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NEWS, INFORMATION AND EDUCATION FOR OPTICIANS

DISPENSING OPTICS

JUNE 2021


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JUNE 2021

contents features 16.

CET – C-77953 A specialised skill Bifocal dispensing: a forgotten skill? By Fiona Anderson

18.

CET MCAs – C-76826 Getting to grips with OCT Part 2 By Prashant Shah and Yashita Shah

20.

In practice Guiding generation next By Antonia Chitty

15.

regulars

20.

6.

8.

5.

DO Dispatches

6.

From the Holmes front

6.

News

13.

Product spotlight

19.

Region update

22.

Jottings

23.

Business Bites | Eyecare FAQ | OA Corner

24.

Notices

stay in touch DO Online DO Twitter

22.

ABDO Facebook ABDO Twitter

FC – Model wears Active Spring frames from Centrostyle

ABDO LinkedIn

JUNE 2021 DISPENSING OPTICS

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DISPENSING OPTICS The Professional Journal of the Association of British Dispensing Opticians Volume 36 No 6

DO Dispatches

EDITORIAL STAFF Publisher Editor Email Assistant Editor Email Design and Production Email Admin. Manager Email

Sir Anthony Garrett CBE HonFBDO Nicky Collinson BA (Hons) ncollinson@abdo.org.uk Jane Burnand jburnand@abdo.org.uk Rosslyn Argent BA (Hons) rargent@abdo.org.uk Deanne Gray HonFBDO dgray@abdo.org.uk

EDITORIAL/ADVERTISING Telephone Email Website

0781 2734717 ncollinson@abdo.org.uk www.abdo.org.uk

SUBSCRIPTIONS UK Overseas

£150 £175, including postage

Apply to:

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

Telephone Email Website

01227 733911 efox@abdo.org.uk 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 Email

01206 734155 abdocpd@abdo.org.uk

CONTINUING EDUCATION REVIEW PANEL Josie Barlow FBDO CL Keith Cavaye FBDO (Hons) CL FBCLA Andrew Cripps FBDO PG Cert HE FHEA Kim Devlin FBDO (Hons) CL Stephen Freeman BSc (Hons) MCOptom FBDO (Hons) Cert Ed Claire McDonnell FAOI Angela McNamee BSc (Hons) MCOptom FBDO (Hons) CL FBCLA Cert Ed Alex Webster MSc PGDipE FBDO CL FHEA FBCLA Gaynor Whitehouse FBDO (Hons) LVA EDITORIAL COMMITTEE Nicky Collinson BA (Hons) Antonia Chitty MA MCOptom MCIPR Alex Webster MSc PGDipE FBDO CL FHEA FBCLA Max Halford FBDO CL Debbie McGill BA (Hons) Sir Anthony Garrett CBE HonFBDO Jo Holmes FBDO

STEMMING THE MYOPIA TIDE An online poll, conducted on behalf of Fight for Sight earlier this year, showed that 50 per cent of students and 42 per cent of working adults believed increased screen time during the pandemic had negatively affected their vision. Studies have also highlighted the potential risk of rising myopia rates due to children spending more time indoors, performing ‘near tasks’ and using smartphones and other devices. With this in mind, and as adults return to the workplace and children settle back into school, now is the perfect time to review and refresh your approach to myopia management and prevention. As ABDO president, Jo Holmes, states in her column this month, eyecare professionals “have a duty of care to children...to understand myopia management and give advice”. For tips on how to ensure your practice is as child-friendly as it can be, don’t miss this month’s In Practice feature. In Jottings, we hear from one ABDO member who has turned concern about his young patients’ vision and screen habits into an app to control and monitor viewing distances; while in Product Spotlight browse a bumper crop of fantastic eyewear styles for youngsters. To add to your ‘to do’ list this month: please respond to the ABDO syllabus review and the call for nominations for the upcoming ABDO board elections (page 7); the deadlines are 12 July and 18 June respectively. We are really looking forward to bringing Dispensing Optics back to print next month after a 12-month break. If you prefer to continue with an online-only version, then please update your communications preferences in your membership portal.

Nicky Collinson Editor

DISPENSING OPTICS IS PUBLISHED BY ABDO, Unit 2, Court Lodge Offices, Godmersham Park, Godmersham, Canterbury, Kent CT4 7DT © 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: 8,848 copies (January to June 2020) ABDO Board certification

JUNE 2021 DISPENSING OPTICS

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OUR MONTHLY COLUMN FROM THE ABDO PRESIDENT JO HOLMES FBDO

From the Holmes front Myopia management is a ‘must’ t is estimated that 30 per cent of the world’s population has myopia. By 2050, these figures are predicted to increase to 50 per cent. With this shocking statistic in mind, there is increasing evidence that several interventions can All registrants have a duty of slow the progression of care to children childhood myopia. Dispensing opticians and optometrists have a duty of care to children, who are a legally protected group of patients, to understand myopia management and give advice. We need to explain the increased risk of sight-threatening eye conditions that can occur later in life as a result of myopia, including retinal detachment, myopic maculopathy, certain forms of cataract and glaucoma. As General Optical Council registrants, we are required to remain up-to-date by understanding the risks of myopia progression, and the interventions and advice that should be given in any conversations with our patients. Currently, the thinking is that there are three myopia management options that can be used in conjunction or individually. These are specifically designed myopia management spectacle lenses or bifocals, along with ortho-k and specialist myopia control contact lenses. The pharmaceutical interventions such as atropine show promising results, although they are not licenced in the UK at present. Behavioural and lifestyle interventions must be considered. Research indicates that time spent outdoors helps to reduce the risk of the onset of myopic progression in some children, along with regular breaks from computer screens. Research in the field of myopia management is constantly developing and changing. ABDO has a complete section on myopia management on its website, with links to all the latest evidencebased papers. Along with CPD discussion workshops and specific myopia management days, there is no excuse to fall behind. There is plenty of evidence out there now that underpins the need to inform patients at risk of myopic progression. We have a duty to discuss the options that will most likely benefit a patient and its effectiveness. By noting every discussion you have about myopia progression on the patient’s record, you will have evidence that advice and guidance was given.

