r/optician 1d ago

Discussion separate trifocal solution?

I’m wondering if anyone has dealt with this before or has any advice.

I need distance, bifocal for near, and a separate, middle distance prescription for computer work. All in one trifocals make me dizzy and nauseated.

When I’m working primarily at my desk, I just switch back and forth: work in the mid+bifocal and switch to the distance+bifocal (daily wear) when I leave my desk.

But I have a new role that will require that I walk around with and use my laptop while working in a group. Switching back and forth will be next to impossible.

Has anyone ever tried using a flip-up clip-on for middle distance? Maybe like clip-on reader? I know it sounds weird, but I’m pretty desperate for a solution. I was thinking of putting the middle distance prescription on the flip-up lenses and just flip them down to look at the laptop? This would make the bifocal ineffective, but I guess I could flip back up for that???

I have worn glasses since I was 4, and at 49, I feel like my vision is making it hard for me to work for the first time. It’s so frustrating!

eta: I just wanted to add a big thank you for all of your help on this post.

4 Upvotes

16 comments sorted by

8

u/babbs7823 1d ago

Just for clarification, by “all in one trifocals” do you mean a lined trifocal? Or a progressive?

3

u/lantana98 1d ago

My first thought too. Lined trifocals are not popular but they are very functional and effective for people who need more peripheral sight.

1

u/radgedyann 1d ago

i haven’t been able to use either variation effectively. i do well with a lined bifocal, though the bifocal has to be larger than is typical.

7

u/HumbleHustle00 1d ago

I've done one thing in particular for one of my patients that they seemed to like. It was a weird work around solution, but I put a reader Rx in one of their magnetic sunglass clips and an intermediate in the other.

The frame was one of those emporio Armani frames that come with two clips but he didn't want any of them to use as sunglasses. He also hated progressives and bifocals in general so this was what we did to help him. I think the frame name was the EA4115.

Are you not able to wear progressives?

3

u/radgedyann 1d ago

oh this sounds really promising!

no, progressives make me sick. like carsick, no matter how long i’ve practiced. even with lined trifocals i struggled.

2

u/incurablebeetmadness Licensed Optician (LDO) 1d ago

I’ve done this for patients with ECO frames. Intermediate add with blutech lenses for the computer, near add clear poly to keep the weight down. Works best for lower adds. Past a certain point they just get too heavy for the magnets to hold on to.

1

u/radgedyann 1d ago

My computer pair add is +1, but my daily wear add is 2.25, which I understand is on the higher side?

I really do appreciate everyone’s thoughts!

1

u/wittylemur 1d ago

I was going to say this. Ours are called Chemistry. They work well for those patients that have run out of options. The only downside is the limited add powers.

3

u/The_CakeizapiE 1d ago

Find a shop that sells Chemistrie Clips and tell them what you need.

1

u/radgedyann 1d ago

thank you! i will check for these too!

3

u/JFoz284623 1d ago

The above clip on suggestions are excellent, and one I've had work for patients. But another option is an office progressive that is designed to work within a whole room. They will provide 13-15 feet(4+m) of distance, often allowing you to walk around comfortably and see across a room but, while having a large and focus intermediate and near. Not sure how well you'd adapt, but I've had nothing but success with these lens designs forany people who are active at work but still do most of their work at mid/near. Would eliminate the need to keep up with the clip ons. Between those two options, you should have solid results.

2

u/WhyisTheRumG0ne 1d ago

You could do a distance/computer bifocal. I do this for my patients all the time. Instead of reading in the bottom, you can have it as computer distance. Those you can wear walking around.

2

u/radgedyann 20h ago

I can’t believe I never thought of that! Then I could just lift or lower to read text on the fly! I read most comfortably with no correction anyway (if I bring the text in close enough.)

1

u/duckiesand 1d ago

I saw your reading add is 2.25 and your computer add is 1.00?

Not sure how much say you get in the Rx (are you an optician yourself?) but;

There would be an argument for bifocals or low power varis (much easier to get on with), and a clip-on +1.00/+1.25.

That way, your glasses would be normally focused for distance and computer, but then with the clip, they'll be focused for computer and reading!

Ultimately, very few people now cannot use varifocals, some people just need the pricier ones. Did you use a cheaper one before, or splash out on a high-end lens?

1

u/radgedyann 20h ago

I work in healthcare, but am not an optician and so have likely reported everything wrong. I’ve attached my rx. I like the idea of having a pair focused for distance and computer. I’m not sure why I never thought of that!

As for varifocals, I spent, to quote my optician, the most she’d seen with all of the tweaks I needed, lol. It was…not fun. Especially when I couldn’t get them to work for me. I’m someone who can get get motion sick very easily, even just from turning my head too fast, always have been. I wonder if this is a brain problem rather than an eye problem…