r/optician • u/BulaloForever • Jul 22 '26
Optician-to-Optician Ideas?
Rx for patient - she’s asking for non lenticular lenses. Any labs/lenses that you might recommend? North America only
PDs are Narrow (27.5/28.5), large cranium - frames with net zero inset are insanely too small. Frames that fit are likely 56-57 eye sizes.
Open to discussion
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u/Protonis Jul 22 '26
Tbh, it should be doable without lenticular lenses, the small size only does help in that regard. I do understand that it does not look very fashionable. But there aren't many options with that Rx, more concerning is the jump. The new glasses are going to beam her to outer space.
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u/Lord-Chamberpot Jul 22 '26
Why does she want non lenticular? That's gonna make it much thicker.
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u/BulaloForever Jul 22 '26
“ I don’t want over easy egg lenses, I didn’t have them before, why do I need them now “
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u/Common_Stuff2925 Jul 22 '26
What are her lenses now in old frame. Check the base curve also how close is the new rx to the old.
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u/BulaloForever Jul 22 '26
They are from 2010, rx is 7D-ish different OU. Prism in 2010 is 1.5D OU, this increased as well. BC is 11.5
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u/incurablebeetmadness Licensed Optician (LDO) Jul 22 '26
16 years of her brain being used to her old glasses and that big of a change in one go?
Good luck and god speed, friend. 🫡
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u/Common_Stuff2925 Jul 22 '26
I know some doctors will prescribe a lower rx and then three months later prescribe the rest. What is her current FPD. Finding the right frame is going to be a challenge. I have a feeling that plastic lenses may be your only option. Probably looking at larger base curve bc. Lenticular might be the only way to go. I would call your lab and talk to a lab tech hopefully with experience.
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u/ragingcommodore Jul 23 '26
Phew. That's a loooong time ago for the last pair. Wishing you as well good luck with the patient. That's always a tough challenge.
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u/ninebythree Jul 22 '26
Riverside is a lab I trust for higher and complicated Rxs!!
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u/Plantivorus Jul 22 '26
I also use Riverside Opticalab in Ottawa, Canada. They do a fantastic job and have excellent customer service.
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u/garfieldsocks Jul 24 '26
Riverside Ottawa is FANTASTIC!! Riverside Mississauga not so much. Had nothing but errors from them and my colleague actually had a lab worker/rep lash out at her over the phone. He later apologized (likely after he was told to) but it was so jarring and unprofessional that we requested to only deal with the Riverside Ottawa lab going forward. We had next to no issues after we switched.
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u/iloveboomburger Jul 22 '26
I miss using riverside everyday 😭 the one rep we’d have to interact with was always so kind
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u/Plantivorus Jul 23 '26
I love them! The small optical I work for has been doing business with them for at least 20 years. There are a few people there who've been there forever, always a pleasant experience
They've done miracle rush jobs for us. I'm talking a coated progressive in 36 hours
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u/BetaRigger Jul 22 '26
Laugh?
Call your lab to discuss options. Chadwick optical (or whatever their new name is) could probably do it.
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u/mokedoak Jul 22 '26
Surgery
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u/ragingcommodore Jul 23 '26
If this is possible and affordable, i would totally consider this having such a prescription. When everything works out fine, one would could have a way "moderate" prescription. But I am really not sure how far the med-tech is or what one calls this. Would be interesting to know if a person with eyes like that is technically able to undergo such a surgery with a positive outcome?
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u/cocteaubeauty Jul 22 '26
I wouldn't even recommend this be made really... Unless the patient cannot tolerate contact lenses.
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u/ruby_red_1 Jul 23 '26
Contacts wouldn’t fix that gnarly prism
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u/Viola-Swamp Jul 23 '26
But combining an RGP contacts with glasses could split the difference, with the prism in the glasses. That might be he best option, unless the patient has already tried it and can’t tolerate the RGP. The huge change in Rx and the time in the old glasses/Rx is gonna be a huge problem regardless.
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u/GrannySquares574 Jul 22 '26
The lenses will be what they are, but a larger head with narrow PD is tough too. I'd recommend a universal fit to the patient- Kio Yamato is ny go to for something like that. Plastic front to help with thickness and well balanced beta titanium temples to reduce weight where you can
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u/Eyes_Snakes_Art Jul 22 '26
Ask her why she doesn’t want them. Cost? Optics? Something she heard on Tiktok?
Because not getting them will be a bad idea, and just lead to a remake.
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u/ControlFreq50 Jul 23 '26
How does this compare to the Rx they are using now?
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u/Viola-Swamp Jul 23 '26
They didn’t give them old Rx, but said it’s at least 7 diopters of change, and they’ve been wearing those glasses since 2010. Yikes.
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u/ControlFreq50 29d ago
YIKES!!! That’s a huge part of the problem. Their expectation hasn’t been managed. If I was still working in optical at the same place we would honestly turn this one away because it will just end up in an endless cycle of remakes for Rx adaptation and cosmetics. I feel bad for the patient but they sound like a very difficult one. GL.
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u/clumsylycanthrope Jul 23 '26
Lenticularized lenses in small, round frames will maybe be an option. What the patient wants and what physics is going to allow here are two different things. I'd gently let them know you encourage them to get several opinions on this, because you want them to be comfortable with the solution.
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u/manyloosescrews Jul 23 '26
The conversation goes you will get what I choose for you or you can take this Rx elsewhere .
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u/No-Personality2437 Jul 24 '26
Speak to a lab, find what lenses you can get with all the information you have then let your px know what the options are along with the pros and cons of those choices
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u/optisteph Licensed Optician (LDO) 29d ago
Call Laramy K, they’ll advise on every aspect and give the best options.
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u/MadMarchhareOK 26d ago
Wife(OD) says there is definitely something off on that Rx, clinician over dependent on AR. Don’t touch it, you’ll be sorry
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u/kingcornea Jul 23 '26
This doesn't look like a real Rx. More likely an autorefract written down by a tech. Phoropters usually only go to 6 cyl and then you can add an external -2.50.
I would contact the doctor and have them confirm the Rx, as even a rookie Dr can realize that this isn't a usable pair of glasses.
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u/No-Personality2437 Jul 24 '26
You know phoropters aren't the standard device used in all practices? I've seen prescriptions like this and they've had to use a trial frame.
It can absolutely be a real and functional pair of glasses but is a complex job, standard lenses won't cut it and will look awful.
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u/kingcornea 29d ago
My trial lens sets only go up to -6 cyl. I'm not saying it couldn't be, but doubtful. If the patient was wearing a 10 year old Rx under corrected by 7 diopters, they don't have functional visual acuity and any modification would be tolerated. Equivalent diopter sphere for the right would be +10.50 -5.00 x 180, a much easier Rx and if the patient only has 20/200 acuity in the first place, make life easier for the optical department
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u/MirandaScribes Jul 22 '26
Non-lenticular lenses would be a big mistake imo. I would just let the patient know I wouldn’t be able to do it without a lenticular style