Dispensing Optics July 2023

Front Cover

Dispensing to children can be a challenging but very rewarding experience.

See In Practice on page 26.

IMAGE: From stock

features

18. CPD: C-105763

Record keeping by Fiona Anderson

23. ABDO CPD

New online CPD modules by Cheryl Hill

24. CPD MCAs: C-104703

Using evidence-based practice to communicate myopia management by Keith Tempany

26. In Practice

Best fit forwards by Kaye McIntosh

28. Tips and Tricks Part 4

Adjusting a spreading frame by Chris Gurnell

29. Report

To infinity and beyond by Nicky Collinson

30. Training

A helping hand for trainee CLOs

31. Interview

With Silmo Paris chairwoman, Amélie Morel

32. GOC survey

Points of view

5. Comment

6. Newsome's Notes

6. News

16.

33.

STEPPER (UK) Limited sales@stepper.co.uk steppereyewear.com

For UK frame availability, please consult website.

DISPENSING OPTICS

The Professional Journal of the Association of British Dispensing Opticians

Volume 38 No 7

EDITORIAL STAFF

Editor Nicky Collinson BA (Hons)

Telephone 0797 903 3542

Email ncollinson@abdo.org.uk

Assistant Editor Jane Burnand

Telephone 0793 993 6827

Email jburnand@abdo.org.uk

Design and Production Duncan Taylor-Jones

Email dtaylor-jones@abdo.org.uk

EDITORIAL/ADVERTISING

Telephone 0797 903 3542

Email ncollinson@abdo.org.uk

Website www.abdo.org.uk

SUBSCRIPTIONS

UK £150

Overseas £175, including postage

Apply to: Edward Fox FBDO

Association of British Dispensing Opticians Godmersham Park, Godmersham, Kent, CT4 7DT

Telephone 01227 733911

Email efox@abdo.org.uk

Website www.abdo.org.uk

ABDO CPD

Head of CPD

Alexandra Webster MSc PGDipE FBDO CL FHEA FBCLA

ABDO CPD, Unit 2, Court Lodge Offices, Godmersham Park, Godmersham, Canterbury, Kent CT4 7DT

Telephone 01206 734155

Email abdocpd@abdo.org.uk

CPD REVIEW PANEL

Josie Barlow FBDO CL

Andrew Cripps FBDO PG Cert HE FHEA

Kim Devlin FBDO (Hons) CL

Stephen Freeman BSc (Hons) MCOptom FBDO (Hons) Cert Ed

Clare Hayes FBDO CL SFHEA

Claire McDonnell FAOI

Graeme Stevenson FBDO (Hons) CL

Alex Webster MSc PGDipE FBDO CL FHEA FBCLA

Gaynor Whitehouse FBDO (Hons) LVA

EDITORIAL COMMITTEE

Nicky Collinson BA (Hons)

Antonia Chitty PhD MCOptom MCIPR MPRCA

Alex Webster MSc PGDipE FBDO CL FHEA FBCLA

Max Halford FBDO CL

Daryl Newsome FBDO R CL SMC (Tech)

Alistair Bridge

Jane Burnand

Duncan Taylor-Jones

DISPENSING OPTICS IS PUBLISHED BY ABDO, Unit 2, Court Lodge Offices, Godmersham Park, Godmersham, Canterbury, Kent CT4 7DT

Dispensing Optics is printed by 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: 8,967 copies (January to December 2022)

ADAPTING TO MEMBERS' NEEDS

In my previous columns, I have talked about the many benefits which ABDO membership brings. These include legal expenses insurance that provides help with employment disputes or fitness to practise concerns, discounts on everyday household expenditure to help you save money, regular communications to keep you up-to-date, including your monthly members’ journal in print and onlineonly options, advice and guidance on many different clinical and regulatory issues, and access to a wide range of CPD to enable you to meet the General Optical Council's requirements and support your career development.

In this column, however, I would like to talk about what we don’t do, at least for the moment, and what we could do more or less of. We recognise that ABDO members have a diverse range of needs and interests and that these may change at different stages in life. It is important that we understand these needs and interests so that we can adapt and respond.

For example, we know that many members find it easier to attend peer discussion workshops online so that they can balance professional and personal responsibilities. We also recognise that other members place a high value on being able to experience CPD events face-to-face, sitting alongside their peers and getting to know them better. There might also be benefits that you would value, which ABDO does not currently offer.

We would really like to hear your thoughts on these matters. Our membership team is comprised of head of membership, Ed Fox, a qualified dispensing optician, and membership officer, Aaron Holman. Ed and Aaron are always open to your ideas and feedback and can be contacted by phone, email or via the live chat function on our website.

As a membership organisation, and your professional body, we are driven by the desire to provide valued benefits for our members and to continuously imp rove what we do. Help us to do just that.

Alistair Bridge Chief executive

Newsome's Notes

Are we missing something?

Having recently returned from a trip to Malaysia to help prepare students for their ABDO examinations, it struck me that we may be missing an opportunity to widen our membership and expand our global horizons.

There are many ABDO qualified dispensing opticians (DOs) in Malaysia. Indeed, I was surprised to hear at this year’s graduation ceremony that our partner organisation – the Malaysian Association of Practising Opticians – has graduated more than 1,500 DOs with an FBDO qualification to date. That’s a lot of graduates and a lot of fellow DOs.

NHS sustainability chief

to speak at SEE Summit

The first keynote speaker for the ABDO SEE Summit 2023 has been announced as Dr Nick Watts.

Dr Watts is chief sustainability officer for the NHS, responsible for its commitment to deliver “a world-class net zero emissions health service”.

Should we be more global?

Professionally, we do similar jobs, share a professional body and yet we share little else. I have many friends in Malaysia because I have been lucky enough to visit the country and make those connections, but there must be some value in connecting as members across the globe? Is there any appetite to connect members in one country to members in another? Would you like to know what it's like to work as a DO in another country? Would you share your experience of working as a clinician in the UK?

ABDO is a membership-based organisation and much of the value for me comes from relationships with other members. I believe there could be merit and benefit in UK members having more connections with members in other countries.

As a child, I was allocated a French pen pal at secondary school and we were encouraged to communicate to imp rove our language skills. We wrote letters and eventually visited each other. In my case, we continued this independently, our families became friends, my parents met his parents, and my sister even went and lived with his family for a couple of years.

Collaboration, communication and friendship are a huge part of the human 'raison d’etre' – to quote my French pen pal. Shouldn't we, as UK clinicians, be reaching out more, engaging and enhancing our mutual professional relationships?

Daryl Newsome FBDO R CL SMC (Tech) President of ABDO

A medical doctor licensed in Australia and the UK, an adjunct professor at the University of Notre Dame, and a fellow of the Royal College of Physicians’ Faculty of Public Health, Dr Watts has a strong background in sustainability. Prior to his role at the NHS, he worked internationally as the executive director of the Lancet Countdown and the Lancet Commission on Health and Climate Change, a collaboration of UN agencies and academic centres across the world. He has also focused on engaging the health professions on the links between public health and climate change, having founded both the Global Climate and Health Alliance and the UK Health Alliance on Climate Change.

The third SEE Summit on the Environment will take place online on 9 October 2023. As well as hearing from Dr Watts, delegates will gain inspiring and practical tips from a range of key figures in the industry.

Visit www.abdo.org.uk/events/see-summit to book.

Playing their cards right

The Safilo Group and American lifestyle brand Kate Spade New York have announced the early renewal of their licensing agreement for the exclusive design, manufacture and distribution of Kate Spade New York branded eyewear. Safilo has held the license since 2000. Angelo Trocchia, CEO of the Safilo Group, said: “Kate Spade New York is an industry-leading lifestyle brand with a successful eyewear story, which is today fully embedded in Safilo’s portfolio strategy.

Together, we have achieved outstanding results built around shared business values and a fruitful collaboration.

DR NICK WATTS

Kate Spade New York eyewear

Save the date for first-ever ABDO Myopia Management Conference

Coming to the ABDO National Resource Centre in Birmingham this autumn is the Association's inaugural members-only Myopia Management Conference.

A full-day event running on Sunday 29 and again on Monday 30 October, the conference is dedicated to sharing the latest research and management solutions in this important and evolving area of clinical practice.

"Understanding the latest research on myopia, its onset and progression and how this condition can now be managed is necessary for all eyecare practitioners," said ABDO head of CPD, Alex Webster. "And so ABDO has created this interactive face-to-face conference in conjunction with academics and eyecare manufacturers, to enable ABDO members to get up to speed with myopia and how they can support their patients in practice."

Dr Alicia Thompson, ABDO director of research, education and professional development and one of the conference speakers, continued: "The conference will enable attendees to take away both knowledge and skills to implement or develop myopia management in practice

Global gathering in Manchester

The global contact lens and ocular health community convened in Manchester last month for the first in-person clinical conference and exhibition of the British Contact Lens Association (BCLA) in four years.

Held at Manchester Central from 9-11 June, the event provided a major platform for eyecare professionals to hear about the latest innovations and clinical insights in all areas of contact lenses and ocular surface health –including the management of myopia, dry eye, corneal and ocular surface disease and much more.

The industry was out in force too with clinical, scientific and educational contributions – as well as exciting product innovation in the exhibition.

straight away, covering all of its aspects from prevalence and risks, spectacle and contact lens options, to instrumentation and innovation.

"There will be a mixture of lectures and interactive workshops, supported by industry partners, to assist delegates in understanding the range of products now available in the UK," she added.

Other confirmed speakers to date include world-renowned myopia management experts Professor James Wolffsohn of Aston University, and Dr Neema Ghorbani Mojarrad of Bradford University.

Places for the conference will be limited to 100 per day, so members are advised to reserve these as soon as possible once booking opens on 5 September via the ABDO website Events page. A cost of £45 is payable on booking, which includes lunch and refreshments. It is anticipated that 13 interactive CPD points will be available on completion of the day.

Confirmed sponsors to date include CooperVision, Hoya, Millmead Optical Group, Mark’ennovy and Stepper. For sponsorship opportunities, please email Dr Thompson at athompson@abdo.org.uk

Entries flying in for Silmo 2023 prize draw

Entries are flying in for this year's ABDO/Silmo prize draw with more than 200 members so far hoping to win a trip for two to Silmo Paris.

The fantastic prize includes two return economy flights from a UK airport to Paris, and two nights' bed and breakfast accommodation in a double room at a four-star hotel.

The winner will also receive two passes to the show, taking place at the Paris Nord Villepinte from 29 September to 1 October, including the Silmo d'Or Awards and the chance to attend the Silmo Academy by IOA education meeting.

To enter the draw, email your name, ABDO membership number and mobile phone number to silmoprizedraw@abdo.org.uk by 23:59 on Sunday 30 July with 'Silmo Competition' in the subject line. The winner will be notified by Monday 7 August, and full terms and conditions can be found on the ABDO website.

Keep up-to-date with all show news at www.silmoparis.com – and turn to page 31 to read an interview with Silmo Paris chairwoman, Amélie Morel.

A new BCLA Celebrates social event was held at the Imperial War Museum North on the Saturday evening taking in the BCLA Awards.

Read a round-up of the event on DO Online.

Speaker, Professor James Wolffsohn

Trip to Paris Show up for grabs

Neil Retallic hands over the BCLA presidency to Rakesh Kapoor at BCLA Celebrates

Keeping abreast of regulations

The Optical Suppliers Association (OSA) Standards Panel is reminding practitioners who glaze on site, or assemble glasses using remote edged lenses, of their mandatory obligation to register with the Medicines and Healthcare products Regulatory Agency (MRHA).

