DO July 2011 LPL_1 17/06/2011 09:55 Page 1

dispensingoptics

Dispensing Optics PO Box 233, Crowborough TN6 9BD Telephone: 01892 667626 Fax: 01892 667626 Email: [email protected] 25th Anniversary Website: www.abdo.org.uk July 2011 1986 - 2011 DO July 2011 LPL_1 17/06/2011 09:55 Page 2 DO July 2011 LPL_1 17/06/2011 09:55 Page 3

3 dispensingoptics CONTENTS

Cover point July 2011 3 Cover point by Tony Garrett

to extend these so as to be able to 4 Continuing Education and offer more practical help and support. Training So if you want to learn more give Katie Are electronic devices finally Docker a call on 01227 733912. superseding traditional optical LVAs? by Jane Macnaughton and Taraneh Getting involved Eliasieh Over the past few months I have spoken to a number of members who 10 Frequently asked questions are taking an active part on their by Kim Devlin LOCs. This is particularly encouraging as it is essential that the voice of DOs is heard when discussions and 12 Patient and practice negotiations are taking place management regarding local commissioning. Clearly From browser to buyer this is of importance to practice by Antonia Chitty owners but also to many others as Getting started well, whether it be as a low vision 14 President’s Consultation Day In this month’s Disjointed jottings Gillian practitioner or practice manager. Busy agenda at President’s Twyning gives an interesting and Consultation Day encouraging account about starting However, it is clear that in some areas up her own practice (see page 37). DOs are not represented. This needs to 20 Low vision Gillian is one of the new generation of be urgently addressed and we will be Low vision, depression and the entrepreneurial dispensing opticians making efforts centrally to ensure not effect of counselling who has not only set herself up in just better representation, but better by Lizzie Bartlam business but who has also already informed representation. played an active role within the 24 BCLA news Association. She is a great role model Through LOCSU, LOCs are getting BCLA 2011 hits the spot and I hope that many of today’s better support than ever before. The by Vivien Freeman students and new entrants to the whole profession has come together profession will be encouraged to think nationally to ensure that everyone at about following in her footsteps. local level can tap into the 26 Newsbrief experience, advice and support that In the membership department at they need. ABDO members need to 27 The President’s diary ABDO we are looking at ways in which ensure that they are equally engaged by Jennifer Brower we can offer more help and advice to on their respective LOCs. those considering setting up in 28 Optician Index business. We do have a number of Queen’s Birthday Honours List April 2011 summary initiatives in place but we are seeking Our congratulations go to Dick Roberts and Frank Norville who were both 37 Disjointed jottings from included in the Queen’s Birthday a DO’s desk . . . Honours List. Dick Roberts was In at the deep end advanced from OBE to CBE and was by Gillian Twyning a former member of ABDO Council and Frank Norville was appointed OBE. Frank is a former chairman of the FMO 38 CET answers and former master of the Worshipful Ophthalmic prisms: part two Company of Spectacle Makers. He dispensing options has been a great friend to the dispensing profession over many years. 39 Diary of Events Tony Garrett n

Front cover: ABDO actively works in Barbour Eyewear conjunction with: available soon from the Norville Group

The Worshipful Company 25th Anniversary of Spectacle Makers 1986 - 2011 DO July 2011 LPL_1 17/06/2011 09:55 Page 4

4 dispensingoptics July 2011 Are electronic devices finally superseding

Jane Macnaughton and Taraneh traditional Eliasieh discuss the development of electronic vision enhancement systems (EVES) and argue that low optical LVAs? vision practitioners should now be expanding their service to routinely demonstrate this indispensable collection of magnification devices

CompetencIes covered: Optical appliances, low vision for dispensing opticians Target groups: Dispensing opticians, optometrists

At present, optical low vision aids such displays an enlarged image on a Genensky et al1 Since then, the scope as hand or stand magnifiers, remain screen or monitor. It is calculated as and availability of electronic magnifiers the device of preference offered by the ratio of the size of the image on has developed to the point where most low vision practitioners and low the screen compared to the size of Harvey2 and later Macnaughton3 also vision services. However we are all the original object. The magnification argue that the use of electronic aware that an increasing number of so produced is aberration free, but magnification should be included in our visually impaired patients are screen resolution determines the low vision consultations across all age enquiring about electronic devices to quality of the image. A simple example groups. either complement their current of electronic magnification can be optical aids or to simply replace them demonstrated when a photo or picture Despite the advantages of an altogether. Most households now have is ‘zoomed’ in on a computer. The enhanced image and significantly access to a personal computer and a image is cropped and redisplayed over more magnification than traditional growing proportion of the population, the entire screen face, thus causing the optical devices, the high cost of both young and old, are skilled resultant image to be magnified within equipment and lack of portability has computer users. In recent years there restraints of the quality of the screen (ie, previously limited their use to the has been a surge in the development pixels) and the screen size. workplace or schoolroom, where of affordable electronic vision funding may be applied for. However enhancement systems. History the marketplace is now changing. The theory behind using electronic With the cost of devices reducing, What is electronic magnification? transverse magnification as a method several publicly funded low vision Electronic magnification, real image or of vision enhancement was historically services are now demonstrating and transverse magnification simply first envisaged in the 1950’s by lending low cost electronic low vision

This article has been approved for 1 CET point by the GOC. It is open to all FBDO members, including associate member optometrists. Insert your answers to the six multiple choice questions (MCQs) online at www.abdo.org.uk, or on the answer sheet inserted in this issue and return by 11 August 2011 to ABDO CET, Courtyard Suite 6, Braxted Park, Great Braxted, Witham CM8 3GA. We are temporarily unable to accept faxed entries, but this facility will be available again later in the year. If you complete online, please ensure that your email address and GOC number are up-to-date. The pass mark is 60 per cent. The answers will appear in our September 2011 issue. C-16543 DO July 2011 LPL_1 17/06/2011 09:55 Page 5

Continuing Education and Training

Figure 1: A CCTV surveillance system makes use of Figure 2: SmartView Synergy by HumanWare with a video camera imaging system that transmits a control panel with added features of page signal to a specific place, on a limited set of locator light, lines and blinds and computer monitors screen sharing

devices such as those provided by light source, an X-Y platform upon Bierley to their patients along with which the object is placed, and a standard optical devices. monitor or screen on which is projected the image. With the larger The concept of using closed circuit screen size patients benefit from either television systems (CCTV) as a low an increase in image size or an vision aid has been a reality for some improvement in the field of view at time4,5, and was initially developed lower levels of magnification. from technology already widely used in CCTV surveillance systems (Figure 1). Current products that incorporate a Other than magnification, CCTV traditional CCTV system as a stand systems used in surveillance do not mounted EVES include, as an tend to provide the many additional example, the SmartView Synergy features such as contrast (Figure 2). This stand mounted EVES enhancement and image reversal, can be used to view books, which are incorporated in those magazines, newspapers and colour systems utilised by visually impaired photographs. The SmartView Synergy users. Consequently, Wolffsohn et al is available with up to 22inch screen suggest the term: Electronic Vision which can provide up to 69x Enhancement System (EVES) to better magnification. As with most of these distinguish and describe devices with traditional CCTV’s the size and weight such features6. of these systems restrict the user to one place in the home or workplace. Just a quick search on the Internet for However, systems have superior quality electronic magnification aids reveals a image and the highest levels of vast and varied market of products magnification. They are currently still that are now available to the visually expensive and often beyond the impaired user. Devices vary in size, financial capabilities of many elderly price and degree of complexity; from visually impaired users. However, most the larger, traditional desk mounted manufacturers do allow a full trial apparatus to small, portable devices, before there is a commitment to buy the market is expanding rapidly. Some outright. devices not only make use of magnification, but additionally As with all modern technology, incorporate OCR (Optical Character advances are continuing to improve Recognition) that digitally encodes and increase the usage of EVES with and converts scanned handwritten or the incorporation of additional printed text documents into electronic features to aid viewing and files. The data captured may then be functionality for day-to-day use. The converted to synthetic speech or ClearView PC+ from Optelec has printed in Braille for those who desire options for viewing both magnified additional sensory cues. images and computer files simultaneously using a split screen Stand EVES with monitor mode. viewing Figure 3: Selection of screen features available The principle components of a Some of the main features of stand from many stand EVES with screen monitor view traditional CCTV include a camera, a EVES with monitor viewing (Figure 3)

Continued overleaf DO July 2011 LPL_1 17/06/2011 09:55 Page 6

6 dispensingoptics July 2011

Figure 4a: Bierley’s Explora-Plus is a portable Figure 4b: The SmartView Versa+ combines a Figure 5: MonoMouse™ by Bierley is compact electronic magnifier measuring 77 x 85 x 25mm portable EVES with features of MP3 and video and comes with up to 24x zoom. It is easy to use. and weighing 108g. Magnification is provided up players. Sophisticated memory functions are Some patients may benefit by additional training to 9x and there are options such as image freeze, provided with a SD (Secure Digital) card that can with steady eye strategy (SES). and contrast reversal store large file sizes such as music video and images

include: For example, there is the ability to provide an inexpensive, functionally • Higher levels of magnification change magnification without loss of excellent, cosmetically acceptable • Zoom capability focus or working distance; it is low vision aid. • Colour screen possible to achieve levels of • Reverse contrast and colour magnification in excess of 60x, and of Increasingly, the ability to use contrast options particular importance is the ability to multimedia applications in • Enhanced contrast enhance or reverse contrast, a conjunction with the magnifier is • Split screen view feature that is only capable with becoming an option with some hand- • Horizontal or vertical masking electronic devices. held magnifier systems. The • Highlighting or underlining SmartView Versa+ from Human Ware • Moveable reading table Development of portable combines an electronic magnifier • Pivotal screens to assist posture systems with multimedia features such as the • Foot pedal control options Over recent years more portable ability to save and manipulate • Computer connectivity - dual video magnifiers have become images, record conversations, listen function capability with Windows available, offering good quality to music and watch videos. These images at a lower cost than features really come into their own Advantages and conventional systems (Figure 4). when the magnifier is used as a tool disadvantages Designs and functionality vary and for studying, office work and leisure A fixed working space where all include hand-held portable units with activities. controls are together means an integral screens, units that are head- easier set up and a more compact mounted and those which include Until fairly recently, portable video system. Moreover, this set up provides the use of an optical mouse magnifiers have been using CCD a more natural working distance connected to a monitor or separate (charge-coupled device) which aids posture during use, as well screen. Some require mains supply semiconductor technology to as the luxury of binocularity which is whereas others have rechargeable capture digital images in much the not an option with high powered battery packs. Almost all same way as our personal digital optical aids. As a result, prolonged combinations are available in one cameras or camcorders. One of the tasks are more comfortable and form or another. drivers behind the falling prices in manageable. An appropriate low digital cameras, however, has been reading or intermediate spectacle There are many portable electronic the introduction of CMOS addition, eg, +1.00D, may be aids now available offering electronic (complimentary metal-oxide appropriate for presbyopes if viewing vision enhancement with many of the semiconductor) image sensors that the screen at a working distance of accompanying benefits without the were first established within EVES by approximately 1m or less. However, restrains of the space and weight of Bierley. the field of view can be restricted larger traditional CCTV systems. depending on screen size, level of Portable systems are targeted for Using CMOS technology: Bierley’s magnification used and also from flexible, day to day tasks with the MonoMouse sitting too close to the screen. flexibility to be used in different By using CMOS technology, Bierley locations. For both short tasks such as had simply taken an optical mouse Stand mounted EVES also provide checking medication to more and modified it to be used as a video additional functions which are not sustained reading tasks, such as magnifier for the visually impaired. The possible with optical low vision aids. reading the newspaper, such devices result was Bierley’s first MonoMouse

Continued overleaf DO July 2011 LPL_1 17/06/2011 09:55 Page 7 DO July 2011 LPL_1 17/06/2011 09:55 Page 8

