Originally Posted by
Robert Martellaro
Prescribers, when their older clients complain of unsatisfactorily near vision, frequently bump the add power. This is effective with SV and segmented multifofocals, although there can be problems with having to hold the near object too close, sometimes resulting in physical discomfort. What they don't know is that PALs with add powers over +2.50/2.75 should be avoided due to high levels of unwanted astigmatism, narrow view zones, and unpleasantly strong blur boundaries, possible degradation of the distance vision, resulting in a significant (for most folks) reduction in visual and general sense of refinement.
Optilady,
My recommendation is to change the add power back to +2.75. Recommend separate SVNO or segmented if they need better near performance.
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