Would appreciate any advice (including pick up a 6 pack and call me in the morning). Have a very finicky patient with 7 diopters vertical prism who has only been happy with Vx Comfort. Add has increased from 350 to 375 and Comfort is now out of range. Distance power very minimal. Suggestions?
Comfort enhanced / W3 might come in that power
I'm told the Comfort W2, Physio W3 only go up to 3.50 add, but the new X goes up to a 4.00. (Haven't dispensed it personally yet.) For this patient, I get the feeling going up to a high-grade freeform is risky, but if she insists on a single-pair solution she may no longer have a choice. Good luck Ak.
The Hoya ECP comes is available in 1.60 and Trivex, but the corridor length might be too long, unless a separate pair (recommended) is used for near. Ask the prescriber to stay at +3.50 because of the above, with bumping the distance +.12 to +.25 as a workaround.Originally Posted by ak47
Hope this helps.
Robert Martellaro
Science is a way of trying not to fool yourself. - Richard P. Feynman
Experience is the hardest teacher. She gives the test before the lesson.
Unfortunately bumping the distance is out of the question, and none of the Comfort variations appear to be available past 350 add....I think I have a solution.....but it is only available in liquid form!
Drink three IPA's and eat 1/2 lb of bacon. Stick the patient in a traditional backside PAL, call it a day.
Erik Zuniga, ABOC.
Talk to the doctor.
I marvel at prescribers and their crazy add powers.
Its amazing what can be accomplished with a well brewed beer, well cooked bacon, and a well fit progressive whose design is tried and true. I have a couple "comfortable" backside house designs gbat I keep in my back pocket at a times because I love to use them, but I don't post specific house designs on the public board.
Just what is so important about increasing the Add a quarter of a Diopter.
Absolutely nothing. Get a second pair of less expensive glasses if you have eyes like that and a hobby that requires such an RX. It sucks to shop in the Big and Tall section also, but we are all adults here and make due with the cirumstances of our own lives.
+1
If they HAVE to wear a specific style because that is the only thing that works for them, I would do exactly this.
I feel like I have had a rash of people lately that want the impossible- usually for computer.
"I can't see my computer screen with my progressives."
Where is your monitor?
"Above my head."
You need a separate pair for your computer for the best vision.
"I don't want to have to have multiple pairs. Can't you just adjust my progressives?"
You will need a second pair for distance if I do that.
Whoever invents a lens or this scenario will be RICH!
Have I told you today how much I hate poly?
Whip out some Double Ds and offer them as a solution. Watch them reel in horror lol
Chemistrie and put the progressive upside down. One pair solution with a clip.
"Whip out some Double Ds and offer them as a solution. Watch them reel in horror lol"
Right?! I do make those so it would be an easy scare tactic to produce!
Last edited by Quince; 09-20-2017 at 12:46 PM. Reason: no quote...
Have I told you today how much I hate poly?
Actually I could utilize the Chemistries... that is something I forgot about. Suggesting a clip instead of a second pair might be a good option to explore. Thanks!
Have I told you today how much I hate poly?
this is hilarious
So what did you do?
Talked to doc - did not want to change. Ordered IOT in the 3.75 add. Not dispensed yet, fingers crossed
It's worked for me before, good juju you way!
Yup. I would tell them that this degree of prism and add power, combined with the use of a PAL, will not provide optimal results, likely resulting in poorer vision compared to the old eyeglasses!
Pretty common for low vision. I see plenty of adds up to six or more diopters, benefiting from relative size magnification, hands free. Usually trifocals with the higher adds.I marvel at prescribers and their crazy add powers.
2cm closer work distance. Can be an improvement from J1 -3 to J1.
Keep your head down- the wearer will prefer their old eyeglasses.
Best regards,
Robert Martellaro
Science is a way of trying not to fool yourself. - Richard P. Feynman
Experience is the hardest teacher. She gives the test before the lesson.
Update: dispensed these a few weeks ago, patient seemed happy with new specs! Saw patient today for unrelated reason, he is still very happy with them! Great success!
That's what I want to know.
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