DISPENSING OPTICS - SEPTEMBER 2018 - ABDO

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DISPENSING OPTICS - SEPTEMBER 2018 - ABDO
SEPTEMBER 2018

                 DISPENSING
                 OPTICS
                 N EW S , I N F ORMATION an d
                 E D U C ATI ON fo r OP TICIANS
DISPENSING OPTICS - SEPTEMBER 2018 - ABDO
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
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                                                                                       technology.                                    seminars, training, revision and CET courses.
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                                                                                     • 10 clinical bays equipped for refraction     • Lecture areas for 60 to 160 people.
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                                                                                       and contact lenses and pre-screen area.
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                                                                                                                                    • Flexible facilities offering one large area or
                                                       ET
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                                                                SS
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                                                                                     • State-of-the-art video slit-lamp which can     up to 5 separate rooms.
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                                                                                       be recorded and projected live on up to
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                                                                                                                                    • Rooms can be set up in theatre, exam or
            AS

                                                                       B4144           5 screens around the building.
                                                ET

                                                                                                                                      cabaret style.
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                 AV                            Aston Cross                           • Equipment for dispensing, screening, minor
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                                                                                                                                    • Catering facilities available including water
                                     HE

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                                               Business Village
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                             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 - ABDO
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 - SEPTEMBER 2018 - ABDO
Saskia wears STS-30022
DISPENSING OPTICS - SEPTEMBER 2018 - ABDO
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
DISPENSING OPTICS - SEPTEMBER 2018 - ABDO
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
DISPENSING OPTICS - SEPTEMBER 2018 - ABDO
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DISPENSING OPTICS - SEPTEMBER 2018 - ABDO
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
DISPENSING OPTICS - SEPTEMBER 2018 - ABDO
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
DISPENSING OPTICS - SEPTEMBER 2018 - ABDO
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
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