+3.75 and higher for prog. - what would you do?

[rob.optician]

OD +3.00 -2.00 018
OS +4.50 -3.25 177
ADD +4.00 OU (actually was +3.75 but the OD changed it due to lack of product availability -pt. will have to hold things closer)

High add power, plus the patient wants high index - plus Transitions. Do you think anyone stocks this? lol.

The only option that I have found is the Varilux Physio. Not only does it come in high index - but also Transitions.

I could not find ANY progressive that went over a +3.50 add...let alone over +3.50 AND 1.67/Transitions.

Does anyone know of any other options (staying in a progressive lens)

[casper]

I believe Vision Ease carries a 4.00 add and Nikon has one.
Casper.

[spexer]

Varilux Physio comes in a 4.00 add, also trans, poly on up in index.

[Robert Martellaro]

The Physio and Physio 360 seem to be the only lenses that have a +4.00 add/trans/1.67 (in the US). Hoya's ECP also has the power and tint you need in Trivex, a lighter weight lens than 1.67.

A +4.00 Add PAL is a pretty nasty lens to look through. Any chance you could cut the add and use readers as a supplement to the general purpose glasses? This would allow the use of atoric free-form designs like the Autograph, Succeed, and Ipseo, all available in trans/1.67 with a +3.50 Add.

Regards,

[MarcE]

I haven't checked, but I think that one of the lab rats I know has a +4.00 add in a Comfort that he uses for magnification when soldering and polishing frames, etc.

Ask someone at the lab. There maybe someone there in that exact situation.

I agree - it's not going to be pretty. If they need that much mag or that close, wouldn't they be better served with a +3.25 or +3.5 progressive w/ a separate pair of readers with full near Rx.

[rob.optician]

Good ideas....thanks for the input. I will explain to the pt. this may be the best route for them...even though they may not like the idea.


By the way - I did call the lab. I use a local independent lab - that is able to get the Physio - and I also use HOYA. HOYA does not have anything that goes up to a +4.00 - if you have the "eye connect" electronic order system you'll notice it says the ECP goes up to a +4.00, however, I spoke with people from HOYA and they stated that the information listed in eyeconnect is wrong. The ECP does NOT really go up that high...

[Robert Martellaro]

Robert,

You're right, the ECP Transitions/Phoenix only goes up to a +3.00 Add. Sorry for the bad info. You can get clear ECP/Phoenix in a +4.00 Add. I know this to be true because I have a client who's wearing one!

Regards,

[AWTECH]

OD +3.00 -2.00 018
OS +4.50 -3.25 177
ADD +4.00 OU (actually was +3.75 but the OD changed it due to lack of product availability -pt. will have to hold things closer)

High add power, plus the patient wants high index - plus Transitions. Do you think anyone stocks this? lol.

The only option that I have found is the Varilux Physio. Not only does it come in high index - but also Transitions.

I could not find ANY progressive that went over a +3.50 add...let alone over +3.50 AND 1.67/Transitions.

Does anyone know of any other options (staying in a progressive lens)

I just looked up a +2.75 with a 4.00 Add that we can produce using our ICE-TECH individualized lens. We offer Transitions gray in 1.67 MR-10.

Contact me via private message or e-mail if you would like more information.

[RT]

The HOYA Summit ECP is most definitely available in a +4.00 add in 1.67 Transitions Gray.