PDA

View Full Version : High minus progressive


Stopper
08-31-2005, 12:29 AM
Anyone know of a progressive lense that is available in an rx of -13.50-2.50x?
Any leads would be appreciated. It's for a 16 year old bilateral psuedophake.
Cheers

drk
09-01-2005, 09:51 AM
Freeform?

chip anderson
09-01-2005, 12:20 PM
Who missed the Rx 26 or so diopters with the implants?

rbaker
09-01-2005, 12:36 PM
A day surgury facility is missing an IOL

RT
09-01-2005, 12:39 PM
HOYA GP Wide or Summit ECP in 1.70 index.

Stopper
09-02-2005, 09:13 AM
Who missed the Rx 26 or so diopters with the implants?
Patient was two years old when he had surgery for congenital cataracts. Hard to blame the surgeon for that one

chip anderson
09-02-2005, 09:23 AM
I could understand if he had come out with +26.00 or less. But ending up with -26.00. He blew it bad. Real Bad. And yes I can blame him.

Chip

I also think you are blowing it trying to put a correction like this in a progressive.

Stopper
09-02-2005, 09:26 AM
Chip

I also think you are blowing it trying to put a correction like this in a progressive.

Why?

drk
09-02-2005, 09:59 AM
Chip, where the heck are you getting -26.00 from that post? You drinkin' this early?

chip anderson
09-02-2005, 10:14 AM
DRK:

If the "doctor" had used no implant he would have gotten between +13.00 and +20.00 for a correction. This means that to end up with a correction of -13.50 he had to change the uncorrected situatio by at least 26.00. To end up with plano he would have needed +18.00 to +24.00 in the implant. To end up where he did, he would have to have used +36.00 or more (didn't even know they came this strong.

Chip
Of course there is a possibility that someone blew the sign and there is no implant and the Rx is +13.00 which seems more likely.

Chip

Stopper
09-02-2005, 10:50 AM
Also possible that at the time of surgery he was alot closer and now over the last 14 years his eyes have change.

FYI his vision corrects to OD 20/25 and OS 20/30. All things considered that is pretty good. I doubt he would have ended up that way as an apkake.
Cheers

Mightymouse
10-02-2005, 11:36 AM
Have you considered contact lenses with spectacle readers? Monovision? The guy's 16 -think social life!

chip anderson
10-02-2005, 01:40 PM
Don't go for monovision, either bifocal (I know a lot practioners don't admit they exist due to lack of skills or laziness) but young people need depth preception.

Chip:D

Sylvia
10-02-2005, 09:02 PM
Try the Seiko 1.67 Progressive in a 1.00 base. Keep the frame as small as possible.

Mightymouse
10-03-2005, 05:27 AM
Don't go for monovision, either bifocal (I know a lot practioners don't admit they exist due to lack of skills or laziness) but young people need depth preception.

Bifocals are fine for home use but not in public. What are people's opinions with using contact lenses underneath progressives?

chip anderson
10-03-2005, 08:38 AM
Mighty: The suggestion was for bifocal contact lenses. I hope the suggestion for mono-vision was for contact lenses also, because mono-vision sho' won't work in spectacles.


Chip:finger:

Mightymouse
10-03-2005, 08:53 AM
haha...bifocal contacts, of course :bbg:

chip anderson
10-03-2005, 10:47 AM
Mighty, why do you find this laughable? I have fit thousands of pairs over my 40+ year career. It's even hard to fit one that doesn't keep the consumer happy when the distance strength is over 5 diopters. Of course they are real new, I made my first one in 1958 and you may not have heard of them.


Chip

Mightymouse
10-04-2005, 07:34 AM
haha as in good idea...and no I have never fitted one.

QDO1
10-04-2005, 09:32 AM
Absoloutley no problems recommending:

Nikon Presio i Gi13 or Gi15 - power range up to -20D and + 6 Cyl

Fine lens too with IKON coating on. n=1.74

Gi13 has minimum fitting height of 18 mm
Gi15 has minimum fitting height of 21 mm

Use it all the time, and never had any problems yet

(Use Presio Fi if you want a n=1.67)

Stopper
10-04-2005, 11:41 AM
Just to update you on this patient. He is doing great with the progresssives. I am giving him a little time with the glasses, then we will be fitting him with RGP multifocal(bifocal) contact lenses. I'll let you know how that turns out.Cheers

Stopper
11-15-2005, 10:58 AM
Just wanted to update you all on this patient. He did very well with his progressive lenses. Thanks for everyones suggestions. I fit him in a bifocal rgp from Abba optical, called MVP. Patient is OD20/25-2, OS 20/25-2, OU 20/25. He is comfortably reading J3 at near and has no trouble seeing his computer. Remeber he is a 16 yo psuedophake since age two.
Cheers

Michael Walach
11-15-2005, 11:48 AM
Anyone know of a progressive lense that is available in an rx of -13.50-2.50x?
Any leads would be appreciated. It's for a 16 year old bilateral psuedophake.
Cheers

Hi,

we can make almost any progressive lens in that power either in blended myo or full field. I suggest however progressive in 1.6 or 1.66 index.

Michael Walach
QUEST OPTICAL SPECIALTY LAB
Largo, FL
tel. 727 581-2706

Stopper
11-18-2005, 02:56 PM
Hi,

we can make almost any progressive lens in that power either in blended myo or full field. I suggest however progressive in 1.6 or 1.66 index.

Michael Walach
QUEST OPTICAL SPECIALTY LAB
Largo, FL
tel. 727 581-2706
Thanks for the imput but his glasses have been made and he did very well with them. I was just updating anyone who cared about how his multifocal contact lens experience went.
Cheers

Bobie
11-30-2005, 09:32 AM
1. Varilux Panamic Mineral 1.8 ( The world thinnest PALs )

2. Varilux Panamic Fusio 1.74

3. Rodenstock Multi-Gressiv2 Mineral 1.8 ( The world thinnest PALs )

4. Hoyalux Summit pro 1.7 Eyry , very strong for rimless frame and ABBE better than 1.74

5. Hoyalux iD 1.7 Eyry , very strong for rimless frame and ABBE better than 1.74

6. Rodenstock Impression ILT 1.74 , this is the best vision for all distance with instant adaptation.