Quote Originally Posted by waynegilpin View Post
When I was brand new in the industry, working in a wholesale lab we had an OD that constantly ordered Executive bifocals for kids: -.25 sph., with a +.50 add. Being young and naive, I asked our branch manager what he was trying to acomplish? The answer? "Profit."

I've often wondered how the parents got the kids to wear glasses that did absolutely nothing for them. Must have been a never ended battle.
Sounds like a vision therapy OD. I also can't shake the feeling that mom and dad can't accept the lack of straight A's is something other than effort by adorable Muffy. So we give them glasses to make them smarter.

Here's a thread that also had me scratching my head, but there can be a reason for yoked prism for children. Or so I read. I just never understood the use of a flat top that negated the prism.

https://www.optiboard.com/forums/new...treply&t=74224

Scroll to the bottom to see what may have been involved with an OD practicing vision therapy in very weak powers:

https://www.universityeyecenter.org/services/children/