I just read the notes posted to "PLEASE HELP ME :(" and I feel compelled to reply.
Maybe I'll be accused of getting on my soapbox but, the PREJUDICE out there against poly is appalling. Yes, prejudice! Webster: "A strong feeling about some subject, formed UNFAIRLY or BEFORE ONE KNOWS THE FACTS." (Caps mine.)
I don't mean to talk down to you professionals but some of the comments made have to be traced to a complete lack of knowledge of optics.
Some background on poly. Back in the 80's, poly had significant peripheral aberrations. However, these were caused by primative manufacturing methods that resulted in "wavy" front surfaces. Q.C. standards often established a 25 or 30 mm spherical aperature for clear vision allowing for "junk" surfaces outside that aparture. This fact, misinterpreted as chromatic aberration, gave poly it's bad name. Today's manufacturing methods have mostly eliminated this problem leaving us with real optics as an issue.
All powered lens systems have some degree of distortion away from the optical center of the lens. Remember the 6 common aberrations in any lens system? 1) Chromatic aberration--lateral & axial; 2) Spherical aberration--longitudinal and transverse; 3) Coma; 4) Marginal or Oblique astigmatism; 5) Curvature of field; and, 6) Distortion.
Corrected curve designs address spherical aberrations and marginal astigmatism. The other factors either are of limited effect or not capable of correction by lens design. (Don't get me off on base curves here; dispensers who try to maintain a base curve as the correction progresses are going against all that we've learned in optical physics.)
Chromatic aberration IS PRESENT IN EVERY POWERED LENS. Transverse Chromatic Aberration is calculated as follows (Longitudinal Chromatic Aberration is not a factor): TCA = (Lens Power x Deentration)/Abbe Number. The operative is at what point does it affect normal sight. Obviously, the lower the abbe number, the closer to the optical center this LINEAR progression of aberration will be noticeable.
Multiple studies have shown that patients will move their heads at between 20 (80%) and 30 degrees (100%) of viewing away from the center of the lens (Angle of Gaze). At a vertex distance of about 10 mm, 2 degrees are about equal to 1 mm. Taking the above, 30 degrees would be about 15 mm's off center.
With some degree of certainty, we can therefore use the 30 degree angle of gaze as the point to measure where an aberration would become bothersome to a patient.
Using a -5.00 powered lens (which encompasses over 94% of myopes), at a gaze angle of 30 degrees, the Snellen Notation for different materials is as follows:
CR-39 = 20/26
Poly = 20/31
1.60 plastic = 20/29
1.66 plastic = 20/31
And yet some of you will insist that 1.60 and 1.66 work where poly won't. For comparison, a 0.25 diopter power error equates to 20/27. I would challange any refractionist to refract within that error 10 times in a row on the same patient at the same time of day let alone the differences between morning and evening! IT JUST AIN'T AN ISSUE FOLKS. GET OVER IT!
Sure, CR-39 and glass edhibit less aberrations. Why then should we even consider poly?
o Poly is unequivically today's best value in lenses.
o Poly gives patients what they are looking for...lightness and thinness, at a fair price.
o Built in UV attenuation.
o Unequaled protection.
o Poly's "inferior" optics (similar to 1.6 or 1.66 but "worse" that CR-39) ARE NOT A FACTOR UNTIL THE POWER EXCEEDS -4.00 OR -5.00 DIOPTERS. Further, at these and higher powers, the loss of acuity is LESS than that for marginal astigmatism or power error.
For higher powers, aspheric/atoric designs become attractive. The Vizio, from SOLA, is a poly option as are 1.60 & 1.66 products from Optima, Pentax and SOLA's Vizio 1.66.
You can do a couple things when dispensing (any high index material) to minimize power errors. Ensure that placement of the lens relative to your panto angle is correct to ensure that the optical center and visual axis intersect. Because lenses with smaller corneal vertex distance have lesser decentration for the same angle of gaze, fit the lenses as close as anatomically possible. Stick to the manufacturers (or DVI's) recommended base curve to minimize accentuating the aberration.
Lastly, some seem to believe that an AR coating will reduce chromatic aberration. While I am a strong proponent of AR, it will have absolutely no effect on chromatic aberrations. That's optics folks.
I'll further the debate by throwing out that the independent opticians survival is based upon using your knowledge (not prejudice) to recommend the optimal combination of a lens system with consumer needs to satisfy that patient.
By the way, I have a Thin & Dark PAL, 1.50 C.T., Rx (-3.25, -2.50 +2.25) in a small frame and it's very comfortable, affords "superior" optics and is the optimal base for an AR coating! How many of you would consider giving a patient this option. Could a prejudice also exist against glass?
There, I said it!!! And, I have my gloves on.
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