I

Jo Holmes FBDO President of ABDO

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DISPENSING OPTICS JUNE 2021

Promoting sustainability in the UK optical sector

Save the date for inaugural SEE summit ABDO is calling on everyone across the optical professions and industry to save the date of Monday 4 October 2021 for the Association’s inaugural SEE Summit on the Environment. The Association formed a working group at the start of this year to address social, ethical and environmental (SEE) issues with the aim of working across the industry to increase awareness and engagement. As part of this project, ABDO is urging practice owners, professionals and manufacturers to take part in a launch event to promote environmental sustainability in the UK optical sector, and contribute to the government’s goal of achieving net zero greenhouse gas emissions by 2050. The SEE Summit on the Environment will take place in the run-up to the 26th UN Climate Change Conference of the Parties. It will highlight the importance of environmental sustainability and inspire change by sharing good practice case studies and providing practical advice. ABDO vice president, Daryl Newsome, said: “We all recognise the importance and imminence of climate change and pollution. Many different organisations within optics are making great efforts and progress to make our industries and professions responsible and accountable. “ABDO has a part to play here, as we are commercially neutral and in a position to help individuals and organisations to improve their efforts and achievements – and then to share best practices in an impartial and collaborative way.” ABDO’s working group is also looking to develop a network involving professional bodies, manufacturers, practice owners and practitioners, all of whom can work together to highlight good practice and raise awareness of the importance of this issue. Readers with any environmental initiatives they would like to showcase in the run-up to, or at, the event are invited to contact ABDO head of communications, Antonia Chitty, by emailing achitty@abdo.org.uk. To get involved with the event or to support it, contact Alistair Bridge, ABDO head of strategy, by emailing abridge@abdo.org.uk The summit will take place in the evening, from 7pm to 8.30pm. An announcement will be made when registration opens.


NEWS Feedback sought on FBDO syllabus ABDO is calling for feedback from across the profession as it launches a review of the syllabus of its FBDO qualification, to ensure that student dispensing opticians (DOs) are prepared for the roles of the future. ABDO’s Level 6 diploma in ophthalmic dispensing enables students to register with the General Optical Council and practise using the protected title of ‘dispensing optician’. The syllabus sets out which areas students study, and the depth and breadth of what they study in each area. In launching the review, ABDO highlighted the fact that DOs’ future roles were likely to be affected by a range of factors

JUNE 2021 including: the growing number of older people in the UK; the increasing prevalence of childhood myopia; the increased delivery of eyecare in community practice rather than in hospital; the opportunity for DOs to carry out refraction; the increasing use of technology in community practice; and the growing focus on preventative healthcare. ABDO is also seeking views on what should be no longer covered, or covered in less detail. Jo Holmes, ABDO president, commented: “ABDO is working on the syllabus review with the aim of giving our students an excellent baseline with our FBDO qualification. This qualification should continue to open up many opportunities for our students once they

PREPARING DOS FOR FUTURE ROLES qualify that can then be built on, including in areas like paediatrics, myopia management, low vision and refraction. Please share your views.” Read the consultation paper and respond via the ABDO website. The consultation closes on 12 July 2021.

Elections reminder ABDO members are being reminded to complete their candidate and nomination forms for the current board elections by 18 June. There are four board places open for election. Three are held by the following members entitled to seek re-election: Julie Lees, Garry Kousoulou and Brenda Rennie. The fourth seat is held by Kevin Milsom, who is stepping down after serving a full term. Any person seeking election should complete a candidate form and include details of their six nominators. Nominators should then individually complete and sign the separate nomination form. Both forms can be found on the ABDO website, and must be completed by 10am on Friday 18 June. Any queries should be addressed to Jane Burnand by emailing jburnand@abdo.org.uk or telephoning 0207 2985102.

Free Bronze job ads for members From 1 June, Bronze job adverts on DO Online (usually £150) will be free for ABDO members as a member benefit. The Silver and Gold packages have also been reduced in price for members, and will now cost £100 and £200 respectively. Members may place their job adverts as usual using the job advert request form – but must be logged in to receive their free Bronze job adverts. Members can also use the ABDO website to seek new positions, and search for (and offer) locum roles under Locum Registration Options.

Print journal to return next month

DO back on the presses Dispensing Optics will return to print next month after a 12-month hiatus. “As the Covid-19 pandemic gripped the globe last spring, it was decided to pause print production of the journal to enable ABDO to continue to offer members essential support,” said ABDO general secretary, Tony Garrett. “We are now in a good position to reinstate the printed journal for UK members. We will continue to produce Dispensing Optics digitally and as a flip-through magazine, which has proved popular with many.” Members who would like to continue to receive an online only version of Dispensing Optics can amend their preferences in the member dashboard area of the ABDO website under ‘Communication preferences’. The journal will also land next month in recycled paper wrap. “We switched to a compostable potato starch wrap in 2019, however, it’s become apparent that there remain issues with the breakdown of smaller particles,” said Dispensing Optics editor, Nicky Collinson. “Our shift to recycled paper will improve the Association’s contribution to environmental sustainability, whilst supporting the zeroplastic movement.” JUNE 2021 DISPENSING OPTICS

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NEWS Essilor to complete Lenstec acquisition Having acquired a minority shareholding of the Lenstec Optical Group through Shamir in 2016, Essilor plans to complete the acquisition of the remainder of the shareholding from owners Nigel Castle and Gerard Donovan this year. Olivier Chupin, Essilor vice president for North Europe, commented: “We are pleased to reinforce our partnership with Lenstec, which will allow us to improve access to the Essilor Group’s wide range of product offering to British consumers.” Lenstec managing director, Nigel Castle, said: “We are excited to continue our journey within the group. The partnership with Essilor and Shamir allows us to both strengthen and extend our products and service offering to our valued customers, whilst retaining the same customer intimacy, service and solutions our customers have come to expect.”

VIVIENNE WESTWOOD A/W 21/22

Punk icon eyewear deal Mondottica International and Vivienne Westwood have signed a licence agreement for the design, production and distribution of the Vivienne Westwood eyewear collections. Mondottica’s CEO Tony Pessok stated: “Vivienne Westwood is an iconic brand and individual, and the eyewear range will be respectful and aligned with their collections. The orb logo is a work of art, and I look forward to being able to interpret this with the teams into our product category.”

