DISPENSING OPTICS - SEPTEMBER 2018 - ABDO
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
ABDO NRC, Birmingham The NEW National Resource Centre NEW ABDO facilities in Birmingham VICTORIA ROAD B4132 A5127 • An education events and examinations • The new location for all dispensing and hub with 11,000 sq. ft. over two floors. contact lens practical examinations. Aston • Clinical facilities showcasing the latest • Available for meetings, conferences, ET A38 PO technology. seminars, training, revision and CET courses. RE ST RT LA RF C HA ND AT W H • 10 clinical bays equipped for refraction • Lecture areas for 60 to 160 people. ST ER RE IN ET E ST and contact lenses and pre-screen area. RE H • Flexible facilities offering one large area or ET RT NO SS RO RO • State-of-the-art video slit-lamp which can up to 5 separate rooms. AD CK C Y N RO LA TO NE be recorded and projected live on up to AS N TO • Rooms can be set up in theatre, exam or AS B4144 5 screens around the building. ET cabaret style. RE ST ER AV Aston Cross • Equipment for dispensing, screening, minor ST E • Catering facilities available including water HE RO Business Village C AD eye conditions services and glazing. dispensers, 'bean to cup' coffee and artisan • Within easy reach of major road, rail and flavoured teas. Acknowledgement air transport links. ABDO is grateful for profession-wide support from a great number of retail and optical THE ABDO NRC IS AVAILABLE FOR EXTERNAL businesses. Including frame, lens, BOOKINGS FROM 01 AUGUST 2018. contact lens, instrument and equipment manufacturers. To book, call Phil Hall on 07538 525 206 or email him at enquiries@abdonrc.org.uk ABDO National Resource Centre 4th Floor, Aqueous II, Aston Cross Business Village, Chester Street, Birmingham
Dispensing Optics SEPTEMBER 2018 31. Contents 26. 15. 29. 19. 28. Features Report Summer school vocation by Elaine Grisdale 17. Product Spotlight 30. Silmo 2018 Fitting talk A fair to remember 18. Continuing Education & Training 31. 100% Optical Contact lenses: the first collection visit Freshening up for London show by Richard Harsant 22. Multiple Choice Answers Certification, registration and low vision: Regulars the role of the dispensing optician by Rasmeet Chadha 5. DO Dispatches 24. In practice 6. A DO and proud of it Practising like a boss by Antonia Chitty 8. News 26. Low vision 32. FAQs On the right path by Jo Holmes and Debbie McGill 33. Business Bites 34. Jobs & Notices FRONT COVER Inserts Photo from stock Re:View Issue 34 Dispensing Optics SEPTEMBER 2018 3
DISPENSING OPTICS The Professional Journal of the Association of British Dispensing Opticians VOLUME 33 NO 9 EDITORIAL STAFF Editor Assistant Editor Managing Editor Sir Anthony Garrett CBE HonFBDO Jane Burnand Nicky Collinson BA (Hons) DO Dispatches Email ncollinson@abdo.uk.com Design and Production Rosslyn Argent BA (Hons) GIANT LEAP FOR PROFESSION Email rargent@abdo.uk.com Admin. Manager Deanne Gray HonFBDO On 29 August, we saw the first cohort of Email dgray@abdo.uk.com contact lens opticians (CLOs) sit their WOPEC OSCE at the ABDO National EDITORIAL/ADVERTISING Telephone 0781 2734717 Resource Centre in Birmingham. Clearly Email ncollinson@abdo.uk.com this marks a significant step forward for dispensing Website www.abdo.org.uk opticians, and not solely from a professional advancement SUBSCRIPTIONS perspective. Other tangible benefits are, notably, UK £150 recognition and expansion of their scope of practice as Overseas £175, including postage eyecare professionals. Apply to Tom Veti Association of British Dispensing Opticians Individually, it will be rewarding but, collectively, this group Godmersham Park, Godmersham, Kent CT4 7DT are paving the way for others to follow. At present, we have Telephone 01227 733922 Email tomv@abdo.org.uk 140 CLOs enrolled on the WOPEC course. From the outset, it Website www.abdo.org.uk was felt that the course content should be the same as that for our optometrist colleagues to ensure consistency in ABDO CET Head of CET Alexandra Webster MSc BMus PGDipE FBDO CL learning. In itself, this reflects well on those who have successfully completed the online modules – and dispels any ABDO CET, 5 Kingsford Business Centre, Layer Road, Kingsford, suggestion of a less intense period of learning. Colchester CO2 0HT Telephone 01206 734155 Currently, ABDO is engaging with LOCSU and Optical Email abdocet@abdo.org.uk Confederation partners to include CLOs in the MECS pathway. CONTINUING EDUCATION REVIEW PANEL In the coming months, there will be a major role for the Joanne Abbott BSc(Hons) FBDO SMC(Tech) regional teams in collaboration with LOCSU leads to ensure Josie Barlow FBDO CL Keith Cavaye FBDO(Hons)CL FBCLA CLOs are included in local schemes moving forward. Andrew Cripps FBDO PG Cert HE FHEA Kim Devlin FBDO(Hons)CL Many years ago, it was the natural step once completing Stephen Freeman BSc(Hons) MCOptom FBDO(Hons) Cert Ed FBDO to embark on the CLO course. However, in recent Claire McDonnell FAOI times, it appeared there was a lack of interest or perhaps Angela McNamee BSc(Hons) MCOptom FBDO(Hons)CL FBCLA Cert Ed Paula Stevens MA ODE BSc(Hons) MCOptom FBDO CL(Hons)AD SMC(Tech) restrictions on an individual’s willingness to commence the Gaynor Whitehouse FBDO (Hons) LVA course. Now I sense a real opportunity and enthusiasm amongst members to progress. JOURNAL ADVISORY COMMITTEE Richard Crook FBDO I wish all those sitting the OSCE the very best of luck as they Kim Devlin FBDO(Hons)CL Kevin Gutsell FBDO(Hons) SLD await their results, and hope other members considering their Ros Kirk FBDO next step will strongly consider the contact lens course and Angela McNamee BSc(Hons) MCOptom FBDO(Hons)CL FBCLA Cert Ed the opportunities it may bring. DISPENSING OPTICS IS PUBLISHED BY Barry Duncan FBDO ABDO, 199 Gloucester Terrace, London W2 6LD DISPENSING OPTICS IS PRINTED BY Deputy chief executive officer P&P Litho Ltd, Ashford, Middlesex TW15 1AB © ABDO: No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means whatever without the written prior permission of the publishers Dispensing Optics welcomes contributions for possible editorial publication. However, contributors warrant to the publishers that they own all rights to illustrations, artwork or photographs submitted and also to copy which is factually accurate and does not infringe any other party’s rights ISSN 0954 3201 AVERAGE CIRCULATION: 9,437 (Jan-Dec 2017) ABDO Board certification Dispensing Optics SEPTEMBER 2018 5
