Offset round seg complicated rx…freeform magic possible???

Jacqui was the Franklin queen. Is she still around?

I know Three Rivers used to do a nice digital backside round seg, but I don’t know if they can put the distance optics where you need them with a 10mm temporal decentration if they have standardized, inflexible software. It is an old design, but maybe updated? (That assumes there is a non-standardized, flexible software that can float the distance optics anywhere.)

I will say, though, that if she’s a binocular vision disaster, you may want to trial frame (including prism) that bad boy to see what happens to her fusion in that direction of gaze. There are conditions that require different prism in different directions of gaze (impossible to deliver, of course), so make sure this “eye turning vs. head turning” exercise doesn’t lead to futility.

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