Myopia lens study results out ONE HAPPY PATIENT

Hitting the Hi notes Louis Stone’s colourful range of children’s frames have been hitting the mark with youngsters in recent weeks. “We’ve been inundated with images of happy patients wearing their Louis Stone Hi frames,” said Clare Gaba, head of marketing and communications. “We were thrilled to receive this gem from Liverton Opticians of a young patient wearing his Hi 8 frames in the stunning colourway of Orange Jean.” Turn to page 13 for this month’s Product Spotlight on children’s frames.

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DISPENSING OPTICS JUNE 2021

Hoya Vision Care has announced the results of a three-year follow-up clinical study on its Miyosmart spectacle lens with patented Defocus Incorporated Multiple Segments (DIMS) Technology. The new study, published in the British Journal of Ophthalmology (BJO), was conducted with 120 children in Asia, including 65 who took part in the previous study, and 55 children who moved from using a single vision lens for two years to the Miyosmart lens in the third-year of the study. At the end of the third year, results in the original group of children using the lens showed that slowing in myopia progression over time was sustained. The group that moved from regular single

“Significant” myopia slowdown reported vision to the Miyosmart lens showed a “significant and immediate slow-down in the progression of myopia”. “The results are very positive, providing evidence that the lens continues to slow myopia progression in children, including the impressive results when switching from a single vision lens,” said Griff Altmann, chief technology officer at Hoya Vision Care. Read the study results in full on the BMJ Journals website.


DISPENSING OPTICS I JUN2021 Deal to drive winning formula Shamir has become the Alpine F1 Team’s optical performance partner. The new Shamir-Alpine F1 Team partnership will provide high performance ophthalmic assessments for Alpine F1 Team and Alpine Academy drivers, as well as the pit crew and personnel at Alpine F1 Team’s bases in Enstone and Viry-Châtillon. Both Alpine and Shamir engineers will investigate new technologies to improve

racing and safety performance with a focus on vision, including reduced glare goggles, coloured visors and anti-fog lenses. Shamir’s logo will appear on Alpine F1 Team equipment. Zohar Katzman, Shamir’s chief technology officer, said: “Our focus and our mission will be to attain perfect vision under any conditions, tailor personal vision solutions to our Alpine F1 partners, and enhance team performance and safety. The challenges and extreme conditions and needs of F1 will drive us toward developing better vision solutions.”

Digital dispensing and ordering tool Silhouette has launched a Vision Sensation app for ordering its customised eyewear. The app takes the patient’s measurements using a specially-designed measuring frame and allows the patient to visualise the final look. Its large selection of lens shapes, frames, colours and lens functions allows

Vision Sensation app launched the practitioner to configure the patient’s eyewear according to their style preferences and prescription

NEW PARTNERSHIP WITH ALPINE F1 Shamir has also recently announced the roll-out of Transitions XTRActive Polarised lenses to all European customers.

requirements for both optical and sunglasses. The eyewear can then be ordered directly using the app. “Years of development and commitment to the Vision Sensation app have paid off,” said Thomas Beier, director of lenses at Silhouette. “We have succeeded in designing a tool that has not yet been available in this form on the market. The app is a clear incentive for every optician to offer added value and improve the quality of vision and appearance for their patients.”


NEWS

ZENITH 98 IN ROSE GOLD ANTICIPATING A SAFE RETURN

Paris show gets the green light Silmo has confirmed that its 2021 Paris show will go ahead in September, after the French government announced plans to progressively ease the country out of lockdown. Amélie Morel, chairwoman of Silmo Paris, said: “The whole team of Silmo Paris is hard at work to prepare this recovery edition. We can’t wait to enjoy the delight of discovery, the opportunity for encounters and the conviviality of discussions. It is clear that all the technology in the world will never replace the power and emotion of a physical event.” Silmo Paris 2021 takes place at the Paris Nord Villepinte from 24 to 27 September. Visit https://en.silmoparis.com/

Renewable energy commitment Johnson & Johnson Vision has signed a 10year deal with US electric utility giant JEA, which will see 100 per cent of the electricity at its global headquarters in Jacksonville, Florida come from solar power. The agreement, which goes into effect in 2022, means the business is on track to source 100 per cent of its electricity from renewable sources by 2025, as well as achieve carbon neutrality across all its operations by 2030. Johnson & Johnson Vision’s production site in Ireland is already powered by 100 per cent wind. The company has a new webpage with sustainability resources for patients and eyecare professionals.

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DISPENSING OPTICS JUNE 2021

Fresh angle on youth range Continental Eyewear has introduced three new Zenith models for 2021 featuring skinny metal shapes with unique angular fronts. The new styles in the collection, aimed at the young and young at heart, are available in three metallic hues: Gold, Rose Gold and Silver. The collection offers both plastic and metal frames in colours and patterns to suit all tastes. Our photograph shows the Zenith 98 in Rose Gold; an angular octagonal shape with contrasting tips for added interest.

Added CET content on site Essilor has introduced new CET content on its E-Academy platform to provide extra opportunities to gain CET points. Dr Andy Hepworth, professional relations manager at Essilor, said: “This last year has been disruptive for the industry and it’s understandable that some ECPs may be slightly behind schedule in terms of CET points. That’s where we hope the E-Academy can really help with its rich tapestry of easily accessible education and training.” Two of the new modules are ‘Dementia and sight loss’ and ‘What is blue light?’. Find out more at https://ecp.essilor.co.uk/

The Acuvue contact lens recycling scheme in the UK has seen five million contact lenses and lens cups recycled to date. A new public information video and leaflet are now available to download to guide wearers on how to responsibly dispose of their contact lenses. “As a leader in the healthcare industry, we’re guided by our strong sense of purpose, helping people around the world see better, connect better, live better. That commitment extends to how we innovate to support the health of the planet,” said Peter Menziuso, Worldwide President, Johnson & Johnson Vision. “We are passionate about sustainability and hope our commitments, together with the new Acuvue sustainability vision, can help make a difference.”