A DO CLIVE MARCHANT FBDO & PROUD Our monthly column from the ABDO president A DO and proud of it W hat a fantastic summer we have had – the best since 1976, which I remember well as the year I sat my A Levels and started to work in optics. I’m sure the good weather has stimulated many recommendations for sun protection and our patients are enjoying the benefits of quality sunspecs. I trust many of you have taken summer holidays and are returning to work refreshed and eager to obtain further CET points to complete the current three-year Why not attend the next National Consultation Day to find out how to get more involved? cycle, attending the many events ABDO has lined up for the remainder of the year. Our level. Ninety-five per cent of local optical lens opticians (CLOs) sat the minor eye CET Department does a fantastic job committees have dispensing opticians on conditions services (MECS) objective providing us with so many opportunities to their committees, and our teams continue structured clinical examinations and we obtain CET covering a wide range of topics. to host our many successful CET events eagerly await their results. Who will be the All events are advertised on the ABDO around the country. first CLO to provide a MECS assessment? website and we look forward to welcoming At the time of redesigning our national The next extended services training days you to future events up and down the UK. structure, we formed our National Clinical are scheduled for 20 and 21 November with Over the summer, we welcomed Committee (NCC), which has representation ongoing events as CLOs engage with the Alexandra Webster to the ABDO staff team from the independent and multiple sectors MECS programme. as she takes over from Paula Stevens as with experts in general dispensing, low vision One of the many NCC projects ongoing head of the CET Department. Paula has done and contact lenses. Of the original committee at present is the delivery of a nationwide an outstanding job developing our CET members, as well as Alex Webster, Phil Hall low vision service by dispensing opticians. programme from its inception; she is not has since joined the ABDO staff as head of We are now recognised by the Clinical going away I’m pleased to say but is taking our new National Resource Centre (NRC) in Council for Eye Health Commissioning as a well-deserved step back in the department. Birmingham, as reported in last month’s issue. providers of low vision services, and low The number of students studying at vision is one of our core competences. ENGAGING ON ALL LEVELS ABDO College is at a record high and However, it is sadly underutilised. ABDO board elections closed on 3 September overseas training is gathering momentum, It will be a milestone achievement if we and I’m delighted that we had 10 excellent which leads to a need for more distance can work with local authorities and candidates standing for election, six of learning tutors. Our membership has again commissioners to develop a sustainable whom were female. This is indeed a true responded, and we currently have 60 tutors practice-based low vision service. We must representation of our membership. We look in training. be prepared to engage – so please ensure forward to working with the four successful There are ongoing opportunities for you obtain plenty of low vision CET. And candidates as we go forwards, helping to members to engage, so now you have why not think about providing low vision shape the future direction of the Association returned from holiday why not think about services privately in your practice? If you and its members. getting involved? It is rewarding giving have real passion to specialise in low vision It’s wonderful to see greater back, helping others in their career then why not also consider ABDO’s Low engagement of ABDO members with the development, enhancing, promoting, and Vision Honours course? Association over recent years. We changed supporting the profession and our practices. Turn to page 26 to find out what ABDO our area structure to seven regions and Why not attend our next National is doing to support the expansion of low recruited regional leads and sub-regional Consultation Day at the NRC on 24 vision service provision by dispensing leads to head the regions two years ago, October and find out more? opticians in the community – and watch this with teams of members engaged at local Last month, the first cohort of contact space for further developments. 6 Dispensing Optics SEPTEMBER 2018
SHAMIR’S DRIVING S O L U T I O N d riving a joy gai n n. E BLUE ZERO™ AUTOGRAPH INTOUCH™ GLACIER PLUS™ UV A perfect combination of material, lens design and coating forms a unique visual experience when driving. ENRICH LIFE Because one pair is never enough.
NEWS Andy Street CBE MAYOR TO CUT RIBBON The first elected Major of the West Midlands, Andy Street CBE, will officially The Rt Hon Baroness Boothroyd open the ABDO National Resource Centre (NRC) in Birmingham on 19 September. A British businessman and politician, SPEAKER SPEAKS OUT ON SIGHT LOSS Andy Street was the managing director of John Lewis from 2007 to 2016. He is now the The Rt Hon Baroness Boothroyd has launched a Fight for Sight campaign to raise Conservative Mayor of the West Midlands, awareness of eye health and the need for vital eye research. elected in the May 2017 mayoral election. The former Speaker of the House of Commons kicked off the campaign by appearing ABDO president, Clive Marchant, said: on a BBC Radio 4 appeal last month, raising awareness of sight loss and highlighting the “It is fitting that such a prestigious project impact that it has on over two million people in the UK, a figure that is set to double is being launched by the first elected Mayor by 2050. of the West Midlands, Andy Street CBE, who She said: “I’m supporting Fight for Sight because this is an issue close to my heart is probably best known for his stewardship and I know the impact that sight loss can have on people and their families. The answer of the John Lewis Partnership, where he lies in research; research breakthroughs have already led to pioneering treatments that oversaw the expansion of the group at a have changed lives and yet this remains a desperately underfunded area. Most people will time of great pressure on the retail sector. know someone affected by sight loss so I hope as many people as possible will hear the “We look forward to welcoming Andy appeal and feel able to donate towards much needed research.” and all our guests to the NRC’s official To find out more or to make a donation visit www.fightforsight.org.uk opening ceremony,” Clive added. EXAMS ERROR PROBE ABDO has launched a “full and thorough” investigation after discovering a “serious problem concerning a case record” submitted for its summer examination session. The 130 ABDO College students known to have been affected were informed of the problem by writing from the Association last month. ABDO stated: “The GOC was informed immediately the problem was discovered. The ABDO College trustees and the ABDO board have also been informed. A full and thorough investigation is underway and no further statements will be issued until these are completed.” coordinator. Rian brings an extensive range “I want LOVE FOR THE JOB of experience to the department, which to help With his “love of optics and education”, will help him to shape and develop our students feel Rian Love will be well suited to his new Optical Support Programme offering to supported. position as courses coordinator for Optical students in the years ahead.” It’s not that Support Programmes at ABDO College. Rian said: “I am excited to be taking on long since I Taking over the role from Steve this new role with ABDO College. I love was a student Roberts, Rian has previously worked as a optics and I love education. I think it is and I want to tutor for the College and the Worshipful really important that everyone working in use my recent Company of Spectacle Makers. optics gets the chance to continue their experience in Commenting on the appointment, education. The WCSM module system this role, Rian Love College principal Jo Underwood said: “I am allows you to pick the modules that suit adding to delighted to welcome Rian Love to the your practice, and you can use your optics the extensive experience of the ABDO ABDO College team as our new courses knowledge to influence a better product. College staff,” added Rian. 8 Dispensing Optics SEPTEMBER 2018
