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Medical Forum / General / Vision / July 2009VARILUX PANAMIC TO PHYSIO 360
I'm male. 54 andI've been using Varilux Panamic for about 7 years now and decided to upgrade to the Varilux Physio 360, with thin and lite 1.67 My original prescription ( 7 years ago) was R -3.50 L -3.00 and R +1.50 L +1.50. The new Physio has maintained the minus 3.50 right and left but the + has gone to 2.25 on both eyes. As I'm feeling really funny vision wise with the new glasses and Physio, I'd like to know if it's normal for an old user of progressives to take time to adapt to the physio 360. It's sort of like I felt when I was a first time user of progressives. I really haven't noticed a major difference from my original Panamic. Also I found a barely noticeable engraving on both lenses ( toward the outer part) that looks like an"o"and under it the numbers "22" Is this supposed to identify the Physio 360? Thanks Arturo > I'm male. 54 andI've been using Varilux Panamic for about 7 years now > and decided to upgrade [quoted text clipped - 18 lines] > Thanks > Arturo The "o" with the 22 means the add power is +2.25. There should be another etching with a "H" , 3 converging lines, and a slanted "e" and some other markings for the lens material, The 1.67 should be the "pi" symbol (cannot reproduce it here but I mean the Greek symbol used in mathematics for pi). Try the other lens or the other side of the same lens. Unfortunately, Essilor does not distinguish between the Varilux Physio and the Varilux Physio 360 when etching the lenses. This has caused some opticians to boycott Essilor lenses because they are not sure what they are getting from the lab. The 360 has an aspheric or atoric back surface but it may take specialized equipment to detect that. I switched from the Panamic to the Zeiss Individual with good results. I would also look at the Hoya ID and ID Lifestyle lenses as an alternative to the Physio 360 and regular Physio. A while back, Walmart Optical was selling a lens called the NikonEyes Customized progressive which was basically the Varilux Physio 360 at a cheaper price (usually). Essilor owns the Nikon brand name in the US (they also own the Varilux brand name). Not sure if Walmart still sells the lens. Essilor tends to sell the same or very similar lens as different brands so that the small opticals and OD offices can claim exclusivity of products when compared to big box retailers that sell at a lower price. Sort of the same way mattresses are sold, making it hard for the consumer to comparison shop. Buying a progressive lens almost requires a PhD these days. Not even very many opticians or OD's understand all the options and differences between lenses. > > I'm male. 54 andI've been using Varilux Panamic for about 7 years now > > and decided to upgrade [quoted text clipped - 48 lines] > many opticians or OD's understand all the options and differences between > lenses. Thank you for your answer. Though tough, I found the etchings regarding the H and the 3 lines. As it seems you are quite instructed on the matter, I'd appreciate your comment on the fact that I'm having some trouble getting used to the Physio 360 even though I had Panamic for 8 years. Most of my adaptation problems are mid distance with the computer. It seems that I really have only a very small corridor to focus. Please note ( refer to my original question) that the important change to my prescription has been the +, the minus has remained the same. It's true that I can read now but on the flip side I'm having more problems with the mid distance and swim effect. It's only been three days but this issue is worrying me. Thanks 'm having some trouble getting used to > the Physio 360 even though I had Panamic for 8 years. > Most of my adaptation problems are mid distance with the computer. It > seems that I really have only a very small corridor to focus. This may be more related to the add power increase than to the type change. Or frame is not adjusted properly. Return to your fitter and have the frame adjusted again, mention the mid range problem and check the corridor size with a reading card held at computer monitor distance while they adjust it. If the problem persists for more than two weeks , you can either: 1) return to prescriber for lower add (near reading will be a little less clear) or 2) move your computer monitor closer. Judy On Jul 22, 2:37 am, "Mark A" <no...@nowhere.com> wrote: > Thank you for your answer. Though tough, I found the etchings > regarding the H and the 3 lines. [quoted text clipped - 10 lines] > > Thanks It is a bit tricky trying to diagnose a problem on the internet. As suggested by others, it could be fitting problem, so you will need to work with optician to make sure that fitting height, tilt, PD, and everything else was done correctly. Also, (as suggested) your Rx may need to be tweaked. Knowing your frame size might also help, as smaller frames may have more problems with intermediate vision, especially if they are using a short corridor lens design. Varilux Physio Short 360° was recently introduced earlier this year, and maybe that is what you were dispensed (which could explain your smaller intermediate transition area). I don't know if the markings on the short corridor version are different than regular Physio Short 360°, which is a problem I alluded to between the Physio and the Physio 360. As I tried to suggest, the Physio 360 is a bit controversial, and I would recommend the Zeiss Individual and Hoya Id over that lens. But patients react differently to different designs, so It is hard to generalize. > It is a bit tricky trying to diagnose a problem on the internet. As > suggested by others, it could be fitting problem, so you will need to work [quoted text clipped - 14 lines] > recommend the Zeiss Individual and Hoya Id over that lens. But patients > react differently to different designs, so It is hard to generalize. Correction: I meant Physio Short 360, not Physio Short 3600. > On Jul 22, 2:37 am, "Mark A" <no...