Identifying the cause of a patient’s headache can be tricky. The next time that a 46-year-old patient comes in and tells you that he gets a headache after working on the computer all day while wearing progressive addition lenses (PALs), ask him to view your computer screen to show you how he works.
Does he tilt his head back to see through the intermediate portion of his progressives? This sustained neck posture can cause achy pain and tension. Is he able to turn his head all the way from one side to the other without discomfort? Reduced rotational range or discomfort while rotating can indicate the source of a postural cause for his headache.
While a computer progressive is an excellent suggestion for this patient to provide clear vision when looking straight ahead at his computer, why not try multifocal contact lenses? A multifocal contact lens provides simultaneous near and distance vision—no head tilting required.
READ MORE: https://www.clspectrum.com/newsletters/contact-lenses-today/june-28,-2020