8 dispensingoptics July 2011

Figure 6a: The MonoMouse fits comfortably into Figure 6b: MonoMouse USB works with any Figure 7: Bierley’s Shoppa. An ultra lightweight the patient's hand and the simple one-touch blue desktop or notebook PC. When the software is multifunctional device with a large 7 inch screen button is highly visible. The slightly larger than activated, a pop-up window is launched and the and 4 hours battery life average size of the MonoMouse is easier to use image captured is within that window. The than a standard-sized optical mouse, which window can be resized with effective change makes it attractive to those who find handling an upon the magnification and may be left running issue alongside other applications. A visually impaired person undertaking office work would find this flexibility useful (Figure 5). The net result was an and so the MonoMouse was designed Head-mounted systems affordable device with low power to take advantage of a special SCART Some head-mounted EVES may be consumption and superior image feature called ‘auto-detect.’ When used for viewing objects at different quality. the patient is watching the television distances, although are primarily used on any channel, it is possible to simply to view at intermediate and near CMOS sensors are significantly less press the large blue on/off button on distances. Units have the advantage expensive to manufacture than CCD the MonoMouse and the television of blocking out problematic glare, but sensors. Continued development in screen automatically switches to their weight does restrict usage for this technology has produced sensors display the text that the viewer wishes extended periods of time. When using which are less susceptible to ‘noise’ to read. Once finished, the on/off a head-mounted system, the and which have excellent resolution button is pressed again and the magnified image ratio between the capabilities now comparing television automatically reverts back movement and the size is out of favourably with previous high quality to the channel that was originally balance and this can disturb the CCD semiconductors. Furthermore, being viewed. vestibular ocular reflex causing CMOS offer more integration (more symptoms of sea-sickness in functions on the chip), lower power One of the most useful aspects of susceptible patients dissipation and are therefore more the MonoMouse is its portability. suited to portable devices. Although it does need to be plugged Other developments into a mains socket, it still remains Recent devices such as the iPod and CMOS advantages highly portable; patients may take it Kindle can also be used as hand-held The MonoMouse can automatically on holiday, or to a relative's when electronic magnifiers with similar calculate the brightness of the visiting. Compared to optical devices features as hand-held EVES devices material that is being read and make and in similar principal to traditional such as zoom and freeze screen. 'instant' adjustments so that the screen CCTV systems, patients retain a image is always in perfect balance. binocular view at a comfortable Computer software This means that a user can move the viewing distance from the TV screen, A relatively inexpensive option to MonoMouse from a bright white sheet eliminating the problems of enhance text on screen is to use of paper to a piece of regular convergence and the uncomfortable specifically designed text enlargement newspaper and the MonoMouse will reading posture that is often software. This software once installed, take care of the image quality problematic with high-level optical is capable of enlarging on screen text automatically. magnification. With this advantage, up to 36x. There are several products sustained reading tasks may be on the market with varying degrees of The MonoMouse expands the use of possible, although success will functionality and applications which electronic magnification within the ultimately rest with the patient's may include, for example, colour home environment. The MonoMouse is acuity reserve, as with all adjustment options, image simply connected via the SCART devices. enhancement and additional voice socket point in the back of a television synthesis. set (Figure 6) and the image captured The simplicity of the optical mouse is displayed on screen. Most televisions design makes it popular with young Patient selection in the UK, and throughout Europe, children and adults who have been With approximately 70 per cent of have been equipped with SCART familiar in handling a standard visually impaired in the UK being over connectors for the last 10 to 15 years computer mouse. 75 years of age7, there is a need to DO July 2011 LPL_1 17/06/2011 09:55 Page 9

Continuing Education and Training

produce simple, ergonomic systems of characters visible. By using a turn to electronic magnification as a which are affordable and attractive to television screen to view the magnified principal method of magnification. It is our visually impaired users. image, the field of view is not arguably fundamental for low vision influenced by the eye-monitor practitioners to discuss and preferably The Department of Health has distance, unless the patient is very demonstrate the advantages of estimated that the total number of close to the monitor, when the reverse electronic devices alongside the visually impaired is set to rise by 25 per becomes true. Both the field of view established optical approach to cent in the next 20 years8. This will and the magnification of the system prescribing magnification during the undoubtedly result in a greater will be largely dependent upon the consultation. demand for services for visually screen size. Reducing the screen size impaired people, which will include will therefore result in a smaller field of References the provision of low vision aids9. As an view and less magnification. 1. Genensky SM, Peterson HE, Moshin increasing number of the elderly HL, Clewett RW, and Yoshimura RI. population are now regular computer Image reversal Advances in closed circuit television users, it is sensible to assume that the For most patients the image reversal systems for the partially sighted. use of electronic devices that have facility is useful, and for some a 1972;Santa Monica: Rand R-1640- similar functionality and features to a necessity. By reversing the contrast HEW/RC laptop, a computer screen and an from black on white to white on black, 2. Harvey WJ. Electronic low vision aids, optical mouse will soon be favourable there is a reduction in light scatter a new image for the visually impaired. to all but a few. within the eye which will improve Optician 2004;227(5948):22-25 performance in those patients who 3. Macnaughton J. Bierley’s The important thing to consider when have media opacities or who are MonoMouse. Optician offering electronic magnifiers as an photosensitive. 2005;230(6011):24-25 option to low vision patients is not the 4. Potts AM, Volk D and West SS. A age of the patient, but rather what Reading speeds television reader as a subnormal vision specifically the patient wants to do The success of any device given for aid Am J Ophthalmol. 1959 with the device. A magnifier based sustained reading tasks can be Apr;47(4):580-1 around the design of an optical determined in part to the patient’s 5. Grenensky SM. Some comments on mouse is fine for reading text or reading speed. Devices that comprise a closed circuit TV system for the viewing an object in a fixed location of a monitor view, whether a visually handicapped. Am J Optom but is of limited value, for example, traditional stand mounted EVES or a 1969;46:519-24. whilst out shopping. Although there mouse connected to a monitor such 6. Wolffsohn JS, Peterson RC. A review are several hand-held or portable those found in the Bierley MonoMouse of current knowledge on Electronic electronic devices that can be taken range have been shown to produce Vision Enhancement Systems for the shopping (Figure 7) it is important to best results. The effectivity of electronic visually impaired. Ophthal Physiol Opt. establish whether or not the patient is devices and reading speeds have 2003;23:35-42 comfortable using the device in a been studied in clinical trials with 7. RNIB: Estimates and Registration public setting. In addition, does the mouse EVES connected to head- Statistics for the UK 1995 patient have the motivation to mounted display viewing resulting in 8. Low vision Services Consensus persevere with the device which will the lowest reading speeds compared Group Recommendations for future ultimately be a major factor in to traditional stand EVES with monitor service delivery in the United Kingdom, determining the success of the device viewing. At smaller print sizes, reading 1999 in this environment? with a traditional optical magnifier is 9. Ryan B, McCloughlan L. Our better slower than with the mouse or stand vision: what people need from low As electronic magnifiers tend to EVES with monitor. Overall, however, vision services in the UK London, provide variable levels of although EVES provide objective RNIB,1999 magnification compared to optical benefits to the visually impaired in 10. Peterson RC, Wolffsohn JS, magnifiers, they are useful for varying reading speed and acuity, together Rubenstein M and Lowe J. Benefits of degrees of visual loss and a great with some specific near tasks, some electronic vision enhancement variety of text sizes. Units may also be can be performed just as fast using systems (EVES) for the visually impaired. used for eccentric viewing when using optical magnification10. Am J Ophthalmol 2003;136,6: 1129-1135 a marker on the screen for the patient to look at and devices with movable Conclusion Taraneh Eliasieh BSc MCOptom is an XY tables may be employed in training The advancements and improvements optometrist working in the optometry steady eye strategy, where the object in the quality and efficiency of department in Royal United Hospital is moved rather than the magnifier. components have widened the use of Bath. electronic magnification. All age Field of view groups are now regular computer Jane Macnaughton BSc MCOptom is a With optical magnification, the closer users and as relative costs reduce and specialist optometrist at the Leicester the patient is to the plus lens of the portability improves it is predicted that Royal Infirmary, Leicester and has a magnifier, the greater will be the field domestic use will become special interest in working with the of view, and the greater the number commonplace. In time the elderly will visually impaired. n MCQs overleaf DO July 2011 LPL_1 17/06/2011 09:55 Page 10

10 dispensingoptics July 2011 Multiple choice questions (MCQs): Are electronic devices finally superseding traditional optical LVAs?

1. Which one of these devices is not hand-held? with fine print, what would give the slowest reading rate? a. Smartview Versa a. Kindle b. Smartview Synergy b. An optical aid c. Bierley Explorer-Plus c. A CCTV system d. Bierley Shoppa d. A head-mounted viewer with a MonoMouse

2. Which statement is true about stand-mounted EVES? 5. Which portable electronic device gives the option to use a. They provide less magnification than portable devices it with a television? b. They are less expensive than portable devices a. Bierley Explorer-Plus c. They can provide hands-free control b. Smartview Versa+ d. The user must sit at a fixed distance from the screen c. Kindle d. Bierley MonoMouse 3. Which one of the following does not have an option for contrast reversal? 6. Which statement is false? a. A hand-held magnifier a. Contrast reversal reduces scatter within the eye b. Clearview PC+ b. The pixel count of a monitor will limit the maximum useful c. Bierley Explorer-Plus magnification d. Bierley MonoMouse c. Optical aids provide comparable binocularity to electronic aids at high magnification 4. When a low vision patient needs to read a document d. CMOS sensors consume less power than CCD sensors

The deadline for posted response is 11 August 2011 to the address on page 4. Note that we are temporarily unable to accept faxed entries. The module code is C-16543 Online completion - www.abdo.org.uk - after member log-in go to ‘CET online’ After the closing date, the answers can be viewed on the 'CET Online' page of www.abdo.org.uk. To download, print or save your results letter, go to 'View your CET record'. If you would prefer to receive a posted results letter, contact the CET Office 01621 890202 or email [email protected] Occasionally, printing errors are spotted after the journal has gone to print. Notifications can be viewed at www.abdo.org.uk on the CET Online page

Frequently asked questions Answered by Kim Devlin FBDO (Hons) CL

Q.There has been a bit of a disagreement in our practice over reminder, knowing full well that that particular patient will be how often contact lens patients should be recalled. The contact slow to respond to a reminder and it could be 12 months before lens optician (CLO) and optometrist are saying one thing and the they will actually attend. Other patients are occasional wearers dispensing optician manager is saying another. Is there guidance of daily disposable lenses who can safely be told to come in at we can use to settle this issue once and for all? the end of that supply of lenses for a check-up. In all circumstances, it is the responsibility of the practitioner (CLO or A. There is no hard and fast rule that dictates when a contact optometrist) to inform the patient of the recall and the reason lens wearer should have a check-up. The frequency of check-ups for that check-up. It must also be clearly marked on the record to is controlled by the lens type, the modality of wear, the enable support staff to correctly input the data to a manual or compliance of the patient, the age of the lenses and any clinical electronic system, which will send reminders at the appropriate findings at the last check-up. In truth, it is often the practitioner time. who favours a particular pattern of appointments. You might be able to argue a ‘no more than’ rule, that a patient should not be The important thing is that contact lens practitioners can be supplied with lenses after a period of time ‘no more than’ the reassured that those reminders will be sent and that contact practitioner has stated. lenses will not be supplied to patients if check-ups are missed. To this end, all support staff and managers should be made aware of The over riding consideration of contact lens check-up intervals the potential problems of a missed check-up, and the legal and is the wellbeing of the patient. As such, I think flexibility is the professional responsibilities that both optometrists and CLOs answer in this case. A practitioner may well suggest a six-monthly have to their patients. n DO July 2011 LPL_1 17/06/2011 09:55 Page 11 DO July 2011 LPL_1 17/06/2011 09:55 Page 12

12 dispensingoptics July 2011

This month, Antonia Chitty offers some guidance on turning your practice browsers into buyers

From browser to buyer

oes every person who steps into purchase is obviously more valuable to a small purchase at first, so have a D your practice go on to make a on one level than a small purchase, range of products that you can purchase? Does every visitor to your but people who make small purchases encourage as many people as website click to book an can be encouraged to return and possible to buy. appointment? No, of course they spend more if you obtain their contact don’t. We all know that there are many details. A ‘product funnel’ is one way Consider if you are placing sufficient browsers both on and offline for every of looking at how you encourage emphasis on this sort of small product buyer, and sometimes it can seem someone to travel from browser to in practice. Could this sort of product hard to work out how to get them to buyer, and from buying small feature on your website too? While a engage further. However, browsers are purchases to bigger ones. good case or cleaning cloth may just as valuable to your business as seem like a small ticket item, it could buyers and in this article, you can find Using the product funnel solve a problem for a passerby who out how to make the most of them. The product funnel is most easily then chooses to come to you for their understood visually; look at the next pair of spectacles. Look at how Many business owners only see diagrams left and below and ask you might move purchasers of small success when a sale takes place, but yourself if you have something to offer items on to making bigger, more getting people onto your mailing list is people at a range of levels. If you valuable buys if they are not patients important so that you can start to have some free or very low cost items of yours already. They are ‘warm’ to communicate with them. A large to offer you can use this to draw in your business once they have made people to share their details with your their first purchase, so you need to business. Lindsey Columbell is the look at how you can exploit your A discount voucher (which requires people director of Bojangle Communications. relationship and provide something to sign up on your website or fill in She explains: “The top of the product that will ‘solve their problems’ even their details on the reverse funnel has to reach as many people more effectively. as possible.” You can then start of the voucher) communicating your marketing Columbell continues: “Your target messages to them, build a relationship market gets tighter as you go down A low cost item such as a case, and draw them further down the the funnel. At the bottom you have cleaning cloth, lens funnel. Many people will only commit the things that you reap the most solutions etc amount of money from, those that bring in the biggest income or have An ‘off the peg’ product of the highest profit margin. Relatively higher value such as Something FREE or very low cost to entice few people in your funnel will go on to sunglasses, or low people to share their details with you buy these most valuable products.” cost prescription People can be drawn further down frames Something of moderate value that the product funnel if you offer them is available to many good information. Send out information on different and better Your highest value A product of higher value types of lenses, for example, which will prescription products AND warm people to the idea of the ongoing subscriptions benefits they will get when they spend Your highest value for eye care a little more. You also need to look at products and lenses how you structure your post sale communications. Columbell explains: DO July 2011 LPL_1 17/06/2011 09:55 Page 13

