So the patient is stating that she is seeing what she describes as a dark shadow, like a fingerprint in one of her progressive lenses...up to the left, in the left lens. She's worn progressives before, her RX distance-wise is somewhat mild at OD: plano, -0.25 x096 and OS: +0.50, -0.25, x093. She's got a pretty good sized frame with a B dimension of 39mm, Seg Height: 24mm, Eye size 52 with a +2.50 add power and PD of 30.0/31.0...It's an Essilor Natural in CR-39 (eyemed covered) Lens with SharpView AR. The patient is Female and 59yo.
Thoughts? Red Flags?
Chris
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