Hi Everyone,

I understand that some people can have convergence issues in the near with anisometropia, but what about in the distance with PALs? I have a patient who's one eye is +025 and the other -450. There's no prism thinning so at the cross (4mm drop) there's almost 4 diopters of prism in the left eye and barely any in the right. Is this ok for a patient to wear?