If the computed thickness is greater than what the patient would accept, what should the dispenser do?

When the computed thickness of a lens is greater than what the patient finds acceptable, the optimal course of action is to rework specific variables to achieve a different outcome. This approach allows the dispenser to adjust factors such as the curvature, material choice, or prescription parameters, ultimately leading to a lens design that meets both the aesthetic and functional needs of the patient.

Reworking the variables is a patient-centered practice that prioritizes their comfort and satisfaction. It ensures that the lens not only performs well but also meets the visual and cosmetic standards the patient desires. This method avoids potential issues that may arise from switching to a different lens type or increasing the diameter, which may not address the underlying concerns directly related to thickness.

Choosing a standard lens type can limit options and may not resolve the thickness problem effectively. Increasing the lens diameter might lead to other unintended consequences, such as impacting the frame fit or aesthetics, and simply advising the patient to accept an unsatisfactory lens ignores their preferences and needs. Hence, adjusting the design variables is a thoughtful and systematic way to achieve a suitable solution for the patient.