Keep your competitive edge Over 1100 UK independent optical practices, like yours, benefit from being members of the National Eyecare Group. We offer preferential purchasing terms, exclusive products and promotions, simplified accounting with one monthly invoice for all purchases and a range of business support. MEMBERSHIP BENEFITS: • No joining fees • Preferential purchasing terms • No minimum spends • Simplified accounting • Unique holiday incentive scheme • Full business support Visit www.nationaleyecare.co.uk for more information or for a no obligation in practice consultation please call Sandi Charlesworth FBDO on 07794 096647 Supporting your independence since 1979 edge@nationaleyecare.co.uk www.nationaleyecare.co.uk
NEWS Guidance for professionals and patients PROMOTING GOOD ONLINE PRACTICE The European Council for Optometry and Optics (ECOO) has developed two guidance documents on good online practice: one for professionals, the Dr Keane with Moorfields patient, Elaine Manna second for consumers and patients. “The main aim of these guidance documents is to ensure that online AI EYE DETECTION BREAKTHROUGH activities are approached in the same way A major breakthrough in the use of artificial intelligence (AI) to detect sight-threatening as offline activities, meaning that eye diseases was reported across the globe last month. behaviour is based on the principles of Published in the journal Nature, the ground-breaking research was carried out by honesty, safety, informed consumer and Moorfields Eye Hospital, DeepMind Health and University College London (UCL) Institute patient choice, transparency and integrity,” of Ophthalmology and describes how AI technology has been successfully trained on said a spokesperson for the Council. thousands of historic de-personalised eye scans to identify features of eye disease, and “The documents are also meant to raise awareness of the need for responsible recommend how patients should be referred for care. online practice and, to this end, they The AI system was found to be capable of recommending the correct referral decision outline key principles to keep in mind for for more than 50 eye diseases with 94 per cent accuracy – matching world-leading those who either offer or use online eye experts. optical or optometric services.” Dr Pearse Keane, consultant ophthalmologist at Moorfields Eye Hospital NHS ECOO also reminded practitioners that Foundation Trust and NIHR Clinician Scientist at the UCL Institute of Ophthalmology, said: the data economy and the emergence of “The number of eye scans we’re performing is growing at a pace much faster than human new technologies was developing “at an experts are able to interpret them. There is a risk that this may cause delays in the diagnosis unprecedented pace”. It was therefore and treatment of sight-threatening diseases, which can be devastating for patients. committed to ensuring that the guidance “The AI technology we’re developing is designed to prioritise patients who need to be documents for good online practice, which seen and treated urgently by a doctor or eyecare professional. If we can diagnose and were adopted during its general meeting in treat eye conditions early, it gives us the best chance of saving people’s sight. With further May, remained ‘living manuals’ and were research, it could lead to greater consistency and quality of care for patients with eye updated regularly. problems in the future.” The documents can be downloaded at Read more at www.moorfields.nhs.uk www.ecoo.info CONTACT LENS TOME RELEASED INCOMING Articles on how to retain contact lens patients, how to CHAIR NAMED manage their concerns about presbyopia, the latest Mike Fegan will take up the position of statistics on the UK contact lens market, as well as non-executive chair of the Local Optical handy reference tables, are all included in the newly- Support Unit (LOCSU) board in November. released 2018 ACLM Contact Lens Year Book. Having previously worked for FTSE 100 Available to order via the Association of Contact Lens companies, SMEs, start-ups and non-for- Manufacturers’ website at www.aclm.org.uk, or provided profit and charitable organistions in a variety free of charge to members of the British Contact Lens of senior roles, Mike will assume the role Association (www.bcla.org.uk), the Year Book lists after the National Optical Conference to be technical details for all the contact lenses, solutions and held in Kenilworth on 14 and 15 November. materials produced by ACLM member companies, and covers He replaces Alan Tinger, who steps down the overwhelming bulk of products available in the UK. Annual Year Book released this autumn after 10 years in the role. 10 Dispensing Optics SEPTEMBER 2018
Polarising Sunglasses SALES: 01452 510321 FAX: 01452 510331 EMAIL: sales@norville.co.uk www.norville.co.uk
NEWS Daniel with Visualise executive assistant, Gill Perry Acuitis concept store SIGHT LOSS FRENCH ‘FASHION CHAIN’ ROLLS OUT REFERRAL RESOURCE French optician Acuitis is rolling out its new store concept to more than 40 outlets in A free resource pack for eyecare and health the UK, with design, in-store communication, digital marketing and out-of-home professionals containing information on advertising all through retail agency Blackdog. sight loss support services, charities, The optician has already trialled the concept at its Tottenham Court Road, Milton equipment and referral pathways, has Keynes and Oxford sites; Blackdog will develop strategy and communications as the been produced by Visualise Training and brand is rolled out across the UK over the next two years. Consultancy with the support of the Acuitis sells own brand designer frames created by Paris-based eyewear designer, Thomas Pocklington Trust. Frederic Beausoleil. Blackdog has been briefed to adapt and tailor the company’s core The pack complements the ‘Seeing proposition – that of an optical ‘fashion brand’ – to the UK market, in a challenge to beyond the eyes’ CET workshops, with Specsavers and Vision Express. The branded optical and hearing provider already has more information on local sight loss charities, eye than 60 stores in Italy, Spain, France and Luxembourg. clinic liaison officers, low vision assessment Anna Thomas, retail operations director at Acuitis, says: “We want Acuitis to become a services, vision rehabilitation workers and real challenger in the opticians and hearing market within the next two years, and habilitation workers. It also lists national Blackdog’s expertise is helping us to understand the gaps in the sector, educating and organisations supporting people with sight increasing the awareness of hearing health and amplifying our points of difference to loss and condition specific charities. make us relevant to a wider customer base in the UK.” Daniel Williams of Visualise said: “It is vital patients with sight loss are referred AIO LOBBIES ON FREE EYE EXAMS immediately to sight loss services that can enable their independence and help them The Association for Independent Optometrists and Dispensing Opticians (AIO) has deal with a difficult time in their life. written to Matt Hancock, the Secretary of State at the Department of Health and However, optical professionals can’t refer if Social Care, to call for changes in which the GOS1 fee can be claimed in respect of they don’t know who they are referring to – eye exams. hence why we have created such a resource The AIO has proposed that the government