Ophthalmological technology is continuously advancing. In addition to laser eye surgeries, personalized progressive lenses have been developed, designed according to the precise measurements of each patient’s individual parameters. To obtain these measurements, especially crucial for individuals with significant facial asymmetries—specialized measurement devices have been created. These devices, available as both stationary and mobile units, capture images and process them to deliver highly accurate measurements. Accurately positioning the optical centers of customized progressive lenses on the patient’s pupil projections is essential for clear image perception. A mobile tablet device, equipped with specialized software, captures images, processes them, and converts the pixel data into millimeter-based measurements. These measured parameters are then integrated into the construction of the progressive lens, ensuring customization that accommodates the patient’s unique asymmetries. As a result, the wearer perceives a clear image due to the precise alignment of the optical centers with the measured pupil projections. Proper vision correction for near and intermediate distances is crucial for progressive lens users, making it essential to determine the correct working position and the corresponding lens areas accurately during the design process. Currently, the measurement devices available in the optics and optometry market are sensitive to near and intermediate working distances. However, there is still room for improvement in refining parameter measurements for even greater accuracy.