Forgive me if I am posting this twice, I think I added a space in the password the first time and am re-posting.
I have a patient that has:
1) Relatively high myopia (about -8.00)
2) A high add (+5.00)
3) And old pair of glasses that she was relatively happy with, which have a posterior round seg.
4) A more recent pair of glasses made our local teaching institution which she was never happy with which have ST Bifocals that are too low and set about 10 degrees counter clockwise O.U.
5) Her doctor specified: Polycarbonate lenses and a plastic frame (neither I or the patient can figure out why?
My thinking at this time is to use:
1) An ST bifocal in the highest (not poly) plastc material I can find.
2) To use a small metal (patient doesn't want a plastic frame or poly). Which centers the P.D verticaly and horizontaly very well.
3) Also concidering: A trifocal if obtainable in this add. Or a clip on for intermediate (computer) distance. I do not think any sort of progressive is a good idea with this sort of subnormal vision even if same is available.
Would appreciate any sort of intelligence you can share for this problem.
Chip
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