DISPENSING OPTICS I JUN2021

ANN BLACKMORE

Brexit concerns on the agenda

Blend shape KV in Rose Dove

The Optical Suppliers Association (OSA) has called a special meeting on 3 June to discuss concerns about post-Brexit medical devices regulation (MDR). Meeting chair Ann Blackmore, OSA consultant, said: “Post-Brexit was always going to be a difficult time as manufacturers, importers and exporters got used to new rules and regulations. But it is doubly difficult for medical device manufacturers because the change has coincided with the introduction of new and different rules in the EU. That is why it is so important that the MHRA provides strong support and clear guidance.” A ‘UK regulations’ page has been added to the OSA website to help suppliers with regards to MDR and the future regulatory framework ; visit www.osa-uk.co.uk for more information. The OSA is also holding a Summer Members’ Event in Oxford on 23 June to celebrate membership and the easing of lockdown measures. Stuart Burn, OSA chairman, said: “I am delighted we are holding our first physical event in well over a year and look forward to seeing as many members as possible.” Members who wish to attend either event should contact Marianne MacRitchie by emailing mmacritchie@osa-uk.co.uk

University. His main research areas are the development and evaluation of ophthalmic instrumentation, contact lenses, intraocular lenses and the tear film. Dr Orla Murphy is an optometrist whose research involves the areas of dry eye and Demodex blepharitis, particularly the prevalence and effectiveness of modern treatment methods at killing and treating Demodex infestation.

Luke Stevens-Burt, chief executive of the BCLA, said: “These two lectures will undoubtedly be among the highlights of our programme as we emerge from lockdown, and I am sure they will resonate with eyecare professionals around the world.” The BCLA virtual conference takes place on 13 and 14 June. Register at www.bcla.org.uk

NEW SITE FOR WLC

Souped-up website launched Lens manufacturer WLC UK has set up a new stock-ordering website at www.wlclens.co.uk The site also features a blog offering insights and tips to help practitioners connect with patients, along with information about promotions and product updates. Phil Emerton, site manager at WLC UK, said: “Our goal was to enhance the user’s experience and make information about our products and ordering processes more easily accessible, accurate and up-to-date – and we are pleased that the new website achieves this.”

Little mix of muted metallics The new Blend collection from Silhouette comprises of 12 shapes, six for men and six for women, in muted metallic tones such as Icy Blossom and Silver Graphite to dramatic shades of Pure Black and Dark Red. The frames blend Silhouette’s SPX material and high-tech titanium in equal proportions, with a mix of two contrasting colours.

Research experts at the podium This year’s British Contact Lens Association (BCLA) Medal Address will be presented by Professor James Wolffsohn, while Dr Orla Murphy will present the Irving Fatt Memorial Lecture. Professor James Wolffsohn is associate pro-vice chancellor of Aston

A highlight of the styles for women is a striking octagonal lens shape with oversized cat-eye design (shape KL) available in the range’s key colour of Rose Dove – an all-new pink-toned metallic.

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NEWS

JUNE 2021 Second act for virtual event

TOM GRIFFITHS

‘Disruptor’ joins Scottish firm Tom Griffiths, a Sunday Times Top 100 Entrepreneur-Disruptor with his own orthokeratology story to tell, has joined Scotlens as a partner and managing director to drive forward the commercial side of the business. Scotlens partner and clinical director, optometrist Scott Brown, said of Tom: “His disruptive nature, always searching for the untried, his experience and his relentless passion will enable Scotlens to enter new markets and our eyecare practitioner partner network to grow in a sustainable way post Covid.” Tom’s interest in the manufacturer was sparked when his teenage son’s life was transformed by orthokeratology. He said: “...we have the perfect storm of UK child myopia growth due to Covid lockdown coinciding with several fantastic, and no doubt well marketed, myopia control devices coming onto the market in both the glasses and contact lens space. Lots of positive discussion and focus on myopia control, which is much needed in the UK.”

Patent granted for compress shield A patent has been granted for Sterileyes, an antibacterial shield on the Eye Doctor hot and cold compresses used to treat dry eye, meibomian gland dysfunction (MGD) and blepharitis. The Sterileyes solution, said to be clinically proven to reduce bacteria by 99.9 per cent, is bound to the fibres of the fabrics in the compress. The Body Doctor, the family-run business behind the Eye Doctor range, won the Queen’s Award for Innovation in

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DISPENSING OPTICS JUNE 2021

Following the success of its Virtual Perspectives event in April, attended by more than 4,000 delegates worldwide including 400-plus from the UK and Ireland, CooperVision has converted the sessions into online CET for those unable to attend or wishing to revisit them. The accredited courses are now available on the company’s Learning Academy, an open-access education and training site for practitioners and their teams. David Webley, senior manager of professional services EMEA at CooperVision, commented: “We were delighted with our first-class line-up of contributors, which made for a fascinating and insightful series of presentations throughout the day. The attendee numbers were outstanding, and we hope that delegates benefited from the sessions and took away lots of ideas that they can use in everyday practice.”

Save the date Media 10 has moved the dates for 100% Optical 2022 back to its original slot of 22-24 January. Nathan Garnett, 100% Optical show director, said: “Having negotiated with the [ExCeL] venue over securing our original date line, and as the vaccine roll-out appears to be on track, we can confirm we are back in the dates we have run for the past few years.”

2016. The patent follows years of research and development with three independent laboratories. Body Doctor managing director, Sue Grant, pictured here with her sons Adam Wymer (left) operations director, and Sam Wymer, sales and marketing director, said: “Several years ago, at great expense, we undertook the challenge of providing the safest, cleanest, and most cost-effective treatment available for patients suffering with MGD, blepharitis and dry eye disease. We are delighted that this journey has concluded with the grant of our patent to do just that.”

Episode 279 in Purple

Eco Episode styles Two new models have been added to the feminine Episode collection from International Eyewear – one for the petite segment (272) and one for the plus segment (279). All new Episode styles are now supplied with disposable packaging comprising of 100 per cent biodegradable demonstration lenses and polybags, and a box, case and cloth made from recycled materials. The supporting marketing campaign celebrates the power of Mother Nature in collaboration with artist Lena Ker. The four elements of Earth, Air, Water and Fire have been reinterpreted into fashion-inspired illustrations with an environmental nod.