Patient and practice management

Actions to increase sales Here are some ways to get people to share their contact details with you: • Ideas for in-practice incentives • Have a competition each month. Make it easy for people to enter by having entry forms and boxes at various points in the practice and close to the door • Have a sign-up book on the reception desk with a clear notice that people can Lindsey Columbell Chris Clemence share their details in order to receive your practice newsletter and special offers “Once people have come in and had practice is that Eyeplan creates • Ensure every member of staff speaks an eye test the next stage would be contracted income. Once you have buying glasses. If someone leaves people on the scheme you can get a to browsers and points out the without buying, consider sending them cheque every month. Practices at the competition or the sign-up book a voucher after a short interval. If you top of the tree earn £20k every month: • Ideas for online incentives have an occasional contact lens others just earn a few hundred, which • Discount vouchers wearer who might like to wear lenses is still useful for a small practice. Plus, • Free accessories with first purchase more often, invite them onto your your sales of spectacles go up. voucher contact lens scheme and offer a Eyeplan patients dispense rates go up • Entry into a prize draw or saving on glasses as an incentive. to 100 per cent when they start, as the competition Once someone has purchased discount on spectacles is seen as the • Free tips sheets or reports or eBooks spectacles, send them an offer for key benefit to the patient. Plus, people prescription sunglasses.” If you study will use their discounts to buy better. It purchase patterns you can establish gets rid of ‘buyer’s regret’ too – they which brands will appeal to which won’t see a better deal elsewhere.” groups and send focused information Getting people to opt into schemes to encourage purchases. like Eyeplan can seem tricky if your Think about your company product patients already baulk at fees of £20 funnel – is it complete or are there Practical considerations for a sight test, but not everyone in noticeable gaps? What could you do Think about the way you sell your your practice needs to subscribe and to fill in those gaps? If your product products. There is a fundamental with time you can change the way funnel is complete, are you selling as problem with running an optical people perceive the value of the care many products in each band as you practice; the majority of your patients you offer. could be? Remember that while will make one big purchase every two people only need eye examinations at years, or less often for those who only If you are thinking about setting up or certain intervals, there are many more change their frames when their opting into a subscription eyecare opportunities to encourage them to prescription needs changing. Plus, as scheme, consider the training offered buy accessories or upgrade a pair of Eyeplan commercial director, Chris to all staff to help them make it a spectacles if they are motivated by Clemence, explains: “It costs about straightforward first choice for patients. fashion. Clemence concludes: “Tiny £80 to do an eye examination, and Clemence says: “The fact is that you things make a big difference to most practitioners charge £25 to £30. can have good returns from a 20 per purchasing habits; don’t walk the The NHS pays us £20.80. With internet cent take-up. Some practices go up patient to the door if there is no sales and TV advertising there is a lot to 50 per cent. The most important change – leave them in the practice of competition. If you end up with a thing for take-up is to have every to browse. People don’t wait until their dispense rate of 55 per cent, you can member of the practice behind it. If feet change size to buy shoes. People lose £50 to £60 for over half the eye the practitioner recommends a don’t just buy glasses because they examinations you do.” Eyeplan helps subscription scheme on the way to the have a clinical need – they buy them practices change the way they dispensing optician, it improves take-up.” for fashion now too.” See the box charge for eyecare, spectacles and above for the actions can you now lenses. Patients pay an average Your business can sometimes seem like take to grow your practice sales? Eyeplan fee of £9 per month and £12- it depends on the number of sight test 13 for a contact lens wearer, get their slots you have available, but by filling Antonia Chitty is a former optometrist spectacles at a discount and the your product funnel you can increase who writes on business and health. She benefits of accidental damage cover. your practice income and provide a is author of A guide to Promoting Your As well as providing a reliable monthly range of ways to draw in more people Business (ACPR £15) and DIY income for the practice, this discount who might not initially buy from your Marketing: The Essential Guide can prevent patients walking out the practice. In this way, a product funnel (Need2Know, £9.99, due out October door to shop around. makes it easier to market your business 2011), both of which will help you if and draw people down to find those you need to know more about Clemence explains how this benefits who want, will value and can pay for effective ways to promote your the practice: “The effect on the the highest value designer products. practice. n DO July 2011 LPL_1 17/06/2011 09:57 Page 14

14 dispensingoptics July 2011

Negotiations with the NHS, the future of CET and children’s vision screening were just some of the many topics discussed at the President’s Consultation Day held in London on 18 May

Busy agenda at President’s Consultation Day

elcoming Area members to the In his update, ABDO general contracts. The Local Optical W meeting, ABDO President secretary Tony Garret said the Committee Support Unit (LOCSU) set Jennifer Brower reported plans were Association’s 25th Anniversary up by ABDO, the AOP and FODO was underway to employ another member luncheon had been an important producing advice and guidance for of staff whose duties would include milestone, with the Countess’s Local Optical Committees (LOCs) to supporting the Areas. Each Area would attendance indicating approval of help them in local negotiations. The be asked to nominate two liaison the organisation and a testimony to general secretary urged all members officers to act as conduits between members’ work. to attend their LOC meetings, as this ABDO and Area members. The The general secretary continued with would be the only route through President then outlined activities she an update on relations with the GOC, which local schemes would be had undertaken on behalf of ABDO which had been difficult over the last negotiated. He told members that since the beginning of the year, few months due in part to GOC the Conservative and Liberal- including Optical Confederation staffing changes. A current issue of Democrat Parties had committed to meetings to discuss future strategy and contention was the provisional retaining GOS as a nationally ways of promoting optics, regular approval granted by the GOC, commissioned service. Positive meetings with the General Optical without consultation with ABDO, to contacts were also being made with Council (GOC) which had included the proposal by Anglia Ruskin the Labour party. discussion of the registrable dispensing University for a registrable dispensing qualification proposed by Anglia qualification. Recent European and other Ruskin University, meetings of the All overseas activities included the Party Parliamentary Group for Eyecare, The general secretary then introduction of a dispensing course in graduation ceremonies in the UK and highlighted the proposed changes to Romania developed by ABDO in overseas, and Optrafair. She had also the NHS, which if approved by partnership with the Romanian attended two excellent CET events in parliament would see the abolition of optical association and funded by Area 5 and Area 3. A major event had primary care trusts and the the EU. This project had a wider been ABDO’s 25th Anniversary introduction of new commissioning significance as ABDO was luncheon on 6 May, at which the guest consortia. This would affect every endeavouring, through ECOO, to of honour had been HRH the Countess practice in England and services establish a European Diploma in of Wessex. would depend on locally negotiated Continued overleaf DO July 2011 LPL_1 17/06/2011 09:59 Page 15

Keeping the office in perfect focus just got easier

With quick and easy ordering of the lens designed to suit every client’s work needs:

ì Shamir Computer

ì Shamir WorkSpace

For looking sharp in the office, Shamir advanced solutions are just what you need.

Tel: 01954 785100 www.shamirlens.co.uk DO July 2011 LPL_1 17/06/2011 09:59 Page 16

16 dispensingoptics July 2011

Optics. Discussions had also been held would introduce a requirement that Area 3: A new treasurer had been with relevant organisations in New registrants should obtain a minimum of appointed following the resignation of Zealand, where ABDO would shortly six CET points per year; this would the previous incumbent. A Sunday CET offer a top-up course. All of these prevent the current situation whereby day had recently been held; this had activities were designed to generate registrants could gain their whole CET broken even financially and had been income that would enable ABDO to requirement at one go at the highly successful in terms of enjoyment keep its subscriptions as low as possible beginning or end of the cycle. by delegates and exhibitors. and to offer more services to UK Administration of the new scheme members. In conclusion the general would be put out to tender and it was Area 5: A CET day had been held on secretary reported a much-improved therefore not known whether 14 March, and had been attended by financial situation. Following a deficit CETOptics would be running the the President. Approximately 90 of almost £300,000 in 2009, 2010 had scheme after 2013. Contact lens delegates had been present and a shown a surplus of the same amount, opticians would no longer have to mini-exhibition had been held. The thus returning ABDO to its pre-2009 obtain 54 CET points including 18 next CET day would take place on 12 position. specialist points. In future, the specialist September in Birmingham and would points would be included in the 36- offer six or seven CET points. Future of CET point requirement that applied to all ABDO CET coordinator, Paula Stevens, registrants. Area 6: Details of a CET event were in updated members on the current the process of being finalised. situation with regard to the GOC’s CET Challenges faced by ABDO in the light scheme. She noted that a detailed of these potential changes included: Area 7: A CET day was being assessment had been undertaken, on how could ABDO further support arranged for 15 September. behalf of the GOC, of the relative risks members living in remote areas if Sponsorship was available and a mini- posed by dispensing and optometric journal-based distance learning could exhibition was usually held at Area activity, possibly with a view to only form part of CET?; events. developing a scheme for revalidation. should ABDO introduce contact lens The assessment showed that there was peer review sessions (the Contact Lens Area 9: For the second year running, a very little risk attached to dispensing Committee had already put forward a joint CET event had been held with opticians’ practice and that only a proposal for a peer review roadshow); Area 8. More than 40 members had very small part of that practice would and how could distance learning be attended and feedback had been be subject to revalidation. The improved to make it more acceptable positive. An event scheduled for June government had subsequently to the GOC? With regard to the last had to be deferred until September, deferred debate on revalidation for point, it was suggested that distance due to a loss of committee members. the medical profession and the GOC’s learning could be concentrated It was intended in future to vary the proposals were now held in online, with questions requiring greater location of events around the Area. abeyance. Consideration was instead input from practitioners. It was also being given to an enhanced CET suggested that for each CET article in Area 10: Although this Area had been scheme, though nothing had yet Dispensing Optics there should be inactive for a while, ABDO’s head of been decided. It was possible that in several different sets of questions, membership services, Katie Docker, future registrants would not be able to produced on a separate sheet and was endeavouring to revive it and in obtain all of their CET requirement distributed randomly within each issue response to her email to Area 10 through distance learning. In addition, of the journal. members, three positive replies had the GOC appeared keen to introduce been received. Two of these a requirement that peer review should Area reports respondents were present and were form part of contact lens opticians’ Area 2: A full CET day had been held introduced to the meeting. CET activities. The GOC was aware of in Leeds, offering six CET points and the potential difficulties for sponsored by 10 exhibitors. Some 45 Area 11: A meeting had been held in practitioners in isolated areas and the members had attended, which was November 2010 about student lack of CET funding for dispensing slightly disappointing, although positive supervision and another one in March opticians. feedback had been received from 2011 about changes to LOCs, which those who had attended. Another CET had been attended by some 30 Updating members on ongoing event had been arranged for 2 members. A CET day would be held in discussions relating to a proposal to October. The annual practical student September, with lectures and a mini- grant CET providers the power to revision day had been arranged, exhibition. approve their own CET, Paula said she although only 20 applications had felt such a system could be open to been received to date. Thanks were Area 12: A CET day had been held in abuse unless clear benchmarks were expressed to the Area committee January, in conjunction with the established. On the other hand, she members for their hard work, and Eyecare 3000 conference. would like to see ABDO fulfill this role, tribute was paid to committee Attendance had been disappointing provided that a clear audit trail was members who had recently stood even though the event had taken put in place. It was likely that the GOC down. Continued overleaf DO July 2011 LPL_1 17/06/2011 09:59 Page 17 DO July 2011 LPL_1 17/06/2011 09:59 Page 18

