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She is complaining that the clarity OD is not very good. OS seems to be ok. This was a previous problem. She wore a pair for awhile, but had a similar issue OD that ended up causing bad headaches. Talked to the doctor today, he doesn't know what to do. I feel like even if we match her old pair exactly with same frame and lens style and RX it will still be a problem.
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Since a ladder can no longer reach down to you I'll lower the newly installed elevator:
"We will remake this prescription one more time as single vision distance. If that does not resolve the issue we have reached the limit that our office can provide to remedy this issue. If it does prove successful we have found ourselves- and I hasten to add it not unusual in your prescription- where you need segmented multifocals or even multiple pairs etc. etc...."
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I have a similar patient with this issue-similar high minus Rx. I didn't measure the OC for the FT lens and then re-did the lenses with an OC measurement and things were easier for her-