Family success story The Eye Doctor range is available to the optical sector via Positive Impact.


PRODUCT SPOTLIGHT

CHILDREN’S EYEWEAR Flexible choices for active youngsters This month’s cover star wears the Active Spring range from Centrostyle, available in an assortment of colours and sizes for children up to the age of eight years. “Comfortable, lightweight, durable and flexible are just a few words to describe Centrostyle’s children’s frames,” said Kevin Gutsell of Centrostyle UK. “At design stage one, the physiological changes that children undergo as they grow are considered to ensure the frames fit properly and are perfectly positioned. Lens technology changes are also taken into account so the frames stay perfectly-fitted. And they look great too.” Active Soft and Active One rubber-constructed one-piece frames are designed for the very youngest patients, aged from birth to three years. Elsewhere, the Active Colours, Sport and Memory collections take forward the company ethos of comfortably fitting frames that grow with the child.

Active Spring from Centrostyle

All eyes on summer fun As we sail optimistically into summer, our bumper Product Spotlight this month is all about fun, function and protection for youngsters – from tot to teen and everything in be’tween... Mini-me collection for curious eyes

Girls’ model BEKO2009 matches the adult option

For the little adults of tomorrow, the United Colors of Benetton children’s eyewear collection from Mondottica offers styles to match the creative curiosity and playful nature of kids. Inspired by United Colors of Benetton’s apparel collection, the children’s eyewear range for this season follows a ‘mini-me’ concept. For example, girls’ model BEKO2009 features bright colour blocking with a stitch logo on the tips to add another flash of colour exactly like the adults’ styles. Unisex model BEKO2010 comes in a drop temple shape and is available in lively colourways such as Gloss Crystal Bright Blue and Gloss Crystal Pink.

Fun styles with a candy twist

Lazer Junior model 2204 in Rose

Continental Eyewear, part of the Millmead Group, has added two new styles to its Lazer Junior collection: the 2200 and the 2204. The latest styles in this affordable yet high-quality collection combine bold patterned sides and bright candy colours, adding an element of fun to the collection. Each frame is available in various colourways, including Rose, Grey, Navy, Purple and Blue. Our photograph shows model 2204 in Rose. This round-eye frame, featuring attention-grabbing swirl patterns on both sides, also comes in pastel shades of Purple and Blue.

Bright and colourful choices

Blitz Kids styles from Norville (20/20)

The Blitz Kidz range from Norville (20/20) offers fun, stylish and comfortable eyewear with a combination of acetate and stainless steel models. Created for children aged from six months right through to 12 years of age, the collection offers a choice of bright colours and fashionable eye shapes. JUNE 2021 DISPENSING OPTICS

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PRODUCT SPOTLIGHT

The styles are available as a complete glazed package price with the company’s most popular lens options, offering value for money and easy ordering compared with purchasing frame and lenses separately.

Sporty styles for tweenagers Coming soon to the UK from L’Amy America is the new Tweens Retainer 180 Series by Champion athletic wear. These sporty unisex ophthalmic frames have a self-adjusting retaining device to secure them safely round the head during activities. They also feature Champion’s 180 Hinge Technology. This heavy-duty spring hinge system allows the temples to bend 180˚ perpendicular to the frame front, providing additional flexibility and a more customised fit. The four model, 16-piece series offers multi-layer, handmade acetate and stainless steel options in a variety of bold sports colours like neon lime and electric blue. All models feature the iconic ‘C’ logo.

On-trend and ready for action Tween Retainer 180 model Clutch in black multi

Described as “always on-trend, of superior quality and a joy to wear”, Esprit children’s eyewear from Charmant gears youngsters up to “look good and feel great”. Designed with children’s specific needs in mind, the use of weightless Ultem material ensures a light, comfortable fit with extra durability. Sitting snuggly on small noses, frame fit and comfort are further enhanced by an additional feature known as ‘the grip’. This removable silicone ear-clip is positioned behind the ears, keeping frames in place even if the party has moved to the trampoline.

Hands-up for Police Junior Ever-durable Esprit model ET33435

Model VK098 in colour 09H7 is a brand new ophthalmic junior frame in De Rigo’s Police Junior Collection aimed at both children and early teens. Available in four vibrant multi-colourways, this soft rounded frame (49-18-135) showcases an acetate and metal combination. Featuring dynamic acetate layering, coloured acetate temple tips and the Police heritage logo, this frame is designed to look smart but with hints of fun.

Safety and fashion foremost

Police Junior model VK098 09H7

Miraflex Flexible & Light model Sirius

Eyespace Rock Star model Alessia in C2 14

DISPENSING OPTICS JUNE 2021

Dibble Optical has expanded the Miraflex Flexible & Light collection with three new models – Sirius, Urano and Venus – for children aged four to nine years. Crafted from a lightweight TR90 material the frames are anatomically designed to suit the contour of a child’s face, with various colour and temple design options. The company has also added the Bell and Parks frames to the Miraflex Flexible & Safe collection, featuring a slightly firmer front and sides. Two comfort bridge options are available to aid dispensing with a wide range of facial characteristics. Two-tone colours options are available, with adjustable end-tips. Bell is suitable for children aged from around three to five years, whilst Parks more fitting for children aged around five to eight years.

Shining bright with Rock Star looks Eyespace has released a series of bright new Rock Star frames for summer and Alessia is a great example. Alessia (50-16-135) in C1 has a fuchsia front with a purple blend pattern on the sides, while C2 has a teal front with parrot green marbled sides. Other members of the colour family match the pattern on the sides of Alessia C1; they also feature on Rock Star Anastacia. Fun and playful themes have been selected to inject joy into the lives of young spectacle wearers as the world re-opens. The frames are robustly constructed with flex hinges.


CHILDREN’S EYEWEAR

Splash of new sun colours Cébé has added a number of new colourways to its Light Junior sunglasses collection, offering stylish solutions to protecting youngsters’ eyes. The frames feature Cébé Zone Blue Light lenses, filtering up to 94 per cent of blue light while offering 100 per cent UV protection. Available in category three, the polycarbonate lenses are lightweight and ensure maximum impact resistance. The Light Junior range includes two sets of styles: two frames for children aged one to three years (Alea and Mio); and two frames for youngsters aged three to five years (Flora and Oreste). All styles come boxed in recycled cardboard packaging.

