intermediate pal (access) or short corridor with intermediate at top

[tolpuppy]

I have a patient whose doctor has suggested the sola access or equivalent. I have limited experience with office pals. Generally I have found success with fitting a short corridor 2mm below pupil center with a compensated intermediate / near rx. However, I have never tried the access lens. What are the advantages to it over using the ellipse as I described? According to sola's literature I should fit this lens 3 mm below pupil center with near pd and a minimum fitting height of 15mm. Using the frame the patient prefers, the fitting height will be 15mm.

rx is -.50 -.50 x 110
+.25 -.75 x 065
+2.25 add

Patient spends many work hours in front of monitor. Monitor approximately 24inches

thanks!

[Diopterman]

You may also want to consider using a Ft or executive bifocal with the intermediate power in the top, full add at bottom. The area of clear vision is rather liberating!

[tolpuppy]

You may also want to consider using a Ft or executive bifocal with the intermediate power in the top, full add at bottom. The area of clear vision is rather liberating!

I have used ft in the past, however I have found that current progressive wearers never like the line.

[drk]

Access should be much more economical.

Access will give a wider near zone by a longshot.

The Ellipse has a nice, wide distance zone (your patient's computer vision), so that is indeed a good choice for multiple monitor workstations--better than a near varible focus lens.

Multiple monitor workstations are becoming more common.

I like the Piccolo over the Ellipse for this specific application, because: 1.) Economical 2.) Wider near zone 3.) Sufficiently wide distance zone.

[scriptfiller]

You may want to read-up on the Younger Adage and use that.

Younger owns IOT and IOT developed the design for the Adage.

[tolpuppy]

Just read some literature on the Adage. Sounds great! Has anyone tried it? I was thinking of using the new comfort short for this patient instead of ellipse since the reading is supposed to be wider. I'm open to trying the the Younger though.

[scriptfiller]

The Adage just came out within the last couple of months available in poly only right now but will be expanded into other materials in the near future. I have heard from someone who wore both the Ellipse and the Adage and the Adage is as good perhaps even better. 100% of the add power is available at 13mm, not like some of the other lenses out there that only offer 85% of the add power at the minimum fit HT.

[kat]

Computer style lenses ROCK!!! for people that spend hours in front of a computer, do surgery, play music, etc! They are designed to work 7-19 feet to 6-12 inches. Do NOT callibrate the power for the lab, please let them do that. Access by Sola, Office by Shamir, Tact by Hoya all provide wonderful ease of use for the patient. Fit these lenses the same way you do any other type of progressive and let the thanks roll in.