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Medical Forum / General / Vision / December 2004

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A Progressive Lens ?

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Father Times - 21 Nov 2004 02:00 GMT
Good Day All,

Which progressive lens would provide me the best vision?

I am looking at Zeiss and Rodenstock lens and frames but I am open to other
suggestions.

I would like a wide field of view (peripheral vision) if possible.

My prescription is:

O.D. +0.50 -0.75 X 090
O.S. +0.50 -1.00 X 094
Add +1.50

I work at a computer.
I also do hands on repairs of controllers and sensors, sometimes in dimly
lit areas.
I also bicycle long distances and need help seeing in the distance or doing
quick repairs.

Lately I have had to pick up reading glasses and I have also noticed that my
intermediate and distant viewing are also blurring.

Other than that, I have not worn glasses the last three or four years.

Kind Regards and Thanks in Advance,

Father Times

PS: I once bought a pair of glasses that just corrected my stigmatism and
allowed me to read distant street signs.
Father Times - 21 Nov 2004 12:37 GMT
Good Day,

Would the optics be better for my prescription in a mid-index such as
Rodenstocks or Solamax?

Any brand preferences or advantges in mid index lens?

O.D. +0.50 -0.75 X 090
O.S. +0.50 -1.00 X 094
Add +1.50

Kind Regards

Father Times

> Good Day All,
>
[quoted text clipped - 28 lines]
> PS: I once bought a pair of glasses that just corrected my stigmatism and
> allowed me to read distant street signs.
Dr Judy - 22 Nov 2004 16:25 GMT
> Good Day,
>
[quoted text clipped - 6 lines]
> O.S. +0.50 -1.00 X 094
> Add +1.50

Your prescription is minimal and there is little advantage to a mid index
lens.

If you work on a computer and have little need for good distance vision
while on the computer, you will have the largest field of view with the
least distortion with single vision reading glasses instead of progressives.
Even if you need some distance viewing, if you had them made as half eyes
you could peek over them for distance (your distance prescription is minimal
and naked eye viewing should be adequate) and push them further up your nose
while on the computer.

For biking, get distance glasses that double as sunglasses either with a
clip on or with self darkening lenses.  Carry your half eye readers for
repairs.

If you do very tiny near work at close range, you may need a pair of
drugstore  +2.50 for that.

Dr Judy

> Kind Regards
>
[quoted text clipped - 32 lines]
>> PS: I once bought a pair of glasses that just corrected my stigmatism and
>> allowed me to read distant street signs.
Mark A - 22 Nov 2004 19:04 GMT
> > Good Day,
> >
[quoted text clipped - 6 lines]
> > O.S. +0.50 -1.00 X 094
> > Add +1.50

"Mid-Index" is too vague. Some people may consider a mid-index to be either
1.54 or 1.60 due to the fact that the use of 1.66 and higher lens index
powers have increased dramatically in the last 5 years.

Sola Spectralite material (1.54 index) would be a good choice. It has
excellent optics (abbe value is 47) and is fairly light. Whether the Solamax
design is the best choice is debatable, but many people like it. The
high-end Rodenstocks seem to be preferred by many, although they are not
cheap. I have heard that Sam's optical was running a special on Rodenstock
progressives, although it may be expired.

Just remember that each manufacturer (Sola, Rodenstock, etc) usually has
several different Progressive lens designs (in addition to several different
materials) in their line. In your case you referenced a particular lens
design from Sola (Solamax design) and a brand (Rodenstock) that has several
different progressive lens designs. Sola also has the Percepta progressive
lens designs in addition to the venerable VIP progressives.
Mark A - 27 Nov 2004 22:27 GMT
> Good Day,
>
[quoted text clipped - 10 lines]
>
> Father Times

Rodenstock is a lens manufacturer who makes several models of PAL's
including the Progressiv AT, Progressiv XS, Progressiv Life 2, and
Multigressiv 2. They each have different PAL designs. The ones with
Automated Prescription Technology (each lens custom made for your Rx without
using base curve blanks) are usually considered the best.

Sola is a manufacturer who makes several models of PAL's including the
Solamax, Percepta, VIP and others.

Each of the manufacturers usually offer several different lens MATERIALS for
each of the PAL designs, such as CR-39, Spectralite, polycarb, 1.60, etc).
Some of these materials (like Spectralite) are proprietary to the
manufacturer.