18 dispensingoptics July 2011

place in Glasgow. A successful CET need for research, particularly with employed no dispensing opticians at day had taken place recently in regard to children’s vision. The general all. This was of particular concern with Aberdeen. NHS funding would again secretary mentioned discussions with regard to children’s dispensing since be made available for a CET event for Christchurch University Canterbury clearly some children were being dispensing opticians, optometrists and about the possibility of developing a dispensed illegally. However, it was pharmacists. The one-day programme Masters degree and thus engendering impossible to prove this without would be repeated on a second day. academic research in dispensing embarking on costly research. The The general secretary expressed the optics. The ultimate aim was the general secretary said that part of the view that this interaction with other achievement of the same academic problem lay in a lack of public contractor professions set a good status as other professions by the awareness of the service to which they example for the rest of the UK. It was publication of refereed scientific were entitled, or even their children’s encouraging that the principle of research by ABDO College. eligibility for free eye examinations. government funding for dispensing Much of the responsibility lay with the opticians’ CET was now established in Reference was made to the discussion optical professions, who had Scotland. at the last meeting about the historically been ineffective in possibility of producing a public educating the public about their Raising awareness information leaflet explaining the role services. As the members’ open forum began, of pupillary distance measurements mention was made of a parent and the reasons why they were not Communications information leaflet on children’s part of the spectacle prescription. The Ashton Galloway reminded the eyecare produced by Lesley-Ann general secretary stressed the need meeting that if Areas wished to Murray for use in practice. It was for the content of such a leaflet to be increase publicity for an event, they suggested that the leaflets would be approved by ABDO, the AOP and the could email the head of professional more effective if they were distributed College of Optometrists. It was agreed services at Vision Express, who would to schools and mother-and-toddler that Katie Docker and Paula Stevens mention the event in the company’s regular internal e-newsletter. Katie groups. The general secretary outlined would raise the matter within the Docker confirmed that ABDO’s Twitter the Optical Confederation’s ongoing Advice & Guidelines Committee in the network would shortly be operating. discussions with the Department of first instance, and seek to ensure that She urged members to sign up and Health with regard to children’s the ABDO and COptom guidelines invited feedback. Details would be screening, the Confederation’s stance were in line with each other on this included in the members’ e-newsletter. being that all pre-school children issue. She then outlined plans to enhance should have a full eye examination. member benefits by launching a few The Department of Health, on the Law and lifestyle benefits. She cited some other hand, did not want to bear the regulatons examples and invited members to let costs involved and took the view that Next, the President indicated that she her have their ideas. It was suggested screening should be done by was collating evidence about internet that the publication, Ophthalmic Lens orthoptists, even though there were so supply following a survey that she had Availability, could be included as a few of them. undertaken. She would publish the member benefit. The head of DLI, results in due course. There followed a Michelle Derbyshire, pointed out that The general secretary reported on a discussion on the apparent ability of this was an ABDO College publication joint initiative with the other optical internet companies to circumvent the and would be costly for ABDO to bodies to promote optics as a career regulations relating to supervision. The purchase as a member benefit. She in schools. The jointly produced general secretary mentioned noted that the next edition would be careers pack had recently won a problems with regard to non-UK supply published in 2012. major training award and aimed to and substitution of lenses, and noted encourage interaction with students. that EUROMCOM was now taking an Katie Docker then sought views on ABDO ambassadors were sought to go interest in these matters. He also felt suitable ABDO ‘apps’ for smart into schools, with optometrists, to talk that the GOC intended to introduce phones. It was suggested that a public to pre-school leavers about the role of greater clarity in its interpretation of information app indicating how to find dispensing opticians and the benefits the law and to take a firmer stance a qualified dispensing optician might of working within optics. The general over breaches of the regulations. The be useful, and could be preceded by secretary stressed the importance of President highlighted a common some kind of vision self-test. A this initiative and urged members to complaint from members that as children’s vision screening ‘app’ for become involved. Peter Black registered practitioners they were parents, perhaps based on Professor mentioned that he had become a bound by the law, whilst non-qualified David Thompson’s screening software, careers ambassador and suggested personnel could do what they liked was also suggested. that each Area could purchase one with impunity. of the careers packs for use in their The next President’s Consultation Day own locality, as an effective means of The meeting then discussed the will take place at the Medical Society building contacts in the community. employment of optical assistants and of London, on 16 November and will There followed a discussion on the the large number of practices who be combined with the 2011 AGM. n DO July 2011 LPL_1 17/06/2011 09:59 Page 19 DO July 2011 LPL_1 17/06/2011 09:59 Page 20

20 dispensingoptics July 2011

Lizzie Bartlam BSc (Hons) FBDO (Hons) LVA looks at the impact of a diagnosis of low vision and the positive steps that can be taken to improve the patient’s well-being Low vision, depression and the effect of counselling

he dispensing optician and low with little hope given for its restoration. that the visually impaired patient is T vision practitioner may often This is a difficult aspect to take in. This twice as likely to be depressed than encounter patients who have been sense of loss has been likened to the the normal sighted5-7. More recent recently told they have a sight grieving process whereby the patient research conducted in 2008 found condition that cannot be treated. Low can experience the same feelings for this value to be higher, with visually vision is the state of reduction in vision their loss of sight as they would for the impaired patients being 4.22 times that cannot be corrected by the loss of a loved one2. For the more likely to be depressed and optical correction of spectacles, recognised Loss Model, please see furthermore patients who are certified contact lenses or medical Table 1. as severely sight impaired are seven intervention1. The impact this can have times more likely to be depressed on the patient should not be Low vision and than the normal sighted3. Regardless underestimated, and this is where mental health of the different findings in values, the empathy has to be practised. Putting The visually impaired patient can research agrees with the high link with yourself in the patient’s shoes can help indeed become depressed. Evidence depression and the visually impaired. you try to understand where that mainly suggests that low vision and The dispensing optician and low vision patient is now. visual impairment are risk factors for practitioner can therefore expect to depression and other mental health receive and deal with depressed Patients of recent diagnosis can have issues3-4. Research gives variable patients. a deep feeling of loss for their lost figures on how much more likely it is sense that they have had all their lives for the visually impaired patient to Feelings and emotions experienced by and which is now going to deteriorate become depressed. One study found patients suffering from age-related macular degeneration (AMD) were predominantly negative4. AMD is the Stage Patient’s feelings number one cause of severly sight Shock Coming to terms with it all. May not be very responsive impaired or sight impaired registration Depression The patient wonders what will happen to them, and can in the UK8 and is therefore going to be feel hopeless presented to the dispensing optician Anger The patient wonders why it has happened to them. They and low vision practitioner on a can look for someone to blame regular basis. Therefore, when dealing Anxiety Worrying if things will get worse with these patients, the dispensing Denial They can refuse to accept there is a problem at all. At this optician and low vision practitioner point they may well reject any help offered should not overlook the fact that these patients may well have emotional Acceptance The patient starts to understand what the problem is, how problems. In addition to depression, it will affect them and looks for ways to get over the the visually impaired patient can disability experience bereavement as mentioned, and anxiety and stress7. Table 1: The Loss Model (adapted from J. MacNaughton, 2005) DO July 2011 LPL_1 17/06/2011 09:59 Page 21

Low vision

Depression empathy would be to feel the regarding each stage and the Depression is the most common patient’s pain and share their loss. This practitioner should not expect the disability in the UK9. It should also be can be difficult if we have not shared patient to be at certain levels at taken quite seriously as depression can the same experience – but we must try certain times. It is, therefore, important unfortunately lead to suicide10 and to get there. However, it is also in the to let the patient inform you where indeed in one study of the visually best interests of the patient that we do they are at by attentive listening. impaired, it was found that 50 per not get completely drawn down with cent of visually impaired patients were these feelings, as they will not help us Even though we are not trained suicidal to some level at the pre- draw the patient out of their counsellors, the very fact the assessment prior to counselling7. metaphorical dark hole. If practitioner practitioner is willing to listen may well Therefore, there is a more serious side and patient wallow together in sorrow, bring some comfort to the patient. The to allowing the patient to continue then there will not be anyone in very fact the patient feels they have with just reassurance from us. control to help the patient move support can be valuable to how they Depression is a medical condition that along to the next stage of the grieving feel emotionally. In summary, the key requires professional and medical process. It is important for the points for dealing with depressed intervention. When patients are practitioner to be a good listener and patients are: clinically depressed, it is not a matter let the patient speak first, and when • Ask the patient if they would like to that they can feel a little low, the appropriate provide words of talk depressed feelings interfere with their encouragement and ask questions • Let the patient speak first before everyday life11. that allow the patient to explain how asking further questions they feel and express themselves. • Listen well and pay full attention to Mental health and success the patient’s answers in the LV assessment Comments should show understanding • Do not force the conversation in For a low vision appointment to and be positive. When asking any direction achieve something for the patient, questions it is important not to force • Ask questions based on what the and hence be considered successful, the conversation; the questions should patient has already divulged the patient must be motivated12. This be based on what the patient has • Ask questions that allow further will not be the case in the early days already shared with the practitioner. expression when a patient is going through the The practitioner should not tell the • Allow the patient time to express Loss Model. Therefore, this needs patient how they should feel or tell themselves tackling first and foremost. We can them how much better off than others • Use words of encouragement provide empathy for the patient, aim they are, as when in the middle of • Show understanding. to counsel them and build up their grief people do not want to hear how • Use positive comments achievements. But patients who are good things are, they need to first • Do not expect a time-scale of depressed can appear uncooperative express how bad they think things are where the patient should be at on and can prevent progression in the and will expect understanding from their journey17 low vision assessment13. Some believe their practitioner. What the practitioner that the optical practitioner should be can facilitate, as the conversation and Multi-disciplinary approach equipped with the skills to deal with visits progress, is for the patient to see Although we can help the patient by the patient who has fears and positive things themselves. The being understanding and listening to anxieties, and the role of the practitioner can facilitate this transition them, what is important to recognise is professional shifts to that of a but not tell the patient they should be that dispensing opticians and low counsellor14, and this shift in role is what positive. This transition is a delicate vision practitioners are not trained the dispensing optician or low vision process and can only truly be dealt counsellors and we need to recognise practitioner can experience. with by the patient. our own limit of expertise and consider getting these patients professional Depression to a patient can lead in When dealing with these sorts of counselling help. If we do not demotivation and poor quality of life15 emotions for the first time the recognise the limit of our expertise and quick action is desirable. This is practitioner may be unsure of what to then it could be possible that the more so the case as depression, as say. Asking the patient if they would dispensing optician and the low vision mentioned, can lead to suicide11. Lack like to talk about how they feel is a practitioner may also have a negative of motivation and feeling low should good start and full attention should be impact without the necessary be symptoms we must be aware of, paid to the answer. Look directly at counselling skills when dealing with and suggest treatment for, during our the person and every attempt should vulnerable patients. The time we assessment of the patient. Our be made to understand their feelings. spend with our patients allowing them assessment and treatment cannot be At each appointment, asking them if to talk about how they feel may not limited to providing the patient with a they would like to talk about their be enough. Some patients may not good magnifier. They may just pop it in feelings is useful, as their answer will benefit from brief counselling sessions18. the drawer if they are not motivated inform the practitioner if they have One study did actually find that enough to persevere in order to get moved on, a new problem or concept although counselling had a positive the best out of it. Emotional difficulties has occurred, new coping skills have effect, the low vision practitioner had should be dealt with during the developed or even a breakdown in a negative impact on patient assessment16. the coping that had already been coping19. achieved. When people are going Dealing with the through the grieving process, their Why this is the case is uncertain, depressed LV patient needs will change. It is also important however, it is possible that it could be When dealing with these patients, true to recognise that there is no time limit Continued overleaf DO July 2011 LPL_1 17/06/2011 09:59 Page 22

