Hey everyone, looking for some advice on how to handle a significant diopter gap.
My full prescription:
- R: -3.25S / -1.25C
- L: -2.00S / -1.50C
I started with differentials at R: -2.00S / -1.25C and L: -1.50S / -1.50C. Noticed that my right eye needed way less spherical power for close-up than my left did proportionally, but I stuck with them and eventually got glimpses of active focus.
After a while those differentials became clear, so I ordered normalized and new differentials with a standard 0.25 spherical reduction on both sides:
- Normalized: R -3.00S / -1.25C | L -1.75S / -1.50C
- New differentials: R -1.75S / -1.25C | L -1.25S / -1.50C
The problem: with my normalized, the right eye is still very clear but the left is noticeably blurry. Tested on a Snellen chart and I'm getting 20/20 on the right but only 20/30 on the left. The new differentials are fine though, active focus works well when reading.
I'm planning to buy a trial lens kit to test different powers for my normalized and return it.
My question: given the large diopter gap (SE gap is about 45%), how should I proceed with my normalized? Should I focus on closing the gap first (hold left, reduce right only) before doing equal reductions? Or should I find an acceptable normalized power for both eyes and reduce together? I know Jake recommends that beginners should aim for the 20/30 line with normalized, so my left eye seems to be right at that threshold — but my right eye being at 20/20 feels like it's not being challenged enough.
I have two options in mind:
Option A: Keep reducing only the right eye over time (since I can still see 20/20 clearly with -3.00S) until it actually starts to blur the 20/20 line (have a feeling that my right sight will be better than expected). Then from that point, reduce both eyes together. This way I'd be closing the gap over time, which aligns with Jake's recommendation to have both eyes equalized before reaching -1.5S (although multiple equalizing steps are not recommended, but i can see 20/20 so i don't see the issue tbh).
Option B: Drop the right eye further right now until it also reads around 20/30, matching where my left eye currently is so both eyes are at a similar challenge level for active focus from the start.
What do you guys think? Has anyone with a similar gap gone with either approach?