My Rx is similar to yours Gabe. You probably have very good outdoor distance vision. I have not had my progressive glasses prescription filled because I’m certain it will leave me noticeably nearsighted and also that the Add is too much for 95% or more of my needs. I’ve trialed a variety of powers in contact lenses and determined that one eye needs zero net Spherical Equivalent (SE) correction. The other eye gets a tiny bit better with a +0.25D contact lens and with any more it gets worse. The improvement from the +0.25D contact lens is not worth the minimal effort it takes to put the lens in in my opinion but I’d want the improvement it gives if ordering glasses.
The above is for daytime outdoors. I have almost no need for daytime outdoors correction due to the combination of the properties of the Eyhance monofocals I have along with smaller pupil size in daylight. I can read my watch and messages on my phone for example. I’m slowly figuring out what the most seamless indoor and low light solution is for me.
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@jimluck metioned reducing the Add power in progressives recently so I did some reading up on that. The theory is that lower the add, the wider is the corridor of usable reading correction will be. My prescribed add is +2.5 but, from testing, +1.5 from plano will cover 95% of my needs. I’ll probably go with an add of +1.75 (from plano). I use +1.00 readers for computer viewing so your add need might be more than mine.
The reason you can end up nearsighted after your phoropter exam is the built-in error caused by testing to only 20 feet or 6 meters instead of optical infinity. (1 meter divided by exam lane length in meters)
Corrections from a 20 ft exam lane result can leave you 0.16D myopic.
Corrections from a 6 meter exam lane result can leave you 0.17D myopic.
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Corrections from a 10 ft or 3 meter exam lane result can leave you 0.33D myopic.
Some optometrist’s compensate for that in the Rx and some don’t. My assumption is that most think that the 20′ or 6 meter distance correction is good enough. If you’re a golfer or sailor or someone who just likes seeing very distant things as clearly as possible then it’s probably not good enough.
Optometrists should have a device called a Trial Frame which can be filled with up to a combo of 4 lenses for each eye. It should be used after the phoropter to fine tune the Rx. You need to look at distant objects outdoors with the Trial Frame device on to get the distance Rx you actually prefer. Check to see if your OD has one. You might find out that you only need 0(sph) R & +0.5(sph) -0.5(cyl) L with an add of +2.00 for example.
I’ll just add here that +1.5 monovision with a contact lens would be a good indoor solution for me except that it’s inconvenient for temporary and on the go needs. I occasionally do +1.25 with a contact lens now and need just a bit more for some things. I prefer full binocular vision outdoors though. I’ve taken a chance and ordered monovision glasses that should put me at 0sph/0cyl one eye and -1.5sph/0cyl other eye to see if that works indoors at home and as a grocery/hardware store “reader” for example. The cost online was around $25 so worth trying for me. If the monovision glasses don’t work out then I’ll get some progressives after testing with a Trial Frame device.
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