Sorry it took so long for an update.
Here is what we did:
As you recall, we ordered an Indo Expert, but the total power was out of range, so the lab substituted the Auto II.
The distance vision in the Auto II was great and but the near was not so good. She took them for a week and couln't get used to the "magnification", although the near vision was better.
According to her, "Everything is 1.5 times larger than it should be":hammer:
I'm sure these new high-tech lenses have more "true" vision with less minimization. But what are going to tell someone who has been seeing the world at half size for over 50 years.
Next try was a Natural 1.60 on a 2.00base, no roll. The reasoning was because of the relatively long corridor of a Natural and a MFH of 18mm, which is what the frame would allow. Also, it comes in a 2.00BC, which the OD specified. Also it comes in 1.60, which the pt prefers over 1.67, and regular plastic (this is her personnally provided history)
The lab provided a polish and charged extra for it even though we specifically said "No Polish". Not the same lab that provided the first freeform.
She immediately didn't like the polish, so I removed it per Optiboard instructions (thanks to Chip or Chris R or Harry C, I can't remember who to give credit to). Anyway, I digress . . .
She didn't like the lenses at first (maybe she was used to the "natural vision" provided by her freeform lenses). After 3 days, she really liked the lenses for distance and really liked them at near.
But she doesn't have any intermediate vision (of course not). But she claims that she did in her old specs.
In case I didn't tell you about her change in Rx: the change was an extra -0.50D in the OD and -1.00D in the OS. And we upped the add by +0.25 to a +3.00.
So she was having great luck using the top half of her old specs for computer work. But her distance acuity was 20/60:hammer:
But you can't convince her of that. She just thinks that we gave her a substandard lens. So when I started talking about a pair just for "indoor" use, she started crying. Now we are just trying to get more money from her
. And she couldn't possibly be changing out different pairs of specs.
So, this is what we will do as of today:
- Add +0.25 to cyl OD and add +0.25 to sphere OS and reduce add to +2.75 (this was OK'd by prescribing OD).
- Change lens to Adaptar (which has a wider corridor, so I hear?).
- Rechecked PD. Left may have been off 0.5mm
- She picks the pair she wants to keep.
However, I haven't decided on the add. Would a higher add (+3.50) help her get into the intermediate faster and therefore be more comfortable? Or would a lower add maximize the corridor width?
High myopes please chime in.
Thanks for listening!
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