Cannot find a reasonable solution to Patients intermediate issue. Advice from optical co-horts appreciated.
Background:
New Patient, presented with OTC. States she has experience wearing PALS in past. Does not have prior glasses & cannot recall prescribing Dr.or optical shop she received her last PAL from-less than two years ago.
frame is round, very small A = 42mm, B = 40
Patient insists wearing frame with VD of 18.
V/P/W custom measurements taken to compensate VD issue
Has minimal distance & astig correction
OD +.050 sph
OS +0.50 -0.25 113
ADD +2.25
UNITY PLXTRA PAL
Issue:
Patient complains that although distance and reading vision is clear - no Rx problems - she cannot achieve good interm vision. Feels she is dropping from good distance straight into good near with no usable interm. area.
Interim complaint makes sense due to high near+Shape of lens+V.D. I was just hoping that someone might have a suggestion that I am overlooking. Considered all the obvious options.
Patient does not want NVF/refuses VD & frame adjustment/& will not consider an alternate frame.
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