Varilux Physio vs. Ellipse

**JohnRoss** · 07-16-2014, 10:07 AM

Good morning. I have a patient that is having trouble adapting to a new progressive with no significant change in rx or measurements. The only major difference I can find is that we have her in a Varilux Physio now, and her previous pair was a Varilux Ellipse. I am not particularly familiar with the Ellipse lens. Can anyone explain to me the primary differences between the two? I do not believe my employer has the Ellipse as an option. If not, can you recommend a similar or better lens design? Thanks!

**JohnRoss** · 07-16-2014, 10:12 AM

I realize I should have specified what sort of problems she was having with adaptation. Her biggest issue is peripheral distortion at distance and a lack of clarity on center, also at distance. She has no complaints about near vision.

**DanLiv** · 07-16-2014, 10:19 AM

Ellipse is an older relatively hard (for Varilux) short corridor, though it is still available. Try the Comfort Short, it's a more classic design than the sometimes fuzzy soft Physio design. Wouldn't be the first time clearing up DV issues by going to older harder designs.

**sharpstick777** · 07-16-2014, 10:32 AM

What is her lifestyle, power, add? both before and after? Its far better to choose a lens based on what you really need, than choosing one based on what a patient has worn in the past.

Lens selection is a lot like golf. Say I make a tee-shot that lands on the green! (yea, that will never really happen but bear with me). I used a number 3 driver on that great shot, and I am only 10 feet from the hole. now do I pull out a 3 iron because it was close to the club I was just using? No! I use a putter because its the best club for THAT shot.

Always use the best club for the shot you are taking now, regardless of what shot you took a moment ago.

**rrgirl** · 07-16-2014, 12:46 PM

I would try the older version of definity., owned now by essilor... excellent side to side distance, very wide intermendiate and wider near , all vastly superior than the physio in my humble opinion, and relative in cost. The only reason I revert to physio is if the desired rx is unavailable in definity. I love the new def. 3, but the extra cost could be a consideration... and since they are owned by the same essilor company, same rep, same lab, same excellent quality end product. Comfort short, while a good idea, falls short on the clarity left to right in my opinion. personally tried all mentioned.