Ask Dr. Chet

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Q: I love my new progressive bifocal, but why don't they work so well at my computer?

A: Progressive Addition Lenses have a variable focus that allows for clear vision from distance through near; today's newer designs have been compressed to fit into smaller size frames. While Progressive Addition Lenses work great for almost all situations because of that variable focus ability, computer work is a tough situation for many people with no great solution for some.
To allow for maximum size of the reading zone and minimal interference with clear distance viewing, the compromise with the new progressive designs is to shorten the mid-range zone, which is the part that is in focus at the usual distance of the CRT screen. Since the CRT screen is usually at eye level, it requires a head tilt back to put that mid-range focus zone in view of our eyes. We then get a combination that is less than optimal for some people.

Some suggestions to help are: 1. Back the monitor away and raise it up so the distance part of the lens can be used. 2. Lower the monitor so it is in view of the reading zone. 3. Consider a pair of computer glasses that have only midrange and near, or single vision near only. 4. Get a notebook computer, as these sit on the desk usually within the mid-range and near zone of the lens. 5. Consider line segment bifocals or trifocals.

The use of computers and a potential need for bifocals should be discussed with your doctor and/or your optician to maximize performance and comfort in this situation.

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