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Thread: What is your choice?

  1. #1
    Bad address email on file
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    Aug 2006
    Location
    Korea
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    Dispensing Optician
    Posts
    27

    What is your choice?

    Hi all.

    One patient visted my office to buy his first PAL. He is 45-years old. Although he has no medical anomalies, shows some different refractive error. his prescription is as below.

    OD: PL Add +1.25
    OS: +0.25 -2.00 180 Add +1.25

    As you know well, if he wears his PAL, he may fell vertical prismatic deviation as well as it tends to raises patient non-adapation. in addition, the power of near portions are +1.25(OD) and -0.50(OS) respectively. therefore, it becomes antimetropia.

    I'm under considering to order Zeiss HS with slab-off to remove vertical prism effect.

    If you have another idea, please suggest.

    it is very urgent.

  2. #2
    Bad address email on file
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    Aug 2006
    Location
    Fla
    Occupation
    Optometrist
    Posts
    37
    Do not do a slabb-off in a progressive for that little aniso, I done up to 2.75 D with no problems, you get up to 3.50 4.00D then flat-top and slabb away if they are binocular. With plano in one eye pt maynot be binocular anyway, he is probably some what monofit without glasses probably cares more about near? go with a Varilux liberity no less than 20 high.

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