On a different wavelength

Newly-launched Lambda Lens Technology from Rodenstock is said to offer high-precision, contrastenhancing sunglass lenses that optimise contrasts with colours –improving both depth perception and sharpness.

Named lambda ( λ ) after the 11th letter of the Greek alphabet – the symbol for wavelength – the contrast-enhancing lenses minimise blue light transmission and reduce glare by attenuating reflected light. They also offer UV protection and

Eyewear as an art form

Line Art frames from Charmant are created in Japan, using the company's superior Excellence Titan material and the latest eyewear technology.

Four new models – two Aria and two Duo models – are inspired by delicately crafted jewellery.

The Duo models – one nylor cat-eye and one pressure-mounted angular shape – feature double-curved sides enriched with Swarovski crystals. The Aria styles are characterised by contemporary Japanese colouring and ring-inspired knotted sides.

Rich colour selections and chic tonal contrasts range from violet and rose gold to wine red and stylish blue.

improve depth perception, detail and visual acuity by optimising both contrast and colour.

The lenses are available in Smoky Grey or Granite Grey for driving, Pilot Green and Autumn Green for sports and outdoor activities, and Olive Brown or Chestnut Brown to dampen blue light whilst allowing more red light to pass through the lens – suitable as an 'allrounder'. Also available are Dynamic Red or Dynamic Orange for special sports activities offering maximum contrast.

The panel regularly reviews nickel release, spectacle lens blanks, measurement of the refractive index of finished lenses, and reports on power and prism measurements. It also monitors updates to eye protection guidance relating to biological hazards, plus squash ball, cycling and running protection, and keeps under close scrutiny polyfluoroalkyl substances (PFASs) relevant to contact lenses and lens coatings, and blue light research.

“We address a wide variety of concerns which come to the OSA,” said Andrew Sanders, chair of the OSA Standards Panel. "This recently included a question about magnets used in sun clipons being acceptable for people with pacemakers. Many of the questions we receive are relevant to the wider optical community."

Ready readers are classed as a medical device under MRHA legislation – a fact highlighted by the OSA Standards Panel, which is keen to ensure that no optical business falls foul of the rules.

All optical businesses importing and dispensing frames of any description should ensure they are compliant, urged the OSA Panel, which continues to maintain a keen eye on any dispensing changes which could affect the industry and profession.

For further details about the OSA Standards Panel, email Marianne at mmacritchie@osa-uk.co.uk

New Aria and Duo models

New colour - contrast lenses

My eyes feel 10 yearsyounger!

A. Edmonds, Optometrist from Boots Opticians

Patients are discovering ACUVUE®’s next generation of contact lenses for presbyopia

We know that life is getting more demanding for your patients’ eyes.

From checking emails to social feeds, they’re spending more and more time looking at digital screens and blinking 60% less compromising the tear film, causing discomfort.1,2 When it comes to presbyopia this can become even more of an issue due to the ocular and visual changes that naturally occur. Specifically, light scatter increases3 and tear film stability decreases with age.4 Comfort and confidence in vision at all distances are therefore a priority with contact lenses, along with the convenience of wear.

Not only are they super comfortable for all day wear but the vision is so much better and I am now happily wearing them for work and even night driving.

The combination of TearStable™ Technology, OptiBlue™ Light Filter and Pupil Optimised Design built into ACUVUE® OASYS MAX 1-Day MULTIFOCAL contact lenses provides clear, comfortable vision throughout and at the end of the day.§6

TearStable™ Technology: uses ACUVUE®’s most advanced state-ofthe-art manufacturing process5 and is designed to stabilise the tear-film and retain moisture,^7-9 which can be helpful for presbyopic patients as the tear film becomes more unstable with age.

OptiBlue™ Light Filter: filters about 60% of blue-violet light to reduce light scatter, halos and starbursts+8 which can lead to an improvement in visual comfort.10 This can be especially helpful for night driving, with 71% of patients feeling confident driving at night when wearing ACUVUE® OASYS MAX 1-Day MULTIFOCAL.#

ACUVUE® OASYS MAX 1-Day MULTIFOCAL contact lenses are being recommended by eye care professionals:

After several years of not being able to wear contact lenses due to discomfort, I trialled the new ACUVUE® MAX OASYS 1-Day MULTIFOCAL and I am delighted with the results!

ACUVUE® OASYS MAX 1-Day MULTIFOCAL is designed to provide visual clarity and all-day comfort,*5 making it a great choice for your patients’ presbyopic vision.

Pupil Optimised Design technology: the only technology that uniquely optimises the optical design to the pupil size according to age and refractive power.11 It’s designed with your patients in mind, to ensure the optics are the right size, the right shape, and stay in the right place.10

This is what sets ACUVUE® OASYS MAX 1-Day MULTIFOCAL apart from the rest.

The ACUVUE® OASYS MAX 1-Day MULTIFOCAL is proving popular with patients regarding comfort and vision…

2022. 1. Tsubota K, Nakamori K. Dry eyes and video display terminals. N Engl J Med. 1993;328(8):584. doi: 10.1056/NEJM199302253280817. 2. Patel S, Henderson R, Bradley L, et al. Effect of visual display unit use on blink rate and tear stability. Optom Vis Sci 1991;68(11):888-892. doi: 10.1097/00006324-199111000-00010. 3. Digitized data to show no cataract group only from Van Den Derg TJ, Van Rijn LJ, Michael R, et al. Straylight effects with ageing and lens extraction. Am J Ophthalmol. 2007; 144(3):358-363. 4. Mostafa Y, Saif M, Saeed M, and ElSaadany S. The Effect of Age and Gender on Tear Film Breakup Time. Egyptian Journal of Medical Research. 2021;2:137-148. 5. JJV Data on File 2022. Subjective Stand-Alone Claims for ACUVUE® OASYS MAX 1-Day MULTIFOCAL Contact Lenses - Exploratory Meta-analysis.

JJV Data on File, 2022. CSM Subjective Responses

with TearStable™ Technology Brand contact lenses and other daily disposable contact lens brands. 10. JJV Data on File 2022.

CSM- ACUVUE® PUPIL OPTIMIZED DESIGN Technology: JJVC contact lenses, design features, and associated benefits.

Important Safety Information: ACUVUE® Contact Lenses are indicated for vision correction. As with any contact lens, eye problems, including corneal ulcers, can develop. Some wearers may experience mild irritation, itching or discomfort. Contact lenses should not be used in case of eye infections or any other eye conditions, or in case of a systemic disease that may affect the eye. For complete information, including contraindications, precautions and adverse reactions, please consult the Instructions for Use or visit our J&J website www.acuvue.co.uk Johnson & Johnson Medical Ltd 2023. ACUVUE®, ACUVUE® OASYS MAX 1-Day, TearStable™ and OptiBlue™ are registered trademarks of Johnson & Johnson. PP2023AVOM4299

C. O’Connor, Optometrist from Jo Padmore Eyewear

A. Edmonds, Optometrist from Boots Opticians

S. Mackie, Optometrist from Mackie Opticians

n=378 §n=449 ^ Compared to ACUVUE® OASYS 1-Day + Filtering of HEV light by contact lenses has not been demonstrated to confer any systemic and/or ocular health benefit to the user. The Eye Care Professional should be consulted for more information. # JJV Data from the ACUVUE® OASYS MAX 1-Day In-Practice Assessment, with 81 participating Optometrists and 605 spherical and 390 multifocal patients in the US from July to October

Snapshot of UK contact lens market

The size of the UK contact lens market grew by 11 per cent in 2022 to £366m, the Association of Contact Lens Manufacturers (ACLM) has reported in its annual snapshot.

The UK market is said to be the largest in Europe, accounting for some 20 per cent of wearers. Market value of daily disposables was now 77.2 per cent, according to the report, with silicone hydrogel lenses accounting for 92.7 per cent by value of the weekly/bi-weekly and monthly market.

In total, there were more than 3.64 million contact lens wearers in the UK – representing some 8.5 per cent of the adult population – while the contact lens care market grew 13 per cent to £19m.

The data was summarised by courtesy of Euromcontact, which surveyed 32 countries around Europe and further afield. The contributing manufacturers were: Alcon, Avizor, Bausch + Lomb, CooperVision, Johnson & Johnson Vision, Mark'ennovy and Menicon. This means that RGP lenses, some care products and High Street own brand products were not reported on.

* Richard Smith has taken over from Chris Stean as ACLM chairman. Richard is head of professional services EMEA/Canada at Bausch + Lomb and represents the company as a board member at Euromcontact.

Debut for ortho-k myopia control lens

EyeDream MC, an orthokeratology contact lens designed specifically for myopia management with an optic zone diameter of 5.50mm, has been launched by No7 – part of CooperVision Specialty EyeCare Division.

Presented for the first time at last month's British Contact Lens Association conference in Manchester, EyeDream MC lenses are custom-made using detailed corneal topography. Available in spherical and an updated toric design, correcting prescriptions up to -5.50D and -2.50D astigmatism, the lenses are said to be suitable for a wide range of patients.

Katie Harrop, No7 professional services director, commented: “Every dioptre helps to make a difference with myopia control. These lenses are indicated for slowing myopia progression in children and young people, and our technical expertise and manufacturing excellence over the last 18 years are well recognised by our loyal EyeDream eyecare partners – now numbering in excess of 300 UK and Ireland practices."

Hip to be square

Stepper is highlighting the trend for squarer eyewear shape in Spirit model STS-40227.

A delicate and feminine style, with slender rims and sides and a hint of the 1970s, the frame is crafted in stainless steel with propionate end tips. It weighs only 10.1g and comes in one size (53-17140) and three colourways – Rose Gold, Satin Ruby and Satin Black.

"For the STS-40227, the aesthetic appeal is instantly recognisable," said Peter Reeve, managing director of Stepper UK. "And its glamorous looks do not hinder its ability to hold lenses perfectly before the eyes of the wearer, as primary design objectives are never traded off."

Dry eye trio launched

Three at-home treatments for dry eye disease and demodex in the Zocular range have been launched by the Body Doctor.

ZocuFoam cleansing solution, ZocuWipe individual wipes, and ZocuShield advanced eyelid gel, use the patented Zokrex system that utilises activated okra complex derived from the okra vegetable. ZocuShield also contains aloe vera leaf juice and features an easy-touse, syringe-style applicator.

With natural botanicals, the Zocular products have been dermatologically tested and are hypoallergenic and Ph-balanced for tears. The three new products were developed by ophthalmologist and chemist Peter Pham, chief executive of Zocular, and allow patients to cleanse and soothe their eyelids at home. The foam and wipes can also be used to cleanse the face.

The company recently ran a television campaign highlighting the risks of dry eye from increasing screen time on Sky live and on-demand in the Leeds and Sheffield areas. The ad messaging warned that intensive screen use could reduce blinking by up to 60 per cent, and highlighted the soothing benefits of the Eye Doctor eye drops for dry eye – with the slogan: ‘You care, we care, eye care’.

Stepping into new role

Aaron Holman has stepped into the role of ABDO membership officer, supporting Ed Fox, ABDO's new head of membership.

Aaron is a social science graduate with five years’ experience in a membership and events environment for professional bodies.

He said: "After three years working for ABDO, I am proud to have been appointed in the role of membership officer. I look forward to continuing to work with colleagues across the Association to streamline and improve the membership experience, as well as interacting with members to deliver the benefits and services on offer."

New ACLM chairman, Richard Smith

Stepper's STS - 40227 (top right)

Bold yet light colourful range of summer styles

Four new full rim frames have been added to Silhouette’s Signature Infinity View range.

The collection offers diverse styles and transparent elements in colours such as lavender and lime, a wide palette of blues, greens, and neutral and natural finishes.

