History of Bifocals: Franklin's Invention to Modern Progressives
Benjamin Franklin invented bifocals circa 1784 (age 78) to avoid switching between distance and reading glasses.
Original Design
- Two half-lenses (distance upper, reading lower) cut and mounted in single frame.
- Sharp dividing line (segment line).
- Franklin called them "double spectacles."
Evolution
- 19th century: Fused bifocals (cemented), then one-piece casting (John Isaac Hawkins, 1827).
- Segment shapes: D-seg (flat-top, 1920s), round, executive (full-width), curved-top.
- Materials: Crown glass → CR-39 plastic (1940s) → polycarbonate, high-index, Trivex.
- Coatings: Anti-reflective, scratch-resistant, photochromic, blue-light filter.
Modern Alternatives
- Progressive addition lenses (PALs): Gradient power (distance → intermediate → near); no visible line; natural vision zones. First commercial: Varilux (1959).
- Multifocal contact lenses: Simultaneous vision (concentric rings) or translating (rigid gas permeable).
- Monovision: One eye distance, one near (contacts or refractive surgery).
- Accommodating IOLs / EDOF IOLs: Cataract surgery options.
Clinical Selection
- Bifocals: simple, cheap, distinct zones; image jump at segment.
- Progressives: cosmetic, continuous vision; adaptation required; peripheral distortion.
- Occupational/progressive: computer + near (office lenses).
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