I have a patient who we'll call Sue. Sue's Rx:
OD -4.75 -0.50 x 015
OS -1.50 -1.75 x 106 Add 2.25
The doc asked me to do a slab off, and the Rx seems like it definitely warrants one. We made a proceed 1.67 with Crizal with slab, and cosmetically they look beautiful. The patient tried them for about a month, and couldn't get used to the slab at all. The distance was fine, she said, but the near would only come in clear if she occluded one of her eyes.
Her old Rx is:
OD -5.00 sph
OS -1.75 -0.75 x 106 Add 2.00
She's brought them back now to be made without slab. What could I have done differently?
The few very experienced opticians I consulted with before making these said the slab was the only way to go, and in the State Board review, prof Joe Simmons says bar none we should be making slabs for anyone with 1.5D or more difference at 90, yet it seems that when I do, the patients won't accept it. What gives?
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