Can't get any panto

**chip anderson** · 07-01-2009, 03:22 PM

What do you do when the patient has selected a frame where panto cannot be achieved due to thick butt joint temples and patient has thier heart set on the latest super-zoomo individual progressive?

Chip

**finefocus** · 07-01-2009, 03:39 PM

Originally Posted by chip anderson

What do you do when the patient has selected a frame where panto cannot be achieved due to thick butt joint temples and patient has thier heart set on the latest super-zoomo individual progressive?

Chip

File the temple end at an angle so you can achieve panto. Naturally, this makes the frame loose so you have to bring the endpieces in in the usual way (creating a chance to bent the endpiece down as well as inward for additional panto). Not perfect, but preferable to bending the temple down between the hinge and the bend.

**Barry Santini** · 07-01-2009, 03:42 PM

Originally Posted by chip anderson

What do you do when the patient has selected a frame where panto cannot be achieved due to thick butt joint temples and patient has thier heart set on the latest super-zoomo individual progressive?

Chip

1. I taper/bend the earpieces, either in the middle, creating a smooth, albeit longer curve...

2. Or, just before the ear, where the temple *usually* thins out. Here, a much sharper bend must be done, but the advantage is it is usually hidden by hair.

3. Wait for the client to come back and complain, and offer an exchange.

4. PUNT!

Barry

**bob_f_aboc** · 07-01-2009, 03:57 PM

Order the lens compensated for ZERO (or whatever amount you have) pantoscopic tilt.

**cmhargrove** · 07-01-2009, 04:53 PM

Originally Posted by chip anderson

What do you do when the patient has selected a frame where panto cannot be achieved due to thick butt joint temples and patient has thier heart set on the latest super-zoomo individual progressive?

Chip

Any chance you could post a pic of the frame? It might help us come up with a reasonable guess... I mean solution.

**cocoisland58** · 07-01-2009, 08:15 PM

I know exactly what you are talking about Chip and it bugs me. You can file and bend the temple and any other thing but I think I will be happy when the wide sides go away again. My own frame had two hinges on the temp because it is a decorative split temple. I love the look but I wouldn't mind a bit of panto. No can do.

**scriptfiller** · 07-02-2009, 07:16 AM

Is the lense thick enough where a bevel can be placed on the lense to induce panto.?

**hipoptical** · 07-02-2009, 08:57 AM

Originally Posted by bob_f_aboc

Order the lens compensated for ZERO (or whatever amount you have) pantoscopic tilt.

This is the correct answer. Most of the individual PALs calculate based on PANTO, or in this case, lack thereof. This is just one more reason they are better than traditional. Just don't order the Vari-lucky (if you can see) 360 (degrees is how your head spins) products this way. It'll do you no good.

**EyeFitWell** · 07-02-2009, 10:18 AM

I don't sell wide temple frames for progressives without telling the patient that while it looks nice, they won't get the full benefit of the progressive lenses in a frame which doens't allow proper adjustment.

**Trevor D** · 08-12-2009, 06:49 AM

There is a new Varilux 360 that can be ordered to specific pantoscopic tilt and facial wrap. Essilor have released a new magic tilt/bvd/wrap calculating device!
We have so many frames nowadays that cannot be adjusted for panto or adjusted just before the temple bend or filed down at the hinge etc. We also have many people who will not pay for a customised lens design :(

Can anyone tell me the effect of a traditional or non-personalised PAL that is fitted at less the recommended tilt? Or even with the lenses almost vertical?

**drk** · 08-12-2009, 11:15 AM

Very generally, power errors and reduced zone width.

**mike.elmes** · 08-12-2009, 02:07 PM

My wife and I recently attended the Varilux Celebrates its 50 year birthday celebration and received 2 free fit coupons for the (Varilux Physio f-360) and some con ed credits.
I made us each up a pair with the forte A/R coatings.To be totally honest, I have and wear a pair of: ellipse,nilon i, nikon i digital, nikon w, hoyalux id, sola hdv,definity short and a pair of nikon online. I tried but retured a pair of sola ultra compact.
I feel the f-360 is as good as any i've worn. I ordered with the wrap, panto,vertex, pd and seg hight.
I am an indepenent optician that sells all brands of lenses, therefore no bias here.

**Chris Ryser** · 08-12-2009, 02:34 PM

Obviously there is no proper solution in such cases and if you can not refuse to sell this frame make sure you won't have to replace the whole job for nothing when she becomes a unhappy "want my money back" customer.

**jefe** · 08-15-2009, 12:14 PM

Chip, use a short bungy cord and two largish fishing hooks to alter the patient's head. After measuring the bungy cord to fit, secure the fishing hooks to the cord. Attach one of the fishing hooks to one ear then stretch the bungy over the top of the head and attach the other hook to the other ear. In order to keep the bungy cord in position, the patient should wrap some duct tape around her head and wear something like a hockey or football helmet just to make sure nothing gets bumped out of place.

After a year or two, this setup might (< 2% likelihood) serve to pull the ears higher and create the panto you need to get this frame to work. Just warn the patient the pain might be intense until the nerves die, and you should also be certain to warn the patient about the possibility of large chunks of the ear(s) tearing off (which probably would also be painful).

Or, I guess you could do some of those things the other posters mentioned.