Hey guys,

Haven't posted here in a while but I've been lurking often! I normally find an answer to any problem I have just with the use of the search function ;)

We have a client with this rx:

R +2.00 -2.00 x 60

L -3.50 Sph

Add is about +2.00

Someone has dispensed her a pair of Varilux Comforts (progressives were called for on the doc's rx) but she cannot see well, which is no surprise to me.

I want to change her into SV distance but I cannot find a way to reduce the disparity in image size she will experience. After punching different combinations of front curves and CTs etc into the different online calculators, it seems as if the only way to reduce the aniseikonic effect in this case is to minimise the vertex distance as much as possible.

I suppose the doctor has a reason why a contact lens could not be worn in the left eye (the right eye has had a corneal graft and is unstable) hence the progressives called for on his script.

Anyone have an idea how to manage this rx?

Thanks :hammer: