latent hyperopia and exophoria
hey i hope everyone is doing good
(age 29)
my case is a little bit struggling i had pain around my eyes for about 9 years from now i dont have headache but just pain in my eye muscles, the pain start from the second that i open my eyes in the morning and it doesnt go away and i have photophobia. i am a hyperope i have +2 in my right eye (non dominant eye) and +1.25 in my left eye with a moderate astigmatisme, i did all the scans on my eyes my brain everything is normal (thank god) eye pressure is normal , no keratoconus, no uveitis, nothing, ii ve been living with this pain so long we never knew what was the cause , last year a doctor saw me and she did the pen push up thing and she found out that my right eye deviate away and i cant hold convergence (convergence insufficiency) any more and i had an exophoria of 12 for near objects. i did vision therapy with an orthoptist we did 10 sessions + exercices at home and at the end the convergence was good at its maximum yet the pain didnt go away no improvement and the exophoria become 8. this year and for the first time a doctor used a cycloplegic test and we fount out that i have a +4.75 in my right and +4 in my left so i thought this is the cause of all of my pain i was accommodating too much this may be the cause so when i tried the new prescription only +4 and +3.5 not full correction, it was really hard to adapt it was so strong even after one month the distance look blurry and pain was still there but like 95% of my photophobia went away. i saw the orthoptist lately and she evaluated my exophoria and she found out that it increased to 18 because plus lenses causes the eye to drift outward and if i kept adding more plus to get to my full correction my exophoria will increase and it may make my convergence harder one day.
when i cover one eye and i see with only one all the pain and photophobia disappear.
the exophoria is only at near, for far things i dont have it.
now i dont know what to do should i go with the full correction and wait until the vision becomes clear and see if the pain will disappear and what about my deviation will it increase
and thank youu all if you have anything to advice me with