patient phrases for problem solveing

[optiman]

Hi
We all know that when a patient comes in and says it "feels like my eyes are pulling"
that we recheck the P D. What other comments have you heard that leads to a solution to common problems?

optiman

[JSBell]

Seg Ht.: "If I put my head down just a little, it gets clearer".

[Optom]

Pincushion & Barrel Distortion

Hello,

Patient comes in and tells he sees edges of table lifting up when he looks through his eyeglasses or edge of paper bending.What do you check-Centration Distance,Axis or Form Of Lens?

Regards,
Optom

[chip anderson]

1) Is patient a high myope contact lens wearer? If so this is normal for a short period after CL removal in spectacles.
2) Check pantoscopic angle. Can cause a lot of this if inadequate.
3) Patient isn't a newbie bifocal wearer is he?


Chip

[jediron]

One is it a progressive lens? Two I have seen this many times because the doctor has changed the axis on person's glasses by at least 15 degree's or more and nine times out of ten that has been the problem.

:bbg: :D

[Optom]

talking about eyeglasses...

Hello,

Thanks Chip & Jediron for your inputs.These are remedial actions I take:

1) Select lenses with smallest effective diameter possible.
2) Make sure lenses are properly centered, and at correct vertex distance and axes are within permissible limits.
3) Use best form corrected curve lense design.
4) Use an aspheric design for high power plus lenses.

Please correct me if I have erred.

Regards,
Optom

[harry a saake]

aspheric

Optom, when using aspheric lenses it is also very important to match the frame pd to the patients pd, aspheric lenses work best when not decentered.

[Optom]

Thanks Harry for the info!:)
Rgd,
Optom