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Medical Forum / General / Vision / June 2006

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Eyeglass return

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Rich - 04 Jun 2006 23:26 GMT
Greetings,
Recently I purchased a new pair of glasses under my vision plan at work.
I am presbyopic(2 diopters reading) with a slight 0.5 diopter correction
for distance. I explained that mostly I work on a computer & that my
current glasses were bifocal with the upper portion correcting for
computer screen distance & the lower bifocal for reading. However, when
I leave my desk I had to remove these glasses & carry cheap reading
glasses with me in case I needed to read something while away from my
desk. I was talked into progressive lens with a range of 0.5 diopter to
2.0 diopter & that these would be perfect for computer work. These were
useless for computer work because of the narrow intermediate focus
channel. However I liked them for walking around so I took the glasses
back & requested they be changed from polycarbonate to photo chromic
glass so that I could where them outside also. I had heard that glass
gets darker than Transitions plastic lenses. All they told me was that
glass would be heavier but I did not mind that. I picked up the new
glasses & as soon as I walked outside into bright sun the lenses barely
changed. I searched the internet & within 5 minutes learned that photo
chromic glass gets 50% as dark @ 80 degrees than at 40 degrees. One
would think that an optician practicing in Arizona (114 degrees today)
would have counseled me on that fact. So back to the internet I went and
found several references stating that new Transitions lenses, while
never getting as dark as regular sunglasses, would change dark in hoy
weather. Back to the optician where they first tried to tell me that
neither glass nor plastic would get very dark in heat. Regardless I
insisted on changing to plastic Transitions lenses & am waiting for them
to come in as I figure it can't be worse than glass & at least the
plastic lenses are perfectly clear indoors whereas the glass had a
slight gray tint.
My question is, do labs re manufacture lens for opticians at no charge
in instances of customer dissatisfaction or must they "eat" the expense
of the lenses that I returned?

The reason I ask is that the shop informed me that an additional charge
of $41 would be required because my plan does not cover Transitions
lenses. They figured out the cost of the latest pair of
glasses(Transitions) & subtracted what I had originally paid for the
returned lenses. However what they did not factor in was the $40 payment
they received from my insurance for the polycarbonate lenses which I no
longer am using. Insurance pays nothing for Transitions so it seems that
this $40 does not belong to the optician since I ended up with lenses
that I paid for. However, my point is, that if the optical shop "ate"
any costs for the returning of 2 other pair of lenses, I think they
should keep it.
Sorry for the long post.
Rich
Mark A - 04 Jun 2006 23:47 GMT
> Greetings,
> Recently I purchased a new pair of glasses under my vision plan at work. I
[quoted text clipped - 40 lines]
> Sorry for the long post.
> Rich

Most brands of progressives come with a 30 day adaptation warranty (redo in
non-progressive if you are not satisfied), or a free remake if there is a
problem with the Rx or fitting.
acemanvx@yahoo.com - 05 Jun 2006 00:44 GMT
It would be much easier to just buy off the shelf readers for the
computer. Save the progressives for driving so you can see the
speedometer and the road clearly. I have computer glasses I use for the
computer and around the house. Never had to mess with bifocals nor
progressives
Rich - 05 Jun 2006 00:47 GMT
>> Greetings,
>> Recently I purchased a new pair of glasses under my vision plan at work. I
[quoted text clipped - 44 lines]
> non-progressive if you are not satisfied), or a free remake if there is a
> problem with the Rx or fitting.

Yes, to me as the retail client they are not charging me for lenses I
returned & I kept the progressives & only made them Transition
sunglasses. My question is if the lab that the optician sends the
prescription to charges the optician for every lens they grind or does
the lab replace lenses free for the optician when changing lens to
satisfy a client (for instance, in my case; progressive carbonate to
photo chromic glass progressive to plastic Transitions progressive. Did
the lab take back the lenses from the optician & change them only the
difference between the older cheaper order & the new Transitions order?)

Thanks for replying.
Rich
Mark A - 05 Jun 2006 01:34 GMT
> Yes, to me as the retail client they are not charging me for lenses I
> returned & I kept the progressives & only made them Transition sunglasses.
[quoted text clipped - 8 lines]
> Thanks for replying.
> Rich

The lab/manufacturer will normally allow a free remake of a progressive
lens, including using a different material, if the customer is not satisfied
with he first pair. So if you chose a more expensive material for the
remake, then you should only pay the difference (and the retailer is only
charged the difference).

