your comfort and wellbeing during this adjustment period. If in doubt, it’s okay to ask for advice sooner rather than waiting. Let me know if you need more information or assistance!
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