Patients ask for the thinnest lenses you can give them for the money they have to spend, thinking thin is what will make them look the best. After they are made up and the patient puts them on, they may or may not be the best looking, especially for those with moderate to high cylinder. This is because of the cylinder lines that appear on the lenses. The lower the index, the thicker the lenses are, but in some respects, the better they look because these lines are minimized. The ultra hi index are thinner but the lines are more exaggerated.
A woman with a sphere of -2.00 and cyliner of -3.75 recently rejected her Physio 360 1.74 lenses because of these lines, even after commenting about how thin they were. Said the cylinder marks looked awful. There must be a name for these lines, but I don't know what it is. We remade them in Panamic 1.60 and she is happy because the lines do not show. (They really do show, but to see them you have to turn the lenses upside down)
Have any of you encountered this before? How do you take it into consideration when suggesting the most cosmetically pleasing while also trying to avoid remakes?
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