So your statement about which is better (Rodenstocks or Solamax) is
comparing apples to oranges. However, the high end Rodenstocks with
Automated Prescription Technology are usually considered to be the most
advanced designs, which is not surprising when you see the prices. Many
people with your Rx are quite happy with Solamax, especially if you don't do
a lot of mid-distance work (like on a computer).

Most people would consider the high end Rodenstocks as someehat of an
overkill for your mild Rx. But if you can afford the high-end Rodenstocks,
then they will likely be somewhat better and more sophisticated designs than
the Solamax, but the Solamax has a better mid-index material (Spectralite).
Father Times - 28 Nov 2004 16:08 GMT
Good Day All,

It is a polycarbonate world when you go to Sam's, Wal-Mart, Sears and Costco
(I'll try BJ's later).  They all describe polycarbonate as superior in all
aspects.  Likewise, they do not know what they are really offering in Zeiss
and Rodenstock.  So if I'm going to obtain better optical-quality eyeglasses
it will be through this group's guidance.

Wal-Mart's polycarbonate ultras have Zeiss scratch resistant treatment and
Crizal Alize AR for $217 with supposedly a wider mid-distance channel.  Of
course they do not provide their abbe value.

>Solamax, especially if you don't do a lot of mid-distance work (like on a
>computer).

Unfortunately, I do a lot of computer work.  I was leaning towards Solamax
Spectralite but with its narrow mid-distance channel it does not seem a good
choice for me.

If I go to an independent optician, I would at least like to know
before-hand what the best lenses / material are for my prescription and
needs.

O.D. +0.50 -0.75 X 090
O.S. +0.50 -1.00 X 094
Add +1.50

Thanks to Everyone in Advance (and for your previous replys),

Father Times

>> Good Day,
>>
[quoted text clipped - 41 lines]
> the Solamax, but the Solamax has a better mid-index material
> (Spectralite).
Mark A - 28 Nov 2004 19:26 GMT
> Good Day All,
>
[quoted text clipped - 3 lines]
> and Rodenstock.  So if I'm going to obtain better optical-quality eyeglasses
> it will be through this group's guidance.

Forget about what they tell you. Just get something besides polycarbonate. I
assume you can still buy at a shop even if you don't agree with them about
the choice of lens material (assuming they offer other materials). For your
Rx, you don't need a high index material. You could probably do fine with
CR-39 (regular plastic) since your Rx is mild and thickness/weight is not
going to be a problem.

YOU MUST ASK TO SPEAK TO THE HEAD OPTICIAN. If you don't like what they say,
go to another Wal-Mart.

> Wal-Mart's polycarbonate ultras have Zeiss scratch resistant treatment and
> Crizal Alize AR for $217 with supposedly a wider mid-distance channel.  Of
> course they do not provide their abbe value.

Abbe value of all polycarbonate is 30. Doesn't matter who makes it. Zeiss
lenses are good in general, but if you can avoid the polycarb you will
better off for your Rx. I am surprised that you cannot get other lens
materials besides polycarb.

> >Solamax, especially if you don't do a lot of mid-distance work (like on a
> >computer).
>
> Unfortunately, I do a lot of computer work.  I was leaning towards Solamax
> Spectralite but with its narrow mid-distance channel it does not seem a good
> choice for me.

Keep in mind that most PAL's have narrow mid-distance vision and are not
ideal for computer work unless they are custom made for mid distance in the
upper part of the lens (which means you cannot use them for driving). There
are specialized "computer" PALs such as Zeiss RD. Or maybe get a pair of
bifocals just for computer work (with far distance set to about 24"). Talk
to your OD about this.

> If I go to an independent optician, I would at least like to know
> before-hand what the best lenses / material are for my prescription and
[quoted text clipped - 6 lines]
> Thanks to Everyone in Advance (and for your previous replys),
> Father Times

It depends on how much you want to spend. The high end lenses from
manufacturers such as Rodenstock, Zeiss, Varilux, Sola, Hoya, are all good.
But you don't necessarily need the very best lens design for your mild Rx
and you only need a mid-index or even CR-39 lens material.

These issues have been discussed many times in previous posts. You can view
the newsgroup archives at
http://groups.google.com/groups?hl=en&lr=lang_en&newwindow=1&group=sci.med.vision
Sibirer - 25 Dec 2004 09:42 GMT
>> Good Day All,
>>
[quoted text clipped - 16 lines]
> CR-39 (regular plastic) since your Rx is mild and thickness/weight is not
> going to be a problem.

