Hi everyone, fresh optician seeking some advice.

The following patient has been wearing Hoya’s ID lifestyle 2 for that past 5 years and loves it, they can do everything they need to. They recently came in with a new RX which shows minimal change (OS went from +0.25-0.75×160 to PL-0.50×160, OD the same at -0.25-0.25×130, add still +2.50).

I use Essilor not Hoya at the shop, so I fit them with Physio 3.0 keeping in mind that the patient wants to wear them all the time, but specifically for computer and reading. Since pick up they have given them an honest try (wore them for 2 weeks) and came back saying that the intermediate FoV is too small. Driving is good, as is close up reading, but for arms length work the “zone” is too small.

Increasing panto and fitting them closer to their face hasn’t provided enough of a change for them to be happy. Meanwhile, when they put on the old ID Lifestyle lenses, they do not have this issue. Both frames are similar in size, within a 2mm of A and B measurements.

Is this an issue of PAL design or am I wrapped up in my own head and overlooking something?

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