Shooting Sports USA - August 2018 - 27

A common practice to reduce eyestrain
is to lessen the new eyeglass prescription,
leading to suboptimal vision. I however am
from the "Old School," where one would do a
diligent exam and prescribe what was found,
as recommended by our Dean. I could never
understand why some doctors frequently
reduce the new prescriptions so that patients
will "adjust easier" to their new eyeglasses.
In reality, the patients are short-changed with
a less than perfect Rx, and may need to come
back sooner for another update. I have worked
with some associates who changed prescriptions so consistently that it became ridiculous.
I jokingly tell my patients who move away,
when seeking eyecare from another doctor, to
find one who knows how to reload ammo, in
which case a more precise Rx may result.
Though every doctor may have a certain
preference to the sequence of tests, I
believe it most practical to start with the
refraction, followed by health tests such as
the glaucoma test, visual field test, dilation,
and others when deemed necessary. There
exists the possibility of irritation to the
eyes, fatigue, and increased anxiety if the
refraction is done at the end of the exam,
which thereby would affect the quality of
the patient's responses. Although eye health
tests are equally important, the refraction
should not be treated as an afterthought.
Beware of the eyecare professionals
who have never worn eyeglasses, and
the younger doctor who does not need
multifocal lenses. They may understand
vision correction in theory, but lack the
practical experience in wearing corrective
eyeglasses, multifocal lenses in particular,
to fully understand what most of us go
through. Before a shooter's exam can be

Eric Pueppke testing at 10 meters at Dr. Wong's office.
They are following up from Eric's previous visit

done well, the prescription must be accurate.
These numbers will be the foundation to
build a proper shooting Rx.

LISTENING TO THE PATIENT
It upsets me when the patient is ignored.
Listening, at times, seems to be a lost art.
Three doctors, two Optometrists, and one
Ophthalmologist from an HMO were not
able to solve a woman's vision complaint
when she could not see well enough
as a seamstress. No one bothered to
acknowledge that she needed to see at 10
inches, they just gave her a standard Rx "for
her age," focusing at 18 inches. She was
then told there was no medical reason why
she couldn't see. This is an example of why
some of our shooters have a very difficult
time describing their needs and getting an
accurate correction for seeing their sights.

SSUSA.ORG | AUGUST 2018

27


http://www.SSUSA.ORG

Table of Contents for the Digital Edition of Shooting Sports USA - August 2018

Contents
Shooting Sports USA - August 2018 - Cover1
Shooting Sports USA - August 2018 - Cover2
Shooting Sports USA - August 2018 - 3
Shooting Sports USA - August 2018 - 4
Shooting Sports USA - August 2018 - 5
Shooting Sports USA - August 2018 - Contents
Shooting Sports USA - August 2018 - 7
Shooting Sports USA - August 2018 - 8
Shooting Sports USA - August 2018 - 9
Shooting Sports USA - August 2018 - 10
Shooting Sports USA - August 2018 - 11
Shooting Sports USA - August 2018 - 12
Shooting Sports USA - August 2018 - 13
Shooting Sports USA - August 2018 - 14
Shooting Sports USA - August 2018 - 15
Shooting Sports USA - August 2018 - 16
Shooting Sports USA - August 2018 - 17
Shooting Sports USA - August 2018 - 18
Shooting Sports USA - August 2018 - 19
Shooting Sports USA - August 2018 - 20
Shooting Sports USA - August 2018 - 21
Shooting Sports USA - August 2018 - 22
Shooting Sports USA - August 2018 - 23
Shooting Sports USA - August 2018 - 24
Shooting Sports USA - August 2018 - 25
Shooting Sports USA - August 2018 - 26
Shooting Sports USA - August 2018 - 27
Shooting Sports USA - August 2018 - 28
Shooting Sports USA - August 2018 - 29
Shooting Sports USA - August 2018 - 30
Shooting Sports USA - August 2018 - 31
Shooting Sports USA - August 2018 - 32
Shooting Sports USA - August 2018 - 33
Shooting Sports USA - August 2018 - 34
Shooting Sports USA - August 2018 - 35
Shooting Sports USA - August 2018 - 36
Shooting Sports USA - August 2018 - 37
Shooting Sports USA - August 2018 - 38
Shooting Sports USA - August 2018 - 39
Shooting Sports USA - August 2018 - 40
Shooting Sports USA - August 2018 - 41
Shooting Sports USA - August 2018 - 42
Shooting Sports USA - August 2018 - 43
Shooting Sports USA - August 2018 - 44
Shooting Sports USA - August 2018 - 45
Shooting Sports USA - August 2018 - 46
Shooting Sports USA - August 2018 - 47
Shooting Sports USA - August 2018 - 48
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