Ehllo, all. I would like your input on something I have come across today. I believe I had posted this to the original 'Board, but that was about 9 months ago, and, well, this is THE NEW 'Board (ominous music).
So, the subject. Monovision in spectacles.
Had a 'lady' in this evening with a non-descript script (ha!). Something like Pl -.50x180 O.U. w/ a 1.50 add.
She didn't want dist. only, nor bifocal of any kind. She wants (which tense shall we use, this is still on- going...) monovision spectacles.
I said something intelligent to the effect of "Huh??"
She wants monovision, and the doc o.k'ed it(note he didn't record it as such).
Aside: About 9 months ago I had a different lady, and different doc who wanted the same thing. In my 10ish years I hadn't heard of this. After a consult with my provincial association; my guru; & the doc, (and a written rx), I grudgingly filled that monovision rx.
Now this one wants it(oh and she'll get it, alright, Mrs. Snarkiness)... I will be phoning the O.D. in the morning to 'see' what he says.
Meanwhile, I am now NOT inclined to produce this for Mrs. Snarkiness.
Here is why: (With contacts, it is a bit of a different issue). The key here, in my opinion, is that spectacles are the very base of the emmetropic assisted prosthetic device.
That is, one must obtain a Best Corrected (D.)V.A. of or near 20/ 20. If one wants contacts of monvision, fine, it is a bit of a compromise, but can be done successfully.
The fallback is still the specs, and 20/ 20. If the contacts (or even specs) don't (best)correct to about 20/20, then there are liability and safety issues(but we wont' delve into the theoreticals).
In addition, there is anisometropia, and possibly aniseikonic issues as well. These don't manifest themselves as much with contacts. (and there is still the fallback of the 20/ 20 specs...)
So, you get the idea. Is this a new method of dispensing that I missed??
Your thoughts are always appreciated.
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Shwing;-}
[This message has been edited by Shwing (edited 06-06-2000).]
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