Wondering if anyone has ever encountered this, and if so, what was resolved it?
This 73 year old Pt presents with the following Rx:
OD: -2.25-0.50X164
OS: +0.25-0.25X121
+2.25 add OU
Frame measurements:
A=51 B=31 ED=51
I put her in a trivex Ft 28 lens
She has had corrective surgery and was given monovision, to aid in reading. Which caused the anisometropia. This is her first pair of glasses following surgery.
So, the patient picks up her glasses, it takes her quite a bit of time to adjust to the new rx. She finally adjusts to the vision, but then comes back in to say that when she deviates from the center of the glasses in an upward gaze, she gets a double image. Optically, I understand why this is happening, but I'm not sure if there is a way to correct it.
I know that typically one would prescribe slab off, but to my knowledge that is for diplopia at near.
Anyone have any suggestions?
Any input would be greatly appreciated.
Also, we have fit this pt in CL,and she is very successful. She just wanted to have a pair of glasses as well. I have tried going over head movement techniques with her, but this doesn't seem like an acceptable solution to the pt.
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