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  #21  
Old 25.02.2014, 12:35
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Re: Glasses in Konstanz

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That's what my wife says but if it's probably normal then why bother?
Because in the cases where it's something other than normal aging, you'd need treatment. A consultation is a good investment - what's a few hundred chuffs (which your insurance will cover) against the loss of your sight?

I gladly pay to get good news.
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Old 25.02.2014, 15:55
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Re: Glasses in Konstanz

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I did get some glasses from Fielmann in Konstanz - kind of bifocals so I could look at computer screens and read with them on.

But, they're now six months old and totally useless and have been for a month or so.

I can see this getting expensive. Is it normal for eye sight to deteriorate so
quickly?

At the rate I'm going, I'm going to be off the scale soon.

I'm using reading glasses to chop food so I don't cut my fingers off!
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Get thee to an Augenarzt!

It might just be normal presbyopia - but change at that rate should be investigated nonetheless.

(Mine change rapidly as well, so I've reverted to single vision lenses to keep the costs down. My far vision is fairly stable, it's only the near that needs changing twice a year. And yes, while the rate of change is unusual, it is indeed just normal presbyopia.)
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That's what my wife says but if it's probably normal then why bother?
(I did go three years ago and there was nothing unusual, just the inevitable age-related long-sightedness).

I guess I could go for single vision lenses for use with a monitor etc and wear cheap reading glasses for reading, writing etc.
Tom, do you remember what sorts of tests they did for you when you had your examination done? Was it purely vision test (flip lenses while you look at eye chart and say what looks better), or did they do more? If they did more, can you describe what they did (if you don't know names for the tests themselves)?


There are a number of reasons for vision to change that rapidly, some fairly simple and not alarming at all. Depending on what sorts of things you may be doing now compared to 6mos ago, there may be differences to your vision. These things could include new medications (especially anything involving endochrine / blood pressure), for some it could be change of diet, and for many, it is "simply" altered routine for work or home with regard to where you are looking and taxing your vision (more reading / computer compared to before, more night activity, especially night driving). These types of things tend to be a matter of letting things settle a bit, and then it should stabilize again. Even if it is merely a matter of going for a while without wearing your glasses when you should have been, you can expect some fluctuation as your eyes "relax" again, after being strained.

On the other hand, some causes for that type of change need some assistance beyond spectacles or contact lenses. With that in mind, I'll echo your wife and Meloncollie - it is a good idea to go see an opthalmologist. (Some of the tests I'm fishing for are things that would have indicated a need to see opthalmologist, which is why I asked.)
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Old 25.02.2014, 15:58
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Re: Glasses in Konstanz

I've given up on hoping for "cheap" glasses. I ended up buying a new pair in London and the total cost was pretty close to 700 quid which was a pretty good price

Being very short sighted is an expensive hobby.

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I paid 196 just to have the lenses changed in my existing (also from Fielman) pair of glasses; I have a slight astigmatism and -2.0 / -2.5. I believe I paid 260 for non-brand frame / lenses when I first got the glasses and was told that stronger lenses were more expensive, not sure if this is true.

I have since been to Vision Express in the UK and bought two pairs of branded (Guess and Superdry) glasses with all the special coatings etc for just over GBP 400, so I was quite happy with that.
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Old 25.02.2014, 16:16
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Re: Glasses in Konstanz

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I've given up on hoping for "cheap" glasses. I ended up buying a new pair in London and the total cost was pretty close to 700 quid which was a pretty good price

Being very short sighted is an expensive hobby.
IIRC I paid 500USD for a pair of oakley frames with super-duper-ultra-air-thin-anti-reflective lens (-5.75) (including eye test) when I was in New York

Admittedly actually being New York in the first place meant i didn't have to budget in the cost of a flight etc

I tend to wear glasses for about 5 years before replacing them so it doesn't work out too bad
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Old 25.02.2014, 17:07
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Re: Glasses in Konstanz

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Tom, do you remember what sorts of tests they did for you when you had your examination done? Was it purely vision test (flip lenses while you look at eye chart and say what looks better), or did they do more? If they did more, can you describe what they did (if you don't know names for the tests themselves)?
The Optician just did the simple tests but three years ago, the opthalmologist did the works. I can't remember all the tests but there were a lot of them.

