Optics not sharp with Vantage ?

[rdcoach5]

Anyone else have this problem? Patient in question may actually be the problem. Put her high (-9.00 ) Rx in a 55 smith wrap in poly and wrap compensated Poly Polar Vantage . She doesn't like the frame (her choice, ordered in to see first, I know, just shoot me, )She states the single vision poly is foggy, not sharp compared to her 1.67 Definity's . Is the problem psychological or problem with poly or Vantage? She's had problems with previous Polar , seeing streaks. I think she's seeing reflections from the edges which are polished but putting on an edge coat did not help. I'm ready to fire this patient. Any other thoughts ?

[Jubilee]

First thing springing to mind is the compensation portion. Perhaps the prismatic element is not to her needs causing a slight "blur" effect?

[Barry Santini]

Anyone else have this problem? Patient in question may actually be the problem. Put her high (-9.00 ) Rx in a 55 smith wrap in poly and wrap compensated Poly Polar Vantage . She doesn't like the frame (her choice, ordered in to see first, I know, just shoot me, )She states the single vision poly is foggy, not sharp compared to her 1.67 Definity's . Is the problem psychological or problem with poly or Vantage? She's had problems with previous Polar , seeing streaks. I think she's seeing reflections from the edges which are polished but putting on an edge coat did not help. I'm ready to fire this patient. Any other thoughts ?

-9.00 in a wrap?

What:

Base curve
VD
for an Rx of this range, anything greater than 3-4 base is a MISTAKE!

B

[mdeimler]

What Barry said...you pretty much answered your own questions. -9.00 in a wrap works so minimally that you really need to under promise the results to the patient. Set the bar so low that ANY vision seen through the lenses will be good enough.

[Fezz]

-9.00 in a wrap......in poly!!!!!


Just say no!

[MakeOptics]

-9.00 in a wrap......in poly!!!!!


Just say no!

I'm with you on that, a recipe for failure. I hope this thread doesn't turn into the few exceptions that have done a -9.00 or higher in a wrap. No need for false hope with these patients.

[Fezz]

I'm ready to fire this patient.

Why?

You allowed this disaster!

[wearegood]

yeah, maybe you shouldn't use poly for such a RX.

[Uilleann]

-9.00 in a wrap......in poly!!!!!


Just say no!

Even I have to agree with this sentiment 100%. This should at-the-least have been done in a 1.60, but better would have been a 1.67, 1.70 or 1.74 (though I don't believe 1.74 is available Vantage currently). Proper wrap compensation is critical regardless, as would be POW measures.

My first call would be to a wrap specialist like Ice Tech or the like. But I have to agree - NEVER poly in that Rx. DOUBLY so in that Rx with a wrap. Scotty and his laws of physics are very cross! ;)

[chip anderson]

Any thing over a 5.00 in Poly you can expect trouble, add a wrap to it and it isn't the patient who should be fired.


Chip

[rdcoach5]

Well, all of you geniuses can look up the availability of vantage. Of course that wasn't my first choice but it was my only choice. Of couse you could have replied , for example, that you have, or have not had many satisfied Vantage customers. That was really my question.

[NCspecs]

Well, all of you geniuses can look up the availability of vantage. Of course that wasn't my first choice but it was my only choice. Of couse you could have replied , for example, that you have, or have not had many satisfied Vantage customers. That was really my question.

I have a patient who has been waiting very patiently for her 1.67 Vantage lenses since May. We got excited, took payment and then found ourselves looking foolish. Thankfully she is super cool and this is a "fun" pair for her so there is no immediate hurry. Whew!

I wouldn't get too bent out of shape with everybody suggesting against poly, especially when informed of the rx and frame choice. When first presenting the issue I would've been forthcoming if I were you about the reasons behind using a poly lens versus high index. I think everyone is correct in their assessment. Just don't take it personal.

I received a voucher for a poly Vantage and in the last two weeks of use I've had no issues except for some initial swim in the beginning. I've been wearing digitally surfaced SV Trivex exclusively so switching back to a standard surfaced poly may have been a come down. I have a very mild Rx OD -1.25 -0.25 X 102, OS -2.00 Sph. I like the clarity outdoors on partially sunny days, it's nice to take the dog to the park and not have to do the sunglass switcheroo especially with my hyper-active pooch in tow. I will be recommending it to my patients based on personal experience.

[Uilleann]

Well, all of you geniuses can look up the availability of vantage. Of course that wasn't my first choice but it was my only choice. Of couse you could have replied , for example, that you have, or have not had many satisfied Vantage customers. That was really my question.

The availability of Vantage isn't the issue though is it? The fact that as a dispenser, a pair of glasses was ordered that would - under the best of conditions be dubious optically - just to use the new lens tech should really be under the spotlight. It really is no wonder at all that this patient doesn't care for the lenses. The frame itself should have been a big red flag regardless of Rx with a patient as picky as you state they are. It was all downhill from there. Hope you're able to find a mutually agreeable solution to the problem this frame/lens order created at any rate. With any luck, you can lower her expectations a good deal, and raise the bar on her next material/technology lens package to meet in the middle somewhere.

[rdcoach5]

The availability of Vantage isn't the issue though is it? The fact that as a dispenser, a pair of glasses was ordered that would - under the best of conditions be dubious optically - just to use the new lens tech should really be under the spotlight. It really is no wonder at all that this patient doesn't care for the lenses. The frame itself should have been a big red flag regardless of Rx with a patient as picky as you state they are. It was all downhill from there. Hope you're able to find a mutually agreeable solution to the problem this frame/lens order created at any rate. With any luck, you can lower her expectations a good deal, and raise the bar on her next material/technology lens package to meet in the middle somewhere.

Yeah, we refunded her money and fired her. She used to be a very pleasant lady and has developed a medical condition that made her disposition change- by her own admission. It really boiled down to the fact that she didn't like the frame.

[Uilleann]

Yeah, we refunded her money and fired her. She used to be a very pleasant lady and has developed a medical condition that made her disposition change- by her own admission. It really boiled down to the fact that she didn't like the frame.

So the Vantage lenses weren't the issue after all?