stipulates that optical outlets cannot pack and training roadshow.” claim a fee for an eye exam or sight test from GOS public funds that exceeds any sight Roadshow delegate Charles Segal, a test fee advertised, or offered to the public, by that outlet or associated group. dispensing optician at D. and H. Hantman Christian French, chairman of the AIO commented: “It is not right that taxpayers’ Optometrists, said: “It was one of the best money is being used to fund what are being described as ‘free’ eye tests for the public, CET courses I have attended. I had no idea when patently they are not free if the government is paying for them. Ultimately, what that there was such a range of services; it we are seeking is transparency in terms of who is paying for sight tests on the High Street. made me fully aware of where we can send We have proposed a meeting with the Secretary of State to discuss our proposals.” people and not just refer to the eye hospital. The course has given me the confidence to help people who enter my practice and LUXURY BRAND DEAL give them advice. The details of suppliers Following the signing of a new license agreement with Mulberry Group, De Rigo of low vision aids and daily living solutions Vision expects to drop its first Mulberry Eyewear collection in spring/summer 2019. are also invaluable for people facing sight The British brand range will be designed by the Mulberry design team, led by Johnny loss during their transition to a different Coca, and will consist of sunglasses and optical frames. De Rigo will manufacture and co- way of life,” Charles added. distribute the eyewear across the Mulberry network, which includes flagship stores, the The pack can be downloaded free of www.mulberry.com digital platform and select wholesale and optical practices. charge from the resources area of UK practitioners may view the collection by contacting their dedicated sales www.visualisetrainingandconsultancy.com representative. 12 Dispensing Optics SEPTEMBER 2018
SO MUCH MORE THAN JUST A FAIR F R O M S E P T E M B E R 2 8 TH TO OCTOBER 1 ST 2018 PA R I S N O R D V I L L E P I N T E silmoparis.com O rd e r y o u r b a d g e o n s i l m o p a r i s . c o m w i t h t h e c o d e P R E S S 1 8
NEWS Expanding education offer RENEWED FOCUS FOR PARTNERSHIP SCHEME Joint programme for Visionaries 2018 Following feedback from practitioners who stated that social media, digital advertising and online content were the areas they MEETING OF MINDS IN LONDON found most relevant to their changing The British Contact Lens Association (BCLA) will mark the 25th anniversary of the Medical business needs, Alcon is expanding its Contact Lens and Ocular Surface Association (MCLOSA) by teaming up to present a education portfolio by offering regular joint programme within the BCLA Visionaries conference on 30 November in London. events with peer networking. BCLA president Professor Sunil Shah said the partnership with MCLOSA, a sub The first set of these events will focus specialist ophthalmology interest group with a focus on the cornea and external eye on ‘Mastering social media and digital disease, had the potential to improve clinical care. marketing’, teaching attendees how to He said: “As a corneal specialist, I have been involved in the BCLA and worked with grow their contact lens practices using optometrists, CLOs and industry for many years. A joint conference with MCLOSA, which social platforms. Partners can also benefit I hope will be the first of many, will allow the multidisciplinary group that forms the from a library of digital assets to help BCLA to interact with the MCLOSA members to the benefit of both groups and hence drive communication with current and ultimately the clinical care that is provided.” future patients. MCLOSA is focused on innovations in contact lens practice, clinical care and medical By joining the programme and becoming management of contact lens wear, and the role of contact lenses in different eye diseases.” MCLOSA president, Alex Shortt, said: “This joint conference is an exciting collaboration, a partner, practitioners can gain priority which will see the UK’s leading optometrists and ophthalmologists come together to exchange access to Alcon’s education days, which knowledge and develop their ocular surface and contact lens skills for the benefit of patients.” offer a blend of lectures and workshops. Further details can be found at www.bcla.org.uk Ray Pasko, business unit head of vision * The BCLA has announced it will be returning to Manchester for its 2019 clinical care at Alcon, said: “As an integral part of conference and exhibition – from Thursday 30 May to Saturday 1 June. who we are and how we support BCLA chief executive, Cheryl Donnelly, said: “We are thrilled to be heading back to independent opticians, we’re delighted to Manchester Central. It promises to be a weekend to remember, featuring a host of passionate welcome new and existing partners to the speakers who can inspire eyecare professionals to make a real difference to patients’ lives. updated programme.” VAO is asking all optical practices in the UK, and everyone who cares about clear vision, to celebrate WSD on Thursday 11 October 2018 by organising their very own Big World Sight Day Lunch. “The Big World Sight Day Lunch is a really simple way to get everyone together and involved in supporting access to eyecare everywhere,” said Andy Holliday, VAO director of fundraising and communications. “We will provide you with a ‘lunch box’ full of useful Lunch box challenge materials such as bunting, invites and balloons that you can use to promote your donations double thanks to Freedom DOUBLE BUBBLE FOR Destinations, one of the UK’s largest event to your patients, family and friends. To receive your lunch box, why not kickstart BIG WSD LUNCH independent holiday companies. The your fundraising today by donating £5, the Practitioners taking part in Vision Aid travel firm has pledged to double every cost of an eye test and pair of glasses?” Overseas’ (VAO) Big World Sight Day donation up to the first £5,000 raised Find out how to get involved at Lunch this October will see their through the lunch. www.visionaidoverseas.org 14 Dispensing Optics SEPTEMBER 2018
David Baker, Dunelm managing MANNING UP director, said: “Lee brings a wealth of THE SOUTH knowledge and experience and will be well Lee Trowell is the new regional sales placed to ensure our customers continue manager at Dunelm Optical responsible to receive excellent levels of support.” for practices south of the Thames and M4. * Dunelm has updated its website Lee has seven years’ experience in with a fresh and contemporary design, the optical industry, including five years easy navigation, improved performance spent at Rodenstock, and will offer and access to all of Dunelm’s product Dunelm’s information. 