22 dispensingoptics July 2011

that the low vision practitioner is not this if the form comes in a format they and depression; 67.7 per cent of trained in counselling skills. Even if this is are unable to use easily. Another patients showed an improvement from not the case, the fact remains that a place we can offer support is to the symptoms after the intervention of negative impact has been shown review if the counselling is working counselling with this improving to 69 and, again, the point is made that the when we encounter this patient again. per cent on the return of an exit dispensing optician and low vision questionnaire. They also found that the practitioner needs to recognise the Effects of counselling number of people who were on limitation of their skills and employ a If we are referring a patient for sickness leave at the start of the multi-disciplinary approach to patient treatment, we must be sure that it treatment was 52 per cent, which care, thereby accessing specialist offers success. To send a patient to reduced to 6.2 per cent after therapy. services that will include a qualified appointments that will have little Girdler et al25 found that without the and trained counsellor. The dispensing benefit to them can further add to intervention of counselling and the optician or low vision practitioner has their disappointment and can do patient being reliant on usual care the option to refer patients for more damage than good. Continually alone actually resulted in the patient’s counselling by a fully qualified person experiencing failure just leads us to decline. In addition to reduction in in this discipline20, but of course the further de-motivation. We must use symptoms, patients receiving patient has to want to be counselled evidence-based practice to ensure counselling have reported benefits and give consent for a referral to take our recommendations are sound. such as confidence increase, place. Evidence-based practice is improvement in relationships with other summarised by Gibbard et al24 as: “The people, having taken up new It may not be correct to think that conscientious, explicit and judicious people who are depressed will seek use of current best evidence in challenges/activities including joining help by themselves. A recent study making decisions about the care of clubs, looking for jobs, reduction of the found that procrastination and stress individual patients”. We must look at physical symptoms of the mental 7 were predictors of poor mental health, the evidence. illness . Treating the underlying cause including depression18, and help can help achieve a more motivated seeking, with 46 per cent of patients Overall, it is generally accepted that patient who may take up aids and who had mental health problems not counselling can help these patients assistance more readily. seeking help by themselves21. and there is evidence to say that Therefore, timely intervention by the counselling does indeed have positive It can be argued that the results of dispensing optician or low vision effects on reducing symptoms of studies into the effect of counselling practitioner, by providing a referral depression and stress7,24-27 and in those for the visually impaired, justifies the route, may be exceptionally valuable patients who have a visual need to incorporate a mental health to these patients. If we allow them to impairment19. Although your patient service into the management of the go home without a referral, we may may be receiving medication for their visually impaired patient. Even if we have not done all we can for this depression, referral for counselling can are not able to help this patient with patient, and thereby question our own still be of benefit. It does appear that their mental health problem, we can duty of care. So the practitioner the intervention of therapy has more at least get them the best care. It is should employ a multi-disciplinary positive results than medication and also interesting to note that approach and offer the patient a usual care alone19,24-26. Hansson et al26 counselling has been the preferred referral to counselling. Counselling found that people who were option chosen by patients23. allows the patient to put the problem diagnosed with clinical depression in perspective and explore solutions by benefited from therapy. This they Availability of counselling 22 talking through the problem . received once a week for six weeks. Overall it is important for the 72 per cent of these patients felt practitioner to locate what services Patients who are depressed may also better after receiving the therapy as are in their area. If in doubt of where 23 require support in making decisions . opposed to only 47 per cent of the to refer, send the patient to their In line with patient-centred care, we control group which were receiving general practitioner for referral. There can provide support whilst we allow usual care. Their particular study also is a possibility that the counselling will the patient to make a decision on included the benefits of self- be available on the National Health whether to allow a referral to management alongside counselling Service28. Further information about counselling. We can be valuable in and this showed a continual counselling on the NHS can be outlining why we would feel it is improvement even 12 weeks after the obtained at www.nhs.org.uk. It is beneficial to their care. It can be counselling sessions had stopped, with helpful for the patient for us to be 36 per cent of patients being important that a referral takes place, involved with their decision making as depressed at the end of the sessions not just because of procrastination but one study found that 36 per cent of against 17 per cent being depressed also because if the patient is left with depressed patients liked their at the 12 weeks follow-up. instructions to locate a counsellor healthcare professional to be involved themselves, they may not be aware with their decision23. Another place we Boerner et al19 found that counselling that there is currently no legal can offer support is to assist with the had a positive effect on the visually framework to prevent anyone from initial paperwork. We must be wary impaired patient who had age- calling themselves a counsellor45. that some counselling services require related vision loss. Gibbard and forms or client questionnaires to be Hanley24 found that there was a For a full list of references and further filled in. This may prove difficult for the positive effect on patients receiving reading, please email the author, visually impaired and so our services counselling being conducted over six Lizzie Bartlam, at are required to help our patient with to 12 weeks who suffered from anxiety [email protected] n DO July 2011 LPL_1 17/06/2011 10:00 Page 23

Specsavers Ad NEW on Lavenham site DO July 2011 LPL_1 17/06/2011 10:00 Page 24

24 dispensingoptics July 2011

2011 BCLA Medal speaker, Professor Mark Willcox Celebrating new product launches in the Motivational speaker, Frank Dick OBE exhibition hall BCLA 2011 hits the spot

so much expert knowledge here, not just from the lectures and workshops but from the exhibition as well.” Jane There was another great turnout for the British Contact Mason from Gloucestershire, also attending for the first time, found the Lens Association (BCLA) Clinical Conference and Exhibition, practical contact lenses session ideal held this year at Manchester Central between 26-29 May. as she had recently returned to contact lens practice. “I have learnt Vivien Freeman, BCLA secretary general, reports an enormous amount from the courses on offer, and from sitting in on some of the Exhibitors’ Pavilion sessions,” she said. Zahir Panju from Middlesex he annual conference continues to attract high numbers of delegates from commented: “I very much enjoyed my T the UK and overseas due to the wide range of CET lectures, workshops and first BCLA conference and found it to clinical presentations it offers – and the fact that the accompanying free be well organised and very exhibition is the largest showcase of contact lens and related products in the UK. professional. It was even better than I The Association works hard to ensure the conference programme offers a wide expected and I will definitely be variety of tracks and sessions tailored to all eyecare professionals with an coming back – but for longer next interest in contact lens practice – from optometrists, contact lens opticians and time and with my colleagues in ophthalmologists to students and pre-regs just starting out. practice.”

BCLA 2011 attracted a total of 1,088 enjoy a complimentary weekend The BCLA conference is renowned for registered delegates – slightly up on package thanks to New Delegate providing a fantastic forum for like- 2010’s total of 1,004. Around half of Sponsors, CIBA Vision and Johnson & minded colleagues to socialise with delegates were from overseas (585 Johnson Vision Care (Patron), Alcon friends old and new. At Johnson & overseas delegates from 49 countries) and CooperVision (Platinum) and Johnson Vision Care’s Patron’s Party with the largest contingent travelling Bausch + Lomb and Topcon (Gold). At and dinner on the Friday evening, to Manchester from the USA, followed a special Sunday morning breakfast guests enjoyed a rousing, sports- by Switzerland, France, Italy and the with BCLA President, Shelly Bansal, themed talk by motivational speaker Netherlands. The accompanying sponsored weekend delegates were Frank Dick OBE. This year’s sell-out three-day free exhibition attracted a encouraged to make the most of their Bollywood-themed Gala Dinner number of visitors to view the latest BCLA membership and to let the featured a spectacular performance products from the show’s 45-plus Association know how it could by bhangra dancers enjoyed by some exhibitors – and to learn about the improve so it better met their needs. 850 guests, many of whom had latest innovations during the newly dressed in full Bollywood regalia. introduced Exhibitors’ Pavilion sessions. First-time conference delegate, Announced at the Gala Dinner were Margaret Stevenson from Ross-shire, 17 new BCLA Fellowships, a mark of New experiences said: “It’s been great to meet up with esteem in the field of contact lenses, This year, the Association was able to other people who are as enthusiastic which allows recipients to use the welcome 119 first-time delegates to about contact lenses as I am. There is letters FBCLA after their names. DO July 2011 LPL_1 17/06/2011 10:00 Page 25

BCLA news

Ready to party at the Bollywood Bash

Speaking after the conference as he Fun during the Top 10 Tips Trophy Challenge began his second year in office, BCLA President, Shelly Bansal, said: “Once again, the worldwide contact lens months, the Association will be Mark Andre (USA), Professor Patrick profession and industry has shown its reviewing all aspects of BCLA 2011, Caroline (USA) and Richard Collin (UK). unwavering support of the Association and analysing feedback from sponsors Professor Alan Tomlinson (UK) is the and its aims – which are to develop and delegates, to ensure that BCLA 2012 BCLA Medal speaker and Dr and promote best practice in all 2012 in Birmingham is even bigger and Martin Cardall (UK) will present the aspects of contact lenses and the better,” added Shelly. Irving Fatt Memorial Lecture. anterior eye. I’d like to thank all of this year’s sponsors and supporters and The 36th BCLA Clinical Conference For more information about BCLA most importantly our delegates; the and Exhibition will take place at the events and how to join the annual BCLA Clinical Conference and International Convention Centre (ICC) Association, visit www.bcla.org.uk, Exhibition would not be what it is in Birmingham from 24-27 May 2012. email [email protected] or call 0207 without them. Over the coming Keynote speakers will include Professor 580 6661. n DO July 2011 LPL_1 17/06/2011 10:00 Page 26

26 dispensingoptics July 2011

VIPs at the MAPO Fair 2011 Delegates at the MAPO Fair

Public health in spotlight Sign up for at MAPO 2011 Carrots Nightwalk For the first time Malaysia’s Anniversary Gala Dinner, only quality products and See in the dark with Fight for biggest optical fair, the MAPO Fair 2011 took place services, especially when it Sight’s new sponsored two-day MAPO Fair, at the Kuala Lumpur came to health-related event – the Carrots opened its doors to the International Convention products. Nightwalk. public. Members of the and Exhibition Centre. On public were invited to opening the event, the There were 35 exhibitors this The 15-mile nightwalk attend on the afternoon of Malaysian deputy minister year, four of which came through the streets of the 23 April, during which of domestic trade, co- from overseas (Thailand, London is on 23 September, Alcon held a forum operatives and Singapore, Hong Kong and and will take in some of the addressing the issue of consumerism, YB Dato’ Tan Korea). The unofficial sales city’s most spectacular contact lenses dryness and Lian Hoe, conveyed her figure generated during the night-time sights. Funds discomfort. grave concern about the exhibition was raised through the event will proliferation of approximately RM1.5m, with help Fight for Sight fund Comprising of the 16th unauthorised eyewear more than 60 per cent of pioneering research into the Optical Exhibition and 26th products at ‘pasar malam’ the sales generated by the prevention and treatment (night markets), lens manufacturers. An of blindness and eye endangering the health of optical gallery was set up disease. Sign up today at the public. She said it was for the first time so that www.fightforsight.org.uk/car ABDO AGM important that, apart from interested exhibitors could rots or call 0800 690 6140 for 16 November 2011 strict enforcement, showcase their products to more information. The Royal Society of Medicine, consumers had to be visitors. The colourful theme registration fee is £25 and London educated on the of this year’s gala dinner suggested minimum importance of choosing was ‘The sight of fantasia’. n sponsorship, £150. n

NES continues support for OA training

Following a successful initial pilot optometric practices, to benefit from separate one-day workshops that will cohort, NHS Education for Scotland a more formal structure to their be run by highly experienced and (NES) is continuing to support the learning. The training, which will be professionally qualified staff. By provision of an Optical Screening and conducted under the auspices of the passing the examination and Optical Care qualification in Scotland WCSM Education Trust, will provide achieving the WCSM Certificate in in 2011/12 by again funding optical optical assistants with hands-on Optical Care, candidates will also assistants working within GOS experience of up-to-date screening gain transferable educational credits registered practices in Scotland. equipment, and the background which they may use to gain entry to knowledge which will enable them to courses leading to even higher The Worshipful Company of Spectacle give full support to the professional qualifications. Makers’ (WCSM) Level 5 Certificate in members of the practice team. Optical Care qualification is approved Numbers are strictly limited, and early by the Scottish Qualifications Authority The training starts in August 2011, and registration is advisable to ensure (SQA). NES is funding the training that the examination will take place in placement. Further information may leads to the qualification as part of a February 2012. Each student will be be found on the WCSM website at continuing initiative that recognises allocated a distance-learning tutor to www.spectaclemakers.com, or by the need for optical assistants, who which they will submit a weekly contacting the administrator on 020 conduct important clinical tests in assignment, and will also attend three 7236 2932/8645. n DO July 2011 LPL_1 17/06/2011 10:00 Page 27

Newsbrief

Jennifer Brower

New site about The President’s diary voluntary levy Find out how the voluntary Directly after our wonderful changes will affect every will include the AGM, so I levy from eye health 25th anniversary luncheon optical practice in England hope as many of you as professionals supports in May, the general and services will depend possible will be able to projects benefitting the secretary and I went on locally negotiated attend. whole profession via the new straight off to Heathrow to contracts. The Local Optical Central (LOC) Fund website fly to Prague for the latest Committee The general secretary and I at www.centralfund.org.uk meeting of the European Support Unit (LOCSU) is recently attended the Council of Optometry and producing advice and Area 3 CET weekend. This The new site details both Optics (ECOO). The event guidance for the LOCs to was a splendid event with a current and past projects also showcased the EAOO help them in local cocktail party on Saturday and initiatives, which have – the European Academy negotiations and I cannot evening and a full day of been set up thanks to of Optometry and Optics – stress enough the lectures on Sunday, run generous voluntary set up to further importance of attending alongside a mini exhibition. contributions from optical educational excellence meetings of your LOCs to The Area 3 committee’s professionals. throughout the member ensure that you have up- warm hospitality was much countries. There were some to-date information and a appreciated and full marks Keith Chapple from the good lectures and poster say in what is decided. are due to the team for a Central (LOC) Fund said: sessions, with CET points for very successful weekend. “We are very grateful for the optometrists, but it At the last President’s optical profession’s appeared that none of the Consultation Day, we Congratulations to the generosity enabling us to organisers had thought to repeated the format of the Careers in Optics Working regularly fund a wealth of apply for CET approval for previous meeting with Group, which has won an award for Innovation in projects including eye health dispensing opticians! reports on current issues in Recruitment, beating the campaigns and literature. the morning and an open likes of Adidas, the Royal Although we are acutely Although the Health and forum in the afternoon. The Bank of Scotland and aware of the financial Social Care Bill has been forum highlighted some Network Rail. The group, pressures faced by LOCs, we delayed, significant diverse issues: the which includes hope some may consider changes to the importance of PR, the representatives from making a one off donation commissioning structure for production of patient ABDO, the College of as they complete their end optical services are still set leaflets on topics ranging of financial year accounts.” to go ahead. These Optometrists and the AOP, from children’s eyecare to was established in 2010 to the issuing of PD raise awareness of measurements, orthoptist optometry and optics as screening of children’s career choices in schools vision, the availability of and sixth form colleges, ABDO Benevolent Fund research grants to DOs, and since then it has gone If you know of a dispensing optician, or a supervision of unqualified from strength to strength. dependant of a dispensing optician, who might practice staff, and the ratio The role of the group’s benefit from the ABDO Benevolent Fund, please of dispensing opticians to ambassadors was registered optical get in touch with Jane Burnand on 020 7298 5102 featured in an earlier practices. These days are column but for further or email [email protected] or write to open to all members and information email her at ABDO, 199 Gloucester Terrace, London offer a unique opportunity newdimension@college- to air your views. The next W2 6LD n optometrists.org . one will be held on 16 November in London and Jennifer Brower DO July 2011 LPL_1 17/06/2011 10:00 Page 28

