Terry said:
"They don't make the spectacles with Monocular pupillary distance or AKA as P.D. they use a binocular P.D. and it fine for people with light prescriptions. But it induce vision problems with patients and they are looking through off set P.D. in one eye that cause a prismatic effect.
I also measure monocular pupil height to get optimal vision quality out their spectacles. The online companies fail to use this information."
I was wondering about this as well. The variances between eyeglass frame shapes and a person's face shape mean that the "sweet spot" of the lens will vary depending on which frame a given person uses. Each lens has an ideal spot near its center where the refraction matches (or should match) what the person needs for corrected vision, and this spot needs to line up well with the pupil. I don't see how a mailorder service can get this correct for someone they haven't personally fitted.
Years ago I got fitted for lenses in new frames and in the right eye they got the sweet spot in the wrong position. My vision through that lens was off and it affected my binocular acuity as well. They had to replace it with a properly ground lens.
I suppose it's not such a big deal with a mild prescription. But if you're 20/200 or worse like me, it becomes a big deal.
Of course, there would be little market for these online providers if the local providers weren't so ridiculously overpriced.
1) My aunt worked at an eyeglass shop years ago. They would buy frames for $10-$30 and sell them for $150+.
2) I had an ultra-thin set of lenses made one time with some additional coatings (anti-scratch, etc). The optical shop simply sent the order out to a lab. When I came in to the shop to get my glasses the technician stepped away for a moment and left the lab's invoice laying out on the table. The lab's fee was around $20 and the shop was charging me $175.
I know, free market and all that. But that's why the online services have an angle to work.