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Medical Forum / General / Vision / August 2007

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new to progressives - not happy

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Mac - 19 Jul 2007 16:31 GMT
Hello all,
I realize that it will take time to get used to these progressive lenses but
a couple of things just don't seem right.  I would very much appreciate any
input.
First, when I stand or sit erect and look straight forward should I be
looking through the midrange lens?  I feel... no... I AM walking around with
my chin in my chest in order to see distance.  This is really hurting my
neck.  My wife's non-progressive bifocals sit lower on her face and she can
look straight ahead without chin-down for distance.
Second, the bottom (or reading) portion of the lens Rx seem to be off.  When
I close my left eye, the text is very clear.  When I close my right, the
text is quite blurry.  With both open I feel like I'm seeing slightly
double, makes it very difficult to read.
Were the frames not fit correctly to my face?  I have raised these questions
with Pearle but the answer is always "you'll get used to them" or "you're
brain just isn't used to it yet".
I'm a bit frustrated and would like to have this resolved before the
guarantee runs out.
Thanks,
-Mac
Neil Brooks - 19 Jul 2007 17:18 GMT
>Hello all,
>I realize that it will take time to get used to these progressive lenses but
[quoted text clipped - 16 lines]
>Thanks,
>-Mac

My (uneducated about this sort of thing) opinion is that they were
made wrong.  

Sounds like some combination of fit, size and centering of the segment
and transition zone issue, and incorrect prescription.

Can you take them to a different optometrist's or optician's office,
ask that THEY measure and advise (you may have to pay for this), and
then go back to Pearle for re-make/refund, if they were not done
correctly?  An optician could tell you if the glasses WERE made to
spec.  An optometrist could re-examine you to determine if the
underlying Rx is correct.

Robert Martellaro (and others) here is really smart and helpful.  With
luck, he (and others) will chime in.

Just ignore "Otis Brown" and you'll be fine ;-)
callimico66@yahoo.com - 19 Jul 2007 22:40 GMT
> I realize that it will take time to get used to these progressive lenses but
> a couple of things just don't seem right.  I would very much appreciate any
> input.
> First, when I stand or sit erect and look straight forward should I be
> looking through the midrange lens?  I feel... no... I AM walking around with
> my chin in my chest in order to see distance.

I agree with Neil--something is wrong with the prescription, fit, etc.
You should go back and try to find out what the problem is, and get
the glasses re-made.

With my current pair of progressives, I requested that the "add" part
be started lower on the lens---because to me, the distance and mid-
range vision are more important than the near. They usually start the
"add" corridor right under the bottom of the pupil, when viewed
straight on---(by the optician). Yours sounds like it is starting too
high. Not to mention the difficulty you're having with the near vision
being unbalanced.

It takes skill to make a great pair of progressives: skill on your
part (giving feedback during exam); skill by the optometrist
(listening to you and interpreting correctly); skill by the optician
taking the needed measurements, fitting the frame to your face, and
advising you about lens and frame choices; and skill by the lab in
fabricating and inserting the lenses.

Good luck and keep trying to fine-tune.

C66
William Stacy - 19 Jul 2007 23:01 GMT
>Hello all,
>I realize that it will take time to get used to these progressive lenses but
[quoted text clipped - 6 lines]
>look straight ahead without chin-down for distance.
>  

The segs are set too high.  Bear in mind that the lower they set them,
the less reading area you will get, plus you will have to lift your chin
higher to get into the reading areas.  It's always a tradeoff, but it  
sounds like yours are set too high.  Try sliding them down your nose and
if that works well at all distances, they can remake them successfully.

>Second, the bottom (or reading) portion of the lens Rx seem to be off.  When
>I close my left eye, the text is very clear.  When I close my right, the
>text is quite blurry.  With both open I feel like I'm seeing slightly
>double, makes it very difficult to read.
>  

OK not only the above, but they are also not decentered properly.  You
need exact monocular pupillary distances (from the center of your nose
to the optical axes of EACH eye) to be measured and the lenses set to those.

