My brother-in-law (also an American) has lived in Japan for just a bit longer than my husband and I. In fact, he came here for the first time when he was 19 (in 1983) and has lived here on and off since then. When he needs new eyeglasses, he gets a prescription in Japan and then sends it home for his father to get the glasses from the U.S. (using his father's face to fit them). This is because eyeglasses (and contact lenses) are usually much more expensive here than they are back home.
I won't miss paying between 30% and 300% more for glasses and contact lenses in Japan.
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