Originally Posted by
bretk0923
In my opinion, no. You're not wrong. When I fit PALs, I actually typically fit slightly below pupil center. That being said, it's always important to remember that the patient sitting across from you is always priority number one. I've encountered some really weird stuff over my career, but it all boils down to what the patient likes best.
I always start my interactions about lenses with patients asking what they like and don't like about their current lenses. It gives a nice baseline for where to start. And if they have their PALs fit way low and like it, I'm going to do the same. I will always discuss what exactly I'm doing and why with patients, though. So if I tell a patient that I'm fitting them lower than I typically would, they'll be aware of this, and it helps to curb those "I can't see and I don't know why" conversations.
Maybe someone can correct me if I'm wrong here, but I would think that the Rx compensation would account for this. I would imagine this would only be a redo if there's a specific need that isn't addressed with a typical fitting height and short corridor.
Remember, everybody will have their own unique set of needs that may or may not change how you would typically fit a certain type of lens.
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