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    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
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    Prescribed prism with anisometropia in a progressive

    Once again I look forward to being humbled by those who can help me with this juicy piece of optics.

    Recent rx from 2/2/20 Auto 2 fixed 18mm distance vision created diplopia but near was fine:
    R -3.75 -1.00 x75
    L -6.50 -1.00 x 110
    add +2.50


    Gun-shy about how well this would work (outside MD group wrote the script) I made a s/v distance only at cost from stock 1.67 decentered to achieve prism. He's worn them for a couple of weeks and it looks like all is well. However......

    New rx to address diplopia:
    R -4.25 -1.00 x50 1^ up
    L -6.25 -1.25 x110 1^ down
    add +2.50


    Now we want to go back to the progressives but using Darryl's calculator I'm getting what will be 2.58^ prism UP in the LEFT at 15mm gaze drop. But he is wearing the current progressives for near comfortably. The old rx is creating 4^ up in the left.
    So my question is will an Auto 3 11 or 13mm compensate? I'm inclined to think not. Slab off???

    I've got to stop as once again my small room is filling with smoke...

    Last edited by Uncle Fester; 03-08-2021 at 01:29 PM.

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