16-strong Visit www.dunelmoptical.com brand collection including its new Freya eyewear range for women (see Dr Dumbleton (left) with CooperVision’s next month’s Mark Draper and Debbie Olive Product Lee Trowell CONSUMER INSIGHTS Spotlight). UNLOCKED At a recent CooperVision education event in London, clinical scientist and educator, Dr Kathy Dumbleton, helped delegates understand how a patient’s contact lens wearing experience could be improved with silicone hydrogel daily disposables. She also reviewed published clinical data showing that silicone hydrogel is the material of choice, even in a daily modality. During the evening, CooperVision shared findings from its recent consumer research project highlighting the emotional benefits of contact lenses. The findings included: eight out of 10 contact lens wearers associated a sense of MAUIGreen in Shoal freedom, confidence or adventure with contact lenses; eight out of 10 patients felt that having both contact lenses and LUSH LANDSCAPE REFLECTED glasses gave them the best of both worlds; The lush and verdant beauty of the rain-forested hills of East Maui are reflected in and 65 per cent of contact lens wearers Maui Jim’s newest fashion mirror option – MAUIGreen – available exclusively in the would definitely be more likely to latest style, Shoal. recommend their optician if they told The green mirror is applied over the company’s Neutral Grey lens and has no them they were suitable for contact lenses gradient, similar to its other popular fashion mirrors, Blue Hawaii and Maui Sunrise. as well as glasses. people suffering from visual loss due to The modelling takes into account the OUTSTANDING GRADE irregular corneas. properties of eye and lens and FOR KNOWLEDGE The team consisted of: research associate, demonstrates how soft lenses drape, Contact Lens Precision Laboratories Dr Ahmed Abass; business-based supervisor, stretch and settle onto a cornea. The eye (CLPL), recently acquired by SEED, has Lynn White; knowledge-based supervisor, profile software can be used to compare been awarded the highest grade of Dr Steve Jones; chair of the project local the fit of lenses directly between ‘Outstanding’ by the KTP Grading Panel management committee, John Clamp; Gerry individual eyes and across different for its Knowledge Transfer Partnership O’Hagen of Innovate UK; and knowledge- populations, thus improving the efficiency with the University of Liverpool. based leader, Professor Ahmed Elsheikh. of the design process. The Partnership, which ran from March During the project, a suite of software The project has already contributed 2014 to December 2017, was set up to programs was developed to facilitate towards the design of new products such develop state-of-the-art contact lenses for analysis of how a soft lens fits on the eye. as the Avanti monthly disposable. Dispensing Optics SEPTEMBER 2018 15
NEWS Classroom time investigated EDUCATION AND MYOPIA LINKED “Exciting new training scheme” To find out whether more time spent in education was a causal risk factor for ENHANCED SERVICES myopia, a research team from the DIPLOMA CREATED CLO, Samantha Armstrong Bristol Medical School used Mendelian randomisation (MR) applied to a large, Specsavers has introduced a new Enhanced Optical Services (EOS) diploma for its population cohort, known as the clinical assistants. INVESTING IN PEOPLE UK Biobank. The research showed that for every The BTEC Level 2 qualification will It’s all change at CooperVision: additional year spent in education, there develop the skills of assistants who perform optometrist, Neil Retallic, has been was an increase in myopic refractive error delegated procedures in ophthalmological appointed as professional services of 0.27D per year. or optometric services. The resulting manager, covering for Krupa Patel whilst Research co-leader, Dr Denize Atan, said: national qualification – the BTEC Level 2 on maternity leave. Diploma in Healthcare Science – is approved Neil joins the team with 15 years’ “Our study provides strong evidence that by the Royal College of Ophthalmologists. experience from his time at Vision Express, length of time spent in education is a causal The training is aimed at clinical alongside 10 years of teaching experience risk factor for myopia. With the rapid rise in assistants in stores with EOS contracts, as at the University of Manchester. the global prevalence of myopia and its well as assistants in Newmedica eye health Contact lens optician, Samantha vision-threatening complications, together clinics and surgical centres. The 18-month Armstrong, had joined as a professional with the economic burden of visual loss, the programme combines distance learning services consultant to help deliver contact findings of this study have important lens education focusing on the North of implications for educational practices.” with face-to-face workshops. England and Scotland. The research team suggested that less Jen Geatrell, senior editorial manager Sarah Weston is now senior marketing time spent outdoors was a possible link in Specsavers’ professional training and manager, moving across from her role as between education and myopia, and they development team, said: “This exciting new European marketing manager for recommended children spend more time training for our clinical assistants will not CooperVision’s daily disposable lenses. outside. The research team also suggested only lead to a nationally-recognised Sarah replaces Lara Drury, who is now that future studies could look at whether qualification, but also help to improve the senior customer marketing manager. ‘bright light’ classrooms might work professional delivery of EOS throughout CooperVision head of marketing and against myopia. our network of stores, ultimately professional services, Mark Draper, said: The paper, ‘Education and myopia: benefiting the customer.” “These new appointments reinforce our assessing the direction of causality by Our photograph shows (from left): Lily commitment to continually investing in mendelian randomisation’ by Ed Mountjoy et Traynor, optometrist and course supervisor, our people and growing our team in order al is published in the British Medical Journal and Sam Meikle, optical assistant, with to provide practitioners with a trusted and (https://doi.org/10.1136/bmj.k2022). a patient. knowledgeable service.” Kristina Mihic who joins myopia control lenses, ORTHO-K from her role as clinical and No7 will work closely RESEARCH PROJECT tutor at the University of with Kristina on all Velika Gorica in Croatia. aspects of design. City University’s Division of Optometry “We know that * Jon Saunders has & Visual Sciences has taken on a PhD wearing ortho-k lenses been promoted to student to look at designing an slows the rate of myopia EyeDream account ortho-k contact lens specifically to Kristina Mihic progression,” said Jon Saunders manager at No7. With 12 maximise myopia control, as well as Kristina. “We are looking at the best means years’ experience at the company, Jon said: correcting vision. of ensuring the most successful outcomes “We are concentrating on front-of-house Jointly funded by No7 Contact Lenses, for patients in the long-term.” training for EyeDream to ensure that which will have the option to manufacture The three-year role is set to bring greater everyone in the practice is able to promote any new designs, the student is optometrist clarity of understanding in the field of the great benefits that ortho-k offers.” 16 Dispensing Optics SEPTEMBER 2018
