(I'm new here, so cut me some slack. I know this is the most basic of questions, and as controversial as politics and religion.)
I have a patient who is essentially -1.50 with a +1.75 add, i.e. her progressives are only to keep her from the inconvenience of taking the glasses off to read. She is in a Panamic at 19 high. She complains that she doesn't see well enough in them to read at all, and has to remove them every time. It seems like she isn't finding an area to look through. (Refraction is correct, but of course;) , and +0.50 over her old glasses doesn't help her see any better.)
The question is this: is there some subtlety of design that would make this so? I like Panamic because it seems "soft" and relatively distortion-free. Would another design be wider at near, even at the expense of some peripheral distortion? Please advise!
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