Originally Posted by
Robert Martellaro
Fabian,
Time to troubleshoot.
Let's firm up that Rx for starters. Is it written in minus or plus cylinder? If the Rt cyl is +1.25, and he's over plused (old Rt sph equiv -.75, new +.12), then a turn to the left will decrease the plus power improving his near vision. Check the right eye distance and near vision with a trial frame or hand helds over the eyeglasses.
If that's not it, then supply the true seg height (fiiting cross to the bottommost part of the eyewire using your best guess for the inset), describe how the client is so sure that the problem is the right eye, why a +2.75 Add (instead of +2.50), which eye is dominant, and pathology, if any, beyond the usual haze in 72 year old lens.
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