This is how it generally works, and there may be exceptions depending on the
lab or lens manufacturer,or other circumstances.
Rich - 06 Jun 2006 06:16 GMT
>> Yes, to me as the retail client they are not charging me for lenses I
>> returned & I kept the progressives & only made them Transition sunglasses.
[quoted text clipped - 17 lines]
> This is how it generally works, and there may be exceptions depending on the
> lab or lens manufacturer,or other circumstances.

I am just trying to figure out if the original insurance payment of $40
(I co-payed $60) for progressive lenses was taken into effect. I was
quoted an additional $125 for Transitions lenses. If that is a ballpark
figure for non-progressive Transitions ( i.e. progressive transitions
cost about $190) then the optical shop factored in the original
insurance payment for progressive lenses & are not trying to pocket the
difference.
If the shop incurred additional lab charges for these changes then it
wouldn't bother me.

Thanks,
Rich
Dr Judy - 06 Jun 2006 17:59 GMT
>> I am just trying to figure out if the original insurance payment of $40
> (I co-payed $60) for progressive lenses was taken into effect. I was
[quoted text clipped - 5 lines]
> If the shop incurred additional lab charges for these changes then it
> wouldn't bother me.

$190 sounds about right, however it depends on where you live and how
they price.  Why not just ask the optician instead of second guessing
them?

Dr Judy
Rich - 07 Jun 2006 03:20 GMT
>>> I am just trying to figure out if the original insurance payment of $40
>> (I co-payed $60) for progressive lenses was taken into effect. I was
[quoted text clipped - 11 lines]
>
> Dr Judy

Actually I will ask them when I pick them up in a day or two & pay the
difference. The one young gentleman there that I mostly dealt with was
very polite & forthcoming with the pricing under my vision plan. I just
wanted to be informed before analyzing the breakdown of charges.
It's just that I have lost confidence in their professional knowledge.
The optometrist there said progressives would be great for computer
work...I found that to be totally false within 30 seconds of sitting in
front of my computer. When I returned the first pair & requested
photochromic glass lenses so I could use the glasses for general,
non-computer use, the optician never advised me that in Arizona this old
technology would barely change color in the 100+ degree heat. When I
returned the photochromic glass lenses to switch to Transitions plastic,
I was told by another optician there that Transitions would perform no
better than the glass lenses. Since the glass lenses were virtually
useless, I opted for Transitions anyway since they couldn't perform any
worse in the heat. Furthermore, everything I read on the internet about
Transitions' latest generation of lenses is that they are virtually
clear indoors(the glass ones remained slightly gray), turn almost
sunglass dark outside & were much less heat sensitive than silver halide
glass & earlier generations of Transitions lenses.

This leads me to two questions: Is this true? Do the latest available
Transitions lenses perform as described above? And do different optical
shops sell cheaper, earlier technology Transitions lenses or are only
the latest generation manufactured? I am dealing with Sears optical.
Thanks for any responses.

Rich
Anon E. Muss - 05 Jun 2006 00:42 GMT
>Recently I purchased a new pair of glasses under my vision plan at work.
>I am presbyopic(2 diopters reading) with a slight 0.5 diopter correction
[quoted text clipped - 7 lines]
>useless for computer work because of the narrow intermediate focus
>channel. However I liked them for walking around

Personally, I normally recommend standard progressive lenses only for
computer work *if* the amount of computer work you do is very limited
(say checking your email at night or surfing the internet for <15
minutes).

For someone who does a lot of computer work (say >2 hours a day) and
likes progressive lenses, I typically recommend something like the
Sola Access lens -- which basically is a progressive les with the
computer distance at the top and reading distance at the bottom.

>so I took the glasses back & requested they be changed from
>polycarbonate to photo chromic glass so that I could where them
>outside also. I had heard that glass gets darker than Transitions
>plastic lenses.

This is true.

>All they told me was that glass would be heavier but I did not mind
>that.

This is also true.

>I picked up the new glasses & as soon as I walked outside into bright
>sun the lenses barely changed.

Two things possible here:

1.  The lenses are defective (unlikely).
2.  They didn't just "barely change", rather "barely changed" really
means "didn't get as nearly as dark as I expected them to get" (much
more likely).  For someone like you, I would take a sample Transitions
lens outside and show you how dark/light it gets so you would have no
surprise when your new lenses come in and would know exactly what to
expect.

>I searched the internet & within 5 minutes learned that photo chromic
>glass gets 50% as dark @ 80 degrees than at 40 degrees.

I don't remember the exact numbers but definitely photochromic lenses
work best during bright cold days rather than bright hot days.

>One would think that an optician practicing in Arizona (114 degrees
>today) would have counseled me on that fact.

