My cost on Trivex is higher, too (AS IF I get enough private pay...)..but yeah, my 90% VCP crowd pays an inordinate amount more.
I find a coated CR39 is much better than Poly with a light prescription. CR39 is clearer and more scratch resistant. If it 2.75+- or below it is pretty thin anyways. The strength does not matter much because the frame will probably break well before the lens ever does.
I've mostly chosen to put as many people in poly/trivex as possible just for the sake of safety, and if a patient chooses to go with CR-39 or a HI lens I make sure to let them know that these lenses can shatter into pieces if impacted. I don't think anybody actually notices the difference between them, and it brings in more money selling them as a standard.
Remember that in the US, the FDA mandates all ophthalmic lenses must meet minimum impact resistance requirements (with no thought given to actual Rx accuracy of course). The impact risk (and UV as well) is far more minimal than the majority of dispensers imply to pts. As a group, we should be much more honest about that. *shrug*
Last edited by Uilleann; 02-05-2024 at 03:22 PM.
Not sure if OP is still reading this thread, but Laramy-K Optician Works has some great videos on Youtube covering the differences in all the lens materials. They also have a video where they test the impact resistance of poly and trivex. I really can't recommend them enough.
I heard in California, dispensers are now supposed to inform patients/customers that polycarbonate contains a carcinogen? Also, don't use poly with transitions for a bifocal/trifocal lens in a grooved semi rimless frame. The layers can separate. I learned this the hard way with a disgruntled patient.
I think people spend too much time hating on poly and forget the downsides of higher index materials, like 1.74. It deserves a little hate too.
Krystle
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