28 dispensingoptics July 2011

Working Group team accepts its award Award for optics LOCSU head careers initiative leaves

The Careers in Optics specific regions where chair of the Careers in Georgina Gordon has left Working Group scooped recruitment challenges Optics Working Group, her role as head of the LOC the award for innovation in exist. Words&Pictures, said: “This award Support Unit (LOCSU) to recruitment at the recent educational experts who acknowledges excellence explore opportunities 2011 Recruiter Awards for specialise in bringing and recognises those who outside of the organisation. Excellence. messages to life for young embrace forward-thinking audiences, was selected to ideas. To receive this “Georgina was the first A cross-sector initiative, the work with the group to recognition from head of LOCSU and group was established in develop and deliver the professional recruiters is brought to the role a 2010 to raise awareness of project. testimony to the quality of wealth of expertise in optics as a career choice the group’s work.” clinical and general in schools and sixth form Following the awards management gained from colleges, to stimulate ceremony held at London’s The group is currently board level positions in a further interest in the Gloucester House Hotel, fundraising for a number of major profession and to target Professor David Thomson, nationwide rollout and will organisations,” said a shortly announce a series statement from LOCSU. “We of training sessions across would like to thank If you have a job vacancy in your practice, please remember that the UK for ambassadors. To Georgina for her valued the Situations Vacant section in the Bulletin Board area of register your interest in contribution to the work of the ABDO website provides you with a quick and easy facility to working as an ambassador, LOC Support Unit and we advertise completely free-of-charge. n email newdimension@ wish her well in her future college-optometrists.org n career,” it concluded. n

Optician Index - April 2011 summary

• Practice turnover increased by 5 per cent on April 2010 last two years along with monthly reports. This gives you • Turnover per eye examination went up by £1.80 from the ability to see how your practice differs from the norm, last month to £150 set realistic targets and performance goals, gain market • Total sight tests rise by 2 per cent from last month to intelligence, maintain competitive advantage and identify 113 index points trends. Individual contributions of information are not • Sample average total dispensing up by 1.5 per cent published in any form. Submissions may be made from March 2011 to 92 index points anonymously and no data identifying the contributor is • Contact lens new fits are 10 per cent higher than last held on the indices calculation database, hence month and solution sales improve too confidentiality is assured. If you would like the opportunity to join the panel and benefit from measuring your Gain real business value from benchmarking business performance against your competitors, please Business Benchmarks is seeking to increase the number of contact Business Benchmarks by email at contributors, this will enable continued expansion of the [email protected], quoting the analysis provided to include regional and reference ‘ABDO member’, or call 01622 260595, they will independent/multiple comparisons. Every practice which get in touch with more details and explain exactly what participates regularly, receives a free annual analysis of your practice gets out of this so you can make an their own performance against the sample data for the informed decision. n

The full April 2011 Optician Index report was published in the 27 May 2011 issue of Optician. DO July 2011 LPL_1 17/06/2011 10:00 Page 29 DO July 2011 LPL_1 17/06/2011 10:00 Page 30

30 dispensingoptics July 2011

Fellowship for Karen Sparrow EAOO fellowship for Myopia specs lauded at charitable work Australian awards

Association of Optometrists It is the first time felllowship Australian researchers have of Vision CRC, said: “The (AOP) education advisor programme has been been lauded for an Vision CRC is greatly and Vision Aid Overseas awarded by EAOO and innovative new spectacle honoured to receive this (VAO) member, Karen Karen commented: “It is an lens that may help address type of recognition from the Sparrow, has been honour to become one of the explosion in myopia CRC Association. The awarded a fellowship by the European Academy’s numbers worldwide. association does a fantastic the European Academy of Founding Fellows and be job in supporting the CRC Optometry and Optics recognised for supporting Developed by the Vision organisations in their efforts (EAOO) for her outstanding the work of Vision Aid Cooperative Research to focus on delivering services to the charity. Overseas in their efforts to Centre (Vision CRC) based innovations. The commercial eliminate avoidable in Sydney, the spectacles release of the Myovision Karen travelled to the blindness and help the are the first to demonstrate lenses, offering treatment to Academy’s recent world to see.” an ability to slow the myopic children, is I believe conference in Prague and progression of myopia in a vindication of the along with six others was Karen has been a VAO children. The spectacle importance of the CRC awarded the fellowship by supporter for six years and design, released in 2010 as Program to promoting EAOO president, Dr Feike has led numerous volunteer the Myovision lens by Carl Australian innovations. Grit. Karen submitted her programmes to its partner Zeiss Vision, won the 2011 Without the programme it is fellowship application in countries, including four Excellence in Innovation unlikely that this technology the areas of: provision of projects to Zambia. This Award at the recent would have been visual or wider healthcare, month, Karen will be team Cooperative Research developed.” optometric education and leader to a project Centres Association Annual management of visual travelling to Uganda. She is Conference in Brisbane. Read more about the healthcare in the UK and pictured above, second programme at internationally. from the left. n Professor Brien Holden, CEO www.visioncrc.org n

GOC gets tough on illegal sales this policy, and in several cases the alleged activity has ceased following initial contact from us.” The General Optical Council (GOC) and selling zero-powered contact has published a new protocol lenses illegally. The protocol is now available on the explaining how it will deal with GOC website and sets out a faster breaches of the Opticians Act. GOC director of regulatory services, process by allowing the registrar to David Howell, said: “We take decide to pursue a prosecution, The protocol for the investigation and breaches of the Opticians Act instead of a committee as previously. prosecution of criminal offences sets extremely seriously and this protocol GOC staff recently attended the out when and how the GOC will deal sets out the action we will take when Trading Standards Institute with individuals and businesses it we suspect the law has been broken. conference to raise awareness of the suspects of breaking the law. This may involve conducting Opticians Act among trading Offences that the GOC may investigations and bringing criminal standards officers. prosecute include selling contact prosecutions in appropriate cases, lenses without the involvement of an within the overriding objective of To report a suspected breach of optician (including over the internet), protecting, promoting and the Opticians Act, telephone the testing sight while unregistered, falsely maintaining the health and safety of GOC on 020 7580 3898 and select claiming to be a registered optician the public. We have begun to apply option 2. n DO July 2011 LPL_1 17/06/2011 10:00 Page 31

Newsbrief

Campaign underway for new lens

Multiple Driving lenses to meet extends consumer needs Action support Action for Blind People A key feature of new Transitions XTRActive lenses coatings and hardcoats. A (Action) and Boots Transitions XTRActive lenses are available in standard comprehensive marketing Opticians have extended is that they activate behind index (1.50), polycarbonate campaign, including new their fundraising partnership the windscreen of a car (1.59), Trivex (1.53), 1.6 and education and point-of-sale to the end of March 2012. reaching up to a category 2 1.67 materials in both single materials, has been initiated tint. Like Transitions VI lenses, vision and progressive to help practitioners The original partnership, the lenses block 100 per designs. Like Transitions VI promote the lenses. Visit which began in July 2009, cent of UVA and UVB rays. lenses, they are compatible www.transitionsnet.co.uk or focused on supporting with premium anti-reflective www.TransitionsXTRActive.com n Action’s Actionnaires clubs Transitions XTRActive lenses running activities and are the fruit of advanced providing services for blind research of Transitions and partially sighted Optical’s R&D, which consists children aged four to 16. of a team of 80 researchers Boots Opticians will now and product developers. The expand its support to new proprietary technology visually impaired children that activates the and young people aged photochromic dyes in the four to 25, as well as their lower spectrum of visible families. light, in addition to UV light, allows the lenses to darken Around 680 Boots Opticians behind the windscreen of a and D&A branches across car. the UK have raised £164,000 for Action. Regional activities “Transitions XTRActive lenses have ranged from store are not intended to replace openings and a fancy dress Transitions VI lenses but they day in Wolverhampton to a are a range extension that gruelling three-day cycle responds to certain ride between Loughborough consumer needs,” said Matt and Reading. Dorling, business director, Transitions Optical Northern Stephen Remington, chief Europe. “These innovative executive of Action for Blind lenses are a new choice for People, said: “Action is very patients who place a glad to be continuing its stronger value on superior involvement with Boots outdoor darkness or who Opticians. It has been a drive a lot. By offering more successful venture so far, eyewear solutions to and aligns both with Boots’ consumers, we’re confident focus on eye health and eyecare professionals will Action’s passion for helping continue to grow their reduce preventable sight businesses and increase loss. We greatly appreciate sales of photochromic the support and lenses by appealing to more involvement from all the consumers, whilst achieving teams across the country.” n patient satisfaction.” DO July 2011 LPL_1 17/06/2011 10:00 Page 32

32 dispensingoptics July 2011

Special prices on ColorMatic IQ Photochromic lens Smart option promotion for SV lens

Rodenstock is running a promotion on its new ColorMatic Shamir’s Smart Single Vision allows Shamir’s Presciptor IQ ‘intelligent’ photochromic lens until the end of July. (SV) lens is now available to software to adjust the order with As-Worn (AW) prescribed prescription to Designed to support independent opticians, the Technology. better suit the patient. promotion includes the full range of light reactive Besides personalisation, ColorMatic lenses at highly competitive net prices, in Smart SV AW is said to Smart SV AW’s advantage addition to no remote edging or glazing charges – even accommodate the way a to patients is said to be its with supra or rimless frames. High quality merchandise patient wears their frame by aspheric/atoric rear surface. packs are available for practices to effectively promote it calculating three distinct In addition, the design is to their patients. measurements: back vertex produced consistently in all distance; pantoscopic tilt; materials. ColorMatic IQ is said to boast the fastest lightening, very and face form angle. low base adsorption rate of just eight per cent and Submitting these three “We offer the most superior ‘perfect’ UV 400 protection properties. It also has a wide measurements along with progressive lens solutions on and attractive colour range. n the patient’s prescription the market and we wanted to extend this commitment to superiority to the single Don’t become unhinged . . . vision market as well,” said Phil Bareham, Shamir UK Is assembling spring hinges giving you a headache? Dibble Optical believes it has the general manager. answer with the easy-to-use spring hinge assembly kit made by German manufacturer, B&S. Supplied in a handy storage case, the three-piece kit contains everything necessary For more information to assemble or disassemble temples with spring hinges in less than a minute. For further telephone 01954 785100 or information call Dibble Optical on 01634 880885 or email [email protected] n email [email protected] n

Did Scotland get it right? has changed. Data from a large private ophthalmic optician company, operating primarily in the University of Aberdeen researchers are times and lists for patients who require North East of Scotland, and from the to examine the success of offering referrals to hospital eye services due British Household Panel Survey will be free eyecare services in Scotland. to more people being seen in the used. community. In March 2004, the Scottish An exploratory pilot study has government announced a review of The year-long project, funded by a indicated that since 2006, at least one eyecare services in Scotland, which grant of £43,034 from the Chief third of the population of Scotland culminated in the introduction of free Scientist Office, aims to establish the have had an eye examination; the eye examinations from 1 April 2006. A degree to which the stated objectives proportion of the Scottish population team of economists from the of the policy have been met, and to having an eye examination increased University of Aberdeen, led by Dr examine people’s response to the from 31.5 per cent in 2008 to 33.4 per Alexandros Zangelidis, will investigate policy. Researchers will explore cent in 2009, and to 34.2 per cent in the success of the policy, which whether more people now have their 2010. The results of the study are aimed to encourage a wider use of eyes examined, whether individuals expected to help in prioritising optometry services and regular eye from certain socioeconomic groups government health expenditure in examinations. It was also argued that responded more to the policy, and if relation to free eye examinations in there would be a reduction in waiting patients’ spending on eyecare goods Scotland. n DO July 2011 LPL_1 17/06/2011 10:00 Page 33

Newsbrief

Students providing vision care Greg and Ken put in some training Cardiff students to Sightsavers Wanderers give sight do their bit