The two most important things regarding photochromic lenses that I
tell my patients are this:

1.  They don't work well inside a car.  IOW, if their main reason for
getting photochromic lenses is to get away from needing sunglasses
when they drive, I tell them they will be disappointed.
2.  They get a medium darkness in most situations.  If they are
someone that requires a *dark* lenses, they will be much happier
getting a pair of polaroid sunglasses.

[I do tell them about them being temperature sensitive typically only
if (from their history and questioning) I suspect that might be an
issue.]

>So back to the internet I went and found several references stating
>that new Transitions lenses, while never getting as dark as regular
>sunglasses, would change dark in hoy weather.

Both plastic and glass change, and they both are temperature
sensitive.  If you are unhappy with glass photochromic (the best is
Corning's Photogrey Thin-And-Dark rather than Photogrey Xtra) because
it doesn't get dark enough, I would be willing to bet you will be
unhappy with plastic photochromic lenses (the ones that get darkest
are Corning's SunSensors rather than Transitions, but Transitions gets
clearer indoors).

>Back to the optician where they first tried to tell me that neither
>glass nor plastic would get very dark in heat. Regardless I insisted

Insisting is fine, but if you are unhappy then you should not expect
another lens swap for free, because you are telling the doctor you
want things done a certain way versus what he recommends.

>on changing to plastic Transitions lenses & am waiting for them
>to come in as I figure it can't be worse than glass & at least the
>plastic lenses are perfectly clear indoors whereas the glass had a
>slight gray tint.

Plastic photochromic lenses don't get as dark as glass in nearly all
cases.  And the Transitions lenses are NOT perfectly clear indoors,
although most (but NOT ALL) patients find them to be clear enough
indoors.

Someone like you I suspect would be happier with a pair of polaroid
sunglasses.

>My question is, do labs re manufacture lens for opticians at no charge
>in instances of customer dissatisfaction or must they "eat" the expense
>of the lenses that I returned?

Depends on the lab and also depends on if/the type of vision insurance
that was billed.

One of my labs will allow one redo, no questions asked, for any job.
Any redos beyond that are done at 50% of the standard invoice price.
One of my labs charges full price for any redos.  So why do I use the
second lab ever?  It charges about half the price for certain jobs
versus the first lab.  Some vision insurances allow one redo, no
questions asked, while others only allow redos under certain
circumstances, and others do not pay for any redos.

>The reason I ask is that the shop informed me that an additional
>charge of $41 would be required because my plan does not cover
[quoted text clipped - 7 lines]
>optical shop "ate" any costs for the returning of 2 other pair of
>lenses, I think they should keep it.

If this is your SECOND redo, I think a $41 charge for the Transitions
over photochromic glass is extremely fair.

One more thing:  When a patient gets to the point where they are going
on their second redo, I do a lot of counseling.  I sit down and tell
them what to expect, show them demo lenses, trial frame the
refraction, and show them other options.  I do my very best to make
sure they are fully informed, ask for feedback, and to make sure there
are ZERO surprises when their new lenses come in.

In my 13 years or so of being an OD, I get probably get one patient a
year (or less) requiring a second redo.  I have had one I recall
(certainly no more than two) patients who required a third redo.  This
person was fully informed after their second redo and was still
disappointed.  She realized it was her fault because she insisted on
making the lenses a certain way and had no problem paying for the
lenses on the third redo.
richrx - 10 Jun 2006 07:05 GMT
> >Recently I purchased a new pair of glasses under my vision plan at work.
> >I am presbyopic(2 diopters reading) with a slight 0.5 diopter correction
[quoted text clipped - 142 lines]
> making the lenses a certain way and had no problem paying for the
> lenses on the third redo.

Thank you for your comprehensive & informative reply.
I will not be asking for a re-do after I receive the Transitions
lenses. I will accept them regardless of how they perform. This is
because I cannot imagine that they can be any worse in heat than glass.
I am willing to gamble $41 on that which I agree is reasonable. The
question that remains is this: I have searched the internet for
informations on Transitions lens. Consistently I have found the
assertion that the latest version will perform in hot & cold weather.
Some even state they get as dark as sunglasses(I don't expect this) but
many do not make this claim. Is it possible that eyecare professionals
who state that Transitions lenses will not perform better in heat have
not had extensive experience with the latest evolution of these lenses
& that they indeed do perform better? If I am not mistaken, it is a 5th
generation of technology. How long has the latest generation been on
the market? I understand that the darkening is an electromagnetic
phenomenon that is slowed by heat. Could they have devised a
work-around that mitigates this?
These are just questions. I'll find out soon enough.
Thanks again for your reply.
Rich
Anon E. Muss - 11 Jun 2006 02:16 GMT
[snip]

>The question that remains is this: I have searched the internet for
>informations on Transitions lens. Consistently I have found the
[quoted text clipped - 4 lines]
>better in heat have not had extensive experience with the latest
>evolution of these lenses & that they indeed do perform better?

