Frame size and shape, type of bifocal/trifocal/progressive, angle of lens (pantoscopic tilt), base curve of lens, pupillary distance, location of optical centers, tints, coatings, lens material, propriatary (patented) features of lens blending-manufactuer, lens material, apical distance these are the important along with the actual lens RX.
JCH MD
Would you mind listing some of these other variables?
Some people don't do well with polycarbonate lens. However there are a dozen or more other variables besides the PCB lens that might be causing eye strain.
JCH MD