Need help with progressives

[justdhogan]

PT complaing about var psy 360 and having to turn her head slightly to find viewing area. Checked pd, adjusted for tilt, sg height is very close, RX is made into lenses. I am just at a loss. Nothing is jumping out at me???? I have fit quite a few and usually the problem jumps right out.

Might I mention that I am a total rookie and running an optical department solo. Billing, edging, dispensing, selling, stocking, and anything else. I am lucky to get someone to help me make a phone call around here. PLEASE HELP.

[kvz]

Have your tried adjusting the frames other than for tilt? Sometimes simply reducing face form can make a huge difference.

[Yeap]

kvz was right, try on the adjustment, it may helps a lot..
good luck..

[sharpstick777]

Might I mention that I am a total rookie and running an optical department solo. Billing, edging, dispensing, selling, stocking, and anything else. I am lucky to get someone to help me make a phone call around here. PLEASE HELP.

Yikes, well, welcome to Optiboard! I have been in your shoes... its hell. Is it a new practice?

[sharpstick777]

PT complaing about var psy 360 and having to turn her head slightly to find viewing area. Checked pd, adjusted for tilt, sg height is very close, RX is made into lenses. I am just at a loss. Nothing is jumping out at me???? I have fit quite a few and usually the problem jumps right out.

Because the pwr in the Physio 360 compensates aspherically for vertex distance, your pat is adjsting their power when turning their head effectively. Adjust first, for tilt and faceform, but if that doesn't help, You may try +25/-.25 flippers, if the pts sees better through the flippers straight on, you may have an RX issue.

[Uncle Fester]

PT complaing about var psy 360 and having to turn her head slightly to find viewing area. Checked pd, adjusted for tilt, sg height is very close, RX is made into lenses. I am just at a loss. Nothing is jumping out at me???? I have fit quite a few and usually the problem jumps right out.

Might I mention that I am a total rookie and running an optical department solo. Billing, edging, dispensing, selling, stocking, and anything else. I am lucky to get someone to help me make a phone call around here. PLEASE HELP.

Need more input- to start--

What was the previous and current rx and lens design?

Old and new frame sizes?

[Bev Heishman]

Need more input- to start--

What was the previous and current rx and lens design?

Old and new frame sizes?

I agree. It is complicated. Rule out material problems and lens design by placing the RX in the phoropter and checking the vision. If sharper but VA is still a little off the refraction should be fine tuned.

On a few of our patients who had similar problems, base in prism was prescribed and it relieved the problems.

[sharpstick777]

I have now had 3 practices with the same issue, this week alone. There must be a software error at Essilor?

PT complaing about var psy 360 and having to turn her head slightly to find viewing area. Checked pd, adjusted for tilt, sg height is very close, RX is made into lenses. I am just at a loss. Nothing is jumping out at me???? I have fit quite a few and usually the problem jumps right out.

Might I mention that I am a total rookie and running an optical department solo. Billing, edging, dispensing, selling, stocking, and anything else. I am lucky to get someone to help me make a phone call around here. PLEASE HELP.