Good morning all,
I'm having a particular issue I need some help with.
The case:
The patient is a first time varifocal wearer. Was originally put in a Shamir Piccolo while an Impression Freesign 2 was ordered.
I assumed they would make the same mistake again.
So this time we went for a Hoya Lifestyle iD that emphasises intermediate/reading.
In the Piccolo, PX did not see intermediate at all. Distance and reading were crystal.
In the Lifestyle iD reading and distance are clear (provided a little bit of head tipping which I adjusted) but the intermediate is incredibly swimmy.
PX works with 3 monitors and sees them wave. I have confirmed all basic measurements are correct. PD's, OC's and vertical heights seem to be good.
RX: RE Plano sph -0.50 cyl x 86 Add +2.00 Inter add +1.25
LE +0.50 sph -1.75 cyl x 82 Add +2.00 Inter add +1.25
Is surface astigmatism involved in this?
Any suggestions or tips?
Thanks in advance!
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