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Medical Forum / General / Vision / February 2005

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slab-off

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kemccx@gmail.com - 20 Feb 2005 04:52 GMT
I keep reading about this slab-off technique for eyeglasses.  Is this a
way for people with high dioptic differences in their eyes to be able
to use prescription eyewear?  This would be a welcome option to having
to wear one contact lens.
g.gatti@agora.it - 20 Feb 2005 10:34 GMT
another proof that eyeglasses are not a solution but a great injury.
Dr Judy - 20 Feb 2005 19:35 GMT
>I keep reading about this slab-off technique for eyeglasses.  Is this a
> way for people with high dioptic differences in their eyes to be able
> to use prescription eyewear?  This would be a welcome option to having
> to wear one contact lens.

No.  It is used to reduce the vertical diplopia at near induced by bifocals
or multifocals with moderate differences (2 - 4 D) between the two eyes.

If you have a large difference between the eyes and cannot tolerate single
vision glasses, slab off will not help.   If you were using bifocals or
multifocals and experienced vertical diplopia while reading with them, slab
off will help.

Dr Judy
Philip D Izaac - 21 Feb 2005 03:22 GMT
Actually, I'm pretty sure Slab-off can be worked into single vision lenses
as well. If you have a large difference between the two eyes then looking
straight ahead of you and looking through the optical centers you should not
have a prismatic effect. When you look down to read, you have moved a
certain distance down from the optical center. This causes a prismatic
effect because the prism is stronger with the stronger lens. The slab-off
will  match prismatic power of the other lens at the place of the lens that
is used to read.

Roland J. Izaac
> >I keep reading about this slab-off technique for eyeglasses.  Is this a
> > way for people with high dioptic differences in their eyes to be able
[quoted text clipped - 10 lines]
>
> Dr Judy
kemccx@gmail.com - 21 Feb 2005 17:48 GMT
the glasses I'm intending to use are progressives. My story is -
cataract surgery in left eye which is now -1.75. The other eye is
-6.25.  I'm relying on a contact lens in the unoperated eye, but would
love to be able to wear glasses.  And, yes, I was infomed of the
inability  to wear glasses, but I kept hearing about 'slab-off' - which
got my hopes up.
Dr Judy - 22 Feb 2005 17:43 GMT
> the glasses I'm intending to use are progressives. My story is -
> cataract surgery in left eye which is now -1.75. The other eye is
> -6.25.  I'm relying on a contact lens in the unoperated eye, but would
> love to be able to wear glasses.  And, yes, I was infomed of the
> inability  to wear glasses, but I kept hearing about 'slab-off' - which
> got my hopes up.

Worth a try, check the warranty in case it doesn't work.  The slab off will
only deal with prismatic effects, not the minification/distortions/
abberations.  You might have more success with a lined bi or trifocal
instead of a progressive, again, due to peripheral  effects.

Dr Judy
Dr Judy - 22 Feb 2005 17:41 GMT
> Actually, I'm pretty sure Slab-off can be worked into single vision lenses
> as well. If you have a large difference between the two eyes then looking
[quoted text clipped - 8 lines]
>
> Roland J. Izaac

Yes, slab off can be used on single vision glasses.  However, people with
moderate to large degree of refractive error will almost always tip their
chins down to read with single vision lenses thus keeping the eye looking
through the centre of the lens and avoiding both the prismatic effects and
the distortions found in the lens periphery.   If you are using the centre
of the lens. the slab off adds no value.

Dr Judy

>> >I keep reading about this slab-off technique for eyeglasses.  Is this a
>> > way for people with high dioptic differences in their eyes to be able
[quoted text clipped - 13 lines]
>>
>> Dr Judy
 
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