>Were the frames not fit correctly to my face?  I have raised these questions
>with Pearle but the answer is always "you'll get used to them" or "you're
>brain just isn't used to it yet".
>I'm a bit frustrated and would like to have this resolved before the
>guarantee runs out.
>  

OK they are full of baloney.  They were made wrong and get your money
back, then go somewhere where they can do them right. (you will probably
pay more, but your odds of getting a decent fit are better).  I would
normally recommend you have them try again, but Pearle?  Not so much...

w.stacy, o.d.
Mac - 20 Jul 2007 06:38 GMT
Thanks for the insight...and real answers.  I believe I will have another
optician look at my specs, quite a good idea.
Again, thanks.
-Mac
Father Mike - 22 Jul 2007 02:25 GMT
> Hello all,
> I realize that it will take time to get used to these progressive lenses but
> a couple of things just don't seem right.  I would very much appreciate any
> input.

You're leaving out a vital piece of information... how long have you had
those glasses? If you've had them a month, it probably is too long, if
you've had them three days, that's not long enough.

I've worn progressives at least 10 years and it has taken three weeks for
my latest pair to feel really good. Now my vision using a laptop is easier
than before.

> First, when I stand or sit erect and look straight forward should I be
> looking through the midrange lens?  I feel... no... I AM walking around with
[quoted text clipped - 8 lines]
> with Pearle but the answer is always "you'll get used to them" or "you're
> brain just isn't used to it yet".

I think they're right about one thing... it's possibly a brain issue. It's
remarkable the role that the brain plays in how we perceive things. My
glasses warp things so that circles are slightly elliptical. However, I see
them as perfect circles and when I take off my glasses I see ellipses.

On the other hand, the hardware could be wrongly made. These things do
happen. Good luck, I hope you sort it out successfully before the guarantee
is void.

> I'm a bit frustrated and would like to have this resolved before the
> guarantee runs out.
> Thanks,
> -Mac
CatmanX - 22 Jul 2007 03:13 GMT
There is a good chance the problem is in the design. There are people
who have problems with one design and not others. They can be set up
perfectly and your vision is crap. A different design can be al that
is needed.

There may also be an issue with height, but if this has been checked,
look at design.
Mac - 24 Jul 2007 06:16 GMT
Just an update:
I took my new progressives to two other opticians and they both confirmed
that the lenses were improperly cut.  Pearl then checked my glasses against
the original measurements and conceded that they were, indeed, quite a bit
off.  The distance vision was set too high and the pupilary [locations?]
(for reading) were off by about 8 mm.
Another week and I should have them back.
Thanks for the suggestions,
-Mac
Neil Brooks - 24 Jul 2007 14:58 GMT
>Just an update:
>I took my new progressives to two other opticians and they both confirmed
[quoted text clipped - 5 lines]
>Thanks for the suggestions,
>-Mac

Wasn't the Pearle jingo something like "Nobody cares for eyes more
than Pearle?"

If true, a very scary thought, indeed.

Good luck.  I suspect you'll wind up liking the new ones (giving
Pearle the benefit of the doubt....).
Robert Martellaro - 27 Jul 2007 00:15 GMT
>Just an update:
>I took my new progressives to two other opticians and they both confirmed
>that the lenses were improperly cut.  Pearl then checked my glasses against
>the original measurements and conceded that they were, indeed, quite a bit
>off.  

Ok, it was a lab error. They don't inspect their work?

>The distance vision was set too high and the pupilary [locations?]
>(for reading) were off by about 8 mm.

The opticians don't verify the lab's work? They should have inspected the
eyeglasses before you were notified, verified at the time of dispensing, using
marks or templates to confirm the lens position.

So, the lab makes junk lenses, and the dispensing opticians don't give a damn.
You go back with symptoms and they still refuse to check their work. I suspect
that the "original measurements" were probably worthless also.  

>Another week and I should have them back.
>Thanks for the suggestions,
>-Mac

You've got a lot more faith in these folks than I would have.

Good luck, and see a private ECP next time.

