PROGRESIVE LENS

Terminology
Progresive lens = special multifocal lens
Character: special front surface design
[ Increase ADD power from to near
Distance !one
Progresive !one
"nwanted cylinder
#ear !one
#ear !one $from D%C&:
10 16 mm $downward&
1
2.0 2.5 mm $to the nasal&
Zon progresif : penym!"ng n
Progressive !one: connecting distance and near !one'
Peripheral !one: has distortion area
distortion amount ( orientation depends on ADD power ( design
Induce cylinder power )ecome more prominent when the eye move
laterally from progressive !one'
the wider the near !one* the more the induced peripheral astigmatism
Induced peripheral astigmatism varies with different ADD power
The higher the ADD power the induce astigmatism )ecome more
prominent'
Progressi#e $ens %esign
& "nchange distance power
Distance power change
Distance power change+unchange
!& Power change gradually in )ig area: soft design
2
Power change suddenly in small area: $hard design&
'& ,ame )asic design in all ADD power: $mono design&
Different design for different ADD power: $multidesign&
%& ,ingle design symmetry lens for - or .
(symme)ry $ens %esign
R or L R L
*
Contour plot
,tandard format to show the surface property of a progressive lens
that is to draw a line through the area with the same induced
cylindrical power: topography map
Area with the same induced cylinder power are group together as a
line: iso/cylinder line
0ard lens design
+ 0.50 1.00 1.50 in mm &
,udden power change and astigmatism increase
3
(%#n)ges:
& "nwanted cylinder are converge to an area
!& 1ig area for distance and near
'& Power in the progressive !one increase with haste: less eye
movement needed to achieve ma2imum ADD power'
,is%#n)ges:
& Distortion )igger and more difficult to overcome'
!& ,traight lines loo3s $curved&
'& Intermediate !one may )e limited hori!ontally and vertically'
,oft design
4radual change from near !one to the periphery
R"ng -on progresif .. !esr / .. $e!r
Progressive !one is larger and wider
Per$" $i0) . 1"0 2e !30 !gi mempero$e0i 2"s (,, pen"0
#eed to move the eye)all more to achieve ma2imum ADD power'
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n n
hard lens design soft lens design
(%#n)ges:
& 5asier and faster to adapt )ecause less peripheral distortion
!& .ess swimming effect with head movement
,is%#n)ges :
& -educed 6A at distance )ecause of peripheral distortion
!& ,maller near !one
'& To )e more comforta)le need to raise the eye upward'
Advantages of progressive lens
- Cosmetically )etter
- #o image 7ump
- Clear vision at all distance
- #o ring scotoma
5
Disadvantages of progressive lens
4 ,traight line )ecome slightly curved
4 Peripheral distortion ( swimming effect
4 #ear field of clear view area is smaller than in )ifocal
4 #eed more head movement to avoid peripheral distortion
4 #eed more eye movement to achieve ma2imum ADD power'
Goo% 'n%i%)e
4 People who need ADD power )ut dot want to )e 3nown'
4 People with ime7 7ump difficulties $self motivated&
4 People who has high interest with 8new things9
1ad candidates
4 .ow+)ad self motivated $negative thin3ing&
4 People with motion sic3ness
4 .imited eye movement or a)normal )ody posture'
ref point Prism ref point
(DRP) (PRP)
Fitting cross Major ref point
(MRP)
Near ref point
(NRP)
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