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Best progressive lens for bad nearsightedness, astigmatism, mild presbyobia?


I am a professional who uses the computer a lot, 37 inches away from screen.

I read a LOT.

I also teach and train a lot.

I have -10.50 in one eye, -7.50 in the other with astigmatism and new reading need of +1.25 in one eye and +2.00 in the other.

my optician suggests a Pentax short channel lens.

I thank you.

The new KODAK IMAGE is the best one I've tried. Varilux Physio is excellent. Illumina by Vision-Ease is really good. I didn't like the Pentax lenses as well but they are ok. Just so that you know the Kodak Image & the Varilux Physio are quiet a bit more expensive than the Pentax lenses but personally I think they are worth it. You also should go with the deepest lens you can. Measure from where your pupil is to bottom of the frame.That will give you more reading area as it gets wider the farther down you go. My script is -7.75 with astigmatic correction & + 2.25 add

The only reason for having a short channel lens is because a full progression won't fit into the size of frame that has been chosen.
It's therefore not the best lens, optically, though it may be a necessary one if that frame depth is a given. Everything else being equal, yes, with your RX a smaller frame will give better-looking lenses, but perhaps not to the point of not allowing the use of best lens.

With your Rx a high index lens will give the thinnest, best looking result. That's about 1.67. for plastic, and 1.8 for glass (Zeiss Lantal, for example. 1.9 is available in single vision, the thinnest of all)

The usages you describe is not, really, best catered for with one pair of glasses.
For work, a range of office varifocals are available with the top zone set for indoors ,which then allows for a much better distribution of the rest of the lens for computer and near work.
You would then need a single vision or conventional varifocal lensed pair to drive home in (varifocals are no good for low-slung sports cars, anyway, unless designed for that purpose, in which case they're good for little else)
And prolonged reading (especially in bed), is *best* done with a dedicated reading pair, to allow flexibility of posture.

The trade-off in moving away from "one pair does everything" is a personal decision, but I'd be inclined to that route (and my Rx gets to -14.00)

(Aside: a 0.75 difference in reading additions is very unusual, unless there is some proven history behind it...)

pentax is good. Lenscrafters has a new progressive, the accolade that offers a wider reading channel, and less distortion around the peripheral vision. That would be a consideration also. Either way, I'd go with a 1.67 High index lens. :-)

Something that we sell to our customers who are on the computer a lot is called an access or interview lens. It's designed for anything arms length away. You're probably better off getting a couple of pairs for your different needs. One for the computer,reading and /or distance for driving. With your prescription you need a high index 1.67 and a smaller frame(to cut down on the edge thickness). The size of your frame however will determine which type of lens you can go with.

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