So I can't figure out what to do here. This patient ordered two pair of glasses, the distance glasses work fine, see the rx:
Distance:
Right -1.00 +0.50 155 1BU
Left -1.25 +0.50 025 1BD
The patient has problems reading through the reading glasses, and I thought at first it was just vertex distance, as they wear them down their nose. After calculating this, I realized that the power difference is definitely not enough to warrant a remake. So does anyone have suggestions about maybe the prism making them dizzy at the 18.5 vertex distance? I've never seen this happen prior to this patient. The patient is complaining that they get dizzy and can't read well at that vd. Patient was prescribed BI only at near. Help?
Near:
Right +2.00 +0.50 155 1BU 3.0BI
Left +1.75 +0.50 025 1BD 3.0BI
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