Progressive lenses, also called multifocal lenses, progressive addition lenses (PAL), varifocal lenses, progressive power lenses, graduated prescription lenses, or progressive spectacle lenses are corrective lenses used in eyeglasses to correct presbyopia and other disorders of accommodation. They are characterised by a gradient of increasing lens power, added to the wearer's correction for the other refractive errors. The gradient starts at the wearer's distance prescription at the top of the lens and reaches a maximum addition power, or the full reading addition, at the bottom of the lens. The length of the progressive power gradient on the lens surface depends on the design of the lens, with a final addition power between 0.75 and 3.50 dioptres. The addition value prescribed depends on the level of presbyopia of the patient. In general the older the patient, the higher the addition. History The first patent for a PAL was British Patent 15,735, granted to Owen Aves with a 1907 priority date. This patent included the manufacturing process and design which was however never commercialized. Unlike modern PALs, it consisted of a conical back surface and a cylindrical front with opposing axis in order to create a power progression. While there were several intermediate steps (H. Newbold appears to have designed a similar lens to Aves around 1913), there is evidence to suggest that Duke Elder in 1922 developed the world's first commercially available PAL (Ultrifo) sold by "Gowlland of Montreal". This was based on an arrangement of aspherical surfaces. The Carl Zeiss AG & Varilux lenses were the first PAL of modern design. Bernard Maitenaz, patented Varilux in 1953, and the product was introduced in 1959 by Société des Lunetiers (now Essilor). The first Varilux lenses' surface structure was however still close to a bifocal lens, with an upper, aberration-free half of the surface for far vision and a rather large "segment" for clear near vision. The breakthrough in user adaptation and comfort, as well as peripheral and dynamic vision however occurred in 1972 with the introduction of Varilux 2, for which Maitenaz created a totally aspheric design and manufacturing process. Carl Zeiss AG developed freeform technology in 1983 with its own patented progressive series Gradal HS. Early progressive lenses were relatively crude designs. Right and left were identical variable power lenses with distance and reading power centers in the upper and lower part of the lens, respectively. The glazing was made to