Original glasses came from I-conveniently-forgot-optical. PAL of unknown origin due to scratching over the etchings and a pretty messed up A/R job. Were able to see enough to pick out the circles on the 180, and check alignment at least.
Old power read as:
OD: +5.75 -1.00 x 140
OS: +6.75 -0.75 092
New SRx:
OD: +5.50 -0.75 x 120
OS: +7.00 -0.75 x 090
Old VA's hovered around 20/30--, with the new 20/25. No known medical Hx, no medications, and the heath of her eyes looks as clean as can be expected from a 60 yo female pt. No cataracts either.
We've made two sets of lenses for this pt already, 1st was a Seiko Surmount (soft, not the ws design), and then again remade into an Auto III. Both times material was 1.70 I believe (I didn't send either order through myself), with the house A/R from Digital Eye Lab.
She hates everything we've made to date.
It runs the gammut of "near is good, but mid and distance are completely unusable", to there is so much swim and distortion they make me sick.
We've checked all the usual suspects, done two SRx checks (both showed either no or utterly miniscule Rx change), material, base curves, meticulously matching alignment and POW from old to new pair, etc etc. Were she a first time progressive wearer, I might understand some of the push back, but particularly with the high pedigree of the new lenses and the validity of the SRx verified, we're left scratching our heads.
Any thoughts? She's coming back in again in a couple hours to talk to the doc about her options. We'd like to try one last remake if needed as a courtesy, but we'd really like to nail it down this time. Are there any other lenses we're missing that you think might be viable options in this case?
Thanks in advance.
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