10/10/07 rx:
+1.00 sph 3.00 add 20/25+1
-.50 +1.00x115 3.00 add 20/400
Ovation fit at 24mm (fit elsewhere)
10/13/08 rx:
+1.00 sph 3.00 add 20/25+1
-.25 +.75 x115 3.00 add 20/400
Definity CR-39 W/alize in POF fit at 27 by myself
Patient comes in with complaints of blur at distance and feels like it's the axis because the "optician" at the last store told her she probably needed the axis in her rx checked. I marked them up and they were sitting just slightly high, made adjustments, they look beautiful, she stated she loves the new lenses and can finally read without moving her head all the way back (last lenses were obviously extremely low) but wants her old distance in new glasses. Refraction was reviewed and no change was warranted...I asked her to try the new adjustment and she refused and said she just knows it won't work because she's really hard to fit and most people don't get it right the first COUPLE of times!
Is this a case for the magic shelf? I hate to pay another couple hundred dollars on such a small change, when I have a sneaking suspicion that she's just convinced that she's always gonna have a difficult time, and I am wondering if I should go back to the ovation (yuck) even though she's commented on the lenses seeming better...I have personally never used the magic shelf, and am reluctant to mention it to anyone here at my new office- will it be viewed as decietful? But I've seen the magic shelf or drawer or sunshine treatment work before....what should I do with this one?
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