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    MULTIFOCAL LENSES FOR THE 21ST CENTURY

Digitizing Your Eyes With Digital Lenses From Metro Optics Eyewear
by John Bonizio

If you’re forty or over, chances are you wear some sort of lens to help you read and see clearly up close.  You may even be wearing a bifocal or progressive lens to correct distance vision as well as near.  While this certainly works to solve the problem of farsightedness (also known as “presbyopia”), it does leave much to be desired.

Most eyeglass wearers agree that their glasses work well, but that images begin to blur when they look away from the center of the lens.  This is a common occurrence that exists mostly because of the way lenses are designed and the fact they are mounted in a frame that sits about ten millimeters away from the eye.  For progressive wearers, the problem is magnified because there are so many more powers crammed into the front of the lens (distance, intermediate and reading).

For decades, progressive lenses have been considered the “high tech” alternative to the older bifocal lens, which only offers two corrective prescriptions (usually distance and near).  The major difference between progressives and bifocals is in the design of the lower portion of the lens.  The progressive design uses a changing curve structure to gradually increase power, while the bifocal design simply adds a reading only, lined segment to the bottom of the lens.  In both cases, the optics of the lens is manufactured onto the front surface of the lens so the back surface can be manipulated to create a lens with the prescription required by your doctor

During an examination the eye doctor uses an instrument called a phoropter.  This is the large instrument that sits in front of the eyes as the patient reads black letters on a white background, in a dark room, and sitting in an upright position.  It sits at an exact distance away from the eye, is horizontally and vertically flat, and it limits the periphery to a trial lens that is little more than an inch wide.  This simply cannot be duplicated exactly when the doctor’s prescription is fabricated into an eyeglass frame which has curves and angles that are not as flat and small as the lenses in a phoropter, and which are worn in various lighting conditions and during different body postures.  This is why patients often notice that their vision is somewhat different with glasses than it was in the exam room. 

Unfortunately, there is no way to anticipate how that prescription lens is going to be positioned in an eyeglass frame until a frame is actually selected.  And that presents a problem for which there have been limited solutions.  Many patients – especially those who are wearing progressives for the first time – complain of a “swimming” effect as they walk or when their eyes scan the area in front of them.  This sensation eventually goes away, but often returns when a new, stronger prescription is required for a new pair of glasses several years later.

Now however, thanks to the development of new technology that does away with the old manufacturing methods, “digital surfacers” are allowing the fabrication of lenses that are unique to each patient and which take posture, depth and frame angles into consideration.  Digital or “freeform” generators manipulate the back surface of a lens blank with computerized methods that plot thousands of points on the back surface of each lens, like pixels on a computer screen.  This allows a significant improvement in the peripheral clarity of the lens and provides more of a high-definition experience than the old methods allowed.  Most importantly, it more accurately addresses the requirements of your doctor’s prescription, which can be mathematically “optimized” to assure the result intended by the doctor – despite the curves, angle and size of the eyeglass frame. 

Complementing this new process is a new way of measuring patients for multifocal lenses.  Known as “centration” devices, these high-tech video measuring machines give the eyecare practitioner accurate individualized information for each unique pair of eyeglasses.  By utilizing  five parameters measured by the device, lenses can now be optimized to produce the best lens possible for a given prescription/frame combination. 

 These parameters are entered into a computer program, along with the prescription provided by the doctor, to ascertain an “as worn” (or optimized) lens power for the patient.   All of the optics for the lens are then digitized onto the back surface of the lens with the freeform generator, creating an individualized lens design that is superior to the designs previously available.  For almost every patient, this means a more natural and comfortable visual experience, which is exactly what the doctor ord

Metro Optics Eyewear has invested in the technology necessary to provide optimized digital eyewear for patients interested in obtaining the best visual experience possible.  Each dispensary is equipped with state-of-the-art centration measuring devices operated by licensed ophthalmic dispensers who are fully trained in this new technology. 

For further information, stop by one of their three convenient Bronx locations or call
1-800-230-EYES and ask how you can digitize your eyes.

 
Centration devices like the one above use high-tech video imagery to capture enhanced measurements for prescription lens wearers, providing high definition viewing superior to older lens designs."
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