Greetings!
I am troubleshooting a patient I inherited, who purchased 2 new pairs with us a couple weeks ago. His Rx is not much different than his old one, but he is having massive troubles with the new lenses.
Old Rx:
R: -9.50 +1.50 x109
L: -4.75 +2.00 x80
Add: +2.75
PAL: Comfort 1.67
New Rx:
R: -10.00 +1.75 x122
L: -5.25 +1.00 x68
Add: 3.00
PAL: Varilux X Design 1.74
With his old ones, he doesn't get any swim or distortion, and he says he doesn't get any difference in depth perception or image sizes. With the new ones, he feels that his right eye pushes objects out much farther than his left eye. I spoke with our lab's help desk, and they suggested doing the OD on a 1.74 and the OS on a 1.67, as well as adding 1.9 diopters to the base to the OS. Chalking this up to synaptic flatulence (because I cannot remember to which lens we would add more curvature to the base) is this the best course of action? We are not going to keep him in the X Design, but rather an IOT lens where we can select base curves.
Would you recommend something else?
Thank you very much!
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