I examined a patient this morning. Her complaint was blur at night as well as blur reading. What is interesting about the patient is that the prescription that made a difference to her for far away was extremely small. I checked her in all lighting conditions and with sunglasses and the prescription made a very significant improvement in her vision.
I have found over the years that when a small prescription makes a big difference in vision, there are generally some other problems the patient notices. One of which is motion sickness in a car. What's interesting is that the motion sickness is worst when sitting in the back seat, less when a passenger is in the front seat, and least when driving. I have some theories as to why its this way.
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