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Medical Forum / General / Vision / April 2006

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Help with choosing multifocal lenses

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wiseman - 28 Mar 2006 07:31 GMT
Hi all,

Sadly, I've reached the age where I need multifocals (I note ruefully
that "middle age" starts with the same letter :-(  ).

My new prescription is:

                  Right         Left

Sphere        -7.75         -8.75
Cylinder      -1.50         -0.75
Axis              7                2
Add            +1.25        +1.25

PD: 62/60

Anyway, I've taken my new prescription to several opticians to get some
quotes for lenses. The problem is - they each quoted me for different
brands and indexes of lens, and I can't decide which one to go for.

The lenses that I've been quoted for are:

Zeiss Gradal(?) Individual Clallet 1.67
Hoya ID 1.7
Hoyalux ID EYRY SFT(?)
Rodenstock ILT 1.74
Nikon Presio - I/1.74
Panorama short 1.71
Panorama Plus 1.67
Panorama short 1.6
Panorama 1.6

You can see the problem! Given the highly variable prices I've been
quoted, and the fact that I can't "try before I buy", I really am
totally bamboozled. Can anyone knowledgeable about multifocal lenses
give advice, or tell me where I can get some unbiased advice?

TIA,

Peter Wise
Dom - 28 Mar 2006 12:18 GMT
> Hi all,
>
[quoted text clipped - 36 lines]
>
> Peter Wise

The two 'short' versions are designed to fit into smaller frames. This
involves a slight compromise in the usability of the multifocal lens.

The different indexes (indices?) (e.g 1.6 1.71 1.74) refer to how thin
the lens will be for a given frame (higher index = thinner).

Assuming the 'Panorama' is what we in Australia call the 'Panamic' I
have found it to be very good.

BUT... what's much more important than the lens type is the care taken
in the fitting measurements, the manufacturing, the checking/quality
control, the frame adjustment, and the after-sales service. If these
aren't all spot-on, then you could have the best multifocal in the world
and still be unhappy.

So I'd make your decision based on which outlet gave you the best
impression as being honest, thorough, knowledgable, caring, and
listening to your needs, rather than the quote for the lens.

Dom
Mark A - 28 Mar 2006 14:55 GMT
> Hi all,
>
[quoted text clipped - 36 lines]
>
> Peter Wise

This is a difficult Rx for progressive lenses. I would take a serious look
at Rodenstock Impression ILT 1.74.
acemanvx@yahoo.com - 28 Mar 2006 16:57 GMT
You could try bifocals, much easier to make. Also is that add going to
be high enough? That add would put objects 80cm from your eyes into
focus. Thats 32 inches.
p.clarkii@gmail.com - 29 Mar 2006 15:46 GMT
how would you know which is easier to make?

how would you know what add power is appropriate for a patient?

why do you insist on chiming in when you have NOTHING to contribute to
the conversation?
Robert Martellaro - 31 Mar 2006 22:33 GMT
>Hi all,
>
[quoted text clipped - 27 lines]
>Panorama short 1.6
>Panorama 1.6

I could name about a hundred more, along with at least ten more materials.

>You can see the problem! Given the highly variable prices I've been
>quoted, and the fact that I can't "try before I buy", I really am
[quoted text clipped - 4 lines]
>
>Peter Wise

Peter,

This is a challenging Rx to get right the first time, especially in a
progressive addition lens. Watch out for lens materials that have low "Abbe"
numbers. With your Rx you might find the off-axis vision unacceptable. The worst
performers have an index of refraction of 1.59 (polycarbonate), 1.66, and 1.74.

Don't be too concerned about the lens brand and manufacturer. Lot's of marketing
hype.

Lenses that are properly positioned, even the cheapest and most low tech
designs, will out perform the most expensive designs  that are poorly fit.

The frame must allow the lenses to be and placed properly in front of your eyes.
Think function before fashion. You can usually have both, but a good optician
should be selecting the frame for you.

You should continue to learn all that you can about ophthalmic lenses so that
you can screen for knowledgable and thorough opticians. Ask tour doctor and
friends for a recommendation. Once you get a short list make an appointment  to
have your glasses adjusted for proper fit and vision. Ask questions, watch, and
listen.

Hope this helps



Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
~~~~~~~~~~~~~~~~~~
"If a million people believe a foolish thing, it is still a foolish thing."
-  Anatole France
wiseman - 04 Apr 2006 04:21 GMT
Thank you for all these replies. Although they didn't help me select a
particular lens, they provided me with background info that was very
useful.

Peter Wise
 
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