REACHING OUT WITH ‘BIO-INSPIRED’ RANGE Bausch + Lomb has extended the parameters of Biotrue ONEday for Astigmatism, its toric lens design with a ‘bio-inspired’ material containing 78 per cent water. The addition of a new cyl, -2.25, to the early access range that was launched in October 2017 is available now. Similar to Biotrue ONEday and Biotrue ONEday for Presbyopia, Biotrue ONEday for Astigmatism utilises Surface Active Technology. This technology uses hydrophilic polyvinylpyrrilidone (PVP), a water loving molecule, and Additional cyl added to toric lens poloxamer 407, a surface active macromer, to form a dehydration barrier that is said to help the lens maintain 98 per cent of its moisture for up to 16 hours. The lens also features an evolved prism free peri-ballast designed to support Fitting talk stability and fit and work with natural blink patterns. The design includes a thin tapered edge to limit lid interaction, orientation marks to help patients during application and spherical aberration control for low-light conditions. Amy Rothwell, Bausch + Lomb business unit head UK and Ireland, vision care, said: “We are delighted that practitioners will now be able to fit a larger number of patients with Biotrue ONEday for Astigmatism, providing these For contact lens opticians, patients with consistently clear vision and comfort throughout the day.” there’s always something SOOTHING PLANT-BASED SOLUTION PRODUCT SPOT new to discuss with A new solution for dry, irritated eyes is available from Avizor in the form of patients – whether it be Lacrifresh Aloe. Delivered in shelf-ready trays of 12 single 10ml bottles and approved for use with contact lenses, Lacrifresh Aloe is designed to help lenses, solutions or soothe and calm “very mild dry eye”, as it contains aloe vera, carboxypeptidase technologies. Here are just a few new enzymes and bradykinase. “As our contact lens solution Alvera helps protect and repair and rebuild developments in the sector… damaged cells, Lacrifresh Aloe also aids the recovery of those cells,” explained Gary Daniels, Avizor UK country/general manager. Lacrifresh Aloe lubricates and moisturises irritated eyes due to a concentration of hypromellose. It is preservative free and dispensed from an easy-to-use ophthalmic squeeze dispenser system bottle, which keeps the product sterilise for up to 90 days. “This launch is the first of many new product innovations in 2018/19 for Avizor and we are extremely excited at bringing a new product to market under the Lacrifresh family that improves the symptoms of eye irritation whilst providing a high level of lubrication and wetting action,” Gary added. SYNERGISTIC DEAL WILL DELIVER HIGH-TECH LENSES SynergEyes, the leading hybrid specialty contact lens company, has announced a new partnership with the Brien Holden Vision Institute (BHVI), the leading translational vision correction centre in the world to deliver advanced, customised vision correction for myopes and presbyopes. The exclusive worldwide licensing agreement will enable the manufacturing of design technologies developed by BHVI, augmenting the New launch in dry eye sector SynergEyes presbyopic package by offering the latest designs on the hybrid contact lens platform. “SynergEyes seeks to improve the quality-of-life for people by delivering on the hybrid platform innovative lens designs that solve age-old problems in a new way,” said James Kirchner, president and CEO of SynergEyes. “Working with a recognised worldwide leader like the Brien Holden Vision Institute, we plan to bring an extended depth-of-focus lens design onto the hybrid platform to the global market.” The BHVI has developed new optical designs that incorporate an extended depth of focus (EDOF) to provide optimal visual performance from distance to near with minimal ghosting. The EDOF lens provides a series of smooth, non- monotonic power variations across the optic zone to deliberately manipulate multiple higher-order aberrations. The idea is to achieve an extension in depth of focus that would facilitate a balanced visual performance designed to satisfy presbyopes with low, medium and high-add requirements. Next month’s Product Spotlight will be on new eyewear releases for Hybrid lenses to benefit from EDOF technology autumn/winter. Dispensing Optics SEPTEMBER 2018 17
CET COMPETENCIES COVERED Dispensing opticians: Communication, Standards of Practice, Contact Lenses Contact Lens Opticians: Communication, Standards of Practice, Contact Lenses Optometrists: Communication, Standards of Practice, Contact Lenses Contact lenses: the first collection visit by Richard Harsant FBDO (Hons)CL (Hons)LVA E stablishing and maintaining a HYGIENE ARE THE PATIENT’S EYES OK TODAY? good routine when a patient In some practices, the collection may take If instruction is undertaken immediately collects their first pair of contact place in a consulting room; some may have after the fitting by the CLO or optom, it lenses is a very important step a dedicated area elsewhere in the practice. may be sufficient just to ask the patient if in ensuring a long and trouble- In either case, it is important that the space their eyes are feeling OK to continue with free contact lens wearing experience for is clean and tidy, with privacy and no insertion and removal. our patients. Human beings are creatures distractions. If the patient is a child, the If, however, the patient has returned for of habit, so we need to establish and involvement of a parent or guardian should collection some days later, it might be encourage good habits from the outset, be considered. prudent to ask if their eyes feel OK today, and to follow up and reinforce those good and to perform a slit lamp examination. Any habits as part of the aftercare routine. It HAND WASHING potential issues should be resolved (if often happens that contact lenses are If you search the NHS Choices website, you necessary by referral to the prescribing CLO inserted quite early in the day when most will find a good video on the subject of or optom) before proceeding with insertion people are working on ‘autopilot’. hand washing. While it is not specific to and removal instruction. In some practices, the contact lens contact lens wear, it may be regarded as optician (CLO) or optometrist (optom) who relevant. My only concern was the advice LENS INSERTION AND REMOVAL prescribes the contact lenses, may personally concerning alcohol-based hand rubs. I (SOFT LENSES) undertake the task of training patients in thought there might be a possibility of Occasionally, patients may have identical lens handling and hygiene. In other practices, causing discomfort from any residual contact lens specifications in both eyes. It this may be delegated. While the task itself alcohol, so I tried it out myself, and I did may be best, however, for the patient to may be delegated, the overall responsibility not experience any adverse reactions. think of them as right and left lenses because for the patient’s welfare remains with the ABDO’s Advice & Guidelines also has they may need different specifications right CLO or optom who has fitted the lenses, comprehensive information about hand and left at some future time. Also, this should and any difficulties or issues encountered hygiene and infection control1. reduce the potential for cross infection must be brought to the attention of the Fashionably long fingernails may between right and left eyes. relevant colleague, and noted on the present a challenge. This is seldom patient’s records. insuperable; the practitioner should explain TAKING THE LENS FROM THE BLISTER The General Optical Council acknowledges the risks of corneal abrasion carefully to the PACK OR VIAL SAFELY the skills of dispensing opticians (DOs) as patient and make relevant notes on the The patient and the optician should both well as those of CLOs and optoms in providing patient’s records. wash and dry their hands. The practitioner advice and instruction on the insertion, It is important that all staff ‘practice should demonstrate how to roll back the removal and care of contact lenses during what they preach’ and set a good example foil on the blister pack of the lens. The the collection visit. This is reflected in the to their patients, particularly with regard to forefinger of the dominant hand is then Core Competencies for DOs. hygiene and contact lens handling. applied gently, but firmly to the lens and This article has been approved for 1 CET point by the GOC. It is open to all FBDO members, and associate member optometrists. The multiple-choice questions (MCQs) for this month’s CET are available online only, to comply with the GOC’s Good Practice Guidance for this type of CET. Insert your answers to the six MCQs online at www.abdo.org.uk. After member login, go into the secure membership portal and CET Online will be found on the L menu. Questions will be presented in random order. 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 the January 2019 C-60432 issue of Dispensing Optics. The closing date is 11 December 2018. 18 Dispensing Optics SEPTEMBER 2018