Ten students and five fully ages; spending time in A team of five from in the challenge for the qualified optometrists from orphanages, churches and Sightsavers recently took first time, was joined by Cardiff will take part in the schools. part in the Martin Currie trustee, Mike Chilton, Romania and Moldova Rob Roy Challenge, operations director, Greg Vision Project this summer Juliet Ashwell is currently in walking and cycling 55 Collins, and friends thanks to a grant of £2,000 her second year of miles through the Southern Kenneth Carr and Phillip from Optometry Giving Sight optometry at the university Highlands in aid of Hall. (OGS). and will participate in the Sightsavers, the NSPCC project this year. She said: and Alzheimer Scotland. Money raised by the The project, which has been “It’s a very exciting challenge will enable running for nine years, challenge and we’re The ‘Sightsavers Sightsavers to transform extended into Moldova last grateful for the financial Wanderers’, which lives in Africa and Asia. year and has already contribution from Optometry included Sightsavers’ provided 10,000 people with Giving Sight. It will help us director of finance, Last year 589 participants, vision care. The students significantly improve quality planning and operations, supported by over 100 aim to provide vision care to of life for thousands of Ken Moon, raised more volunteers, raised more more than 2,000 people.” than £1,000 prior to the than £315,000 for charity. impoverished people of all www.givingsight.org n event. Ken, who took part www.sightsavers.org n NEG members Year Book bucking the trend now available

Despite the current economic patient, you can develop greater More than 30 new products are difficulties, members of the National loyalty, a more educated patient detailed in the 2011 edition of the Eyecare Group (NEG), one of the UK’s base and patients willing to spend to Association of Contact Lens largest purchasing groups for receive high quality service and Manufacturers’ (ACLM) Contact Lens independent opticians, have shown products.” Year Book. The recently published there is still an important role for strong guide lists technical details for all the independents. NEG, established in 1979 under its contact lenses, solutions and materials previous name Percy Kirk Ltd, produced by ACLM member Last year, NEG saw the average spend represents almost 900 independent companies, and covers the from its members increase by 12 per practices across the UK, many of overwhelming bulk of products cent compared to the previous 12- whom have been members for more available in the UK. More than 60 older month period, making the 2010/2011 than 20 years. As well as negotiating technology products have been period the best in the group’s 32 years preferential terms with the leading removed from this year’s edition. of supporting UK independents. optical suppliers, NEG provides To obtain a copy of the Year Book, members with a single consolidated download an order form from NEG director of business development, monthly invoice for all purchases put www.aclm.org.uk. Those who Phil Mullins, said: “We are delighted through the group, making it easier for subscribe by direct debit will receive a with this performance; it really shows members to control their accounts, 25 per cent discount each year. that independent practices such as saving both time and money. Alternatively, join the British Contact those owned by our members can be Lens Association and receive a free successful even in the most difficult of For more information about NEG, visit copy as part of the membership times. NEG members have shown that www.nationaleyecare.co.uk or email package. Visit www.bcla.org.uk or call by spending more time with each [email protected] n 020 7580 6661 to join. n DO July 2011 LPL_1 17/06/2011 10:00 Page 34

34 dispensingoptics July 2011

Justin Rocyn-Jones Lenses adjust behind the windscreen One million turn to Award-winning lenses vision test app making their mark

Around one million the user’s nearest optician Transitions Optical and Younger Optical are busy downloads of Essilor’s Vision either to the current location communicating the benefits of Drivewear Transitions SOLFX Test app have been made or by postcode. The online after it was named Lens Product of the Year at this year’s since it was launched in July test asks users to answer six Optician Awards. 2010 as part of the questions and, depending company’s ‘Live life in the on the responses, advises Designed for demanding drivers looking to enhance their clear’ eyecare campaign whether the user should visit vision, Drivewear Transitions SOLFX are unlike fixed tint encouraging people to visit their optician for a full eye sunglasses in that they adjust their degree of darkness and their local optician for examiantion. colour according to light conditions. This is possible thanks regular sight tests and to advanced Transitions photochromic technology advice. Justin Rocyn-Jones, Essilor’s combined with a high contrast polarising technology from head of marketing, said: Younger Optical. The lenses are said to be the first of their The free app features four “Most people are busy and kind on the market to be able to adjust to light and cut vision tests that assess if the many either forget they glare behind the windscreen of a car. user has a colour defect, have had a reminder from tests the user's visual acuity their optician to have their In low daylight conditions, the lenses have a high contrast and also incorporates a vision tested or ignore the green/yellow colour designed to maximise useful light duochrome test. It also letter because they haven’t information reaching the eye. In average sunlight answers eye-related time to go. These quick, conditions, the lenses turn to a copper colour to remove questions and provides online tests are proving very excess light and provide good traffic signal recognition; information on HD TV. The popular and enable people highlighting the reds and greens. In bright sunshine, the app, which is compatible to decide quickly if and lenses reach a deep brown colour to maximise filtration of with all iPhones, iPod Touch when they need to have a excess light so that the eye does not get saturated. For and the iPad, also locates full eye test.” n more information, visit www.drivewearlens.com n

Study shows lens as good as ‘naked eye’

Johnson & Johnson Vision Care has released results of an independent 12-month hyperaemia, corneal and conjunctival clinical study showing that wearing 1•Day Acuvue TruEye contact lenses is, from staining and papillary conjunctivitis. a physiological and comfort perspective, the same as not wearing a contact lens at all. David Ruston, director of professional The study also showed that no then randomised into two parallel affairs for Johnson & Johnson Vision differences were observed between groups, one of which wore 1•Day Care in Western Europe, said: “We subjects wearing the one-day lens and Acuvue TruEye contact lenses, leaving decided to put our best product those wearing spectacles for all key the other group as the control who 1•Day Acuvue TruEye to the ultimate biomicroscopic scores. This was with wore their spectacles. Comfort was test by comparing it to the naked eye. the exception of conjunctival staining, measured five times a day via a SMS The results speak for themselves and where the recorded grades were so messaging technique during the first we are absolutely delighted to have low that they were not considered five weeks of lens wear. Masked developed a one-day disposable lens clinically relevant, said the company. investigators assessed the subjects’ that practitioners can offer their ocular physiology by regular health-conscious patients and have Lead author of the study, Dr Philip biomicroscopic examination over a the confidence that it will maintain Morgan, enrolled 72 non-contact lens 12-month period. Variables assessed normal physiology as well as offering wearers (neophyte) subjects who were were conjunctival and limbal the best in class UV protection.” n DO July 2011 LPL_1 17/06/2011 10:00 Page 35 DO July 2011 LPL_1 17/06/2011 10:00 Page 36

36 dispensingoptics July 2011

Area news

Area 2 (North East): Despite place on Sunday 2 October We hope members will show to earn CET points, network snow, show goes on at the Village Hotel, Leeds support this event and look with colleagues and visit the On a very cold winter’s day North. We hope to offer 7.5 forward to welcoming them exhibition. last November, Area 2 held CET points and the day will to what we hope will be an its annual CET event at the be free of charge to ABDO informative and worthwhile All this and a three-course Village Hotel, Leeds North. members. We are pleased day. An application form for lunch costs only £30 per Free of charge for ABDO to be welcoming back Ian the event will be sent to all person. Book now and save members, the day was a Jordan for a further talk on Area members soon. For £5. Call Hishu Monji on 020 great success – although special needs and vision early booking, please email 7837 3276 or email several people had to head including dyslexia, dyspraxia [email protected] [email protected] off home early due to and autism. Kevin Gutsell Report by Emma Ward, Area Report by Ian Anderson, heavy snow falling. from Nikon will talk about 2 secretary Area 11 chairman intolerance to progressive We were delighted to lenses, while a welcome 10 exhibitors and representative from Area 11 (London): Fantastic Area 12 (Scotland): Food for the day attracted 5 CET Charmant will discuss the line-up thought points; lectures covered features and benefits of Have you booked your Area 12’s CET day, held on myopia control, ‘workstyle’ titanium frames. Stephen place yet for the London 15 May at the Treetops dispensing, how to boost Golding will explore the Area CET day on 25 Hotel in Aberdeen, went your business and a world of low vision and we September at the Holiday very well with 27 delegates thought-provoking and are hoping for a talk about Inn, Bloomsbury? A fantastic attending. enlightening talk by Ian pathology. line-up has been organised Jordan on specialist and with presenters including The speakers and topics complex lens prescribing. A paediatric dispensing Andy Hepworth, Kim Devlin, provided plenty of food for The sponsors were Hilco, poster quiz will run Martin Russ and Gina thought for attendees and CooperVision, CIBA Vision, throughout the day, as well Nikolov. Topics will cover included: ‘21st century AR’ No7 Contact Lenses, Nikon, as an exhibition; confirmed marketing, sports lenses, by Suzy Stonehouse of Hoya, Maui Jim, Johnson & exhibitors so far include contact lenses and Essilor; ‘Drivewear: a new Johnson Vision Care, Nikon, Charmant, Silhouette spectacle lenses. Ravi lens category’ by Julian Younger Optics and and CooperVision. ABDO Khakria has some great Wiles of Younger Optics; Silhouette. Many thanks to College will also be there ideas to share on trimming ‘See at all distances, all of our speakers, sponsors, with a selection of texts from costs from your business, whatever your lifestyle: exhibitors and Area the ABDO Bookshop; this will and Angie Reed will explain occupational lenses’ by members who braved the be a great opportunity for some smart ways to Mark Culshaw of Hoya Lens horrendous conditions to dispensing students to come ‘negotiate the benefits’ with UK; ‘Non tolerance to support us. along, get some advice patients. Do not miss out on progressive lenses’ by Kevin and treat themselves to the this great package of Gutsell of Nikon Optical; This year’s event will take latest books. presentations, the chance ‘Reviewing silicone hydrogel torics’ by Mark Chatham of CooperVision; and ‘Age- Ethiopian DOs receive tools of trade related macular degeneration’ by Some of the first of Ethiopia’s home-trained independent optometrist dispensing opticians, supported by Vision Steve Whittaker speaking for Aid Overseas (VAO), received their first Novartis. ‘tools of the trade’ from Hoya recently. The day’s sponsors were The UK lens company donated PD rulers, Essilor, Younger Optics, Hoya lens cleaning products and other support Lens UK, Nikon Optical, materials to the group of second-year CooperVision and Novartis students at Hawassa University Hospital, Pharmaceuticals UK. We’d 200 miles south of Addis Ababa. like to say a big thank you Supporting DOs in Ethiopia to all of our sponsors and Part of the VAO team, David Hollander, members who showed their who practises in New Malden, Surrey, said: people, which is around three quarters of support in attending the “This is the first group of students to be the population, it is very rewarding as we day. trained at this university in the southern part are helping them to build a basis so that Report by Brenda Rennie, of the country. Serving some 60 million they become self-sufficient in eyecare.” n Area 12 secretary n DO July 2011 LPL_1 17/06/2011 10:00 Page 37

Disjointed jottings from a DO’s desk . . .

For DO Gillian Twyning, starting her own practice has been a nerve-wracking but worthwhile experience In at the deep end

Gillian Twyning

It’s now 18 months since I took the As DOs, this is where we need to be lens specification so she could buy plunge and opened my own brave and stand our ground – but cheap contact lenses from an internet independent practice. It’s been a real how? site (I actually heard the optometrist’s rollercoaster ride but I’m so glad I did chin hit the floor with that one). It does it. I would encourage anyone who has Value your offering make me wonder if patients actually the passion and the drive to just go for We can all offer our patients budget read the information on these sites, or it, especially if it is an independent products, but we shouldn’t start trying maybe they are simply blinded by the practice. The whole process has been to compete with those selling prices. A friend and fellow DO recently a huge learning curve, and has given spectacles for £10 or contact lenses pointed out a certain website with me a different perspective to my over the internet. I don’t see the point several spelling mistakes including a normal day-to-day duties as a DO. For of making a loss on a patient with misspelling of pupillary distance; I will the first 12 months I didn’t sleep contact lenses just in case they might leave that one to your imagination. properly; I also double if not triple buy a pair of spectacles or sunglasses. Until these websites are policed checked every decision made and We must never undervalue our time, properly, all we can do is correct their inwardly panicked a little about our optometrist’s time or our support mistakes, have our chance to shine everything. I am glad to say I am now staff’s time. This is where raising and show patients why they should more relaxed – still learning every day awareness of the role of the buy their spectacles from us. but taking things more in my stride. dispensing optician in practice comes Unfortunately, until that time it’s the in. Most people don’t know what a patient who suffers the most by being As the owner of an independent dispensing optician does or the left with unsuitable, ill-fitting eyewear. practice, you’re not restricted by benefits of being dispensed products company rules and procedures. This by someone qualified. Unfortunately, Listen to your patients allows you to go that extra mile a little there will always be room in the One thing I have learned over the more easily, and give your practice marketplace for cheap or budget past 18 months is not to be shy of DO the chance to shine. This is not to spectacles, or the buy-one-get-one- promoting my practice and myself. I say that DOs in multiples don’t go the free offers. have tried different marketing extra distance, it’s just far easier when strategies but find the best results you make the rules yourself. As an Consumers like bargains (don’t we all), come from direct mailings. We are independent, you don’t get bogged however, patients are very aware that also using anonymous customer down with the ever-changing cheap spectacles may not be as service surveys. It’s always nice to hear promotions that the larger multiples durable – knowing that they are positive comments, but it’s equally offer. Patients these days are more getting what they pay for. My concern important to listen to negative commercially aware, and it is hard not is that consumers are becoming more feedback as this allows us to fix any to despair when you hear that certain aware of internet sites selling problems our patients are supermarket opticians are offering spectacles; recently a contact lens encountering. Following up on the prescription spectacles for a mere £10. patient asked me for her GP contact bad surveys is always tough as no-one

