Here is the requested Rx. Notice I said "requested".

OD -1.50 +2.25 X 019 2.50 ADD 18 Diopter BO (i dont see that happening)
OS -3.00 +0.50 X 023 2.50 ADD 2 Diopter BD

Patient wants to use transitions and a 7/28 trifocal. PD is 59/56

The frame is A-49 Grooved semi rimless frame that the pt has been useing for years.
DBL-18
B - 35
ED - 50

Im speaking of a patient that will be 80 years old in the spring and for her age really seems to have her faculties about her and is rather mobile.

With todays technology and materials what can I do to give her the best looking lens? The following is what I did for her two years ago.

Useing that same frame the requested Rx was

OD -1.75 +1.75 013 3.00 ADD 5 Diopters BO
OS -4.75 +0.50 014 3.00 ADD 10 Diopters BO and 1 Diopter BD

We used 7/28 transitions and polycarbonate LFG lenses and we did get the 5 BO OD and OS ended up being 8 BO and 1 DN.
She is sensitive to base curve changes. I had a remake last year on account of that and I want to keep the base as close to a 400 or 425 as I can.

So any input from out there before I start this job at the lab?

Thanks