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
Wauwatosa Wi.
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
- Richard Feynman
Mac - 30 Jul 2007 18:20 GMT
Faith?  Well everyone deserves a second chance, even if they didn't listen
to my [well communicated] concerns.  However, having said that, I had them
reset the warranty to the new pick-up date.  This gives me a bit more time.
And I will take these to the other optician for verification before
dedicating myself to a long transition period.  If they get them wrong
again, I'll demand my $400+ dollars back.
-Mac

>>Just an update:
>>I took my new progressives to two other opticians and they both confirmed
[quoted text clipped - 35 lines]
> "Science is a way of trying not to fool yourself."
> - Richard Feynman
Mac - 30 Jul 2007 22:34 GMT
> Hello all,
> I realize that it will take time to get used to these progressive lenses
[quoted text clipped - 16 lines]
> Thanks,
> -Mac

Well, they got them wrong again.  This time I didn't have to have them
checked out by another optician, she saw it right away.  They can't seem to
get the pulilary distance correct.
I think it's time to either ask for one heckuva discount or simply get my
money back and go somewhere else.
Thanks for all the input.
-Mac
Scott Seidman - 31 Jul 2007 00:10 GMT
> Well, they got them wrong again.  This time I didn't have to have them
> checked out by another optician, she saw it right away.  They can't
> seem to get the pulilary distance correct.

Do you have any phorias or tropias?  That is, are your eye pointing in the
right place and always acting together?  I'm just wondering if something
intermittant might be driving your docs crazy.

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Scott
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Robert Martellaro - 06 Aug 2007 18:53 GMT
>> Well, they got them wrong again.  This time I didn't have to have them
>> checked out by another optician, she saw it right away.  They can't
>> seem to get the pulilary distance correct.

They might have equipment that is out of calibration, the techs may be
inexperienced, they don't care, or any combination of the above. Regardless,
it's a very bad lab, about what you would expect from a discount optical.

>Do you have any phorias or tropias?  That is, are your eye pointing in the
>right place and always acting together?  I'm just wondering if something
>intermittant might be driving your docs crazy.

It would require extra attention on the opticians part, that's for sure. One
example is if there was prescribed prism- the eye turns towards the prism apex,
requiring some (about .3mm per prism diopter) adjustment to the position of the
Fitting Cross, on one or both of the major meridians, and explains why PAL
wearers sometimes have discomfort when prism is prescribed.

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
Wauwatosa Wi.
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
- Richard Feynman
Scott Seidman - 06 Aug 2007 23:53 GMT
>  Regardless,
> it's a very bad lab, about what you would expect from a discount optical.

You say such things as if the patient should know that they MIGHT not be
getting the same standard of care if they go into a discount optical shop--
or even can tell the difference between chain, discount, and private before
they walk in.

Frankly, if opticians in private shops feel (or know) that they can do a
better job, it's their professional responsibility to get the word out-- or
to make sure that all practicioners meet the same standard of care.

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Scott
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Robert Martellaro - 07 Aug 2007 21:56 GMT
>>  Regardless,
>> it's a very bad lab, about what you would expect from a discount optical.
[quoted text clipped - 3 lines]
>or even can tell the difference between chain, discount, and private before
>they walk in.

Good point. Still, there has to be a some degree of common sense when things
look to good to be true.

http://www.twopair.com/

and similar shenanigans at Pearl Vision. Note the free pair of glasses- right.

http://www.pearlevision.com

I've occasionally seen good work come out of the chains, and some bad stuff from
private practitioners, but overall the privates are more consistent in providing
a better product with better service. I think of the chains as training grounds
for opticianry, with the best moving on to work for the private doctors and
clinics, some even opening their own shops, although that's becoming exceeding
rare nowadays, especially in the unlicensed states.

>Frankly, if opticians in private shops feel (or know) that they can do a
>better job, it's their professional responsibility to get the word out--

I've been posting here since about 1999, and have been consistent and clear in
my message- shop carefully for a skilled optician, especially if the situation
demands such skills, such as fitting complex RXs ie, progressive addition
lenses, strong powers, and so on.

>or to make sure that all practicioners meet the same standard of care.

Here in Wisconsin, my barber can fill my eyeglass Rx, but I can't cut his hair,
unless I go to school and become a licensed barber. Amazingly, everyone I talk
to about this did not know that we were not regulated, and that the only
prerequisite to becoming an optician is a warm body.

We have tried to change the regulations, or lack thereof, but the chains and
optometrists have road blocked the legislature at every turn. Its not going to
happen here ever, just as it's not going to happen in thirty or so other states.

It's a general trend, the dumbing down of America, where quality is becoming
rare, the need to get fast and cheap abounds. Our country needs to get back on
track, to be known for producing quality products, service, and people, even if
it means a temporary hit on corporate profits.

Thanks for the soapbox.

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
Wauwatosa Wi.
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
- Richard Feynman
 
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