A patient comes in with the following Rx and makes the following frame choice:Problem:
- OD +7.00 -3.75 X 176 4D Base Out 2D Base Up
- OS +7.00 -3.50 X 003 4D Base Out 2D Base Down
- Wearing square frame: 45 eye, 64 frame PD, MRP is vertically on center, lens CT is 3.5 mm, power of old Rx only differs by -.25 in sphere power OS
- Wants rectangular frame: 47 eye, 66 frame PD, MRP is vertically on center
- Patients PD is 35.0 mm OU
The patient wants to get as close as possible to the 3.5 CT that he is wearing. He loves the frame he has picked out and doesn't want to try and find something closer in size to what he was wearing. The patient is also a former lab tech so he understands a bit about why this may or may not happen.
What lens would you folks choose? I decided on Spectralite ASL.
This post has been edited to fix the typos resulting from typing it after a long week at work.
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