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Plastic frames are durable, can accommodate just about any lens prescription, and are available in a wide range of prices. They are also offered in a variety of plastics (including acrylic, epoxy, cellulose acetate, cellulose propionate, polyamide, and nylon) and in different colors, shapes, and levels of resistance to breakage. Epoxy frames are resilient and return to their original shape after being deformed, so they do not need to be adjusted as frequently as other types. Nylon frames are almost unbreakable. They revert to their original shape after extreme trauma and distortion; because of this property, though, they cannot be readjusted after they are manufactured.Fit The patient should have the distance between the eyes (PD) measured, so that the optical centers of the lenses will be in front of the patient''s pupils. Bifocal heights also have to be measured with the chosen frame in place and adjusted on the patient. Again, this is so the lenses will be positioned correctly. If not positioned correctly, the patient may experience eyestrain or other problems. This can occur with over-the-counter reading glasses.

Rimless frames are the least noticeable type, and they are lightweight because the nosepiece and temples are attached directly to the lenses, eliminating the weight of the rims. They tend to not be as sturdy as frames with rims, so they are not a good choice for people who frequently remove their glasses and put them on again. They are also not very suitable for lenses that correct a high degree of farsightedness, because such lenses are thin at the edges.Metal frames are less noticeable than plastic, and they are lightweight. They are available in solid gold, gold-filled, anodized aluminum, nickel, silver, stainless steel, and now titanium and titanium alloy. Until the late 1980s, when titanium-nickel alloy and titanium frames were introduced, metal frames were, in general, more fragile than plastic frames. The titanium frames, however, are very strong and lightweight. An alloy of titanium and nickel, called Flexon, is not only strong and lightweight, but returns to its original shape after being twisted or dented. It is not perfect for everyone, though, because some people are sensitive to its nickel. Flexon frames are also relatively expensive.

Glass was the first material to be used for lenses lenses, and was used for several hundred years before plastic was introduced. The crown glass used for lenses lenses has an index of refraction of 1.52.Optical-quality acrylic was introduced for lenses use in the early 1940s, but because it was easily scratched, brittle, and discolored rapidly, it did not supplant glass as the material of choice. Furthermore, it had a relatively low index of refraction, so it wasn''t suitable for people with large refractive errors. A plastic called CR-39, introduced in the 1960s, was more suitable. Today, lenses wearers can also choose between polycarbonate, which is the most impact-resistant material available for eyewear, and polyurethane, which has exceptional optical qualities and an index of refraction of up to 1.66, much higher than the conventional plastics used for lenses, and even higher than glass. Patients with high prescriptions should ask about high index material options for their lenses. Aspheric lenses are also useful for high prescriptions.

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