Playing guessing games Another collection for youngsters inspired by the corresponding grown-up line is Guess Kids from Marcolin. With styles to suit all preferences, from playful cat-eye shapes to striking, on-trend two-tone looks with classic rectangular lenses, this versatile collection is for kids who are always on the go. Our photograph shows model GU9205 in Dark Havana: a round twotone acetate style with the Guess logo on the side, complete with spring hinges.

Cébé Light Junior model Alea in matte lavender (credit: Belly Balloon Photography)

Fine eyewear for every-girl New Mexx Eyes style 5948 from OWP is a very fine-edged stainless steel option for girls. The design revolves around a minimalist front and delicate metal temples. Four trendy colour concepts are available in this two-tone style, each combined with fashionable gold tones. Established in Amsterdam in 1986 by Rattan Chadha, Mexx Eyes is the amalgamation of Chadha’s two brans Moustache for men and Emanuelle for women – sealed with two kisses (xx). The brand includes clothes, perfume, accessories and, since 1989, eyewear for ‘everyday people’.

Guess Kids model GU9205

Let the magic begin The magic of Roald Dahl’s stories and the creative use of famous Quentin Blake character illustrations have been brought to life in a new partnership between International Eyewear and the Roald Dahl Story Company. Allowing children to get lost in a world of imagination, each of the 18 designs features original Quentin Blake illustrations of iconic characters from much-loved tales. Quotes from the novels are included on the interior of the frames, which comes with a branded case and lens cloth. Our photograph shows model RD05, inspired by Roald Dahl’s Charlie and the Chocolate Factory. Digitally printed on the acetate temples, iconic Quentin Blake illustrations bring a touch of Wonka magic to the style. With a hidden quote from the story printed on the inside temple, Wonka fans are invited to choose between Chocolate Mottle (C1) or Wonka Purple (C2).

Mexx Eyes model 5948

Versatility is the name of the game The Nike Vision Kids collection from Marchon features Carl Zeiss optics, developed specifically to protect young eyes from damaging UV. The new Nike SkylonAce XV Jr sunglass is an ultra-light smaller-fit frame providing ample coverage. Other benefits include: the Nike Field Tint, which mutes bright light while enhancing object tracking; Nike Max Optics technology for precise clarity from all angles; a lightweight, durable nylon frame; sport wrap, eight-base frame for maximum coverage; a ventilated rubber nose bridge to reduce fogging; a deep lens cut for maximum coverage; and soft, comfortable rubber inlay nose pad and temple tips. Next month’s Product Spotlight is on products for the management of dry eye. Send editorial and advertising enquiries to ncollinson@abdo.org.uk

Wonka magic with model RD05 shown here in C2

New Nike Skylon Ace XV Jr JUNE 2021 DISPENSING OPTICS

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CET COMPETENCIES COVERED DISPENSING OPTICIANS Communication, Optical Appliances, Paediatric Dispensing OPTOMETRISTS Communication, Optical Appliances

A specialised skill Bifocal dispensing: a forgotten skill? By Fiona Anderson BSc (Hons), FBDO R, SMC (Tech), FEAOO his month’s CET will give ABDO members an opportunity to revisit a core competence in a different way by using the format of self-directed learning. As we become more familiar with the concept of continuing professional development (CPD) we can use resources to aid and enhance our core learning and competence1 (Figure 1) – and revisit skills still required (albeit less often) in practice such as bifocal dispensing. Bifocal dispensing forms part of the ABDO Level 6 Diploma in Ophthalmic Dispensing2 and, as such, is a skill that should be possessed by all dispensing opticians. Self-directed learning allows the exploration of interest in particular topics with guidance in finding resources of relevance and value. This CET session revisits – for some – a forgotten skill: bifocal dispensing. With the ever-increasing range of high-tech lens designs on offer, we may ‘forget’ that for some patients, a bifocal lens is their lens of choice or the best optical solution for their prescription. The session will provide eight randomised MCQs for members to complete. Many of us will see a bifocal as an ‘old fashioned’ lens – which, of course, it is. Its invention in the 1780s is attributed to

T This CET has been approved for one point by the GOC. It is open to all FBDO members, and associate member optometrists. The multiple-choice questions (MCQs) for this month’s CET are available online only, to comply with the GOC’s Good Practice Guidance for this type of CET. Insert your answers to the eight MCQs online at www.abdo.org.uk. After member login, go into the secure membership portal and CET Online will be found on the L menu. Questions will be presented in random order. Please ensure that your email address and GOC number are up-to-date. The pass mark is 60 per cent. The answers will appear in the October 2021 issue of Dispensing Optics. The closing date is 10 September 2021.

Figure 2. Benjamin Franklin is attributed with having invented bifocal lenses Benjamin Franklin (Figure 2) whilst he was working and living in London – far from his home in the United States. This said, however, for many patients who have had long-used them, the humble bifocal lens may offer a practical solution to various prescription constraints (Figures 3 and 4). Think of the presbyopic patient with gross anisometropia, or even induced gross anisometropia due to having unilateral cataract surgery, or the patient who

4.1.2: Dispenses and advises on a wide range of lenses and frames, taking into account the patient’s needs and requirements 4.1.4: Matches the form, type and positioning of lenses to meet all the patient’s needs and requirements and provides appropriate advice

C-77953 Approved for 1 CET Point

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DISPENSING OPTICS JUNE 2021

Figure 1. GOC core competency: optical appliances


Figures 3 and 4. The humble bifocal offers a solution for many patients requires a prismatic correction in either their distance or reading prescription. Before completing the MCQs for this CET, members are advised to read and refer to the suggested online resources listed and any other textbook or printed material you may find helpful to enable successful completion of the MCQs.

focuses on lens centration. The whole article is of interest to the dispensing optician, however, for the purposes of this this self-directed learning CET, the section on centration of bifocals is of particular relevance. Access it here: https://www.opticianonline.net/cetarchive/20

