Results 1 to 6 of 6

Thread: Monovision Progressives?

  1. #1
    OptiBoard Apprentice billmdee's Avatar
    Join Date
    Jan 2009
    Concord, North Carolina, United States
    Dispensing Optician

    Arrow Monovision Progressives?

    Hello everyone,

    I had an interesting troubleshoot today. The Pt was picking up their glasses and having trouble seeing out of their new progressive lenses. They were unable to read up close or see clearly far away.

    They had recently had cataract surgery and had a new distance and reading Rx from their Dr. The optician who sold them their glasses (not me) put them in progressives, since they had both a far and near Rx.

    After asking them some follow up questions, they either have multifocal IOLs or more probably the Dr has them set up for Monovision post surgery. They were really confused and unsure what the Dr had done, and they are going back for a follow up visit. I did not think you could use progressive lenses with Monovision or Multifoical IOL or contact lenses. I explained that we could do one pair for reading and a separate pair for driving, but they were adamant that they didn't want to have to switch back and forth between glasses.

    Does anyone have any experience with situations like this?

    Thanks for your help and advice.

  2. #2
    Master OptiBoarder optical24/7's Avatar
    Join Date
    May 2006
    Down on the Farm
    Dispensing Optician
    Need more info on glasses Rx and type of IOLs to give anything other than a wild guess at 1,000’s of possibilities.

  3. #3
    Join Date
    Jul 2016
    Optical Wholesale Lab (other positions)
    If they had mono vision implants they should not need glasses. If they had multi focal implants then a refraction will determine what they need for a spectacle Rx. You had to have an Rx to make progressives so something is very wrong if they can’t see in either distance or reading

  4. #4
    OptiBoard Apprentice JGor's Avatar
    Join Date
    Aug 2017
    Dispensing Optician
    As optical24/7 mentioned you will need to provide more info for any informed potential solutions. At the risk of sounding basic were the provided spectacle lenses checked against the provided Rx to make sure it was correct?

  5. #5
    Master OptiBoarder OptiBoard Silver Supporter
    Join Date
    Jul 2002
    Wauwatosa Wi
    Dispensing Optician

    If it's mono, you'll probably be dealing with a diopter or so of vertical imbalance at near, so add that to your pile o' trouble.

    Roberts Optical Ltd.
    Wauwatosa Wi.
    Science is a way of trying not to fool yourself. - Richard P. Feynman

    Experience is the hardest teacher. She gives the test before the lesson.

  6. #6
    OptiBoardaholic KrystleClear's Avatar
    Join Date
    Jun 2021
    Pennsylvania, USA
    Dispensing Optician
    I honestly would tell them they need to discuss this with the prescribing doctor/surgeon. We do everything we can to talk patients out of monovision IOLs because there are almost always issues down the road. We pretty much never recommend it to patients and the doctor will only do them if a patient is absolutely dead set on it. And if they opted for monovision IOLs my assumption would be that they don't need glasses or else why would they have bothered with monovision implants in the first place?

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. PAL after Monovision IOL's
    By mml00713 in forum General Optics and Eyecare Discussion Forum
    Replies: 14
    Last Post: 07-10-2019, 08:51 AM
  2. Opinions on Monovision with C/L's
    By Bok in forum General Optics and Eyecare Discussion Forum
    Replies: 23
    Last Post: 12-22-2011, 08:41 AM
  3. Monovision help
    By gogetter in forum General Optics and Eyecare Discussion Forum
    Replies: 24
    Last Post: 05-24-2010, 06:41 PM
  4. Monovision and sports
    By ToniC in forum General Optics and Eyecare Discussion Forum
    Replies: 7
    Last Post: 09-28-2005, 10:54 AM
  5. Monovision!!!
    By mullo in forum General Optics and Eyecare Discussion Forum
    Replies: 8
    Last Post: 06-06-2001, 06:04 AM


Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts