Glasses for Macular Degeneration
Making the most of the vision you have.
Macular degeneration, diabetic retinopathy and other retinal conditions change how the eye focuses and where it looks. A standard eye exam and standard lenses often aren’t enough. At our Odessa and East Lake (Palm Harbor) offices, Dr. Tumolo takes a slow, careful approach to the refraction and the glasses, so patients see as clearly and comfortably as their retina allows. Local retina specialists regularly send their patients to us for this care.
How the exam is different
- Objective measurements first. We use OPD-Scan III wavefront testing to measure the eye’s overall optics and higher-order aberrations, which helps set realistic expectations for what glasses can do.
- A refraction built for reduced vision. On our Nidek RT-6100 digital refractor, Dr. Tumolo adjusts the test for each patient: larger steps first, then fine-tuning; a ±0.50 cross cylinder instead of the usual ±0.25, so differences are easier to judge; and a single isolated letter instead of a full line, which avoids the crowding that makes small print harder to read with macular disease.
- Trial frame confirmation. Before anything is ordered, you look through the new prescription in a trial frame, at distance and up close, to make sure it’s what you want.
- Retina imaging when needed. Optomap imaging is available if the doctor needs a wider look at the retina.
- No rushing. The visit takes as long as it takes.
How the glasses are designed
- Single vision over progressives when it’s better. With eccentric fixation, each eye may look through a different part of the lens. Progressives can then give uneven, distorted vision, so we often recommend separate single-vision glasses for distance and reading.
- Stronger reading power. Higher reading adds bring print into focus at a closer distance. We set the reading distance to match the add, and show you how close to hold your reading.
- Prism to keep both eyes working together. At close reading distances, prism can make it easier for your eyes to team up.
- Freeform, AI-designed lenses. Digital lenses calculated for your exact prescription and frame keep vision sharp across the lens, including prism compensation.
- Glare and contrast tints for brighter days and driving, when appropriate.
- Precise measurements by licensed opticians, so the optical center of each lens sits exactly where your eye looks.
We use several labs, so we can choose from all major lens brands and designs for each patient.
Paying for your visit
We see patients with vision insurance, medical insurance and self-pay. Self-pay and out-of-network patients receive an itemized receipt to submit to their plan, and FSA and HSA cards are welcome. Call either office for self-pay details.
For retina specialists
We welcome referrals and can see new referred patients the same week. We send findings back in whatever format you prefer. See information for referring doctors.
Common questions
Can new glasses help with macular degeneration?
Glasses can’t repair the retina, but a careful refraction and the right lens design can help you make the most of the vision you have. For many patients that means stronger reading power, single-vision lenses instead of progressives, and tints that reduce glare.
Why might progressive lenses not work well with macular degeneration?
When the center of the retina is damaged, many people learn to look slightly off-center (eccentric fixation), and often differently in each eye. Progressive lenses assume both eyes look through matching points of the lens, so the result can be distorted. Separate single-vision glasses for distance and reading often work better.
How long does the exam take?
As long as it needs. We work slowly and methodically, so plan for a longer visit than a routine eye exam.
Do I need a referral from my retina specialist?
No. Many of our patients are referred by local retina specialists, but you can book directly. Bring a list of your eye conditions and treatments, your current glasses, and any reading glasses or magnifiers you use.
Who does these exams?
Dr. Christopher Tumolo, an optometrist and licensed optician, sees these patients at our Odessa office and also at East Lake.
Related: macular degeneration · diabetic retinopathy · complex prescriptions and prism glasses
Odessa (813) 926-5993 · East Lake (727) 242-8388
