Judy:
How many times in your carier have you seen a patient that thought they were seeing all there was to see and upon getting new glasses or thier first glasses exclaimed: "Geeze, I had no idea what I've been missing?"
You get your glasses free, go put it to the test!
I know I am violating our "friendlier Optiboard" here but we have two "eyecare professionals" of long standing one of whom won't do a simple comparision test and another that rebels at even suggesting an older design that might give improved vision. Us be professionals?
Chip
Last edited by chip anderson; 07-23-2012 at 03:50 PM.
I really don't have any issue in recommending a FT if I feel it would be an improvement. However, for what this patient needs I'd be making a poor suggestion. He relies on his intermediate far too much, and the frame won't accommodate a trifocal...and with it being a pof, I don't feel I should both suggest a lined tri and tell him he has to purchase a new frame.
Chip (and Chris), I have tried bifocals and trifocals, but prefer a PAL. Personally, lined lenses make the ground view unacceptable. They also stair step you through focal lengths. A good PAL design has very clear distance vision from edge to edge above the fitting cross. Better designs also have very little swim effect.
PAL's are the "swiss army knife" of lenses. They do a little bit of everything. But would I build a house with the screwdriver on a swiss army knife? No, I'd use a power tool. Right tool for a given job. Do we only have a screwdriver at our work bench? No, we have different tools for specific tasks.
This is why many patients find benefit to task specific glasses. Like reading glasses, computer glasses, golf lenses, ect. And these task specific glasses don't have to cost an arm and a leg. They many times can be simple CR SV lenses. Before you say we are gouging a client's wallet, keep in mind that it's not our job to police their money. Most folks are very capable at doing that themselves. My job is to make suggestions of products that will aid them. And yes, sometimes those include lined lenses.
I can't recall the last client that didn't find benefit to their computer glasses they purchased. In fact many say it was one of the smartest investments they've made, and re-order as their Rx changes.
Today's market dictates what the public wants. You can call it marketing or brain washing, but the public wants PAL's. But we should also offer solutions to specific needs that not even a bi or tri will do as well.
i think the problem is that the prescription has change so little, that he cant see the difference, and now feel "robbed" so he is complaining at a very slight difference between the lenses, but he just want to say "i am not paying for this" my english so good, so maybe i have got this all wrong, but i would never make that litle a change. what was his complaints and reasoon for getting new lenses ?
Unfortunately I wasn't the one who worked with him initially. My guess is he just wanted more clarity, but I agree that the change is minimal and not necessarily worth the update.
I discovered a backside PAL (not from me) that had the near reference point outset instead of inset in one eye, creating plenty of grief for the wearer at near. Semi-finished PALs can have the same problem if the 180 line is off-axis. The symptoms you describe are what I would expect if the near reference point is mispositioned. It's certainly worth a look, if you haven't done so already.
Science is a way of trying not to fool yourself. - Richard P. Feynman
Experience is the hardest teacher. She gives the test before the lesson.
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