I have a new patient who's been wearing Sola XL (and subsequently XL Gold) for over 20 years, and he's been very satisfied with them. (He says he doesn't even know he's wearing a PAL when he has them on.) When he recently went to get his newest Rx filled at Lenscrafters, they told him (correctly, of course) that the XL Gold had been discontinued. Since he's been so happy with that lens, he asked for another Sola product, and they put him into a Synchrony, which he's not happy with. So he came to see me.
He keeps his computer monitor at arm's length and tells me that when he looks at the monitor with the Synchrony, he finds himself wandering out of focus if he moves his head up and down even slightly, and he gets swim-and-sway when he moves his head from side to side -- two problems he says he did not have with the XL Gold. He says that distance and reading with the Synchrony are not as good as they were with the XL Gold, but they're "acceptable."
Like almost everyone else on this board, I know nothing about the Synchrony and, surprisingly, neither does my rep. Everything I know I've learned from Darryl Meister, rmarkzz, Mr. Finney, rinselberg, and some of the other knowledgeable people here: That it's based on the SolaOne/SolaMax design platform, that it was designed to be sold by Lenscrafters and the other chains, and that it was designed to compete on price. But I can't track down a white paper, lens map, or any other "hard data" on it.
So here are my questions: If he's not happy with the Synchrony, is there any reason to try him on a SolaMax or SolaOne? Are either of those two lenses likely to solve his intermediate vision problems, without sacrificing reading and distance -- and if so, which one? And if neither of those would be an improvement, which non-Sola lens is most similar to the XL Gold -- a lens that has given him a very generous and "forgiving" intermediate without compromising on reading and distance?
There's one other factor that might be contributing to his dissatisfaction. His XL Golds have always been Spectralite, but the Synchrony he got from Lenscrafters is polycarbonate (that's the only material they carry it in). I know that the indices are pretty close (1.537 for the Spectralite and 1.586 for the Poly), but there's a huge difference in ABBE value: 47 for the Spectralite and only 30 for the Poly. And I'm wondering if, at his correction, the significantly lower ABBE value of the Synchrony could be one of the reasons for his dissatisfaction. (He's not complaining about chromatric aberration, but I know that sometimes low ABBE value problems can present themselves as complaints of blurring and peripheral distortion.)
His new Rx, which isn't significantly different from his previous one, is....
OD +1.00 -0.75 x 003
OS +0.50 -1.00 x 178
ADD +2.50
Any input and advice from Darryl and the rest of the Optiboard experts would be greatly appreciated.
Bookmarks