Measurement of interpupillary distance is inaccurate, glasses cause visual distortion

Patient's question:

I went to the hospital for a dilated eye exam and lens prescription. Three days after the dilation, the optometry test revealed 350 degrees of myopia with 75 degrees of astigmatism in my left eye, and 350 degrees of myopia in my right eye. When trying on the trial lenses, there was a slight curvature visible at the edges of the buildings, but after the lenses were properly fitted, the edges still had a noticeable curvature. Objects appeared heavily distorted, with the edge curvature magnified. I was concerned that the pupillary distance measurement might have been inaccurate, as my left eye has a slight black pupil asymmetry. However, the doctor did not ask me to close my eyes during the pupillary distance measurement. Instead, they simply placed a ruler on my nose and compared the distances twice before finishing. This led to an inaccurate prescription.

Doctor's answer:

Analysis of the condition: Pupillary distance is the distance between the two pupils. Advice: It must be measured with eyes open. If the eyes are closed, it cannot be measured. It is recommended that you revisit the hospital for a check-up to determine whether the issue is with the mirror or the eyes. If it is a problem with the lens, it should be adjusted promptly.

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