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Medical Forum / General / Vision / August 2006

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Differences in brands of progressive lenses?

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louise - 17 Aug 2006 23:29 GMT
I am very astigmatic and when best corrected, come in at
something like 20/40 or 20/35.

For several years I've had progressive lenses which I carry
with me.  I use them for driving, walking around, museums,
and the occasional small amount of reading one does while
sitting and waiting for something.  When I first got them,
the optician made a few different pairs before he found one
that, as he described it, had the right ratio of distance,
midrange and reading.  If I remember correctly, he said that
some progressives are made with a larger midrange distance
while others have a smaller midrange.  The ones I have been
wearing successfully are about 5 years old and are Varilux
Comfort lenses.

I have a separate pair of reading glasses which I use at
home.  I also have a separate pair of progressive computer
glasses that go from screen distance to reading distance only.

Now I need new glasses and I'm beginning to ask questions of
a few opticians.  I've been told that Varilux Comfort lenses
provide very poor peripheral vision and that there are other
lenses now that are superior.  It is true that my Varilux do
seem require that I center myself pretty carefully or things
go out of focus.

Zeiss lenses have been recommended as being optically
superior and providing more peripheral vision area.  Is this
true?  What are the differences between the various brands
of progressives?

And, is it true that some brands give a greater height to
the midrange than others?

Since my lenses, with ultra thin and anti glare etc. are
almost $500, and I need to replace both my everything
glasses and my computer glasses, I'd really like to
understand how to get the best lenses possible and what's
true and what's just hype.

TIA

Louise
louise - 17 Aug 2006 23:38 GMT
In reading through this group more, I realized that it might
help if I posted my prescription for help in knowing what
brand and design would work best for my particular situation:

plano    +250    85
-0.75    +3.25   80
+2.75
+3.00

I can't make out the first spherical and as best as I can
read the handwriting, it says plano - what might it say and
what does it mean?

TIA

Louise

> I am very astigmatic and when best corrected, come in at something like
> 20/40 or 20/35.
[quoted text clipped - 34 lines]
>
> Louise
Ace - 18 Aug 2006 00:49 GMT
> In reading through this group more, I realized that it might
> help if I posted my prescription for help in knowing what
[quoted text clipped - 51 lines]
> >
> > Louise

You are hyperopic with moderate-high astigmatism. You may not need high
index, I was near -6 and have had high index before and they werent
much thinner, about a third thinner but not worth the extra money. Your
glasses wouldnt be thick in your prescription. $500 is crazy for
glasses! My last couple pair of glasses at an optical store cost $99
for the frame and lens and they look great! I also have purchased
several pairs online for even less.

Why are you only 20/40? Your astigmatism isnt severe enough to reduce
your BCVA from 20/20 down to 20/40. I am guessing you could have a
large amount of irregular astigmatism and high order aberrations, see
if you can get correction to better address this, maybe even wavefront
glasses.
serebel - 18 Aug 2006 02:02 GMT
For the love of God, ignore the retard (ace). He's a moron without a
clue. Wait for a response from one of the OD's who post here.
Ace - 18 Aug 2006 06:29 GMT
> For the love of God, ignore the retard (ace). He's a moron without a
> clue. Wait for a response from one of the OD's who post here.

Serebel is the rude one and doesnt deserve creditability. Also anyone
online can pretend to be a "doctor"
LarryDoc - 18 Aug 2006 07:56 GMT
> > For the love of God, ignore the retard (ace). He's a moron without a
> > clue. Wait for a response from one of the OD's who post here.
>
> Serebel is the rude one and doesnt deserve creditability. Also anyone
> online can pretend to be a "doctor"

Excuse me moron, but most of the docs who post here have easily
verifiable credentials. You, on the other hand have absolutely no
credentials and no real knowledge about what you write. You do nothing
than to provide a dis-service by writing unsubstantiated drivel and
useless crap.

You are worse than useless, you are dangerous. It is people like you
that degrade the value of this forum.  Go eat some of those magic
mushrooms you are so fond of and leave the real world alone. And in
those few moments when you are not high, why not try to learn basic
English grammar, spelling and punctuation.  You don't fool anyone,
except perhaps yourself.

LB, O.D.
LarryDoc - 18 Aug 2006 08:11 GMT
> In reading through this group more, I realized that it might
> help if I posted my prescription for help in knowing what
[quoted text clipped - 8 lines]
> read the handwriting, it says plano - what might it say and
> what does it mean?

Hi Louise,

Plano means zero power. Your optical correction is farsighted and
astigmatism. I'd guess the following two numbers are your "add"
powers---the additional power needed for near vision. Those numbers are,
by the way, somewhat suspect as the maximum add power should be 2.50
unless: 1. you are reading things closer than 12", 2. require increased
magnification due to a low vision problem, or 3. the distance power is
incorrect.

To answer your question about progressives: yes there are differences
between brands and designs that relate to the width of the intermediate
and near vision "sweet spots", the distance/length of transition between
power zones, the degree of peripheral distortion and more. Some of these
issues relate to the size of the frame and position on your face.  
Measure the distances that you find you use most, eg: computer distance
and desktop or laptop, TV, reading books, reading maps, your reading
position (sitting up, reclining, etc).  Write it down and bring it with
you to your eyeglass frame fitting.

I'd suggest you meet with a knowledgeable optician who can guide you to
the best type of PAL for your needs and properly adjust the frame to
provide the best optical experience in your new specs.

LB, O.D.
Ace - 18 Aug 2006 08:51 GMT
> Plano means zero power. Your optical correction is farsighted and
> astigmatism.

Which I already told him before in my first reply to him and was
correct.

You are hyperopic with moderate-high astigmatism.

*I am not a doctor, so no worries. I just know alot about vision :)
serebel - 19 Aug 2006 02:33 GMT
.

> Which I already told him before in my first reply to him and was
> correct.
>
> You are hyperopic with moderate-high astigmatism.
>
> *I am not a doctor, so no worries. I just know alot about vision :)

             The only thing you know about vision is that yours sucks.
bldegle2@comcast.net - 19 Aug 2006 15:16 GMT
"Serebel is the rude one and doesnt deserve creditability. Also anyone
online can pretend to be a "doctor""

lets see, if i read this comment right, then maybe the informations you
are gathering on the internet might be 'misrepresented' a bit?

your masquerading as a wanna be doctor with no clinical background in
your history other than you have terrible eyesight and have visited the
idocs many times because of your Myopia.  while the internet does
provide informations that may not be avialable anywhere else, it is
third party and needs further verification, such as actual field
studies, personal first person interviews, and something more than a
snellen chart hung in your bedroom.

if you want to continue down this path, then i suggest going back to
university and getting your degree in 'eyes', an 2 year AA degree does
not qualify you as an expert, then after you get your wall shingle,
maybe someone will listen to you.

Nah, what am i thinking, please slap me....

feathers

> > Plano means zero power. Your optical correction is farsighted and
> > astigmatism.
[quoted text clipped - 5 lines]
>
> *I am not a doctor, so no worries. I just know alot about vision :)
 
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