I have a customer who is currently wearing progressive bifocals. With her lifestyle, excluding work, she is very happy with them.
Her Rx for Distance and Near is as follows:
OD) -1.00 +0.25 x 15
OS) -0.75 +0.25 x 175
Add) +2.25
However, she sits at a computer for a lot of her workday. She has neck problems and so she would like a pair of specs to wear while she's doing her computer work. She would like the top of her multifocal to correct for a 27" - 32" range and the bottom part of her lens to correct for near.
The prescribing Dr. has suggested a progressive bifocal such as a Varilux Comfort (his words). I am wondering if you agree? Or would you fit her with a flat top...what is your experience?
I don't want to appear inexperienced myself. Quite honestly, I've fit many specs for people in this position and feel that they have been well served by either a flat-top bifocal or a lens like the Shamir Office (depending on their work situation/environment/requirements etc.).
This person is only slightly different because she has a "range" (27" - 32") that she would like to see for intermediate (she moves her laptop around on her desk during the day) and because her Dr. has suggested a standard progressive. It seems to me that a flat-top bifocal would still work for this "range" with the intermediate (or top portion) of the lens having an Rx like the following:
OD) -0.25 +0.25 x 15
OS) Plano +0.25 x 175
But, I am getting ahead of myself....really, I wanted to know what you (based on your own experience) thought.
As always, thanks in advance for your help.
hipchic
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