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There are a number of reasons for vision to change that rapidly, some fairly simple and not alarming at all. Depending on what sorts of things you may be doing now compared to 6mos ago, there may be differences to your vision. These things could include new medications (especially anything involving endochrine / blood pressure), for some it could be change of diet, and for many, it is "simply" altered routine for work or home with regard to where you are looking and taxing your vision (more reading / computer compared to before, more night activity, especially night driving). These types of things tend to be a matter of letting things settle a bit, and then it should stabilize again. Even if it is merely a matter of going for a while without wearing your glasses when you should have been, you can expect some fluctuation as your eyes "relax" again, after being strained.
Nope. No other changes. I still stare at multiple screens for most of the day.

No medications. Ever.

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On the other hand, some causes for that type of change need some assistance beyond spectacles or contact lenses. With that in mind, I'll echo your wife and Meloncollie - it is a good idea to go see an opthalmologist. (Some of the tests I'm fishing for are things that would have indicated a need to see opthalmologist, which is why I asked.)
I did see one three years ago when my eye-sight started going downhill.

I guess if they can give out a prescription as part of the tests, I don't need to pay for that twice.
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Old 26.02.2014, 11:19
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Re: Glasses in Konstanz

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The Optician just did the simple tests but three years ago, the opthalmologist did the works. I can't remember all the tests but there were a lot of them.
Ok - yep, usually opthalmologist would so such tests, I (still) don't know what is usual for an Optician to do here as part of a routine exam.


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Nope. No other changes. I still stare at multiple screens for most of the day.

No medications. Ever.

I did see one three years ago when my eye-sight started going downhill.
I know you pride yourself on healthy living, but the type of change you're describing hints at a significant change somehow. If it isn't that you've changed the way you use your eyes, there could be metabolic changes happening. Some of these metabolic changes CAN certainly be aided through diet, which I can imagine would be the route you'd take, but having them - and treating them - can / will affect your vision, however you choose to do it. So, it may also be time for tests from your GP as well as a visit to the opthalmologist.

When your sight "started going downhill" three years ago, did you get new glasses then? If you'd had a need for 3 (+? we often don't notice for a bit, because it tends to be slow, or is easily accomodated by simply moving our work slightly further away) years, and only recently had that need fulfilled, as I said before, the relief from strain could be something that would cause that sort of change. If that's the case, don't be too surprised if you need changes a few times over the next year or so - so look for an optical shop with a good policy regarding changing out lenses in such cases. (IME though, usually those sorts of policies are mainly for people who are post surgical because as the eye heals, the vision changes)


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I guess if they can give out a prescription as part of the tests, I don't need to pay for that twice.
Generally, opthalmologists tend to have opticians (or in the US, optometrists) on staff to do this part of the over all exam. If you go in explaining the troubles that you're having, almost certainly they'll do a normal vision test as well, to see what the changes are. (From that point it should be a simple matter of asking for the prescription)
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Old 26.02.2014, 11:47
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Re: Glasses in Konstanz

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Ok - yep, usually opthalmologist would so such tests, I (still) don't know what is usual for an Optician to do here as part of a routine exam.
Quite a few.

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I know you pride yourself on healthy living, but the type of change you're describing hints at a significant change somehow. If it isn't that you've changed the way you use your eyes, there could be metabolic changes happening. Some of these metabolic changes CAN certainly be aided through diet, which I can imagine would be the route you'd take, but having them - and treating them - can / will affect your vision, however you choose to do it. So, it may also be time for tests from your GP as well as a visit to the opthalmologist.
It is normal after age forty for deterioration to become noticeable to the extent that it's a problem.

