I have a patient who has been fitted in a traditionally surfaced poly, OD +2.25/ OS+1.75, -0.25 cyl ou.
I know that many digitally surfaced lenses suggest that when taking an OC for a plus Rx you want to drop it 4 mm to accommodate for the pantoscopic tilt of the frame. I take OCs for all of my SV jobs but I have left OCs where I dot them. Should I be doing things differently for my hyperopes? I think that if I left her OC at 30 (big ole hipster frame) she might be okay because she barely has any cyl to speak of, but I obviously have room to drop it if I need to.
What say you?
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