Man, I get some strange ones. Okay, this patient I do know personally and he's not a quack. He may be a bit "sensitive" to changes etc so here's the scenario and maybe one of you has an idea of what could be going on that I haven't thought of.
RX OD -4.75 +1.00 X 040 OS -6.00 +0.75 X 145 +2.00ADD
His habitual was SO AWFUL, I don't see how he could see anything out of them. He's a judge AND on the side a pilot. I don't have his habitual RX as it was an outside RX to begin with and he never got glasses from me before so I don't have a record of it. I do remember it was reduced in minus, and the ADD was also lower, but I think only by 0.25. He was wearing POLY, very scratched (almost like a brillo pad was taken to it scratched), rimless, NO AR, very thick. The frame was so far out of adjustment, it not only had Xing going on, but the bridge was very skewed therefore one lens was lower than the other.
New glasses: Nice new full rimmed frame, 52 eye, High Index, Super Hi vision AR, Hoya Lifestyle ID progressive.
Complaint: Can see much clearer EXCEPT at dusk or dawn or in low lighting conditions he has to resort to putting on those old glasses. He states he can actually see better in the old scratched, distorted, no AR, rimless poly's in low light conditions. Especially when he is flying.
I have no answers for him. I wanted him to see his doc but he's put it off so long (and he's not one of our doc's patients), I don't think he will go bc of his busy schedule. The ONLY thing I can think of is some pathology that I am not privvy to bc he is not one of our patients. Is there any pathology that would allow someone to actually see better in a situation like this? Any thoughts?
Thanks
P
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