Long-sightedness, needing brighter lights to read etc etc.


I guess I just didn't expect it.

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When your sight "started going downhill" three years ago, did you get new glasses then? If you'd had a need for 3 (+? we often don't notice for a bit, because it tends to be slow, or is easily accomodated by simply moving our work slightly further away) years, and only recently had that need fulfilled, as I said before, the relief from strain could be something that would cause that sort of change. If that's the case, don't be too surprised if you need changes a few times over the next year or so - so look for an optical shop with a good policy regarding changing out lenses in such cases. (IME though, usually those sorts of policies are mainly for people who are post surgical because as the eye heals, the vision changes)
Yes I got new (first) glasses three years ago.

I'm not worried abut changing out lenses as Fielmann etc have frames that are included in the cost of the lenses.

From what I've read, the changes tend to slow down and stop when you get even older.
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Old 26.02.2014, 12:16
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Re: Glasses in Konstanz

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From what I've read, the changes tend to slow down and stop when you get even older.
In the grand scheme of things, all health issues aside, for people who wear glasses, what usually happens is that childhood through early 20s changes can (and usually do) happen with enough frequency that new lenses are needed every year or two.

Through mid-20s and 30s, usually the vision is relatively stable, maybe needing a few tweaks here and there, but typically, no major changes.

Then, yes, around 40, just like much of the rest of our bodies, our eyes become less flexible than they once were, and this is what causes the need for aided viewing at near distances. During this period, the portion of the prescription needed for distance viewing (for nearsighted folks) tends to still remain fairly stable (aside from changes as mentioned in my other posts here - metabolic or strain related) but as the lack of flexibility progresses, the need for near vision aid becomes stronger.

So, yes, it is expected that you'll need changes for a lil while, but not generally as rapidly as 6 months. It is more typical to be gradual enough that it is a year or two between prescription changes.

It is a bit disingenuous to say that the need for aid stops, because for many many people, we develop cataracts from sun exposure, often severe enough to require surgery. Removal of our natural lens and replacement with an implant lens makes it so that the changes are quite infrequent indeed, once the initial healing is past. (Excepting of course, changes caused by something beyond pure vision)
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Old 29.10.2015, 01:35
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Re: Glasses in Konstanz

Has anyone got any really good experience of an optician (in ZH ideally or perhaps Germany) where you can get some professional, impartial advice on which styles/frames go best with ones face / appearance / preferences, rather than a pushy salesman trying to flog the latest most expensive/profitable or a Saturday student/teenager not knowing an awful lot and recommending anything and everything?

Glasses are expensive here in CH, so if you are going to have to pay through the nose anyway, you might as pay for sound advice and experience.

I guess Fielmann is the default option. But are there any other opticians who are talented?
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Old 29.10.2015, 01:41
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Re: Glasses in Konstanz

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But are there any other opticians who are talented?
Why rely on an optician's opinion when you're the one who should like your glasses?
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Old 29.10.2015, 11:52
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Re: Glasses in Konstanz

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Why rely on an optician's opinion when you're the one who should like your glasses?
Very fair point.
But it is an expensive mistake if you get it wrong.
I tried a few on already that I liked but when I put them on they didn't suit me at all.
Even though it's good fun I don't want to spend hours and hours trying loads on as my wife will get bored, so if someone else can point me in the right direction more quickly it is worth asking here if someone else has had a good experience.
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Old 29.10.2015, 12:03
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Re: Glasses in Konstanz

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Very fair point.
Not sure. Some people are really bad at making judgments by the look of their haircuts, tattoos and clothes. (I'm useless at choosing clothes so try to avoid it).

Fielmann (in Thalwil and in Konstanz) don't seem to be pushy at all and have been perfectly happy when I've selected the cheapest frames (the free ones)

But whether you get someone there who can really help probably boils down to the individual serving you as much as company policy and guidelines.

They do have a large selection too.
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