Subject: Patient Complaint- Late 70's in age.
The patient was examined by Doctor # 1 on 7/13/2016. After the exam, he chose 3 pair of glasses, a clear pair, a sun pair and a safety pair.
At dispense, the patient immediately began complaining of poor and distorted vision, swimming of images, etc. I offered to let him take the glasses home to try to adapt but he declined and requested that he be re-examined, but by another doctor at the practice. He stated that he would call back to schedule with another doctor. The tray was tabled pending that call.
It wasn’t until March 17th of 2017 that he did finally make it back in to be re-examined by Dr. #2. Dr. #2 was aware of the original issues and, ultimately, came out with a different Rx for the patient. We remade one of his glasses in the new Rx. The vision was better but there were still complaints of nausea and swim, as well as angles that were not at 90 degrees, curved in passenger side mirror, steering wheel was leaning away from him at the top of the wheel. He attempted to wear for about a week but came back with the above complaints.
I analyzed his new and old glasses and discovered that besides the Rx, which was only slightly different, that EVERY other marker was EXACTLY the same; PD, Segment height and Style, Material, OC, BC, Face Form, Vertex Distance and Pantoscopic Tilt. Dr. #2 double checked everything again and came to the same, original conclusion regarding his Rx and suggested the patient attempt to wear a bit longer.
The patient came in about a week later and stated that he still is uncomfortable in his glasses and feels he is unable to wear them and gave themback to me. He stated that he will see his eye specialist and try to obtain a new Rx from him, but may not be back. He handled all of the issues he experienced politely. I told him I would forward his complaints to the doctors to see if there is another solution.
Dr. #3 agreed to re-refract him. His Rx was virtually the same as Dr. #2. A new optician here stated that she had measured the lenses for asphericity and determined that the patient’s original lenses were aspheric. I, however, did not come to that conclusion. She appeared to have only used a thickness caliper to determine this, while I used a standard lens clock at several different points on the front curve of the lens. Also, I’m not aware of an aspheric poly 7X28, clear or polarized. I have no reason to suspect he's faking the symptoms either.
I also called the original place where they were ordered and they confirmed that the glasses were standard spherical lenses.
Is anyone aware of this alternate method to measure asphericity and do you have any other ideas as to what could possibly be the issue? We’re stumped and we hate to just write him off and say "sorry".
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