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Progressive Addition Lenses 147

               location in the vision field defines the power value needed at each point of
               the progression. The horizontal eye and head movements determine the
               field of gaze and defines the width of the lens zone used for foveal vision.
               And to maximize wearers visual acuity in the lens central area, the
               unwanted induced cylinder of the progressive lens must be kept to a
               minimum and be pushed to the periphery of the lens.
                  Although, extra-foveal vision do not provide sharp vision but the wearer
               do locate the object in space, perceive their forms and detect their
               movements through extra-foveal vision. The prismatic distribution on the
               progressive addition lens surface and its magnitude introduces slight
               deformation of horizontal and vertical lines, thus altering the wearers visual
               comfort. The whole of the retina is almost homogeneously sensitive to
               motion. The variation of prismatic effects plays a role in the wearer’s comfort
               where it must be slow and smooth across the whole lens to ensure
               comfortable dynamic vision (Fig. 11.24).























                  Fig. 11.24: Horizontal eye/ head movement coordination and width of field

                  Binocular vision refers to the simultaneous perception of the two eyes
               (Fig. 11.25). For perfect fusion, the image produced by the right and left
               lenses must be formed as corresponding retinal points and display similar
               optical properties. The eyes naturally converge when the wearers gaze is
               lowered for near vision. The power progression must be positioned in the
               lens in such a manner that it follows the eyes path of convergence
               downwards in the nasal direction. Both right and left lenses must offer
               approximately equal vertical prism on each side of the progression path.
               The retinal images formed in both eyes must be similar in all directions of
               gaze. For that purpose, the power and astigmatism encountered on
               corresponding points of right and left lenses must be approximately equal.
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