Definity Fourth Zone for larger frames
When the PAL segment height is equal to or greater than 23mm, Definity adds a (fourth) intermediate vision zone below the near zone. According to Definity, the patient experiences better vision when looking downwards (as one may do when walking on stairs or rocky ground) and "minimizes distortion and flattens the visual field". That second part is Greek to me: I am not an ECP. Since it does not say otherwise, I assume that this additional zone is provided automatically on all orders that specify >= 23mm of seg hgt and cannot be de-selected (?)
What are the patients and ECPs saying about this? Is it better than having the near zone go all the way to the bottom of the lens? Does the 4th Zone make the bottom edge of the lens remarkably thinner than it would be otherwise? Is it common to dispense PALs with >= 23mm of seg hgt? Could anyone verify that part about "minimizes distortion and flattens the visual field" and put it in a way that would perhaps be more understandable to a layman?
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