Poly is a decent material for lenses. All season tires are decent tires for
your car. Both do nothing really spectacular, they just do it all fairly
well. Poly is loved in the corporate world because it reduces lawsuit
liability and it is a thinnner mid index material and the lightest per cubic
mm save for Trivex. The Zeiss and Rodenstock offerings at mega corporate
stores will be their lower level offerings due to the wholesale costs and
manufacturing restrictions.

> YOU MUST ASK TO SPEAK TO THE HEAD OPTICIAN. If you don't like what they
> say,
> go to another Wal-Mart.

Hopefully, you're in a licensed optician state, not a certified state, or
even worse, a non regulated state where the head optician may have been a
swing manager at McDonalds a week before.

>> Wal-Mart's polycarbonate ultras have Zeiss scratch resistant treatment
>> and
>> Crizal Alize AR for $217 with supposedly a wider mid-distance channel.
>> Of
>> course they do not provide their abbe value.

The Zeiss Life and Life XS will have the manufacturer's scratch coating on
the front side, but the backside will have a coating applied at Wal-Mart's
main lab. I highly doubt Wal-Mart farms the surfacing out to Zeiss. I also
find the offering of a poly progressive with Crizal Alize AR at the 217$
price point questionable (This is another proprietary product that is
applied at Essilor labs on Essilor materials exclusively.) . That would be
in the Essilor Reflection Free price range and the RF AR can be applied by
Wal-Mart's own labs. It might also be a Kimodo AR or one of several other
brands.

Progressives by nature are narrow in the intermediate. Unless you get a
specialty computer progressive, the end results will be essentially the same
with most modern progressives. The variation is only about a mm. The feeling
one perceives when one exits the clear zone in the intermediate does vary
somewhat from brand to brand. It's a hit or miss with this one. Everyone
likes something different and you'd have to find one of the diminishing
number of professional opticians to help guide you. They'll give the one on
one chat that has more to do with how you look at things rather than how
many pairs of glasses you need.

> Abbe value of all polycarbonate is 30. Doesn't matter who makes it. Zeiss
> lenses are good in general, but if you can avoid the polycarb you will
> better off for your Rx. I am surprised that you cannot get other lens
> materials besides polycarb.

Some people can press poly better than others resulting in less
birefringence. Abbe value is relative to a few individuals only. People have
done fine for generations with barium glass segments for reading fused into
crown glass distance lenses. Too many people use Abbe values to support
prejudices (it has little to do with most rejections of the material, it's
just a number that opticians grab to justify a bad match between material
and patient,) it prevents having to actually consider all materials at hand
and what would fit the needs/cost benefit to the patient at hand. Sometimes
poly is best, sometimes it is the worst.

>> >Solamax, especially if you don't do a lot of mid-distance work (like on
>> >a
[quoted text clipped - 14 lines]
> bifocals just for computer work (with far distance set to about 24"). Talk
> to your OD about this.

You could always go with the AO Technica if you REALLY need to have some
distance vision (20 ft +) in the computer glasses. It's basically a soft
progressive turned upside down, so the distance is the the tiny area rather
than the near or intermediate. The fade from the sharp to the blurry is very
gradual, so you don't really notice the blur until you get a few mm out of
the channel. DON'T DRIVE WEARING THEM!!

>> If I go to an independent optician, I would at least like to know
>> before-hand what the best lenses / material are for my prescription and
[quoted text clipped - 12 lines]
> But you don't necessarily need the very best lens design for your mild Rx
> and you only need a mid-index or even CR-39 lens material.

Most modern designs are so close in performance that it basically comes down
to an availability/ price decision. You can go all out for the Atoric both
sides custom ground for the frame and Rx (VERY expensive and very good at
everything,) or you can get pretty good performance from alot of modern
designs from almost a dozen vendors. I wouldn't go with anything older than
the Essilor Natural or Varilux Comfort which are both older designs from the
early nineties. The newer ones offer so much more! Anything older is just a
waste of money unless you're so used to them and unwilling to change that
nothing else will do. Yes, the VIP still lives!!   :(

> These issues have been discussed many times in previous posts. You can
> view
> the newsgroup archives at
> http://groups.google.com/groups?hl=en&lr=lang_en&newwindow=1&group=sci.med.vision

CARL
 
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