Probably not.

IIRC, Transitions V (the latest version) was released in early 2004.
So eyedoctors, and certainly opticians, should be very familiar with
the product and how it performs.
tkopan1@yahoo.com - 05 Jun 2006 22:00 GMT
You have not mentioned the computer needs again in all of the posts.  I
am very hapy with my "CRT" lenses. Comapnies are making specific
progressives for computer use.  Over the years, may favorite two lenses
have been the AO Technica and the Shamir Office lenses.  Both lenses
have your mid-range power lined up in front of your pupil and the
reading is a the bottom.  They also have the added feature that if you
need to look at distance, you can drop your chin down and look across
the room.  If you are going to opt now to keep your new progreessives,
your CRT distance lenses will probably be about half the add power
(~1.00 to 1.25D) for the longer distance.  Your optometrist should
measure that specific distance for you.

--Dr. Tom
> Greetings,
> Recently I purchased a new pair of glasses under my vision plan at work.
[quoted text clipped - 42 lines]
> Sorry for the long post.
> Rich
Rich - 06 Jun 2006 06:07 GMT
> You have not mentioned the computer needs again in all of the posts.  I
> am very hapy with my "CRT" lenses. Comapnies are making specific
[quoted text clipped - 9 lines]
>
> --Dr. Tom
 <snip>

This sounds exactly what I need. How do they avoid the "channeling"
effect of the mid-range focus area usually found with progressives? Or
are they bi-focals? That is what I found to be useless about
progressives for computer use.

Thanks,

Rich
Dick Adams - 06 Jun 2006 14:31 GMT
> ... I am very hapy with my "CRT" lenses. Comapnies are making specific
> progressives for computer use.  Over the years, may favorite two lenses
[quoted text clipped - 3 lines]
> need to look at distance, you can drop your chin down and look across
> the room.

That seems very intriguing.  But here I'd like to mention that, even with
IOLs (equivalent to total presbyopia), I can see everything on my desk,
including what I write, what I read, and my CRT screen (happens to be 15 in.
diagonal), with single-vision reading glasses.  My wife needs a bigger screen,
necessarily at a greater distance, and therefore was told she needed special
CRT eyeglasses, which she got but does not use.  She uses an old pair of
bifocals involving holding the chin quit up, but probably good exercise for
certain neck muscles.  I said I could get her some Zennis for her particular
computer distance, but she does not wish to have anything cheap.

Today, by dumb luck or possibly surgical skill, I can look over my lenses
and see everything else in the room (as I am nakedly ~ 1D myopic).  But
up till surgery, I was quite myopic.  Even then, after trying various things,
I found that I was most comfortable for desk (and computer) work with
single-vision reading glasses.  True, however, that I needed to change
eyeglasses to check out the girls on the other side of the office.

> If you are going to opt now to keep your new progreessives,
> your CRT distance lenses will probably be about half the add power
> (~1.00 to 1.25D) for the longer distance.  Your optometrist should
> measure that specific distance for you.

You should be able to figure it out if you can do simple arithmetic.

If you are not flat-out presbyopic, you have some accommodative range.
That, and depth-of-field, give some appreciable range of sharp vision.
Maybe you would need an optometrist to guess the single-vision "add"
for the most appropriate range (say 1 ft. to 3 ft.), but 1/d  where d is the
distance in meters between your eyes and the CRT (or whatever) screen
would be a good place to start.  Could cost $19 to find out if you have
made the right choice.

I cannot imagine any good reason for eyeglasses with separate (or seamless)
panes for reading and computer-screen viewing, unless, like the eye-care
junkies around here, you have an obsessive need for the dearest.

--
Dicky
Rich - 10 Jun 2006 07:44 GMT
> You have not mentioned the computer needs again in all of the posts.  I
> am very hapy with my "CRT" lenses. Comapnies are making specific
[quoted text clipped - 9 lines]
>
> --Dr. Tom

Do you have a link for the AO Technica manufacturer's web site? I
believe it is AO American. I would like to read about their products &
locate retail providers. From the low number of Shamir providers I
assume they are high-end. Could you give me a ballpark price for each of
these products?
Thanks,
Rich
 
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