Need help trouble shooting

[Mizikal]

I had a pt come in today that had been having trouble with her glasses. They are lined bifocals. I was not the one that sold them to her but I guess she wanted a computer RX for er new job. He normal script read or as I can remember.
+1.25 -.25 @180 +2.00
+.75 sph +2.00
and when she asked about the computer rx the dr changes it to
+2.00 -.25 180 +1.25
+1.50 aph +1.25 .

She said the computer part is great but she cannot look out of the bifocals. She said her eyes don't seem to be working together. Makes me think of a convergence issue. I have added proper tilt and everything like occular center is spot on. Any ideas of what I can do? She is coming back to see the OD Tuesday for an Rx check. I will double check the rx tomorrow and repost it if I had it wrong.

[gmc]

Did you or someone else make a pair of glasses to the original Rx? If so, could the patient read comfortably with them? If not, the original add power might have been too strong.

Put a pair of -0.50 trial lenses in front of the add to see if that helps.

[Mizikal]

That is my first thought too but it is only about half a diopter up from last year.

[uncut]

I had a pt come in today that had been having trouble with her glasses. They are lined bifocals. I was not the one that sold them to her but I guess she wanted a computer RX for er new job. He normal script read or as I can remember.
+1.25 -.25 @180 +2.00
+.75 sph +2.00
and when she asked about the computer rx the dr changes it to
+2.00 -.25 180 +1.25
+1.50 aph +1.25 .

She said the computer part is great but she cannot look out of the bifocals. She said her eyes don't seem to be working together. Makes me think of a convergence issue. I have added proper tilt and everything like occular center is spot on. Any ideas of what I can do? She is coming back to see the OD Tuesday for an Rx check. I will double check the rx tomorrow and repost it if I had it wrong.

Reading Power: +3.25 -0.25 @180 Computer lens bif power: +3.25 -0.25 @ 180
+2.75 sph____________________________ +2.75 sph
They are the same????? She should be seeing the same as she does through her regular bifocals, shouldn't she?

[Mizikal]

She only got the computer glasses. The reading on both would be the same though .

[Chris Ryser]

She only got the computer glasses. The reading on both would be the same though .

Yes you are right, the reading is the same, however you have to find out a what distance she is comfortable reading, ..................and then you will find out that sitting on a desk looking at the computer, which is fine, the reading and close up working distance is much closer.

Therfore the addition should be increased for that purpose.