may be advisable to demonstrate this to the patient. The lens should also be visually inspected for potential damage, manufacturing defects, or flaws using a reasonably bright light source. Patients should be instructed to go through this routine each time before inserting their lenses. With practise, many patients are able to insert and remove their contact lenses without using a mirror, but it is probably better for them to start off using one. Myopes should be encouraged to come close to the mirror, indeed, many of them do this without being prompted. Some hyperopic patients will benefit from using a concave mirror. There should be a definite routine about which lens is inserted first, to try to avoid lenses being inserted into the wrong eye. Even if the lens specifications are identical right and left, it is advisable not to mix them up to avoid possible cross infection. A commonly used method is for the patient to insert the lens into their right Figure 1: The saucer-shaped appearance eye first if right-handed, and left eye first if of an inverted soft lens left-handed. The lens is placed onto the forefinger tip of the dominant hand. The employing a wiping or pinching motion the It may come about that a patient might patient is then instructed to look down. The contact lens will usually adhere to the inadvertently invert a lens while cleaning it, fingertips of the non-dominant hand are fingertip. If the lens is in a glass vial, it may so they need to be competent in how to used to hold the edge of the top lid and eye be necessary to use a ‘lens lift’ instead of deal with this situation. lashes up, out of the way. Usually, the the fingertip. The example often used is that a lens, middle two fingers are sufficient. which is the correct way round, appears to The patient is then instructed to look CHECKING IF THE LENS IS INVERTED be bowl shaped, while an inside out lens straight into the mirror. The middle finger OR DAMAGED appears to be saucer shaped (Figure 1) of the dominant hand is used to pull down It is unusual for a new soft lens to be when the lens is observed in ‘edge on’ the lower lid, and the lens is gently placed inverted (inside out) or damaged in the profile, balanced on the fingertip. Toric onto the centre of the eye (Figure 2). It is advisable to pause for a few seconds blister pack or vial, but it is wise to check it. lenses may appear quite distorted and it at this point to allow the lens to settle onto the eye. Sudden, or premature release of the lids, may cause the lens to be expelled from the eye. The finger holding the lower lid should be released slowly and gently, and then the ones holding the upper lid. To remove a soft lens, the lids are held out of the way as described above. The forefinger of the dominant hand is placed on the centre of the lens, and the lens is dragged downwards. This releases the suction, which is holding the lens in place, and a gentle pinching technique may be employed, using the forefinger and thumb, to remove the lens from the eye. If the patient is using single use disposable lenses, the lens should be discarded. If the lens is of the re-useable kind, it should be cleaned and stored. The routine for this should be shown, using the technique demonstrated at the collection appointment and given in the Figure 2: Inserting a soft lens manufacturer’s leaflet. Dispensing Optics SEPTEMBER 2018 19
Continuing Education and Training It is usual to clean and store each individual lens immediately after removal, thus reducing the likelihood of the lenses becoming dried out, or mixed up (right to Box 1: The GOC Contact Lens left). The prescriber is responsible for the decision as to which care system is (Specification) Rules 19892 appropriate for the patient. When supplying contact lenses to a patient there is a duty to give them a LENS INSERTION AND REMOVAL copy of their contact lens specification. It must include: (RIGID LENSES) (a) The name and address of the patient. While a rigid lens is less likely to be damaged (b) If the patient is under the age of 16 on the day the specification is than a soft lens, it should still be inspected issued, their date of birth. carefully before insertion each time. It is (c) The name and GOC Registration number of the person signing common practice for rigid lenses to be the specification. engraved with markings to show which is (d) The address at which the person signing the specification practices. right and which is left. These markings should (e) The name of the practice on whose premises the fitting was done. be brought to the patient’s attention. Failure (f) The date the fitting was completed. to do this may result in the patient assuming (g) Sufficient details of any lens fitted to enable a person who fits or that the lens has been damaged. supplies a contact lens to replicate the lens. Rigid lenses are a bit more fiddly to (h) The date the specification expires. handle, and are usually considerably smaller (i) Such information of a clinical nature as the person fitting the lens than soft lenses, so it is desirable to have considers to be necessary in the particular case. the patient seated at a table. It is normal to put a drop of wetting solution on the inside surface of a rigid lens prior to insertion. As well as encouraging and will require surgical removal. Happily, WEARING SCHEDULE good wetting, this has a cushioning effect, the situation can be resolved by getting the Usually a slower build-up of wearing time is ameliorating to some extent the foreign patient to look down, close the eye gently, advised for rigid lenses rather than soft body response of the eye to the rigid lens. and apply firm downward massage with the lenses because of the stronger foreign body Otherwise, the routine for insertion is fingers through the eyelid. sensation that they induce. similar to that used for the soft lens. However, the patient will usually have a more marked foreign body sensation than they would have to a soft lens. This can be minimised by telling the patient to look down before releasing the eyelids, and to Box 2: ABDO’s Advice & refrain from blinking a minute or so. The majority of the sensation comes from the Guidelines state: interaction of the top lid with the upper edge of the lens. It is sometimes helpful to 3.5.3 Following the fitting, the patient should be provided with instructions demonstrate this by holding the top lid up and information on: for a few moments. • The insertion