The new shapes include a take on women’s wayfarers and feminine oversized styles. For men there's geometric and square frames with a striking top bar –although the company emphasies that it considers all styles to be genderless.

Mido AI-generated campaign visualises ‘eyewear universe’

Trade fair behemoth Mido has launched a global campaign for its 2024 show next February, titled 'The eyewear universe', created using artificial intelligence (AI).

The graphical campaign features ‘planets’ of different sizes and colours, helping to create a fantastic (fantasy) world of eyewear.

“Mido has consistently ridden, and often anticipated, the wave of new trends, not only in the eyewear industry,” stated Mido president, Giovanni Vitaloni. “We welcome the opportunity that AI offers us to explore the new frontiers of visual communication...”

Postcards from Rio

Linda Farrow has unveiled its autumn /winter 2023 collection ‘Postcards from Rio’, inspired by the vibrant and buzzing city of Rio de Janeiro.

The brightly coloured frames are inspired by the muted richness of the city's sun-saturated colour palette. Statement sunglass styles include the Cassia, which features an extended inner acetate rim with detailed titanium outer rim, finished in double colour plating. Additional key styles include the Enzo aviator, which includes cut-out detailing between the top bar and the nose bridge, and the Francisco aviator in double layered titanium.

“This campaign is a turning point in the advertising sector,” remarked Max Galli, the campaign's creative director. "Tools like AI transform creative and production dynamics but human creativity, more than ever, becomes an increasingly valuable talent. We created the campaign by providing the AI with all the elements it would need – without our input, it would not have been possible to create anything like it.”

The campaign will appear and be devloped globally in print and online over the coming months.

Mido 2024 takes place at the Fiera Milano Rho from 3-5 February.

Originally a fashion designer, Linda Farrow established her eponymous brand in 1970 and was one of the first designers to treat sunglasses as real fashion accessories. Today, Linda Farrow is a global fashion brand, led by her son Simon Jalbon.

Silhouette design director, Roland Keplinger, says: “Bold but light – this theme forms the essence of the Infinity View collection. Large, self-confident and striking shapes meet transparency and a nuanced colour scheme.

Each pair offers a modelled flex zone in the titanium side. The screwless and hypoallergenic frames also benefit from a reinforced centre and standard glazing with V-bevel technology.

New launches in Infinity View range

EDITOR'S NOTE

Our apologies to Iain Johnson for a transposition error that occurred in his quote for last month's In practice feature – 'Unlock your potential' –discussing specialist contact lenses. The copy should have read:

'Ortho-k lenses are popular at Johnson and Leatherbarrow Opticians too. Iain says: "Whilst all specialist contact lens work is very rewarding, being able to give patients the ability to see without daytime contact lens wear can have a huge impact on their life – allowing them to do all activities and enjoy the freedom this brings".'

Statement sunglasses by Linda Farrow

Combining artificial and human creativity

DOT lens study results shared

Shared for the first time at last month's British Contact Lens Association conference in Manchester, data from SightGlass Vision's 'Three-year myopia control efficacy of DOT spectacle lenses in young children' (Laughton D et al ) further supports previously announced safety and efficacy outcomes.

The study centres on a sub-group of six-to-seven-year-olds who participated in the company’s pivotal CYPRESS clinical trial, with investigators noting expectations of highly progressive myopia and a paucity of efficacy data for this age group. After three years, myopia progression among these young children was limited to <1.00 D in 60 per cent of Diffusion Optics Technology 0.2

Positive safety and efficacy outcomes

spectacle lens wearers, compared to 21 per cent of control lens wearers. Also debuted at the meeting was the 'Peripheral visual function with DOT spectacle lenses for myopia control' study (Aboualizadeh E et al ), tapping into the CYPRESS data set to review longterm changes in peripheral visual acuity

(VA) after three years of DOT spectacle lens wear. Compared to the baseline, peripheral VA imp roved or remained stable, with no significant differences between the DOT and standard single vision groups.

“We are deeply committed to advancing myopia control, evidenced by our presentations at the BCLA conference plus recent efficacy, safety and visual performance data reporting at ARVO in North America and COOC in China. Eyecare professionals can confidently prescribe Diffusion Optics Technology spectacle lenses, knowing the outcomes are supported by extensive science,” said Andrew Sedgwick, CEO of SightGlass Vision.

AOS Advanced Ophthalmic Systems Driving e-health and efficiency in clinical practice

Every optical business will be using some aspect of AOS technology within the next five years, with the software embedded in diagnostic technology, or within vision loss monitoring mobile phone apps, says the Surrey-based business.

Founded nine years ago, AOS is leading the drive to bring e-health to every High Street optical business and hospital eye department, with founder and CEO Karl Jeebaun also chairing the OSA’s E-Health Focus Group. The young business, with a team of 17, was Technology Business of the Year at the 2022 Optician Awards.

“The greatest challenge to the UK optical market is the ambiguity surrounding regulations, which correlates directly to the lack of adoption of new technologies," says Karl. "We are addressing this problem and have developed a software platform that enables the provision of hybrid care to patients."

“Our software is designed to take a

process which is slow, inefficient and inaccurate to something which is agile, fast and highly accurate," explains general manager, Ben David. "The key is to manage patients more efficiently and to refine the treatment pathways, which may be in High Street practices. Clinical imaging is a major aspect of our offering and we work with a number of High

Street practices, both large and small, to help them to diagnose and manage their patients both in and out of the practice.

“There is a growing awareness that as a sector, we are probably behind other healthcare specialties," continues Ben, "and we are addressing this by enhancing the productivity of optical businesses in processing patients through the care pathway."

The efficiencies of e-health and managing patients well is bringing significant environmental benefits too. “We reduced a well known High Street chain’s CO 2 emissions by 70,000kgs last year by facilitating remote monitoring by telehealth. The vast majority of patients like to have online consultations which save them time, inconvenience and travel costs. The capturing of images and sharing them with the patient certainly aids engagement with the management of their condition too, and is something that we will see more of in the months ahead,” added Ben.

FOUNDER AND CEO, KARL JEEBAUN

Evidence suggests that spending more time outdoors delays the onset of myopia and may reduce myopia progression.1 with a recommendation to spend at least 2 hours a day outdoors.

With the recent launch of MiYOSMART Chameleon and MiYOSMART Sunbird spectacle lenses, HOYA’s latest additions to the MiYOSMART family, you can now offer parents a choice of myopia management solutions which also enable their child to stay active outdoors knowing their eyes are protected from both bright sun and UV whilst seeing the world clearly.

MiYOSMART sun spectacle lenses utilise the same innovative D.I.M.S. Technology as MiYOSMART clear spectacle lenses to slow down myopia progression.

The MiYOSMART Sun spectacle lens range provides patients a choice between photochromic or polarised lenses. MiYOSMART Chameleon are a photochromic solution, allowing myopic children to move seamlessly from indoor to outdoor without the need to change into a sun protection option.

Protecting children’s eyes from the sun’s UV rays, whilst also allowing them to take breaks from close work indoors without the inconvenience of changing their spectacles.

MiYOSMART Sunbird spectacle lenses are polarised so provide patients the choice of having myopia treatment whilst wearing lenses that look like and perform like conventional sunglasses - offering extra protection from intense sunlight and sun glare.2 3 The polarised nature of the lenses ensures vibrant colours and rich contrast in bright light, allowing children to fully experience the beauty of outdoors.4

HOYA has launched the “Protect how they see the world” campaign alongside the new sun range to help raise awareness of myopia and the importance of time spent outdoors and sun protection for children. The campaign aims to reach parents and guardians to encourage them to visit their local independent optician for more information about myopia and MiYOSMART spectacle lenses.

For more information contact your HOYA Business Development Manager or email marketing@hoya.co.uk

A Systematic Review and Meta-Analysis of Various Research Methods. Int J Environ Res Public Health. 2019;16(14):2595. doi:10.3390/ijerph16142595

2. HOYA data on 昀le. Transmission, traf昀c light recognition, and UV blocking test for MiYOSMART clear and polarized lenses. 02/2023. Tests were conducted at room temperature (23°C).

3. WSPOS. Sunlight Exposure & Children’s Eyes Consensus Statement. 2016. Available at: https://www.wspos.org/wspos-sunlight-exposure-childrens-eyes-consensus-statement/ (Last accessed 20/02/2023)

4. Quintana MS, Langa A, del Moral-Martinez I, et al. Polarized Filters Enhance Contrast Sensitivity When Glare Is Produced On A Flat Surface Under Photopic Conditions. Invest Ophthalmol Vis Sci. 2006;47(13):1225.

Encourage your younger myopic patients to spend time outdoors this summer with MiYOSMART Sun spectacle lenses

New kids on the block

Mini-Me glittery makeover

Attention-grabbing with plenty of sparkle, the Mini-Me by Guess sunglasses collection for kids and tweens interprets the charm and personality of the brand’s women's collection.

The styles have been created at Marcolin to combine the character of the women’s collection "and the dynamic dream world that inspires and excites the women of tomorrow".

Mini-Me GU9241 sunglasses were inspired by the GU7883 sunglasses style for women – a square oversized frame with thin rims and glittery pattern on the front and sides. The Mini-Me version for girls is completely covered with glitter for a razzle-dazzle look.

Fun, flexible and safe

Dibble Optical has increased its range of quality children’s eyewear with a new Flex Frames collection.

Flex Frames paediatric eyewear is similar to the company's popular Miraflex frames but with subtle enhancements. With no metal parts and manufactured from a soft, malleable material, Flexible & Safe sub-category Flex Frames are purpose-designed to complement a child’s active lifestyle. They are BPA-free, rubber-free, latex-free and phthalate-free and can hold prescriptions up to +/-28D.

Featuring 13 models in a range of sizes and fun colours, the collection is designed to offer optimum comfort.

Frames for active lifestyles

The Centrostyle Active brand includes six collections specifically for the needs of children at different ages and to ensure visual comfort from birth to adolescence.

“Our Active frames for children are lightweight, strong and maintain their shape and fit to a very high standard,” said Centrostyle director, Kevin Gutsell. The company has recently added two new colours to the Active Spring collection, which is aimed at children aged between two and five years, with a crystal front with pink sides and a crystal front with blue sides. These are available in eye sizes 39, 40, 41 and 42.

Just say Hi

Louis Stone's bestselling children's eyewear range Hi offers vibrant and bold colours with durable, lightweight and flexible materials. They also come with the option of a silicone safety band for added security.

Hi 1-22 are manufactured in thermoplastic TR90, a flexible and lightweight and rubber touch material. Most models (Hi 1-17) come with 180° flex sides that can be adjusted, and sizes start from a 38 eye.

Model Hi 1 (Flex) is available in two colour options: C1 Candy Lime (size 46-16-115) and C2 Robot Blue (size 46-16-115).

Hi 1 (Flex) C1 from Louis Stone

Flex Frames model Rostro

Guess styles GU7883 and GU92412

This month the spotlight is on fun and function – with an eye-catching collection of styles for youngsters...

Active Spring from Centrostyle

Putting personality front and centre

For youngsters looking to stand out from the crowd, Millmead Optical Group recommends the Lazer Junior 2224 model from Continental Eyewear.

"With its rounded square shape, this eye-catching design is perfect for stylish and mature kids who want to show off their unique personality," said a spokesperson from the company. "And with multiple colour options to choose from, there's a style that will fit anyone's taste. Don't forget to check out the crystal front option, complete with funky contrasted temples in bold red and black for an extra pop of fun."

Ethical eyewear for teenagers

Charmant has added two new styles for teenagers to its Esprit collection – model ET33492 and Ecollection model ET33497.