@nowhere.com> wrote: > [quoted text clipped - 31 lines] > recommend the Zeiss Individual and Hoya Id over that lens. But patients > react differently to different designs, so It is hard to generalize. First of all, thank you for your replies. Although I admit I'm very picky on everything and my daughter says I'm a little OCD ( obsessive compulsive),I'm still fighting getting used to the Physio 360 ( 4 days now), especially mid distance with my computer. My optician said that the substantial add increment ( added 1 to my prescription on both eyes) is the cause of the adaptation difficulty and that I should give it about two weeks. Anyways,I'd like to ask what are your feeling regarding the HOYALUX ID vs the Physio 360. My web browsing only shows praise regarding Hoya and say it's a no brainer between the two. They even say that the Hoya is the only really personalized product. I'm asking because at this point I'm questioning my choice. > First of all, thank you for your replies. > Although I admit I'm very picky on everything and my daughter says I'm [quoted text clipped - 8 lines] > is the only really personalized product. > I'm asking because at this point I'm questioning my choice. I would first try and find out if you actually got the Varilux Physio 360 Short (for short fitting heights). Your optician may not even know for sure what they received if the markings are the same as regular Physio 360 (and same as Physio). What is your frame size, and what is your fitting height (ask the optician). If you have the Physio Short or you have a short fitting height, this could help explain your problems. As you may recall, I went from Panamic to Zeiss Individual (both 1.60) and had short adapt time even though my add power increased. I have also heard many good things about the Hoya Id so I would recommend that lens also. Dropping down to a 1.60 lens index could also help somewhat, which is why I specifically selected the Zeiss ID, as it is one of the few high-tech lenses available in 1.60 (which will have less chromatic aberration than a 1.67 material). Do not under any circumstances get Polycarb (1.59 index) because it has abysmal chromatic aberration. Lastly, do not let anyone tell you to settle for what you find unacceptable. The high cost of these lenses is partly because they do a lot of free remakes and refunds (the manufacturer or lab covers the cost), so take advantage of that if you are not satisfied. >Most of my adaptation problems are mid distance with the computer. You may need a separate pair of glasses to see objects comfortably at distances that are less than about 32", especially if the object is at or near eye level. >It seems that I really have only a very small corridor to focus. You really don't want to look through this part of the lens for any significant amount of time. See the above. >Please note ( refer to my original question) that the important change >to my prescription has been the +, the minus has remained the same. I'll take that to mean that the distance Rx is "exactly" the same as before- no change in sphere or cylinder power. >It's true that I can read now but on the flip side I'm having more >problems with the mid distance and swim effect. "Mid distance" should be about the same as before. If you have large pupils the Panamic might have slightly better intermediate performance, but the Physio will have better distance vision. There should be less chin lift needed when viewing eye level intermediate objects with the new Rx. The swimm/motion will disappear after about 10 days (up to four weeks, or not at all for hyper sensitive individuals). The blur boundaries will also diminish about the same time. >It's only been three days but this issue is worrying me. Too soon to worry, but don't hesitate to inform your optician of your concerns. I would want to see you again if there is no improvement after ten days. >Thanks Your welcome. Robert Martellaro ~~~~~~~~~~~~~~~~~~ Optician/Owner Roberts Optical Wauwatosa Wi. ~~~~~~~~~~~~~~~~~~ "Science is a way of trying not to fool yourself." - Richard Feynman >>Most of my adaptation problems are mid distance with the computer. > [quoted text clipped - 43 lines] >"Science is a way of trying not to fool yourself." >- Richard Feynman Thank you for your rply. I'll consider all your valuable comments. >I'm male. 54 andI've been using Varilux Panamic for about 7 years now >and decided to upgrade [quoted text clipped - 4 lines] >has gone to 2.25 on both >eyes. Is the new left distance -3.50? A half diopter more minus in the left eye would blur the intermediate distance compared to the old glasses. >As I'm feeling really funny vision wise with the new glasses and >Physio, I'd >like to know if it's normal for an old user of progressives to take >time to >adapt to the physio 360. >It's sort of like I felt when I was a first time user of progressives. A +.75 increase in Add power will do that. >I really haven't noticed a major difference from my original Panamic. The distance peripheral vision is clearer with the Physio, 360 or not. Robert Martellaro ~~~~~~~~~~~~~~~~~~ Optician/Owner Roberts Optical Wauwatosa Wi. ~~~~~~~~~~~~~~~~~~ "Science is a way of trying not to fool yourself." - Richard Feynman |
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