dealing with distortion

[sunsign]

hi all,
i have a customer who was using CR D and was highly motivated for progressive , the lifestlye also chagned for the pt. had more or intermediate use of late. i dispensed espace transition. the pt is comfortable indoors with progressive but complains of headache while driving. is it because of peripheral swim. should i shift the pt to comfort or physio. or put her back on CRD

sunsign

[OCP]

hi all,
i have a customer who was using CR D and was highly motivated for progressive , the lifestlye also chagned for the pt. had more or intermediate use of late. i dispensed espace transition. the pt is comfortable indoors with progressive but complains of headache while driving. is it because of peripheral swim. should i shift the pt to comfort or physio. or put her back on CRD

sunsign

Just put her on a European lens design. If she want totally clear distance vision I will recommend the Autograph II. Better than Lifestyle is Individual and Physio 360 as well.

Mike

[chip anderson]

That's why they still have lined bifocals..

[Chris Ryser]

That's why they still have lined bifocals..

.............right Chip, and these all have no....................

peripheral swim

[SailorEd]

Well, you can always go to the Physio, but, before you do, try this ...

Sometimes a patient does not hold their head straight while driving. If a person is small in stature, then the person may hold their head up while driving, thereby looking through the start of the intermediate zone. Ask the person to stand and look at something about eye level after you have dotted up the fitting cross in the current lenses. Then, if possible, have the person sit in their car and observe if they automatically raise their head. If this is the case, then, lowering the fitting cross to accomodate for the person's head movement may solve your problem. I find that in cases like this, a short corridor progressive, like the Ellipse, works best because lowering the fitting height will lengthen the distance that a person has to look down in order to get into the full bifocal thereby making the person raise their head much more than they may be used to. With the Ellipse, the person won't have to do that.

Good luck.

[sunsign]

Well, you can always go to the Physio, but, before you do, try this ...

Sometimes a patient does not hold their head straight while driving. If a person is small in stature, then the person may hold their head up while driving, thereby looking through the start of the intermediate zone. Ask the person to stand and look at something about eye level after you have dotted up the fitting cross in the current lenses. Then, if possible, have the person sit in their car and observe if they automatically raise their head. If this is the case, then, lowering the fitting cross to accomodate for the person's head movement may solve your problem. I find that in cases like this, a short corridor progressive, like the Ellipse, works best because lowering the fitting height will lengthen the distance that a person has to look down in order to get into the full bifocal thereby making the person raise their head much more than they may be used to. With the Ellipse, the person won't have to do that.

Good luck.

many thanks will try the same.
sunsign