Model ET33492 is a bold rounded frame made of super-flex material and available in see-through cranberry, blue, grey or brown, and with Havana tips.

Ecollection model ET33497 is a soft rounded shape featuring patterns of grey, blue, rose or Havana. All Ecollection frames are crafted from bio-acetate, a plant-based material composed of cotton cellulose and biodegradable organic plasticisers. The frames are compatible with polycarbonate lenses, feature standard glazing and have a metal core for easy adjustability.

Youthful, distinctive interpretations

Calvin Klein Jeans Eyewear has launched four new teens optical styles for the summer – available from Marchon

Featuring youthful interpretations of trendy adult styles, these eyecatching looks feature fashionable shapes, distinctive design details and a selection of playful colours.

Featured here is model CKJ23301 – a rectangular-shaped style made from at least 60 per cent plant-based resin with bright colour-block colourations. The sides host the iconic CK monogram rubber logo, colourcoordinating with the front – with green, grey, blue and red colour options.

Styles for infants, tweens and teens

The Kate Spade Teens collection from Safilo features crystal colourways accented with rich jewel tones, fun shapes and pops of floral and stripe accents. The small sized frames are available for all ages, starting from tweens (nine to 12 years), and feature the iconic Spade logo.

New from Safilo in 2023 is Boss Teens, for youngsters aged 11 to 15 years. The frames comes in a range of shapes and colours, with smaller fronts and sides. There are three different choices of material for the sides – light acetate, bold acetate with a coloured wire core, and light metal.

Safilo also has a range of Polaroid frames for infants aged up to three years made from eco polyamide, featuring a low bridge and adjustable elastic cords.

Sweetness and light

A fun and whimsical design, model Nicki from the Eyespace Rock Star collection adds a dose of sweetness to spectacle wear through flecked, candy-coloured sides.

Signature Rock Star design features include dual star pin detailing on the sides. The rounded frame is made from acetate and comes with flex hinges and Rock Star branded sides.

Option C1 is a tri-laminate with a deep purple eye front backed by aqua and a semi-transparent purple with matching colour-splash sides, while C2 is a stylish crystal with dolly mixture inspired sides.

Lazer Junior model 2224 in black and red

Esprit Ecollection model ET33497 for teens

Calvin Klein Eyewear model CKJ23301 in green

Kate Spade Teens style from Safilo

Rock Star model Nicki

LEARNING DOMAINS

Record keeping

By Fiona Anderson BSc (Hons), FBDO R, SMC (Tech), FEAOO

PROFESSIONAL GROUPS

Good and accurate record keeping is a part of every eyecare practitioner’s dayto-day routine and should not be underestimated. Whether records are kept on paper, on computer, or as is increasingly the case in a practice management system with a cloud-based back-up system, all records relating to any care, encounter, clinical intervention or advice given should be recorded in a legible, timely and secure way.

The key purpose of keeping records in optical practice is not only a statutory requirement, good record keeping ensures continuity of patient care – and can be the best form of defence in an increasingly litigious arena.

CURRENT REGULATIONS

adequate patient records’ ( Figure 1 ) and details what should be included as a minimum in daily practice. Good records will go beyond this minimum requirement and contain much more information.

A certain amount of professional judgement will be called for in deciding exactly what to record in patient records, and it could be argued that if a record does not contain specific information, then the treatment has not been done. And, of course, what is recorded will also depend on the specific role within the practice –namely dispensing optician/contact lens optician (DO/CLO), practice administrator, optometrist, etc.

CPD CODE: C-105763

MCQs AVAILABLE ONLINE: 1 July 2023

CLOSING DATE: 6 October 2023

ANSWERS PUBLISHED: November 2023

This CPD session is open to all FBDO members and associate member optometrists. Successful completion of this CPD session will provide you with a certificate of completion of one non-interactive CPD point. The multiple-choice questions (MCQs) are available online only from Saturday 1 July 2023. Visit www.abdo.org.uk After member login, scroll down and you will find CPD Online within your personalised dashboard. Six questions will be presented in a random order. Please ensure that your email address and GOC number are up-to-date. The pass mark is 60 per cent.

CPD CODE: C-105763

All registrant opticians, regardless of role, must comply with the General Optical Council's (GOC) Standards of Practice 1 Standard eight relates to ‘Maintaining

Records should also be completed promptly; this negates omissions and memory lapses. The sooner the records are complete, the sooner they can be filed – and the next treating practitioner can access full, timely, accurate records to enable them to continue the patient's care and/or treatment. Often within a busy

FIGURE 1: GOC Standards of Practice for Optometrists and Dispensing Opticians: Standard 81

clinic this can be a challenge, however, the importance of completing all records cannot be understated.

WHAT TO KEEP?

As previously stated, the GOC Standards of Practice state what should be kept as a minimum. Many practitioners will keep much more information within a patient record. Further information recorded may include details of financial transactions, preferred methods of contact, copies of orders or other information such as details of telephone conversations, repairs and adjustments to spectacles or specific requests from the patient.

It is generally accepted that every encounter is recorded so a full and timely picture of the engagement between the patient and practitioner or receptionist –indeed any staff member – is recorded. This is so a full ‘picture’ can be obtained and no member of staff is reliant on memory, a sticky note left on a computer screen, or passing on a message verbally.

SPECTACLE DISPENSING AND AFTERCARE

Guidance from ABDO (Section C10.1.2) suggests that a registered DO might record slightly different information in addition to the regulatory minimum, based on the role of the DO and the nature of dispensing a suitable optical appliance for any patient 2 Figure 2 shows what is recommended by ABDO.

Other information recorded might be (but not limited to): any facial measurements taken; any specific requests to the lab with reference to surfacing techniques or glazing requirements; details of any modifications made to a frame to enable the practitioner to claim specific vouchers from the NHS.

For example, in the case of a child where a special facial characteristics voucher is being claimed, justification for the claim should be recorded in the file to enable compliance with NHS audits and post payment verification checks. Similarly, if a prescription is transposed to enable a higher voucher value to be claimed, or a prescription is modified for effectivity or working distance, the record should be updated accordingly.

Additionally, more recent changes in lens surfacing techniques, with the advent of CNC tooling and freeform technology, has seen an increase in spectacles being received from the lab with a note of

1. Full name, address, and preferred contact details.

2. Date of birth.

3. Occupation (necessary knowledge for giving advice and guidance in dispensing spectacles).

4. Recreation (for the same reasons as occupation).

5. General practitioner’s name and address.

6. The prescription.

7. Measurements, tints, coatings etc, facial measurements and centration distance.

8. Details of any other services provided, i.e. low vision aid.

9. Charges and fees.

compensated powers for a progressive lens, or a lens that has been surfaced on a specific base curve.

Whilst there is no legal requirement to notate the file with the compensated powers, good practice would suggest that these powers be noted for future reference, not only by the person who dispensed and checked the appliance, but to ensure ongoing continuity of care so subsequent practitioners know what has been dispensed and why.

Ongoing aftercare of patients should be treated in the same way as spectacle dispensing. Often patients return for minor adjustments and/or advice about new spectacles and every conversation (whether in person or on the ‘phone) should be documented in their notes. If any adjustments are made, these too should be noted, e.g. shortening length to bend, replacing acetate pads with silicone pads, or altering the pantoscopic tilt are all important and information should be recorded to build a picture of the aftercare of the patient.

On rare occasions when patients struggle to settle with their new spectacles or cannot tolerate a lens or prescription change, detailed notes of the issue and how the practitioner solves it is invaluable, especially if more than one person within the practice are involved in the care and service delivery.

CONTACT LENS FITTING AND AFTERCARE

Whilst much of the information contained within a contact lens record will be similar to spectacle dispensing, there will be additional information which needs to be

recorded, including a detailed history and symptoms, especially for a first-time wearer with a narrative of why and when the patient wants to wear contact lenses.

Good practice would suggest that thorough assessment of the anterior surface of the eye is performed and recorded, and that all measurements required to fit the contact lens, all parameters relating to the fit of the contact lens, when the trial period commences and when the patient is to be reviewed are all recorded.

Aftercare appointments should include a thorough assessment of the lens in situ, visual acuity check and over refraction, and an assessment of the anterior surface along with advice given before concluding the fit and issuing a contact lens specification 3

LOW VISION

Like contact lens fitting, low vision (LV) consultations will have similar basic information recorded and then additional information relating to the LV consultation. Much of the information may take the form of a narrative if general advice is given. Before dispensing any low vision aid (LVA), it is imperative that the patient has had a current eye examination (within 12 months).

Many LV patients require extensive counselling on expected visual acuity, and their expectations should be managed in a sensitive manner. Additional instruction and training on how to use any LVA issued is also required, and this should be noted on the record with additional information as to when they should return for followup and/or ongoing assessment 4

FIGURE 2: ABDO Guidance on patient records C10.1.22

TRIAGE/EMERGENCY REFERRAL

DOs have a statutory duty to refer any presenting patient for further assessment to a registered minor eye conditions service (MECS) practitioner, optometrist, medical practitioner, ophthalmologist or A&E department, if they suspect any eye injury or disease of the eye or adnexa.

Full and accurate triage will enable a comprehensive report of presenting signs and symptoms to be entered into the patient's notes and kept on file. Also, any other information such as consultations with other colleagues, for example, a clinical decision unit at the local eye department of a hospital, or an ‘on call’ ophthalmologist or even another colleague at another location within the organisation.

Details of any advice given and outcome to the patient should also be recorded, including details of any onward referral out of the practice to another eyecare professional, medical practitioner or hospital department. A copy of the referral letter should be kept within the patient's file, a copy given to the patient, a copy to the professional receiving the patient, and a copy to the patient’s medical practitioner for reference.

Often, follow-up from a referral is not forthcoming. Busy hospital departments do not always send a copy of the outcome to an optical practice, so good practice would suggest that a follow-up with the patient and the outcome of the referral be annotated on their record card. If contact cannot be made with the patient to ascertain the outcome, this should also be recorded in their file 5

SPECTACLE PRESCRIPTIONS

Occasionally, patients may request a written copy of their spectacle prescription, for a variety of reasons. ABDO Advice & Guidelines suggests that any requests should be met, and great care should be taken to avoid any doubt that a ‘sight test’ has occurred (this would be a contravention of the Opticians Act 1989 Section 24 6 ), and that a written copy of the prescription is issued to avoid any errors in transcription.

Again, as with all patient requests, the date the request is made and fulfilled should be noted along with information

as to how the prescription copy is given to the patient: email, in person or by post. All information should be noted within the patient's records. ABDO members can download a duplicate prescription form from section C 4.15.2 of the clinical ABDO advice and guidelines – as shown in Figure 3

READY READERS

Many optical practices have for sale ready-made reading spectacles, and as registered optical professionals, DOs and optometrists must exercise their skill and knowledge to ensure that such an optical appliance is suitable for the patient’s

needs. All dialogue had with a prospective wearer of ready-made reading spectacles should be noted within the patient record, including when they should be worn, and any limitations there are to such a device (such as fixed optical centres and spherical prescription) 7

REDUCED VISUAL ACUITY AND DRIVING

Often during an eye examination, spectacle or contact lens dispensing, a patient may enquire if their vision is adequate for driving. All registrant eyecare professionals will have

FIGURE 3: ABDO Duplicate prescription form

knowledge of the visual acuity of their patients, however, this must remain confidential between the eyecare professional and the patient, and it must not be disclosed to third parties. Any dialogue relating to this should be annotated on the patient file along with any advice given.