and removal of lenses, their care, storage, treatment, There are various ways of removing a disinfection and cleaning; rigid contact lens. A good one to start with • The wearing schedule for the lenses; is to instruct the patient to open their eye • The need for regular periodic review of the appropriateness of the lenses; as widely as possible. Then to place the tip • The importance of seeking professional advice immediately any problem of their middle finger at the outer canthus, of discomfort, redness, watering, or visual disturbance is experienced pull the skin firmly in the direction of the and how and where to obtain that advice, both during and outside normal top of the ear and blink. The other hand office hours; should be ready in position to catch the lens. • The importance of seeking professional advice before changing to a It may come out quite quickly, so they need solution which has not already been recommended as suitable by the to be ready to catch it. Other methods are person fitting the lenses; described in various text books. • The importance of seeking professional advice before accepting a supply Rigid lenses generally are less stable on of substitute lenses. the eye than soft lenses, and are more likely • Only contact lens opticians on the GOC’s specialty register, optometrists to come out by accident. It is wise to warn and medical practitioners are allowed to fit contact lenses. As issuing the patient of this. advice and information on the handling and care of contact lenses is part Smaller rigid lenses have been known to of the fitting process, it should only be carried out by one of these groups ‘disappear’ into the patient’s upper fornix. or under their direct supervision. The unfortunate patient may panic, thinking that the lens has got lost behind the eye 20 Dispensing Optics SEPTEMBER 2018
The prescribing practitioner should have simple description of the relevant anatomy Available online at www.abdo.org.uk/ discussed this with the patient during the may be given to put their mind at rest. advice-guidelines fitting and noted their decision on the • The patient should be advised not to (accessed 12 July 2018). patient’s records. change their care system without taking 2. The General Optical Council. Contact professional advice. Lens (specification) Rules 1989 [Online] CARE SYSTEM • It may be reassuring to check that the Available online at www.optical.org/ The prescribing practitioner is responsible for patient has the practice telephone download.cfm?docid=9EE2AE3D-AFB4- specifying the care system to be used by the number, just in case any unforeseen 4B18-BAE9D8DB40DCBA27 patient, and must communicate their decision queries arise. (accessed 12 July 2018). regarding this to the DO or delegated person • The use of comfort drops, or rewetting 3. Association of British Dispensing Opticians. conducting the collection. This should also drops should be explained and Advice and Guidelines Appendix B2: be documented in the patient’s record. Case demonstrated to the patient if the Contact Lens Specification. 2015. hygiene is a very important factor. When prescriber has recommended them. Available online at www.abdo.org.uk/ the lenses are safely settled on the patient’s • Most manufacturers provide written advice-guidelines (accessed 12 July 2018). eyes, the case should be cleaned, dried and material and online videos and information 4. British Contact Lens Association. Important stored hygienically until it is needed again. for patients. To avoid confusing the dos and don’ts of contact lens wear. patient, there should be a high degree of Available online at www.bcla.org.uk/ CONCLUDING THE APPOINTMENT conformity between the two. Public/Consumer/Important_dos_and_ Finally, at the end of the collection • Patients should be advised not to wear dont_s_of_contact_lens_wear.aspx appointment, if the fitting is considered to their contact lenses while swimming or (accessed 12 July 2018). be complete, the contact lens specification showering, and should not rinse their (Box 1) must be issued3 – also ensuring lenses in tap water because of possible RICHARD HARSANT has run low vision that all the points listed in ABDO’s Advice & acanthamoeba keratitis infection. and clinical contact lens clinics for East Guidelines have been covered (Box 2). • A list of ‘Dos & Don’ts’ for contact lens Kent Hospitals University NHS Trust for patients is available from the BCLA website4. more than 20 years. He has lectured in GENERAL ADVICE these subjects in the UK, Eire, Malaysia, • It is not unusual for patients to be REFERENCES and Kenya, and the Republic of South concerned about the possibility of a 1. Association of British Dispensing Africa as well as authoring several CET contact lens becoming lost behind the eye, Opticians. Advice and Guidelines Section articles. He retired this year as a contact and located somewhere in their head. A 4: Infection Control. 2018. lens examiner for ABDO. Duncan, said: “After discussion at the recent ABDO BACKS ‘DRIVING ABDO board meeting, there was unanimous BLIND’ CAMPAIGN support to endorse the project and ABDO is backing a new national collectively we applaud the direction of campaign to stop UK motorists ‘driving travel that colleagues at Essilor are taking. It blind’ that will petition government for is essential that representative bodies and direct action to cut road accidents other stakeholders join forces to influence caused by drivers with defective vision. change with key decision makers. Whilst The campaign has been launched by Call for petition signatures there will be challenges along the way, there Essilor, with support from ABDO, the would require drivers to have their sight is most definitely both an eye and public Association of Optometrists, International tested in optical practices before their health benefit which cannot be ignored. Opticians Association, GEM Motoring Assist, driving test and at every licence renewal “The ABDO board hopes that individual independent opticians, MPs application up to the age of 70 and then dispensing opticians will be proactive by and activists. every three years, with test results supplied encouraging as many people as possible to Campaign spokesman Nigel Corbett with licence renewal paperwork. sign the petition and trust that they will from Essilor and ABDO are rallying optical Nigel said: “We need social media recognise the benefits themselves. Once professionals to support the support, and we will share blogs and again, it is important for DOs to play a www.drivingblind.org.uk campaign by messages of support so email major part in educating those with visual signing the petition at https://petition. drivingblind@gravitaspr.co.uk or call us for issues about driving when they shouldn’t parliament.uk/petitions/221410 and quick and easy ways to help. We have be, highlighting the need for regular encouraging colleagues, patients and MPs posters and petition copies that can be eye examinations and sign posting to do the same. Nigel Corbett will present used in practices which most patients will accordingly for further assistance when the Road Safety Starts with Good Vision sign, but even if each optical professional the need arises”. Manifesto this winter in the House of signs it, we are half way to our target.” Follow the campaign on Twitter and Commons, calling for new legislation. This ABDO deputy chief executive, Barry Facebook @DrivingBlindUK Dispensing Optics SEPTEMBER 2018 21
You can also read