Our patient has a brain tumor that has eliminated most of her superior central vision. She has been fit with contacts for DVO so she can use her good peripheral vision. She would like glasses to wear for various near/intermediate tasks over her contacts. She wants a +3.75 for crafting, +2.00 for reading, and +1.50 for computer. AND she wants it all in one lens! Line or no line doesn't matter; but she also plans to look over the glasses for distance.
I personally would suggest a pair for crafting and another for computer/reading, but she's a pilot (just for an idea of her personality) and won't listen to explanations of how the optics wouldn't work for that. We already discussed using a PAL at +1.50 sphere with a +2.25 add, but then her reading zone (+2.00 effective power) would be such a small zone of the lens that it would be fairly useless for extended near tasks.
Any suggestions from all the super opticians out there? Or is this simply a 2 pair solution and our pilot with the brain tumor will have to face optical reality? Thanks in advance for any tips/ideas!
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