If a patient is suspected to be below the legal driving standard, it is the patient who has the legal responsibility to inform the DVLA. If a practitioner has any concerns that the patient will not do this, then they should speak with their professional body or insurance indemnifier as to the correct course of action, especially if they suspect the patient may be a danger to themselves or members of the public. Good practice suggests that the patient is appraised of this, and it is recorded within their record.

Similarly, with advice on tinted or ‘sun’ spectacles, any advice as to the classification of filters permitted to be worn when driving should also be noted within the patient record 7

DATA PROTECTION

Any practitioner or business who holds data has a legal obligation to deal with the data in a safe and secure manner. Data protection law applies to personal data held in electronic and paper form, i.e. not just computer records. It therefore applies to all optical businesses/practices.

The General Data Protection Regulation (GDPR) came into force on 25 May 2018 across all EU member states. The GDPR allows member states to make some variation in how GDPR is applied within their jurisdiction. The UK has done this using the Data Protection Act 2018 (DPA 2018). The GDPR and DPA 2018 therefore must be read side by side.

When the GDPR changes came into effect within the EU in 2018, the Optical Confederation issued guidance to member organisations. The principles of data protection in the new law (2018) were similar to those previously enshrined in law. The main difference with GDPR is that it is a principles-based system rather than a rules-based system. It is important to note that the changes to data protection law will not be affected by the UK’s decision to leave the EU 8 .

Optical practices must appoint a data protection officer (DPO) if they provide

general ophthalmic services (GOS) or if they don’t provide GOS and they handle large amounts of special category data (so all optical practices). The DPO is the person who is responsible for compliance and is usually a senior team member, or owner of the business.

It is clear that the knowledge and expertise the DPO is required to have should be proportionate to the type of processing carried out and the level of risk. The DPO is also the first point of contact for the Information Commissioners Office (ICO) should any queries or complaints arise.

TYPE OF RECORD

ADULT PATIENTS

subject to the same rigorous care and attention as the data held on patients/clients.

OWNERSHIP OF RECORDS

The practice where any record is generated owns the record. This may be contrary to popular opinion that it is the optometrist, DO or locum who owns the record. This said, if a practice closes or is acquired by a new owner then all patients should be notified of this and have the right not to use this new practice but remove themselves and be seen elsewhere.

PERIOD OF RETENTION

Ten years after they were last seen, even if the patient has subsequently died.

CHILDREN AND YOUNG PEOPLE

Ten years after they were last seen or until the patient’s 25th birthday, if later.

If the child or young person has died, keep the records for 10 years after they were last seen.

Every patient deserves to have their information, especially sensitive personal information relating to their ocular and general health, treated with respect. It should always be hidden from public view and several aids are available to enable optical practices to comply. It may be as simple as keeping written paper records behind the reception desk until the optometrist or DO is free and they are handed to them, rather than being left on a table or wall hook for all and sundry to see – or a practice management system being password protected and when left, the screen automatically defaults to an obscured screen saver.

The new GDPR rules focus on compliance and accountability when handling person identifiable personal data. Good working practices and secure storage of data will be the cornerstones of compliance and accountability. The same rules will also apply to staff information held within an optical practice. Employee records are equally important and whilst they will not necessarily hold clinical data, they will hold financial and other sensitive data on each employee. This data should be

Because of the confidential nature of optical records, they must not be passed on to anyone other than a registrant optician, medical practitioner, or enrolled body corporate to ensure continuity of care. When a practice closes or is acquired, all registrant optical professionals have a duty of care for the welfare of their patients and as previously stated, should inform all existing patients and the public of this and identify the new owners of the records. If it is not possible to have the records transferred to another practice, then advice should be sought from the NHS regional team 3

RETENTION OF RECORDS AND CONSENT

All records within an optical practice must be held for an appropriate length of time but no longer than necessary ( Figure 4 ) 9 . It is also important to note that patients, or persons acting on their behalf, have access to their data and have the right to have anything, which may cause them harm or distress, amended if it is incorrect.

FIGURE 4: College of Optometrists' suggested retention of optical records9

Great care should be taken to ensure only those with the appropriate permission to access the data can do so. Consent to access data can only be given by the patient or someone acting on their behalf such as a parent or guardian in the case of a minor (under 16 years of age) or with appropriate power-of-attorney documentation in the case of a patient who is unable to give their consent.

CONCLUSIONS

The onus on optical practices and optical professionals to keep clear, legible and contemporaneous patient records should not be underestimated. It is worthwhile noting that there is not only a legal obligation to comply but a moral one too: all patients deserve their personal data to be handled and updated in a secure and confidential manner.

Others within an optical practice involved in the updating of records, and with access to them such as reception/admin staff and non-registrant members of staff, should treat records with the utmost care and respect. However, ultimately it will fall to registrant optical professionals to supervise the treatment of data held and shoulder the responsibility for it being kept in the correct manner.

FIONA ANDERSON qualified as a DO in August 1986. She worked for an independent group in the northeast of Scotland for 25 years, holding various roles including practice, area and training manager. After working as a locum, Fiona joined Ythan Opticians in June 2012 as retail and dispensing director until March 2023. She recently returned to being a freelance DO. Fiona is a practical examiner for ABDO and writes, delivers and facilitates CPD for ABDO online, in the UK and abroad, and for the NHS in Scotland. She has also presented at professional conferences around the world and has held the following positions: ABDO president (2016-2018), president of the International Opticians Association( 2016-2023), Optometry Scotland member, Worshipful Company of Spectacle Makers senior court assistant, fellow of the European Academy of Optometry & Optics, trustee of the European Academy of Optometry & Optics, and member of the European Council of Optometry & Optics Qualifications Board.

REFERENCES

1. General Optical Council. Standards of Practice for Optometrists and Dispensing Opticians. Available from: https://optical.org/optomanddostan dards [Accessed 16 March 2023].

2. ABDO. Advice and Guidelines: Patient records. Available from: www.abdo.org.uk/regulation-andpolicy/advice-andguidelines/clinical/patient-records [Accessed 16 March 2023].

3. ABDO. Advice and Guidelines: Contact lens records. Available from: www.abdo.org.uk/regulation-andpolicy/advice-andguidelines/clinical/patient-records/c ontact-lens-records [Accessed 27 April 2023].

4. ABDO. Advice and Guidelines: Low vision. Available from: www.abdo.org.uk/regulation-andpolicy/advice-andguidelines/clinical/low-vision [Accessed 30 April 2023].

5. ABDO. Advice and Guidelines: Duty to refer. Available from: www.abdo.org.uk/regulation-andpolicy/advice-andguidelines/clinical/duty-to-refer-2 [Accessed 30 April 2023].

6. Great Britain. Opticians Act 1989, Part IV, Section 24. [Internet]. London: Stationery Office; 1989. Available at: www.legislation.gov.uk/ukpga/1989/ 44/section/24 [Accessed 22 May 2023].

7. ABDO Advice and Guidelines: Sale and supply of spectacles. Available from: www.abdo.org.uk/regulationand-policy/advice-andguidelines/clinical/sale-and-supplyof-spectacles

[Accessed 30 April 2023].

8. ABDO. Advice and Guidelines: Data protection. Available from: www.abdo.org.uk/regulation-andpolicy/advice-andguidelines/regulatory/data-protection [Accessed 30 April 2023].

9. College of Optometrists. Guidance for professional practice: Patient records. Available from: www.collegeoptometrists.org/clinicalguidance/guidance/knowledge,-skills -and-performance/patientrecords#DataProtectionAct2018and EUGeneralDataProte [Accessed 16 March 2023].

LEARNING OUTCOMES FOR THIS CPD ARTICLE

DOMAIN: Professionalism

14.1: Understand your responsibility to observe GDPR requirements in relation to patient records.

DOMAIN: Leadership and accountability

8.1: Understand the regulatory requirements to keep clear, legible, contemporaneous and accessible patient records

8.2: Understand what information should be contained in patient records.

New online CPD modules on Standards of Practice

It can sometimes seem difficult to fit CPD into our busy professional and personal lives. Scheduling online sessions, attending face-to-face meetings, and ensuring you have covered all the required domains can feel quite overwhelming. Here at ABDO CPD, we hope to lighten the load slightly by introducing a series of ABDO CPD Standards of Practice online modules.

ABDO’s CPD Standards of Practice modules are short, online learning modules that will cover a range of topics relevant to eyecare professionals working in an optical practice. The online modules allow you to complete CPD at a time that is convenient for you. If you don’t finish the module, you can return to it later, on the same device you started it on, and pick up from where you left off. This means you can gain up to one CPD point over a lunch time, or on the train on the way home.

The modules enable either 0.5 non-interactive CPD points to be obtained for modules taking less than one hour to complete, or one non-interactive CPD point if it will take one hour or more to complete the module.

Each module will cover a topic within a General Optical Council (GOC) Standard of Practice. This

enables the CPD to be attained within the learning domain for that single standard – helping you to ensure you can access CPD within the General Optical Councils (GOC) Standards of Practice.

The range of modules will be built up over time and will cover all four of the GOC learning domains: Professionalism, Communication, Clinical Practice, and Leadership and Accountability.

NEW HEALTH AND SAFETY MODULE

Health and Safety in the Workplace is the first in this new CPD module series and can be accessed now via the ABDO website. This module explores aspects of health and safety relevant to anyone who works in an optical practice. The module is designed to take one hour to complete and will enable you to obtain one noninteractive CPD point in the Leadership and Accountability GOC CPD learning domain.

MODULES COMING IN 2023

CHLORAMPHENICOL: Clinical Practice

Our second module to be released later this year will cover the use of chloramphenicol by dispensing opticians to treat bacterial conjunctivitis. It should take a less than one hour to complete and will earn GOC registrants 0.5 noninteractive CPD points in the Clinical Practice domain.

GAINING CONSENT: Communication

Gaining consent is a general legal and ethical principle, and valid consent must be obtained at the point of care and throughout treatment. It should take less than one hour to complete and will earn registrants 0.5 noninteractive CPD point in the Communication domain.

GDPR: Professionalism

This module will investigate the general data protection regulation (GDPR) regulations as we should be applying them in our daily practice, as employees and employers. It should take around one hour to complete and will enable you to obtain one non-interactive CPD point in the Professionalism domain.

ABDO members can also still access the Level 2 Adult Safeguarding module, providing two CPD points in the Professionalism and Communication domains, and the Level 2 Child Safeguarding module, providing one CPD point in the Professionalism domain.It is recommended that safeguarding training is renewed a minimum of every three years to keep up with changes, so it is a good idea to ensure you complete these in each CPD cycle.

To access these online modules, log in to your ABDO membership page and you will find them in the CPD section – under Online CPD.

Safeguarding modules still available

Gain up to one CPD point over a lunch time

CHERYL HILL FBDO SMC (Tech) CertEd is ABDO CPD officer.

Multiple choice answers

Using evidence-based practice to communicate myopia management

By Keith Tempany FBDO CL FBCLA

CPD CODE: C-104703

Published March 2023

It has been predicted that by 2050 approximately what percentage of the world population will be myopic?

a. Thirty per cent

b. Forty per cent

c. Fifty per cent

d. Sixty per cent

c is the correct answer. It has been estimated that around 4,758 million people will have myopia, which will include an estimated 938 million people with high myopia. For further information see Holden BA et al Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology 2016;123(5):1036-1042.

Which of the following statements are false?

a. A myope of -1D is twice as likely to develop glaucoma than an emmetrope

b. A myope of -6D is 21.5 times more at risk of developing a retinal detachment than an emmetrope

c. A myope of -1D has the same chance of developing a retinal detachment as an emmetrope

d. A myope of -6D is over 40 times more at risk of developing myopic maculopathy

c is the correct answer. According to research published by Professor Flitcroft (2012) even a 1D of myopia increases the risk of many serious ocular pathologies including retinal detachment, glaucoma, cataract and myopic maculopathy. Therefore, it follows that the greater degree of myopia, the greater the risk. This is shown in the table within the article.

