HELP me solve this puzzle- CURVES?

**misstara007** · 04-17-2009, 12:19 PM

Hey Optiboarders- Any help would be greatly appreciated!

Here's the scoop:

Dr. precribes New Pt. 1st time PAL
Old frame: 2.5 degress of wrap
Old SV Rx: -2.75+1.50x10
-1.75+1.00x 178

PAL Style: Hoyalux ID Life style 1.67 w/ SHV
New frame 5 degress of wrap
New Rx: -3.00 +1.75 x 12
-1.75+1.00x180
+1.50Add

When dispensing the PAL, pt. puts them on and becomes VERY disoriented and unhappy- blurry distance, and a swimmng sensation. After checking the measurements and(we had time in the schedule for the OD to even recheck the RX) everything checks out.

I advised him to take them home and try them out. He did. I get a phone call in about 10 days with complaints of non-adaption.

So we move him into SV.

He came in to pick those up today and I thought foir sure he'd be a happy camper and we'd call it a day- but he puts the new pair on and says everything is blurry and he cannot read. He puts his old glasses on and says I can see great in the distance and read fine. Which leads me to think that its the curve. Which also makes me wonder if he didnt like the PAL's because of this issue as well.

He wore them in the office for a while, with no change. But I advised him to try them out to see if he can get used to the curvature. And if he doesnt, we will scrap the whole deal and Reframe style (something very close to his current frame)and match basecureves- the whole she-bang.

Its frustrating because #1-We have to incur more costs to make him happy. #2 He has to go outta his way. #3 I still dont know if even THAT will work.

What to do, What to do???

Any help guys? Thanks in advance. Long story, I know. Thanks for taking the time to read it!

**obxeyeguy** · 04-17-2009, 12:38 PM

What was the material on his 1st pair of SV? I'm thinking the 1.67 is the problem, and a tad overkill for that rx. JMHO

**misstara007** · 04-17-2009, 12:40 PM

Not sure. New patient. Probably Poly.

**optical24/7** · 04-17-2009, 01:22 PM

Consider checking the differences between old and new pair:

B.C.'s
Panto
vertex
PD and vertical placement.

I'd also consider switching to 1.60

**misstara007** · 04-17-2009, 01:27 PM

B.C.'s
Panto
vertex
PD and vertical placement.

I'd also consider switching to 1.60

These are all things that I will do if it comes to re frame styling him.

**Dave Nelson** · 04-17-2009, 01:34 PM

In addition to all the previous parameters to double check, pay very close attention to the curvature of the frame front, often referred to as "wrap," compared to the old frames. An increase in index combined with less frame front curvature is virtually guaranteed to cause adaption problems.

**AdmiralKnight** · 04-17-2009, 01:44 PM

Wait, I'm confused... why would you restyle him instead of fixing the problem with the lenses? The frame would be the bottom of the list of things causing his problem. If you check these differences, you'll have a better idea of what's wrong, and possibly be able to fix the issue!