SUGGESTED ONLINE RESOURCES

‘Essential course in dispensing Part 18’ by Andrew Keirl In ‘Essential Course in Dispensing Part 18’, Andrew Keirl considers anisometropia in detail and investigates solutions for its management. For the purposes of this self-directed learning CET, the areas that cover bifocal lenses are of particular relevance. Access it here: https://www.opticianonline.net/cetarchive/58

‘Bifocals: Part 1’ by Sally Bates This article, originally written for the ABDO College Review publication, serves as an easy introduction to bifocal types, selection and positioning. Access it here: https://abdocollege.org.uk/wp-content/ uploads/2015/04/ReView-September2012.pdf ‘Bifocals: Part 2’ by Sally Bates This follow-up article builds on Part 1, and considers occupational dispensing of bifocals, anisometropia and problem solving. Access it here: https://abdocollege.org.uk/wp-content/ uploads/2015/04/ReView-February2013.pdf ‘Essential course in dispensing Part 13’ by Andrew Keirl In a series of articles for Optician, Andrew Keirl explores many topics related to the dispensing of Bifocal Lenses. ‘Essential course in dispensing Part 13’ specifically

‘Dispensing bifocal spectacles to children (and adults) with Down’s syndrome’ by Dr Maggie Woodhouse In her Q&A style article, ‘Dispensing bifocal spectacles to children (and adults) with Down’s syndrome’, Dr Maggie Woodhouse provides helpful answers. She highlights common uncertainties practitioners may have when dispensing to this group of patients. Access it here: https://www.cardiff.ac.uk/__data/assets/ pdf_file/0003/161067/Guidelines-forDispensing-bifocals-professionals.pdf

PLAN YOUR CET TODAY For all the latest CET available from ABDO visit the Events section of the ABDO website. Here you will able to see the latest online interactive CET sessions available for booking. Online sessions include discussion-based workshops, a great way to learn in a small group of your peers. Online discussion sessions are available for all professional roles and are approved for three CET points. New sessions will be added regularly. Additionally, we continue to host our monthly CET webinar series featuring a range of topics and speakers. Each CET webinar will be approved for one interactive CET point.

‘Pathway for dispensing to children’ by ABDO ABDO provides a helpful reference guide for all members entitled, ‘Pathway for dispensing to children’. For the purposes of this self-directed learning article, the advice on frame criteria when fitting bifocal lenses to children is of particular relevance. Access it here: https://www.abdo.org.uk/wp-content/ uploads/2012/06/Pathway-fordispensing-to-children-0617.pdf Essilor Academy The Essilor Academy provide access to a useful resource to revisit the different manufacturing methods and characteristics of bifocal and trifocal lenses. Pages five to 24 look specifically at bifocal lenses with lots of helpful images included. Access Essilor Academy: Ophthalmic Optics Files: No. 6 The different types of Ophthalmic Lenses here: https://www.essiloracademy.eu/sites/d efault/files/6.Bi_trifocals_lenses.pdf

REFERENCES 1. General Optical Council. Core competencies for dispensing opticians and optometrists. 2016. Available from: https://www.optical. org/en/Education/CET/cetrequirements-for-registrants.cfm [Accessed 15 February 2021]. 2. ABDO. Level 6 Diploma in Ophthalmic Dispensing Syllabus: 2015. Available at: https://www.abdo.org.uk/wp-content/ uploads/2019/04/ABDO-DiplomaSyllabus-2015-PAGES-MAR19.pdf [Accessed 15 February 2021]. FIONA ANDERSON worked for an independent group in the north east of Scotland for 25 years before joining Ythan Opticians in 2012 as retail and dispensing director. Fiona is a UK and overseas examiner for ABDO. She writes and delivers CET for ABDO in the UK and abroad, and for the NHS in Scotland. She is a past president of ABDO and current president of the International Opticians Association, an Optometry Scotland council member, a member of Grampian AOC, a senior assistant of the Worshipful Company of Spectacle Makers, and trustee and fellow of the European Academy of Optometry and Optics. JUNE 2021 DISPENSING OPTICS

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MCAs

Multiple choice answers Getting to grips with OCT Part 2 By Prashant Shah BSc(Hons) MCOptom PGDipOphth DipClinOptom and Yashita Shah BSc(Hons) PGDipOphth. C-76826 – published February 2021 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 CET. Which one of these factors is not directly related to posterior vitreous detachment? a. Aphakia b. Diabetes c. High hypermetropia d. Intraocular inflammation

d is the correct answer. The fluid between the neurosensory retina and the pigment epithelium interferes with the photoreceptor layer causing a dome-shaped elevation. OCT enables other possible causes of the refractive change to be eliminated.

c is the correct answer. The prevalence of posterior vitreous detachment increases with the degree of myopia and age.

The percentage of sight impaired and severely sight impaired patients registered due to age-related macular degeneration is: a. 50 per cent b. 25 per cent c. 30 per cent d. 75 per cent

As a result of the use of practice-based OCT which one of the following is not true? a. b. c. d.

The Amsler chart is no longer required Patient referrals can be reduced Hard and soft drusen can be differentiated The optic nerve head can be objectively analysed

a is the correct answer. The Amsler chart is given to the patient so that they can self-monitor any distorted areas of vision. OCT does not take the place of this function. The term macular pucker refers to: a. the clinical appearance of angioid streaks b. cystoid macular oedema c. lamellar holes d. a contracting epiretinal membrane d is the correct answer. A pre-retinal glial membrane may form over the macular region, and contraction causes puckering of the retina, resulting in distorted vision. A hypermetropic shift in the case of central serous retinopathy is probably due to: a. the proliferation of choroidal vessels b. cysts forming between the outer nuclear and plexiform layers c. vascular endothelial changes d. accumulation of fluid between the neurosensory retina and the retinal pigment epithelium

a is the correct answer: approximately 50 per cent. Which one of these statements is false? a. OCT analysis is used to help monitor glaucoma progression b. Cellophane maculopathy is likely to cause a significant drop in visual acuity c. Cystoid macular oedema occurs in uveitis d. Damage to ganglion cells at the macular can be an early sign of glaucoma b is the correct answer. The presence of the thin membrane is not likely to cause a significant drop in acuity but if it thickens and contracts to form a macular pucker, acuity is likely to be reduced. Drusen can be located using OCT: a. within the photoreceptor layer b. between Bruch’s membrane and the retinal pigment epithelium c. anterior to the inner plexiform layer d. attached to the nuclei of bipolar cells b is the correct answer. Using OCT to study drusen especially where vision appears to be deteriorating, aids decisions about the type and speed of referral.

