Hoya says they have fixed the issue of anisometropia with their binocular harmonization technology.

My questions:
- for those who have dispensed these lenses, do they really work better for pts with significant aniso?
- is binocular harmonization built in to other digital PAL designs, but they manufacturer's don't highlight it? In other words, could the aniso be addressed equally in, say, an Autograph Intelligence lens, or an IOT lens?

I'm asking because I have a pt who has never worn glasses, is 65, and has asked for a trifocal. I think a digital pal is going to work better for her because of the aniso, but I'm wondering if I should go with Hoya because of this specific technology.

She is:
OD: -5.00 sph
OS: -0.75
Add: +2.75

Thanks for any insights.