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High Index Glasses for Myopia: What You Should Know

Updated: Nov 6, 2024

So, you’ve been told you need high index lenses for your myopia? Or maybe you’ve heard the term and are curious about what it means. Either way, let’s enter into the world of high index glasses for myopia, and I’ll answer all your burning questions along the way.


myopia, glasses
Myopia Glasses

What Are High Index Lenses?

First things first, let’s break it down: high index lenses are specially designed for people with stronger prescriptions—like those with moderate to severe myopia (nearsightedness). Myopia means you have trouble seeing things clearly at a distance, so you need glasses that help refocus light onto your retina.

But here’s the kicker: regular lenses for strong prescriptions can be thick and heavy. This is where high index lenses come in. They are thinner and lighter than standard lenses, making them much more comfortable to wear and aesthetically pleasing. If you’ve ever worn glasses with thick, Coke-bottle-like lenses, high index lenses are a huge upgrade!


How Do High Index Lenses Work?

Now, I know what you're thinking: "How do thinner lenses still correct strong myopia?" Great question!

It all boils down to the refractive index of the material used in the lenses. The higher the refractive index, the better the lens can bend light, which means you need less material to achieve the same level of correction.

Regular plastic lenses usually have a refractive index around 1.50, but high index lenses can range from 1.60 to 1.74 or even higher. The higher the number, the thinner the lens for the same prescription.


Why Choose High Index Lenses for Myopia?

Let’s talk about why high index lenses are often recommended for myopia. Here’s why they’re awesome:

  • Thinner Lenses: Myopia prescriptions generally result in thicker lenses, especially on the edges. High index lenses are significantly thinner, making them less bulky and reducing that “bug-eyed” look people sometimes get with strong glasses.

  • Lighter Weight: If your lenses are thick, they can get heavy, which isn’t comfortable, especially if you wear glasses all day. High index lenses are lighter, which makes them more comfortable on your nose and ears.

  • Aesthetically Pleasing: Let’s face it—no one wants super thick lenses that make their eyes look smaller. High index lenses give a more natural look because they don’t distort your eyes as much.

  • Durability: Most high index lenses are made from advanced plastics, making them scratch-resistant and more durable than standard lenses.


Do You Really Need High Index Lenses?

This is an excellent question. Not everyone with myopia needs high index lenses. Generally, they are recommended if your prescription is stronger than -3.00 diopters. The stronger your prescription, the thicker your regular lenses will be, and the more you might benefit from a thinner, high index lens.

But it’s not just about your prescription strength. Consider these factors, too:

  • Frame Size: If you have a larger frame, lenses will naturally be thicker on the edges. High index lenses can reduce that thickness.

  • Cosmetic Concerns: If you’re self-conscious about the look of your lenses, high index can help make your glasses less noticeable.

  • Comfort: If you’ve experienced discomfort from heavy lenses in the past, high index lenses can make a world of difference.


What Are the Downsides of High Index Lenses?

Now, before you rush off to order a pair, let’s talk about a few potential downsides:

  • Cost: High index lenses can be more expensive than standard plastic lenses. The higher the index (thinner the lens), the more they tend to cost. However, many people find the investment worth it for the increased comfort and aesthetics.

  • Optical Distortion: In some cases, people with extremely high prescriptions might experience more distortion with high index lenses compared to standard lenses. However, this is rare and usually manageable.

  • Reduced Peripheral Vision: The thinner design can sometimes lead to a reduction in peripheral clarity, but this depends on your specific prescription and how the lenses are made.


Anti-Reflective Coatings: A Must-Have

If you decide to go with high index lenses, adding an anti-reflective (AR) coating is highly recommended. Why? High index materials reflect more light than standard plastic lenses. Without AR coating, your lenses could end up reflecting a lot of light, causing glare and making them less transparent. The AR coating improves clarity, reduces glare, and makes your lenses look nearly invisible.


How to Choose the Right High Index Lens

If your optician suggests high index lenses, you’ll usually be given a choice between different indices, like 1.60, 1.67, or 1.74. Here’s a quick guide to help you decide:

  • 1.60 Index: Ideal for prescriptions up to -6.00 diopters. These lenses are about 20% thinner than regular plastic.

  • 1.67 Index: Great for prescriptions between -6.00 and -10.00. They’re about 30% thinner than regular lenses.

  • 1.74 Index: These are the thinnest lenses available and are perfect for very high prescriptions (above -10.00 diopters). They’re about 50% thinner than standard plastic lenses, but also the most expensive.


In the end, choosing high index lenses for myopia comes down to personal comfort, aesthetics, and your prescription needs. If you’re tired of thick, heavy glasses and want something more discreet and comfortable, high index lenses could be a game-changer.

But remember, while thinner lenses are great, they’re not always necessary for everyone. Talk to your optometrist about whether high index lenses are right for you based on your prescription and lifestyle. And don’t forget—if you do go for high index lenses, make sure to add an anti-reflective coating to get the most out of them!

If you’ve tried high index lenses or are thinking about switching, I’d love to hear your thoughts or questions! Let’s keep the conversation going in the comments.



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Dr Gunjan Deshpande

Consultant Ophthalmologist & Glaucoma Surgeon based in Nagpur, she actively blogs about glaucoma, eye health, life style modifications and ocular diseases.

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