Six of the following questions were presented online to entrants to comply with the General Optical Council’s best practice specifications for this type of CPD.

What is the aim of myopia management in optical practice?

a. To slow the progression of myopia

b. To halt the progression of myopia

c. To reverse myopia

d. To cure myopia

a is the correct answer. Current myopia management options are to manage and slow the progression of myopia. Sadly, to date, it has not been possible to consistently halt the natural progression of myopia. Currently, there is no way to reverse or cure myopia. Therefore, the emphasis is on slowing down the rate of progression in order to reduce the risk of serious pathology the patient may face compared to the risk factor without intervention

Which of these is not a benefit of evidence-based practice?

a. Clinical decisions based on the strongest evidence

b. An evidence base is used to support the expertise of the clinician

c. The patient’s values and preferences are a part of the decision-making process

d. Hospital waiting times are reduced

d is the correct answer. There are many benefits to evidence-based practice that are making an impact in the medical field and are starting to impact on the care we, as eyecare practitioners, give our patients. The aim is that decisions and recommendations made come from a solid base of evidence that takes into account research, clinical judgement and patient preferences and needs.

In research, which of the following offers the highest quality of evidence?

a. Randomised controlled trials

b. Case studies

c. Prospective trial

d. Expert opinion

a is the correct answer. Randomised controlled trials are considered the gold standard of research. This is because this method of conducting a study removes elements of conscious and unconscious bias by comparing the item being studied to another, comparable item in a manner where neither the researcher nor the participant know which of these they are using or studying. All other forms of study design have a greater risk bias. This is not to say that other forms of design are not valuable and, sometimes, the only option available to the researcher.

Which of the following statements about myopia are true?

a. A child with one myopic parent has a higher chance of developing myopia than a child with two myopic parents

b. A four-year-old child who has hyperopia of <1D has an increased risk of myopia

c. Twenty minutes of outdoor play per week can prevent the progression of myopia

d. Near work is p roven to cause myopia

b is the correct answer. A child who has less than age-expected hyperopia is at increased risk of developing myopia. As the child grows, so does the eye. The axial length grows, so if the child has ageappropriate hyperopia, then as the eye grows, the hyperopia reduces. This is termed emmetropisation. Recommendations are that a child should spend between 90 and 120 minutes outdoors every day – as there is some evidence that some as yet unconfirmed effect is at play. Contrary to popular belief, there is no proven link to near work causing myopia, although it does seem to accelerate existing myopia.

What simple advice could you give the parents of a four-year-old with -1D of myopia?

a. Spend lots of time outdoors

b. Take lots of breaks when doing near work

c. Start discussing myopia management now even if the time is not right for the parents to consider this

d. All of the above

Considering that myopia progresses over many years before reaching a point at which the progression naturally slows, which of these factors could be the greatest limitation to a myopia management study?

a. Cohort size

b. Experience of researchers

c. Duration of study

d. Location of the study

c is the correct answer. All of these options are valid when considering study design in general. However, when we consider the question, the answer is c. Myopia progression has been shown to continue over a number of years. Therefore, a robust myopia control study must consider the duration and ensure that it is sufficient for the control effect to take effect and to level off. Several studies have shown that the greatest effect happens in the first year and then slows down after. If a study only has a one year duration, the percentage of slowing will be exaggerated as this only considers year one and not two or three.

d is the correct answer. It would be useful to discuss all of these points. Evidence supports that time spent outdoors has an unknown protective effect on the progression of myopia. Regular breaks from near work are also advised. If a child has -1D of myopia at four years old, it is likely to progress. It may be that the parents and child are not ready to consider myopia control at this point – but it is worth having the conversation now and planting the seed for future visits.

Which of the following statements regarding the findings of the World Council of Optometry in 2021, regarding treating patients with myopia, is incorrect?

a. There is a lack of established standard of care

b. Myopia management may be considered a professional obligation

c. Frequent discussions with parents of children with myopia are advised

d. Myopia control should happen within a hospital setting and not in routine High Street practice

d is the correct answer. The World Council of Optometry found that there was currently a general lack of care and understanding around the risks of myopia, and that it could now be considered the duty of eyecare professionals to discuss the risks of unmanaged myopia and the options for management. However, there was no indication that this should be managed within the hospital sector.

Ideal study design from the IMI Report on Clinical Myopia Control Trials and Instrumentation

Best fi t forwards

children and their parents to come and see us to ask any questions they may have.”

Abi was so concerned that parents didn’t understand the need for regular eye examinations that she set up a screening service, working with her local optical committee and school nurses. “When my eldest started school, I realised that there wasn’t any vision screening in the area.”

One patient inspired her. A little girl hadn’t had an eye exam for years – and her amblyopia hadn’t been picked up. When it was eventually discovered it was too late, as Abi explains: “The mother was sitting in front of me crying, thinking this was her fault. But no-one was educating parents about the importance of eye tests for children.”

Now the paediatric vision service refers children aged four to five years, who don’t meet the required vision standard during vision screening by school nurses, to a local practice for a full vision assessment. School nurses also remind parents to take children for an annual sight test in year one and two. Page & Small has built its children’s practice organically. "Once you are known to be good with kids, word spreads," says Abi. "Now Saturdays and half terms are almost all children."

Dispensing to children can be a challenging but very rewarding experience. Dispensing opticians (DOs) are best placed to understand the anatomical differences between an adult’s facial features and those of a child, resulting in a pair of spectacles being dispensed that fit the child’s anatomy but also hold the lenses in an appropriate and stable position. This helps the child reach their full potential, not only in terms of vision but their whole development that relies on visual clues.

Understanding facial anatomy needs a product to match – and later this year we will see the first frames come to market designed by data from an ABDO funded research project completed by Dr Alicia Thompson, ABDO director of research, education and professional development. Alicia says: "It is such an honour that I am sitting looking at frame prototypes based on my research, knowing that these frames will benefit children all over the world – but also provide our members with an improved

product and more choice to dispense to their paediatric patients."

CREATIVE APPROACHES

For Christina Buckmaster, a DO at Specsavers Bridgend in South Wales, “no day is the same. Will it be straightforward, or will I have to lie on the floor to take a PD under a chair? Who knows? But if you are willing to go the extra mile, that’s what counts."

Abi Page, director at Page & Small in Charlton, South London, says you have to be creative. "Staff sing nursery rhymes while testing or taking measurements,” she explains. "The practice uses a smart speaker to play Baby Shark or Frozen – and one little girl has a note on her file that she loves Peppa Pig and believes the optometrist my dad Ray Small is Dr Pony – Pedro Pony’s dad who’s an optometrist – so Ray plays along.”

Christina continues: “The key to a successful paediatric dispensing clinic is engagement and understanding, both with the patient and their parent or caregiver. We engage with our local schools to highlight the importance of eyecare, encouraging

That puts pressure on the business though. Abi explains: “The perception that children’s frames are free means it’s difficult to keep the financial balance – although I feel we are doing the right thing to get those children through their education.”

She tackles the problem by educating parents about products: anti-reflective coatings and extended screen use, for instance. Don’t just assume they won’t contribute, she advises, “as long as it’s ethical dispensing and there’s a good reason for a lens or frame upgrade”.

Myopia control is an opportunity to care for patients and develop the business. Abi tells parents: “This is something you’re committing to until your child finishes growing. We are keen to make sure they are signing up to a management plan where we work together.”

Page & Small offers a scheme for a set monthly fee, which includes a new pair of spectacles every year. Contact lenses cost the same. “We didn’t want price to be an influence as to the best option,” says Abi, adding that it's been very successful. “Since January last year, I’ve not had a single child using myopia control products experience an

DOs can help children reach their full potential

increase in their prescription," she explains.

“Their prescription will probably go up at some point – but their parents are thrilled. Although the plan is more expensive than the offers available from some big businesses, parents value the ongoing relationship, rather than buying a one-off product," adds Abi.

MEETING CHILDREN'S NEEDS

Caring for children means being aware of anatomical differences. Matthew Farrugia, a DO at Gathercole & Ward Optometrists in Ramsey, Cambridgeshire, says this can cause “tramlines” – indentations down the side of the head.

It’s essential to stock specialist frames for children, he says. Hypoallergenic, durable and adjustable are key considerations. “Essentially, we've got a problem with frames potentially not fitting unless we're using something specialist.”

You need to explain your advice, he adds. “All too often, we don’t let them know why they can’t have their first choice of frames. We need to say, yes, we can look at frames, but I need to decide which fits you

best. We need to explain why. Ask the parents, have you noticed that they are always complaining their glasses are falling down their nose?”

You have to be able to respond to the needs of the individual. Matthew continues: “Some children want to wear glasses like their peers. There are children who don't want to wear glasses. There are children who haven’t had a great experience. And there are parents who haven't had a great experience with their children, where they felt they've not been listened to.”

Working with children with special needs can be challenging and very rewarding. Bridgend Specsavers has “a good working relationship with our hospital eye service and orthoptics unit, seeing a range of children from those who have undergone surgery, who have congenital cataracts, patients with nystagmus and children who have special facial characteristics,” says Christina. “We've customised frames to fit the shape and contour [of patients' heads] without [them] being uncomfortable.”

Studies have shown that as many as 60 per cent of children with Down's syndrome

Working in a children’s hospital

Jessica Gowing is a senior DO at Great Ormond Street Hospital. She fits spectacles for children with rare and complex conditions from craniosynostosis (prematurely fused skull bones) to dwar fism, often with dysmorphic features that make fitting a challenge. She could be dealing with frames that include specialist 3D printed elements, made on site.

“We see children after they’ve been through the rest of the department; the ophthalmologist, optometrist, orthoptist, eye clinic liaison officer," explains Jessica – though she's not always in the dispensing room.

“Suddenly they see their mum and dad for the first time. That’s one of the most rewarding things," Jessica says.

One little girl was extremely photophobic and lived in the dark. “I sent her a pair of wrapped sunglasses, with leather sides sewn around the edges to completely block the light. That meant she could go outside: she went to the beach for the first time.”

CHRISTINA’S PRO TIPS

• Learn the names of all the dinosaurs

• Learn the names of all the superheroes/heroines

• Remember teenagers will never think you are cool

ABI’S TOP TIPS

• Don’t assume parents only want free NHS frames – offer them the choice and explain why paying extra might get a better product

• Stock a variety of specialist frames. Some are more durable, some suit different head shapes, some appeal more to teenagers

will require vision correction by the time they are school age. Specialist eyewear is available –such as Erin’s World frames, which was set up by a frustrated parent who wasn’t satisfied with what was on offer to her child. The frames are formatted to fit low bridges and shortened sides.

Matthew, who has Asperger's syndrome, enjoys working with children who need extra attention. One four-year-old girl "only lasted five minutes" when another practice tried to test her sight. "She’s highly intelligent and can already read but has sensory needs and doesn’t like anyone touching her face," Matthew explains.

"The first step was to gently talk about what an eye test is. This took several weeks. We realised she didn’t like the word ‘test’, so instead said 'we are going to check your eyes'. She won’t tolerate a traditional occluder. I used my hand to occlude, which she was happy with because the parents have been practising that with her at home. It’s just adapting what you would normally do for a patient for that person in front of you.”

JESSICA GOWING

“We might go up and see a patient on the ward, or take measurements when a patient is under general anaesthetic for other reasons. Some children have lifethreatening, or life-limiting conditions. Every day I’m taken aback by how amazing these children are – their strength and determination is incredible.”

