It's like anything else, Harry -- a good optician will offer the patient a product that (s)he thinks the patient needs. And you're a good optician (much better than good, really), so that's what you do.
And it's also true that what we think a patient needs is driven by two things (at least): one is our understanding of the benefits and limitations of the particular product, and how that intersects with the patient's lifestyle; and the second is whether we, ourselves, see a real value in the product. I'm sure more of my patients get AR than yours do for one reason: I wear it and love it. But I sure wouldn't recommend it to a woodworker, stonemason, rough-housing kid, etc.
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