How does one try and make sense of what a patient is trying to tell us what they see? I’ve had several patients come in and get a pair of glasses from us, often without even changing PAL types , only to suddenly claim that their reading area is too small, or that they’re “pulling,” or something similar.
Of course, when faced with this sort of situation, I ask them questions that to get them to reveal more about what they are seeing (without “leading” them to an answer). I make sure that tilt, face form, vertex distance, base curve, et al, are equal to their last glasses. Or, failing that, these factors fall within tolerable variances. Most times this fixes their issue.
But what if it doesn’t, and they still vow that the new problem persists? Has anyone taken measures on their own to try and see what the patient sees?
For my own part, I am only thirty, so I don’t need to wear bifocals of any kind yet. I have, however, when I ran my lab, taken some +1.25 add blanks and made plano lenses out of them, in an attempt to try and get an idea of what my patients see when they wear their progressives. It was an interesting experience, and gave me an idea of what patients may mean when they tell me certain things about their own glasses.
What do you all think?
Thanks!
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