If a wearer states that the segment is always in the way, what action should be taken regarding the segment height?

When a wearer mentions that the segment is always in the way, it typically indicates that the bifocal or progressive segment is positioned too high for their needs, which can result in the segment obscuring their line of sight, especially when looking straight ahead.

Lowering the segment height provides more room for the wearer's eyes to look through the distance portion of the lenses without obstruction from the segment. This adjustment allows the wearer to have a more comfortable viewing experience, as it reduces the likelihood of the bifocal or progressive segment interfering with their vision during daily tasks.

In contrast, raising the segment height or keeping it the same would not address the wearer's issue and could exacerbate the discomfort. Increasing the near pupillary distance might be warranted in some situations, but it does not directly address the concern about the segment interfering with vision. Thus, lowering the segment height is the most effective solution in this case.