from a previous post:

"Here is the OptiBoard link of how these professionals are talking
about if they should release the PD to their patients or not.

http://www.optiboard.com/forums/showthread.php?t=37256";


digging around on that page i found a similar thread:
http://www.optiboard.com/forums/showthread.php?s=d3b2aed1d1430d5bbca644ad98f4ed57&t=33398

this one about a retired guy deciding to order a bunch of glasses to
check out the quality and some discussion of whether or not they
should put up their own website for "consumers" (patients) to read
reviews from the doctors.  (highlight: "There's bound to be situations
where the online places do a "decent" job. -1.00 ou with a 60 pd is
kinda hard to make wrong. If you're going to do a review site, it will
have to be honest, and at some point, there will be a good review. I
don't think any ECP should even remotely reccomend online eyewear, and
with a site like that, eventually you'll have to.")

the interesting part is where they talk about progressive lenses
("PAL") and a missing measurement in the online order forms: segment
height, which after some google-ing i've found is the height at which
the line between the lenses starts on traditional bifocals.  it's
measured from the bottom of the lens of whatever particular frames are
picked out, and so would be variable depending on the glasses, size of
the lenses, where the frames are worn on the nose, and even the
posture at which the person tends to hold their head when standing/
sitting/reading.  (see 
http://www.2020mag.com/ViewContent/tabid/136/content_id/964/Default.aspx
and http://www.optiboard.com/forums/showthread.php?t=12933; especially
interesting is the tone of the first link: "Take a new PD every time a
patient is in the dispensary. PD’s widen throughout life. It is
another contact between you and the patient and it demonstrates care
and precision.")

now, with my prescription of -3.50 ou and 62 PD, i will certainly
order glasses online without a second thought.  but i do think that
when you edit out the snarkiness, they actually have a point when it
comes to bifocals/trifocals/progressives.  why they aren't just
explaining this so that "laypeople" can understand the need for a
fitting instead of being all conspiratorial about it is beyond me, but
if i needed bifocals i might think twice about ordering them.  if only
there was a middle ground where i could go to a local optometrist and
not have to pay out the nose for glasses i basically only wear with my
pajamas before/after my contacts are in....

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