I was wearing N&Ds monovision for a couple of years. Right: -5.25, and
left: -4.5. (My left eye is actually much more myopic than the right, but it
was undercorrected to be the reading eye.)

I recently had an eye exam. I told the eye doc that I would like to try the
new Purevision multifocals. I was first fitted for them (trial) with
Right: -5.25, Left: -6.25, high add on both. (I am 54 years old, in case
that gives some idea of the state of my presbyopia.)

My distance vision and depth perception were much better with these than
with my previous monovision lenses. Unfortunately, however, the near vision
was much worse, and I had to use reading glasses much of the time. (Whereas,
the whole point of using multifocals or monovision is to avoid reading
glasses.)

So, now it's gone to "modified monovision", and the left eye has been
changed to -5.5, right eye still -5.25, both still high add. Now, I can read
most things without reading glasses. Of course, distance vision is not
nearly as good as with the previous lenses.

I understand that both multifocals and monovision are a compromise, that
with neither one will have perfect vision both near and far, without glasses
over them. I'm not sure if this current compromise is better or worse than
the previous (monovision only) one. (Perhaps I should try one right after
the other, testing my near and far vision, to see which compromise works
better.)

I am curious to know, for others who have worn or prescribed this B&L
multifocal design (I understand that the Purevision multifocal design is the
same as the Soflens multifocal design, just different materials), have you
found that often the multifocal design in and of itself, even with high add,
is not enough in itself to provide reading-without-glasses ability, and that
usually some degree of monovision has to be involved to get that outcome?

Could it be that the "high add" of this design is really not high enough for
people in their 50s or older, that it should be re-named "medium add", and
that they  should add one with a higher add than the current "high"?

Do some other soft multifocals provide greater add than B&Ls "high"?
(Unfortunately though, no other multifocals yet in silicon hydrogel
material. Anyone know if there are others on the way? N&D multifocals? Oasys
multifocals?)

As far as comfort, I think pretty similar to the N&Ds overall. However, on
first waking up in the morning (after sleeping in them), I think the PVs are
less comfortable than the NDs, perhaps due to the lower dK.