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Medical Forum / General / Vision / January 2005

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New Varilux Comfort PAL's Really Excellent!

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Joe Stella - 11 Jan 2005 01:34 GMT
I made a post here about 6 weeks ago regarding my (awful)
experience with Lenscrafters progressives.  Based upon the
advice of some people here, I went to a "real" optician.

The woman I dealt with was obviously far more knowlegeable
than anyone at Lenscrafters.  She took very a very careful PD
measurement and recommended Varilux Comfort lenses.  I decided
to get the 1.67 for lower lens thickness and weight.

Today I picked them up.  When I first put them on, I was just
astounded.  For a moment, I thought they messed up and gave
me single vision glasses by mistake.  That's how little
side distortion there was.

I don't know if Panamics would have been any better than
these are.  She told me that Panamics are better for lenses
that are more narrow than mine.  Anyway, I'm really happy
with these.  My local professional OD has a new customer
and I don't think I'll be going back to "The McDonald's
of Eyeglasses" any time soon.

Many Thanks to all those who offered me advice last time!
Robert Martellaro - 14 Jan 2005 18:42 GMT
>I made a post here about 6 weeks ago regarding my (awful)
>experience with Lenscrafters progressives.  Based upon the
[quoted text clipped - 18 lines]
>
>Many Thanks to all those who offered me advice last time!

Joe,

Glad to hear all is well. And if you think buying glasses at Lenscrafters
(probably the best one hour commercial chain) is filled with adventure you can
imagine how bad it is at places like Costco, Shopko, Eyeworld, Sams/Walmart
America's Best etc. Don't forget to recommend your optician to friends and
family.

Robert
Mark A - 14 Jan 2005 20:30 GMT
> Joe,
>
[quoted text clipped - 5 lines]
>
> Robert

I am not sure that I agree with this assessment. Lenscraters uses inferior
products that they put their own brand name on. Most of sales people have no
idea the actual manufacturer and model of the lens. Many of them don't even
know the lens material. But Wal-Mart, Sams, and Costco sell brand name
products so you always know what you are getting.

Lenscrafters may be better than the other 1 hour chains, but nowhere near as
good Wal-Mart, Sams , and Costco (which do not offer 1 hour service).
Robert Martellaro - 17 Jan 2005 17:41 GMT
>> Joe,
>>
[quoted text clipped - 16 lines]
>Lenscrafters may be better than the other 1 hour chains, but nowhere near as
>good Wal-Mart, Sams , and Costco (which do not offer 1 hour service).

Mark,

Give me the crappiest lens design and material and nine out of ten times I can
make it perform better than the best lenses fit poorly by the inexperienced
novice optician/clerk employed by the above. So I would not be too concerned if
a company goes the route of house brands as long as they keep an experienced and
knowledgable staff. But if Lenscrafters is now filled with starry-eyed trainees
then all bets are off. I've wondered about their quality since they started to
discount heavily to compete with the other discounters. Sigh.

Regards

Robert

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
 - Richard Feynman
Mark A - 17 Jan 2005 20:48 GMT
> Mark,
>
[quoted text clipped - 11 lines]
>
> Robert Martellaro

My point is that Lenscrafters uses inferior brands across the spectrum and
renames them so that you can't tell what you are buying. You can't
comparison shop apples to apples (by design). The salespeople don't even
know what they are.

On the contrary, Wal-Mart/Sams and Costco carry brand names products which
they identify by name, including some top-of-the-line models. Of course,
these cannot be processed in one hour since they have to be shipped from a
lab.

In my survey of salespeople that I did about 2 years ago, Lenscrafters
salespeople were pitiful, and Wal-Mart was actually pretty good on average.
I also compared independent optical and opticians working in OD offices in
my survey. I judged the sales people by asking them questions about
products, lens materials, abbe values, etc to see if they knew the answer. I
sampled about 8 people in each category.

Biggest problem with Wal-Mart/Sams and Costco is their limited selection of
frames and lenses. But I also found that many independents are loath to
order products that they have never ordered before, possibly because it
means using a different lab or because of manufacturer volume sales
incentives. One thing about Wal-Mart that I noticed is that they tend to
hire a lot older people, and many of them wore progressives (much higher
percent than Lenscrafters).

Bottom line is that I would not put Wal-Mart in the same category as
Lenscrafters. Of course, for low power SV lenses, the differences may be
less noticeable.
kemccx@gmail.com - 22 Jan 2005 23:51 GMT
anyone have a recommendation for an optician in NYC who is very
knowledgeable and patient?  (patient being the optimum word). I need
progressives - which are very strong in the reading portion.
kemccx@gmail.com - 24 Jan 2005 14:22 GMT
I mean optometrist, not optician. I have another question (obsessive, I
know).  After cataract surgery on left eye, left eye is at -1.50, right
eye is still at -6.50.  Left eye has excellent intermediate vision -
can even see the computer unaided - but distance is blurry and near
vision is not good (presbyopia).  Right eye can only see clear
extremely close up (about 4,5" from face).
Question - if I wear a contact lens in right eye to bring to plano,
what kind of glasses can I wear to correct both eyes at all distances?
Right eye will need intermediate and close, left eye will need distance
and close. Is it even possible?
LarryDoc - 24 Jan 2005 17:01 GMT
> I mean optometrist, not optician. I have another question (obsessive, I
> know).  After cataract surgery on left eye, left eye is at -1.50, right
[quoted text clipped - 6 lines]
> Right eye will need intermediate and close, left eye will need distance
> and close. Is it even possible?

Optically, anything is possible.  The question is, what provides the
best vision "experience."

Three (of the many) options for you to consider: (All of this is
predicated on that your IOL eye has similar net acuity as the non-cat
surgery eye with best correction for both.)

1. One contact lens for RIGHT eye to bring it to -1.50 and spectacle PAL
to provide the full range of distance to near. The advantage here is
that without your glasses, you will have reasonable intermediate and
some near vision (depending upon your right eye's presbyopia.)
Disadvantage is that you need to have your glasses on for distance
vision.

2. Contact lenses for both eyes to bring them to plano and spectacle PAL
as above.  The advantages here is that is often more comfortable
physically to have contact lenses on both eyes and constant excellent
distance vision, the disadvantage is having to use glasses for
intermediate and near, but the PAL design is often more comfortable with
little power in the distance zone.

A third and most elegant option is to use a multifocal contact lens. If
you have some focusing ability, the lens goes in the right eye with full
correction for distance, the left eye leave alone. Or multifocal lenses
in both eyes. The disadvantage is that  your brain will need some time
to adjust and process the information (especially if one lens), but if
it does, you will have excellent vision across the full range of
distances, and you may not glasses at all.

I've done all of these options for patients and some of the decision is
based on when or if the other eye gets an IOL and, as stated in the
beginning, the net acuity of each eye.

Good luck in your decision(s).

--LB, O.D.
 
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