Prescription:

OD -8.25 -2.00 x 010
OS -8.50 -1.25 x 150
ADD +2.00

Varilux Panamic with Crizal Alize, high index 1.74

Patient past wearer of Panamics for 5 years. Now experiencing blurry in intermediate vision with new glasses - previous glasses were clear. Previous prescription:

OD -7.75 -2.25 x 105
OS -8.50 -0.75 x 70

When patient holds glasses out from face about 1/2" (maybe less) intermediate and reading vision becomes very clear. This is odd since usually decreasing the vertex diminishes all aberrations but in this case increasing the vertex is making things clearer. It is the same when she pulls the glasses down on her nose about 1/2". (No distant problems when glasses are worn normally.)

Her main complaint is computer vision. But, when she sits at 2 arm's lengths from the computer, vision becomes rather clear. This seems to tell me that intermediate vision is too strong. Would this suggest that the intermediate area needs to be raised?

Thanks for any help!