Fitting spectacles to six week-old babies after cataract surgery is a high point.

Working with experts is fascinating, Jessica says. There are weekly department teaching sessions, where each discipline takes it in turn to lead on their area. Jessica outlines case studies of specialist fits. She gets to hear about research into retinopathy in premature babies, or gene therapy for Batten disease, a fatal disease affecting the nervous system.

The most rewarding aspect of the job?

“Being able to help children who haven’t been able to get glasses that fit before. I think, how on earth are we going to get a pair on this one? I love being able to come up with solutions.”

Everyone we spoke to agrees that’s the secret of dealing with children is: focus on the individual and their needs.

FURTHER INFORMATION

• ABDO guidance on dispensing to children: www.abdo.org.uk/news/pathway-fordispensing-to-children-guide/

• ABDO paediatric dispensing poster: www.abdo.org.uk/news/paediatricdispensing-poster/

• ABDO online CPD child safeguarding course: www.abdo.org.uk/dashboard/eventscpd/safeguarding/child-safeguarding/

KAYE MCINTOSH is a freelance writer and the former editor of Health Which?, Pregnancy & Birth and WI Life magazines.

Adjusting a spreading frame

Some myopes may tell you they keep having to come back for the same adjustment, as the sides repeatedly spread on their frame. This tip can save them from making that trip multiple times. It requires some needle files (no paperclips or cocktail sticks this time) – as shown in Figure 1.

The issue is that the lens material posterior to the bevel continually puts pressure on the rear of the frame – particularly in plastic frames (Figure 2). Some glazing machines can make the edge angled back, but can then leave the lens looking like a high prescription with power rings. This method instead targets the problem areas of the lens.

So, remove both lenses from the frame, and clean them so you have a good grip. Apply the needle file along the lens material in the superior temporal corner, behind the bevel. Leave the bevel fully intact (Figure 3). It can be all too easy to scratch the lens, so take your time, applying the file in smooth continuous motion. You may find different shaped files suit the area you’re working on. If the lenses are anisometropic, you may need to file one side more.

Whilst the lenses are out of the frame, heat the front to bring the sides in, taking care not to put strain on the hinges ( Figure 4 ). Cool the frame down so it stays in the new shape ( Figure 5 ). Gently heat the frame enough to re-insert the lenses ( Figure 6 ).

If the head width still looks too wide, remove the lenses and repeat. It's much better to do this two or three times than take off too much.

Although only recently qualified, Chris Gurnell FBDO has been in optics for 10 years. His hobby of model building has several skills that have transferred well in to glazing and repairs.

Do you have a Tips & Tricks you'd like to share? Email DO editor Nicky Collinson at ncollinson@abdo.org.uk

FIGURE 1

FIGURE 2

FIGURE 3

FIGURE 4

FIGURE 5

FIGURE 6

To infinity and beyond

Eyecare professionals from more than 250 practices gathered at the Hilton Hotel Wembley on 24 May for the official launch of EssilorLuxottica's new Varilux XR series. Harnessing the power of artificial intelligence (AI), the Varilux XR Series is heralded as the "first eye-responsive progressive lens for instant sharpness in motion". Its launch is being backed by a media influencer programme – with a big name 'early adopter' still under wraps at the time of going to press.

The afternoon launch event – with entertainment into the evening – gave attendees time to learn about the science behind the lens, and hear about the new media campaign and wearer insights. Guests could also catch up on all things EssilorLuxottica – from the Leonardo learning platform and in-practice instrumentation to premium eyewear brands – including the latest 'disruptive design' Ray-Ban Reverse and a new alliance with Swarovski.

create a 'digital twin' of the patients in a 3D environment, reproducing real-life situations to predict their visual behavioural profile.

The AI system is composed of wearer parameters (age, prescription, PD, etc), and predictive models (visual acuity loss, head/eye coordination, gaze behaviour). And for the first time, two new predictive models of visual behaviour have been defined – a gaze lowering model and an accommodation model. The result is a lens that provides "extremely sharp vision for any visual target, even while moving, with a seamless ocular navigation between 30cm and infinity".

Guests heard that in a 2022 'in-life' consumer study amongst 73 presbyopes usually in premium varifocal lenses, when wearing Varilux XR series lenses: 95 per cent adapted on the first day; 87 per cent preferred them over their current premium varifocal lenses; 97 per cent experienced better overall vision compared to their current varifocal lenses; and two-thirds felt there was no visual discontinuity when changing from near to far vision.

INFLUENCING BRAND AWARENESS

The launch of the Varilux XR Series is being supported with the company's biggest ever marketing campaign for Varilux to date, with celebrity influencers sharing their experiences of presbyopia and wearing the lens, a TV advertising campaign, and local practice support to drive awareness and footfall.

LEVERAGING BEHAVIOURAL AI

During the main presentations, hosted by the Chase TV quiz star and former GP Paul Sinha, practitioners heard from a range of speakers – including Sebastien Fricker, Essilor R&D's ophthalmic lens design specialist, who explained the behavioural AI technology behind the lens.

In developing the lens, more than one million pieces of data from exclusive research, real-life wearer tests and wearer visual behavioural and postural measurements in practice were collected and analysed. This enabled designers to

The influencer programme aims to promote Varilux as an aspirational brand through storytelling content – positioning the lens as "the leader in driving smart solutions for everyday vision change".

Television and radio presenter, Melanie Sykes, award-winning art and film director, Erica Bergsmeds, and choirmaster and broadcaster, Gareth Malone, will share posts on social media about their experience of wearing the Varilux range.

A national media campaign will roll out later this year, with point-of-sale materials available including a one-page technical

sheet, brochures and personalised posters. A series of education seminars have already been run on the Leonardo platform. The site can be accessed at https://leonardo.essilorluxottica.com for a wealth of information on all EssilorLuxottica products, along with marketing insights and CPD.

Remarking on the evolution of the Varilux brand over the past 64 years, Dr Andy Hepworth, Essilor professional relations manager, said: "Varilux has led the way in more than just core design features – but in personalisation too. To achieve the most natural vision possible, an individual’s behaviour, the interactions of the eye, retina and brain have been gradually integrated to create a bespoke solution.

"When crafting our lenses, we can now bring together AI, human expertise and cutting-edge engineering. The lens has achieved so much and will no doubt keep on delivering on its journey to a century. The coming years will involve even more amazing imp rovements to lenses and people’s lives," Andy concluded.

Alan Pitcher, Essilor commercial director for wholesale lenses, commented: “It’s an exciting time for Essilor and the optical industry as we launch a new lens, once again raising the performance bar to meet the visual demands of the present day presbyope."

Natural eye navigation from near to far

Launch event host, Paul Sinha

A helping hand for TRAINEE CLOs

Following its successful launch in 2020, Johnson & Johnson Vision is once again encouraging trainee contact lens opticians (TCLOs) to join its Success Through Education Programme (STEP). Available to all TCLOs in the UK, STEP by Johnson & Johnson Vision provides free, additional digital and face-to-face learning to complement the course and prepare for the examination. This support is delivered via the company's team of professional affairs consultants, who act as personal mentors to each of the TCLOs.

Ian Pyzer, Johnson & Johnson Vision's professional education and development manager, explains more: "The practice where the TCLO is working does not have to be a customer of Johnson & Johnson Vision, nor is there any cost to either the employer or the student. Those starting their CLO course in September can register now for STEP TCLO.”

TCLOs working within a Boots Opticians or Specsavers practice should receive a communication from their employer containing further information on how to enrol on the programme. Other students planning to begin contact lens training in September 2023, and wishing to enrol on STEP TCLO, are invited to email tvci_gb@its.jnj.com with their name, GOC number and short message asking to register for 'STEP TCLO'.

"Through STEP, TCLOs can expect excellent support as they progress through the theory course," continued Ian. "Then once they pass, we help them on their journey as they prepare for their practical exams, with the aim of helping them to qualify without any long delays."

A key part of the STEP TCLO programme is a one-day practical

examination preparation course at the Johnson & Johnson Institute.

"INVALUABLE EXPERIENCE"

Feedback from those who have completed the programme has been extremely favourable. Remarking on her experiences, Gemma Thompson said: “When I started my trainee CLO journey, I was apprehensive. I had been qualified for 10 years and hadn’t contemplated the demands of returning to formal education. I was really pleased when I heard that Johnson & Johnson Vision was going to be supporting us through the STEP programme.

"My professional affairs consultant spent valuable ‘one-on-one’ time with me on practical skills, as well as building my case records, helping me to become a confident qualified practitioner. The knowledge I gained from these sessions remain essential in my day-to-day practice now I am qualified."

Alex Botezatu who qualified during the Covid pandemic, says the programme came at the right time: "Monthly meetings with my consultant gave me a different perspective on my clinics and time to discuss my cases. The webinars focused on the key information that I needed –including how case records should be written. The combined support of my store, ABDO College and the STEP programme meant I passed all my theoretical and practical exams and

qualified as a CLO. I am grateful for all the support I received."

Dr Alicia Thompson, ABDO director of research, education and professional development, has commended Johnson & Johnson Vision for offering the STEP programme to TCLOs. She said: "ABDO is delighted to support this programme that will benefit all trainee CLOs through their learning journey and beyond. We are very grateful to Johnson & Johnson Vision for investing in such a comprehensive programme that will complement learning and build confidence in preparation for their professional examinations."

Once qualified as a CLO, Johnson & Johnson Vision continues to support graduates who can then enrol in the STEP-UP CLO programme, which takes the newly-qualified CLOs through a number of interesting topics designed to broaden their knowledge and increase their confidence while acquiring up to 19 CPD points.

“We are going to be contacting those who have qualified to tell them about this novel programme,” said Ian. "Through the programme’s discussion forums, that will also feature throughout the six months, STEP CLO graduates will have the opportunity to ‘meet’ others and feel part of a newly qualified CLO community.”

For more information about STEP TCLO or STEP-UP CLO, email ipyzer@its.jnj.com

Past STEP participant, Gemma Thompson

Now qualified, Alex Botezatu

SILMO through the generations

Q&A with Amélie Morel, chairwoman of Silmo Paris

Q: THE NEW ADVERTISING SLOGAN FOR THE 2023 EDITION OF THE PARIS TRADE FAIR IS ‘GENERATION SILMO’. HOW DID THAT TAGLINE COME ABOUT?

A: Several reasons – both rational and emotional – led us to this choice. For more than 50 years, Silmo Paris has remained the first and oldest professional trade fair to participate in the life and history of the world’s optics and eyewear industry. Several generations of men and women have contributed to its development and have borne witness to the progress of both the business and the event. In fact, a number of companies have been exhibiting every year at Silmo Paris since the first time it was held in Oyonnax in 1967. The Morel company is a great example, since it has never missed a single edition.

The tagline Generation Silmo also expresses that continuity: the feeling of passing something down from one generation to the next, through historical companies large and small. That dimension is so important for the dynamics of the industry whose professionals come from different horizons: young and not-so-young share their views, forging ahead together. And so, through the years, Silmo Paris has naturally become a gathering place where people are clearly delighted to assemble.

Q: DOES THAT MEAN THAT THE NOTION OF BELONGING TO AN INDUSTRY IS TRULY REAL AND IMPORTANT?

A: Simo Paris is built on the idea of communities standing for the same values and having the same – or nearly the same – ambitions. You can even call us a big family. That is precisely how the Silmo Family concept came about, based on that observation. It is a meeting place for every initiative, showroom and trade fair that we organise across the globe. Of course, this isn’t the

magical world of make-believe – there can be tensions, disagreements and objections – but in the end, Silmo Paris manages to align all its energies to satisfy the entire optical and eyewear field.