Continued overleaf DO July 2011 LPL_1 17/06/2011 10:00 Page 38

38 dispensingoptics July 2011

likes criticism, but the majority of margins, which will hopefully lead to give something different that you patients appreciate having the greater patient satisfaction and recommend a try. opportunity to give their views and it practice growth. Do shop around and makes them feel like they are getting try different manufacturers. There are If you do decide to take the plunge a personal service and being listened plenty of suppliers out there who are and open your own practice, don’t to. Often when patients are unhappy less well known than the big names, forget the most important thing of all is they are far too embarrassed to come but who are supplying equally to achieve a good work/life balance. back or say anything at the time. fantastic products. I have a handful of It is so easy to be consumed with a Feedback surveys open the door for a manufacturers I use which, for me, tick new business, so remember there is life second chance to prove ourselves; I all the boxes – including great outside the practice. If you feel you’re would highly recommend carrying customer service, great quality up to the challenge and you don’t them out especially if, like me, you buy products and the right price. It can be mind long hours and hard work, being an existing practice. You may not be a bit scary changing patients to a a practice owner can be demanding doing things wrong, just differently – different contact lens brand or lens and stressful – but ultimately very this then propels the business to review manufacturer, as many will have a rewarding. how it is doing and to solve any certain product in their mind that an problems before they occur. optician has previously told him or her Gillian Twyning FBDO, runs her own about. However, with a bit of gentle practice in Nottinghamshire, is an As a practice owner, you are able to guidance and persuasion the majority ABDO practical examiner and a source the right products for the best of patients will be more than happy to trustee of ABDO College n

CET answers: Ophthalmic prisms: part two dispensing options

1. What is the prismatic effect produced by a +4.00D lens at 4. Which statement is FALSE regarding the use of different a point 10mm above and 3mm out from the OC? segment sizes? a. 4∆ base DOWN and 1.2∆ base OUT a. The smallest round segment bifocal available in the UK is b. 4∆ base UP and 1.2∆ base IN 15mm c. 4∆ base DOWN and 1.2∆ base IN b. This is an expensive method to use compared to the d. 4∆ base UP and 1.2∆ base OUT others discussed c is the correct answer. Using Prentice's Rule, the vertical c. The largest round segment bifocal available in the UK is component is 1cm x +4D = 4.00∆ base down, the horizontal 45mm component is 0.3cm x +4D = 1.2∆ base in. d. This method is best suited for plus prescriptions b if the correct answer and is the false statement. If fact the 2. Which of the following is a limiting factor for the use of different sized segments is a relatively cheap method decentration of a lens to induce prism? as standard lenses are used, so no additional surfacing is a. The lens power needed at the lab. b. The lens blank availability c. The amount of prescribed prism 5. Which bifocal option can be used to correct prism in any d. All of the above direction? d is the correct answer. a, b and c will all effect the a. Slab-off maximum amount of decentration possible, along with the b. The use of different segment sizes size of the frame. c. Solid Round Prism Controlled d. Setting one segment lower than the other 3. Which statement is NOT true of bicentric (slab-off) lenses? c is the correct answer. Slab-off and the use of different a. Either the more minus lens should be worked, or both sized segments can only correct vertical prism. lenses, to produce a pair of bicentric lenses b. They have a partially visible line extending across the 6. Which statement about Fresnel prisms is false? whole width of the lens a. They can be used to correct large amounts of prism c. Minus lenses often result in a reduction in edge thickness, b. They have good durability so are an ideal choice for while plus lenses become thicker prismatic correction d. Plus lenses often result in a reduction in thickness, while c. They can be cut to cover either all or part of a lens minus lenses become thicker at the edge d. They have poor cosmesis and can reduce visual acuity d is the correct answer. a, b and c are all true of b is the correct answer. The other three statements are true, bicentric/slab-off lenses, while d is false while b) is false as Fresnel prisms have poor durability.

After the closing date, the answers can be viewed on the 'CET Online' page of www.abdo.org.uk. To download, print or save your results letter, go to 'View your CET record'. If you would prefer to receive a posted results letter, contact the CET Office 01621 890202 or email [email protected] DO July 2011 LPL_1 17/06/2011 10:00 Page 39

Diary of events

July 4 dispensing for sport’ and Martin Russ Independents Day 2011 (ID 11) - will help build your practice business dispensingoptics keynote address ‘I’ve upped my sales with a talk on marketing skills, CET – now up yours!’ by Andy Edwards, points, Holiday Inn, Bloomsbury. For The Professional Journal of the Association The Professional Journal of the Association National Motorcycle Museum, further details contact Hishu Monji on of British Dispensing Opticians Birmingham. For details visit 020 7837 3276 or email of British Dispensing Opticians Volume 26 Number 7 of 12 www.independentsday.co.uk [email protected] Volume 24 Number 2 EDITORIAL STAFF July 7 September 29 - 2 October EditorEDITORIALSir Anthony STAFF Garrett CBE No7 Contact Lenses - ‘Manage your Silmo, Paris Nord Villepinte. For further AssistantEditor Sir AnthonyEditor Jane Garrett Burnand CBE dry eye patients with confidence’ details visit www.silmo.fr ProductionAssistant Editor EditorBarbaraSheila HopeDoris BSc [email protected] Editor Sheila Hope educational day, free to attend, CET FeaturesEmail [email protected] and News Editor Nicky Collinson accredited, No7’s training centre, October 2 [email protected] Consultant Ann Johnson Hastings, East Sussex. For further Area 2 (North East) - CET event, [email protected] Manager Deanne Gray details visit www.no7contactlenses. speakers include Ian Jordan, Kevin NewsEmail [email protected] Nicky Collinson co.uk/events or phone 01424 850620 Gutsell and Stephen Golding, plus a Email [email protected] AdministrationADVERTISEMENT Manager SALES Deanne Gray paediatric dispensing poster quiz and [email protected] 667626 July 12 an exhibition, free-of-charge for Email [email protected] No7 Contact Lenses - ‘Irregular ABDO members, Village Hotel, Leeds SUBSCRIPTIONSADVERTISEMENT SALES cornea day’, free to attend, North. For further details email UKTelephone £100 Overseas01892 667626 £110, including postage Contamac Training Centre, Saffron [email protected] EmailApply [email protected] Tom Veti ABDO, Godmersham Park, Godmersham Walden, Cambridge. For further SUBSCRIPTIONSKent CT4 7DT details visit www.no7contactlenses. November 16 ApplyTelephone to Katie01227 Docker 733922 co.uk/events or phone 01424 850620 ABDO - President’s Consultation Day, ABDO,Email [email protected] Godmersham Park, Godmersham the Medical Society of London, Kent CT4 7DT ABDO CET July 25 Lettsom House, 11 Chandos Street, Telephone 01227 733902 EmailCET [email protected] Stevens MA ODE BSc No7 Contact Lenses - ‘Speciality CL London W1G 9EB. For details contact (Hons) MCOptom FBDO CL(Hons)AD SMC(Tech) day’, free to attend, Manchester Jane Burnand on 020 7298 5102 or ABDO CETCET, Courtyard Suite 6, Braxted Park, Great Braxted, Essex CM8 3GA CET Coordinator Paula Stevens MA ODE BSc central. For further details visit email [email protected] Telephone 01621 890202 www.no7contactlenses. (Hons)Email [email protected] FBDO CL (Hons) AD SMC(Tech) ABDO CET, Courtyard Suite 6, Braxted Park, November 16 Email [email protected] co.uk/events or phone 01424 850620 Great Braxted, Essex CM8 3GA ABDO - AGM and Benevolent Fund CONTINUINGTelephone 01621 EDUCATION 890200 REVIEW PANEL August 4 AGM, Medical Society of London, KeithFax 01621 Cavaye 890203 FBDO (Hons) CL FBCLA No7 Contact Lenses - ‘Beyond the Lettsom House, 11 Chandos Street, AndrewEmail [email protected] Cripps FBDO (Hons) PG Cert HE FHEA limbus’, free to attend, London W1. London W1G 9EB. For details contact KimEmail [email protected] FBDO (Hons) CL For further details visit Jane Burnand on 020 7298 5102 or Stephen Freeman BSc (Hons) MCOptom FBDO (Hons) Cert Ed CONTINUINGAbilene Macdonald EDUCATION Grute REVIEW FBDO (Hons) PANEL SLD (Hons) LVA www.no7contactlenses.co.uk/events email [email protected] JenniferDip Dist BrowerEd Cert Ed FBDO (Hons) LVA Cert Ed or phone 01424 850620 AndrewRichard HarsantCripps FBDO FBDO (Hons) (Hons) CL (Hons) LVA November 23 RichardAndrew HarsantKeirl BOptom FBDO (Hons) (Hons) MCOptom CL (Hons) FBDO LVA Paul McCarthy FBDO PG Cert HE FHEA September 25 ABDO Graduation and Prize Giving Angela McNamee BSc (Hons) MCOptom FBDOAngela (Hons) McNamee CL FBCLA Cert BSc Ed(Hons) MCOptom Area 11 (London) - CET day, talk by Ceremony, Canterbury Cathedral, FBDO(Hons)CL FBCLA Cert Ed Elvin Montlake FADO (Hons) CL LVA FFDO Edwin Moffatt FBDO Gina Nikolov ‘Eye protection and Canterbury, Kent n Linda Rapley BSc (Hons) FCOptom Cert Ed Linda Rapley BSc FCOptom Alicia Thompson FBDO (Hons) SLD SMC(Tech) Susan Southgate FBDO PG Cert HE FHEA ABDO members are welcome to attend Area meetings in any area they wish JOURNAL ADVISORY COMMITTEE Nick Atkins FBDO (Hons) CL Nick Atkins FBDO (Hons) CL FBDO Richard Crook FBDO KimDavid Devlin Goad FBDO FBDO (Hons) (Hons) CL CL Colour as fashion Kevin Gutsell FBDO Ros Kirk FBDO Angela McNamee BSc (Hons) MCOptom statement FBDO (Hons) CL FBCLA Cert Ed FBDO (Hons)CL FBCLA Cert Ed Gillian Twyning FBDO Dispensing Optics is published by Silhouette has joined the leading style and fashion DispensingABDO, 199 GloucesterOptics is published Terrace, by London W2 6LD trend experts in fully embracing the power of colour ABDO, 199 Gloucester Terrace, London W2 6LD Dispensing Optics is printed by with its new Colour Waves eyewear collection. Lavenham Press, Lavenham, Suffolk CO10 9RN Dispensing Optics is printed by Lavenham© ABDO No part Press, of thisLavenham, publication Suffolk may be CO10 9RN The collection comprises of six rimless models, which reproduced, stored in a retrieval system, or transmitted in© ABDOany form No orpart by ofany this means publication whatever may without be the can be dispensed to a variety of shapes and sizes writtenreproduced, prior permission stored in a of retrieval the publishers system, or transmitted according to patient choice. The asymmetrically in any form or by any means whatever without the Dispensingwritten prior permission Optics welcomes of the publishers contributions for shaped SPX temples are available in the bold colours possible editorial publication. However, of Sweet Honey, Fresh Green, Power Red and Cool Dispensingcontributors Optics warrantwelcomes to the publishers contributions that theyfor Blue. More reserved colour combinations include possibleown all rights editorial to illustrations, publication. artwork However, or contributorsphotographs warrant submitted to the and publishers also to copy that whichthey Trendy Grey and Young Pink. ownis factually all rights accurate to illustrations, and does artwork not infringe or any photographsother party’s rightssubmitted and also to copy which is factually accurate and does not infringe any Silhouette brand director, Andreas Aschauer ISSN 0954 3201 Martinelli, said: “Particularly when the light shines other party’s rights Average circulation 2010: 8753 per issue - ABDO from a certain angle on the ultra light SPX temple BoardISSN 0954 certification 3201 arms and illuminates the strong colours, Colour Waves comes alive – transforming from eyewear into Average circulation 2007: 8526 per issue - ABDO Board certification a fashion statement.“ Visit www.silhouette.com n www.abdo.org.ukwww.abdo.org.uk Anateo® Jeevan The Progressive lens for wearers from the Indian subcontinent

Unique. Just Like You. Thankfully, people around the world are not all the same. The physiology of people from the Indian subcontinent, like its culture, is unique – so why settle for Progressive lenses developed for generic Western eye types, anatomy and lifestyles? Using the data from a year-long survey conducted among 37,000 patients in Chennai and Bangalore, Anateo® Jeevan has been created to satisfy 3 key visual requirements of presbyopes from the Indian subcontinent.

Eye Anatomy

Facial Anatomy

Ergonomics www.bbgr.co.uk Tel: 0844 880 1349