Progressive for an Engineer in fluid dymamics...different adds...

[Uncle Fester]

Very personable 78 year old scientific engineer (retired) presents a challenge to say the least.

Not happy with other attempts (plural!) not made by me, to make new lenses work as well as his old rx, where he has mixed an old lens creating different adds for very close near (circuit boards). He is in Zeiss which we do not deal with but silly me impressed him with my razzle dazzle explanations of what he was trying to do and I was baffled as to how he was making the "comfortable" rx work.

Cataract surgery 2018 OU

Complaint of blurred vision distance and near

Old/current frame is a very large square Accuflex 57-18

2018 lenses only outside rx
R-.75 -1.50 x100
L-1.75 -.50 x75 add +3.50

2021 lenses only outside rx
R-.50 -2.00 x74
L-1.25 -1.50 x77 add +2.75

2022 Our OD's rx
R -.50 -1.75 x109
L-2.00 -1.50 x74 add +3.50

My B&L Vertometer reading (add from etchings)
R0.00 -2.00 102
L-1.00 -1.50 85
add R +3.50
add L +2.75

He was not comfortable with matched adds when dealing with <10 inches. He does not want to wear jewelers loops or sv.

He swapped the right lens from the 2.75 to the old +3.50 and finds the mixed adds work well. I'm thinking he's subconsciously working monocularly.

YIKES!

He's VSP and Walman will not make Zeiss so what to do?

I'm being up front suggesting we keep the same mixed but comfortable rx (to heck with my doc's changes) in a new large square frame (the paint is wearing off from his old pair) so there is no change. Remember he's had issues when new rx's are created.

Now everything will match except the design.

If that is a problem we can throw something against the wall to see if it sticks with a n/c one time VSP redo to another available design and/or rx change.

If that fails he is not averse to going out of pocket for private pay Zeiss lenses with an understanding there will be no refund for any of these charges and by process of elimination the vision issue is internal or beyond my skill level to fix.

At least that's how the electric optician is going to roll on this one.

Wish me luck!!!

PS If he was a type A personality and gave me grief over this initial visit I would put my foot down and tell him to go elsewhere. Ya gotta know when to hold em and know when to fold em. Preferably before the flop so I'm out my ante (time) as this initial visit took an hour.

PPS His VSP is calendar year so we can go wild with changes then depending on feedback from this conservative approach.