Q: IS THE EVENT’S LONG - LASTING SUCCESS ALSO A QUESTION OF MAINTAINING THE SAME STRUCTURE AND FUNDAMENTALS, GENERATION AFTER GENERATION?

A: Each generation develops attitudes and behaviours that result from the socio-economic context in which it is brought up. But the symbolic Generation Silmo concept is also a way of laying a foundation and demonstrating the trade fair’s strategic continuity, edition after edition, with one chairmanship leading smoothly into the next in a coherent whole.

Silmo Paris is also such a solid institution because of the stability of the organisation. Each member of the supervisory board is thoroughly involved, and the logistics teams remain present and attentive throughout the year. People are truly attached to this ambiance and cohesiveness, and both exhibitors and visitors feel an affection for it. That constancy is confirmed, generation after generation, despite the crises that we have endured, such as Covid.

Thanks to its long-term vision and foresight, Silmo Paris has won over every generation. Much more than just a trade fair, it is a gathering place.

Keep up-to-date with all things Silmo Paris at www.silmoparis.com

AMÉLIE MOREL

ENSURING CONSISTENCY WITH EACH GENERATION

Points of view

The General Optical Council (GOC) has published its 2023 public perceptions research, which seeks to understand the public’s views and practical experiences of using eyecare services. Updated last year to reflect the difference between optometrists and dispensing opticians, by splitting out certain questions into different codes or including both codes in the answer to not impact on trended data, the results show that public satisfaction remains high.

KEY SURVEY FINDINGS

When it comes to purchasing, the survey found that after having their sight test/eye examination, 60 per cent purchased glasses, four per cent purchased contact lenses, and six per cent purchased both. Females were more likely to purchase glasses or contact lenses after attending their sight test/eye examination (73 per cent cf. 67 per cent for males). They were also significantly more likely to report buying glasses specifically after their appointment than males (64 per cent cf. 56 per cent) while males were significantly more likely to purchase contact lenses than females (six per cent cf. three per cent).

OTHER KEY FINDINGS INCLUDE:

• 77 PER CENT OF RESPONDENTS said they had been for a sight test/eye examination in the last two years; those who said had never been for one has dropped from 14 per cent in 2015 to three per cent in 2023

• 92 PER CENT OF RESPONDENTS were confident about receiving a high standard of care from an opticians/optometrist practice. This compares with 85 per cent from a pharmacy, 81 per cent from a dental practice/surgery and 79 per cent from a GP practice/surgery

• 13 PER CENT had experienced a situation where something went wrong with the care or service they received when visiting an opticians/optometrist practice. Of these, 56 per cent said that they received an apology, but 42 per cent had not

• ONE IN FIVE (21 PER CENT) shopped around to compare different opticians/optometrist practices before picking which one to go to. Fifteen per cent were not aware glasses or contact lenses could be purchased from a different opticians/optometrist practice to where they had their sight test/eye examination/contact lens fitting

Ninety-four per cent of respondents who had a sight test/eye examination in the last two years were satisfied with the optometrist who carried it out – the same figure as last year. For the first time, 'an opticians/optometrist practice' – termed simply 'an optician' prior to the 2022 survey – are now the initial port of call for people with an 'eye problem'.

This year, 36 per cent of respondents said they would visit an opticians/optometrist practice first if they woke up with an eye problem, ahead of 33 per cent who said they would visit a GP practice/surgery. This figure has steadily grown since 2015, when 19 per cent reported they would go to an opticians first. However, there are differences between the nations: 49 per cent in Northern Ireland and 46 per cent in Scotland said they would visit an opticians/optometrist practice first, compared to 39 per cent in Wales and 30 per cent in England.

Commenting on the survey results, Steve Brooker, GOC director of regulatory strategy, said: "An important milestone is that for the first time since we began this research in 2015, more people would first visit an opticians or optometrist practice with an eye problem than a GP practice or surgery. However, there are differences between nations, and it will be interesting to see if this trend accelerates in future as registrants become better equipped to meet a wider range of eye health needs."

The GOC plans to use insights from the research to inform its review of its standards of practice for optometrists and dispensing opticians, and standards for students.

ABDO clinical lead, Max Halford, commented: “It is encouraging to see that more patients than ever are recognising that the expertise to deal with eyecare problems is at their local optician practices. The ABDO Extended Services course, now supported by grants from NHS England via Health Education England, is helping even more contact lens opticians [CLOs] to up-skill to support patients with acute eyecare problems at their local High Street practices.

“ABDO’s #YesaDOcan campaign highlights the varied and skilled roles of dispensing opticians [DOs] and CLOs. As patients increasingly turn to their optical practice for eyecare advice rather than their GP, DOs are well-placed to provide clinical advice on common eye conditions and deliver monitoring services,” Max added.

The research was carried out by MEL Research, interviewing a representative sample of 2,020 people in the UK between 27 January and 13 February 2023. The full 2023 public perceptions research is available on the GOC website.

Exploring what patients think

Dispensing optician Katie Platts works in the market town of Skipton, and is a qualified ocean diver. She says: “I first tried diving on holiday in Egypt in 2004. Fifteen years later, we went to visit a family member in Korč ula, Croatia, who was working at the island dive centre. I had three days of diving there. I remember how much I enjoyed it, so as soon as I got home I looked for local clubs and got my name on the waiting list. Covid made it a long wait but I finally joined the club in August 2020."

Katie took theory lessons and pool sessions before open water training. She says: “We go to a dive quarry at Capenwray. It is set up with all sorts on the bottom from buses to planes. The assessment took two days with two dives per day. I qualified in October 2022.

“I enjoy the freedom you get in the

REFRACTIVE SURGERY

From time to time, the optical assistant (OA) may be asked about refractive surgery. Although not qualified to advise patients on their suitability or otherwise, it can be useful for the OA to have some understanding of the different types of procedures available.

In OA Corner Part 31, dispensing optician Sue Deal considers why a patient might be looking into refractive surgery – before looking at some of the most common types of refractive surgery available.

Read OA Corner Part 31 on DO Online

water; it’s a whole new world under the surface. Time is important but it seems to last forever. Once I’m in the water and comfortably settled, I appreciate what’s around me – from the fish, the seaweed, plants and rock forms. I also appreciate the dive buddy with me, as underwater we are a team. We look out for each other – from planning the dive to the debrief after.

“We have pool training on a Wednesday night," Katie continues, "and then the dive trips normally fall on my days off. I can always book time off for longer trips away. I have managed to help fit this with work as some customers know I dive so come to me to ask about dive masks."

The British Sub-Aqua Club website will provide details of local clubs. “These are a great community to be in, where you can make a new set of friends who look out for each other. The social aspect isn’t bad either," Katie adds.

EYECARE FAQ

SOCIAL MEDIA TIPS: DRY EYE IN THE SPOTLIGHT

June is dry eye month and it’s the perfect time to advertise your dry eye services. Here are some suggested social media posts: 'What are the signs of dry eye? If your eyes both become irritated as the day goes on, and this happens every day, you may have dry eyes'; 'What can I do at home or work to help my dry eyes? Talk to your optician about how to improve your dry eye'. EyecareFAQ will also be covering sports eyewear for children, adult eyecare and driving and your eyes.

Find Q&As on all these topics and in the EyecareFAQ section of the ABDO website and graphics in the EyecareFAQ resources for members section.

Find EyecareFAQ on the ABDO website, Facebook, Twitter, Pinterest and Instagram.

LEARN ABOUT THE TYPES OF REFRACTIVE SURGERY

KATIE ON A LOCAL DIVING TRIP

ABDO BENEVOLENT FUND

A LIFELINE FOR MEMBERS

The ABDO Benevolent Fund is a registered charity that assists those members, past and present (or their dependents), who are suffering financial hardship.

As an ABDO member, if you know a colleague who you feel might benefit, or if you find yourself facing a difficult financial situation, please contact Jane Burnand by emailing jburnand@abdo.org.uk or telephoning 0793 993 6827.

All enquiries are handled in strictest confidence. Any ABDO member can make a charitable donation to the fund.

CALL FOR CONTRIBUTORS

Dispensing Tips & Tricks series

Do you have a valuable dispensing tip and/or trick that you use in practice? Would you like to share it with your fellow members? We're looking for members to contribute to our new Tips & Tricks series in Dispensing Optics, beginning in this month's issue. We're looking for around 600 words with good quality colour images showcasing your tip and/or trick.

BOOK NOW FOR ONLINE STUDY IN MANAGEMENT AND LEADERSHIP

Turn your informal learning into recognised qualifications

Level 5 courses accredited by the CMI (Chartered Management Institute)

APPLY BY 8 AUGUST 2023

• MEMBERSHIP OF THE CMI AND ACCESS TO CMI SUPPORT AND MATERIALS INCLUDING MANAGEMENT DIRECT

• STUDY ONLINE WITH TUTOR SUPPORT

• CERTIFICATE OR DIPLOMA LEVEL STUDY

• DISCOUNT FOR ABDO MEMBERS

Study for a degree

with ABDO College

If you want to further your career in optics and learn while you earn, why not study for a degree with ABDO College?

You can:

Study online and learn new skills to use in practice

Attend block release, experience college life and make great friendships

Learn from dedicated and experienced academic staff

Be supported by helpful course tutors.

abdo

You will take a two-year Foundation Degree course followed by a third year BSc Degree course in ophthalmic dispensing – leading to BSc (Hons) and the ABDO Level 6 FBDO qualifications.

Earning a degree is an opportunity to: Develop knowledge and expertise in a subject you enjoy Build transferrable skills in communication, leadership and problem solving Improve your career prospects

In most cases, student finance is available to those undertaking the degree.

For more details and to apply: visit www.abdocollege.org.uk call 01227 738 829 (Option 1) or email info@abdocollege.org.uk

Your membership. Your benefits.

NETWORKING AND EDUCATION

As well as money saving benefits and rewards, your ABDO membership provides continuing education to help you achieve your GOC CPD requirements and enhance your clinical and professional skills.

BENEFIT SPOTLIGHT

ABDO CPD

ABDO provide access to CPD to support your professional requirements through a mix of online and face-to-face opportunities. Interactive online peer review, journal clubs and webinars are available throughout the year. Non-interactive distance learning articles from Dispensing Optics, recorded lectures and short online modules are available to access in your personal membership area of the ABDO website. Face-to-face interactive CPD events are provided around the UK and at the ABDO National Resource Centre in Birmingham. Places at all interactive CPD sessions are booked via the Events page on the ABDO website. Go to www.abdo.org.uk/cpd

* Terms and conditions apply to all benefits. Some ABDO Membership benefits are arranged and managed through Parliament Hill and some are arranged through ABDO, please see website for details. The ABDO membership benefits web page is managed and run on behalf of ABDO by Parliament Hill Ltd. Offers are subject to change without notice. All offers correct at time of going to print.

PROFESSIONAL SERVICES

ABDO MEMBER BENEFITS INCLUDE:

• Professional indemnity insurance

• Personal accident cover

• Counselling helpline - FREE 24-hour service CPD

• Dispensing Optics

• Access to selected British Standards

• FREE legal helpline

• Discounts on everyday purchases

• Member benefit plans with HMCA

• Access to over 3,000 + health clubs, gyms and leisure centres

• Mobile phones on the best rates available from EE

• Savings on all your travel needs

• Totum card powered by NUS Extra

• Membership of the International Opticians Association (IOA)

• Save on travel insurance policies

• Savings on Apple products

• Advice and Guidelines