Participants are advised that the GOC’s Enhanced CET Principles and Requirements v4 document states that for text article CET questions: “A proportion of the questions should require the application of existing professional knowledge to determine the answer”. This can include personal research online, or following up the article references.

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REGION UPDATE – LONDON ABI PAGE

Building a new future ithout considering any personal loss or suffering, optical practices across the UK have stood up to the challenge of the past 12 months and continued to deliver essential eyecare services throughout all tiers and lockdowns. We’ve donned PPE, made physical changes to our practices, enforced social distancing measures, become appointment only, and cleaned every surface in sight. We’ve learnt new skills and entered a virtual world for team meetings, remote triage and Covid-19 urgent eyecare services – CUES. We should be so proud of the resilience we have shown and the challenges we have overcome, but be mindful that many optical professionals are still feeling the strain as the relentless demands and stresses continue. In the joint letter co-signed by optical leaders in the UK (Dispensing Optics April 2021), we are reminded to look after ourselves and our colleagues. Changes in behaviour, irritability or distress should not be ignored; take time to talk and listen. Remember: ABDO membership provides access to a 24-hour counselling helpline on 0333 000 2082. We are now taking slow and steady steps towards some level of normality, with most staff and a large percentage of patients now vaccinated. As we cautiously prepare for the future, we may revisit plans we had in place before March 2020. Are those plans still relevant? Should they be revised or scrapped completely? For some, the pandemic has been a time to reflect and re-evaluate.

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MORE CHANGES AHEAD Some practice owners have decided that the frustrations of a restrictive NHS contract, historic low fees and now the implementation of eGOS/PSCE are all too much and have made the move to private or semi-private practice. Others, either by choice or not, have left optics all together. Others will be looking to learn from the experiences of the past year to build a stronger future. Whether you’re a dispensing optician, practice owner or local optical committee (LOC) member, or all three, now certainly seems to be an opportunity for change. From a personal perspective, it has been easy to be consumed by a Covid bubble working in practice over the past year, but further potential change is all around us. The General Optical Council’s (GOC) Education Strategic Review (ESR) is proceeding, and the NHS continues to evolve, with the national eyecare recovery and transformation programme (NERTP) bringing together existing programmes/initiatives including GIRFT (getting it right first time) and the recent eyecare electronic referral service (E-eRS). More change may be ahead with the publication of the Department of

Abi in practice early on during the pandemic

Health’s recent white paper, titled ‘Working together to improve health and social care for all’. Closer to home, what will practice look like in a year’s time? Will we still be wearing PPE? Will you remain appointment only? Are there changes to your working day that you would like to see made permanent? Will team meetings, networking events, CET lectures and LOC meetings remain virtual or will a hybrid solution be the way forward? Change can be overwhelming and the results both positive and negative. It’s important to prepare, understand and consider what any changes may mean in our various roles – or risk being left behind. Where would we like to be in the future both personally, and as a practice or profession? We’ve all heard the famous quote: “The definition of insanity is doing the same thing over and over and expecting different results”. As dispensing opticians, we need to ensure we are kept informed and are sitting at the right tables so our opinions and views are heard. We need to be our own champions. As we contemplate the future and prepare for more change, I would encourage all members to arm themselves with knowledge. Talk and network with colleagues. Take time to process information. Make sure you’re on the mailing list of your LOC and attend its AGM. If you want to go a step further and feel passionately about protecting and enhancing the role of the dispensing optician, ask about getting involved. I’m always happy to hear from members in the London region, so please feel free to get in touch by emailing apage@abdoregions.org ABI PAGE FBDO is director and dispensing optician at Page & Small Opticians, and ABDO regional lead for London. She is vice chair of Bexley, Bromley and Greenwich LOC, and regional board director of LOCSU. JUNE 2021 DISPENSING OPTICS

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IN PRACTICE – PAEDIATRIC EYECARE ANTONIA CHITTY

Guiding generation next oing to an optical practice can be a daunting experience for young children, especially now everyone is wearing masks. In this article, we hear what different practitioners are doing to make their youngest patients feel at home, in terms of communications and practice design, and get tips on how to apply childfriendly strategies in your practice. Abi Page is a dispensing optician, practice owner and ABDO regional lead for London. She estimates her patient base to be around 50-60 per cent children. Abi attributes the practice’s success with families to a number of factors. “Prior to Covid, the practice was very involved with community events,” she explains. “We held our 20th birthday party and offered face painting, and we have Iris the Elephant who comes out with us when we do talks. In the past year, we have continued this community involvement through social media. I’m a parent, I take part in local parents’ groups on Facebook and always ensure that I’m available as a voice of authority on eyecare.”

you know your child might not have had vision screening this year?’ and used a photo of my child having an eye test, with a friendly picture of a dinosaur on the screen. Parents shared this with their friends, and the post reached 12,000 people when I last looked. What’s more, it had a direct conversion to patients with lots of four and five-year-olds attending.”

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SHARE AND SHARE ALIKE Abi has some tips for anyone looking to develop their reputation as a family practice through social media. She says: “My biggest tip for social media is that it’s not always the posts you put on your own page that draw the most people in. Use it as a way to network. Get involved in local parents’ groups; I’m in a mummies group on Facebook, which is local to our practice. You don’t need to be promotional and can simply encourage people to visit their local optician. I promote the profession rather than my practice, and might use my practice as an example.” Abi is always on the lookout for post ideas that will appeal to parents. She says: “The best reach we have had recently for a post came from the school vision screening letter, which I found about via ABDO eNews. I saw that parents might be concerned if their child had missed out on pre-school vision screening.

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SMALL PRACTICALITIES

Abi Page uses social media to spread the word “I took information from ABDO eNews and turned it into an educational post on my practice page. I asked, ‘Did

If you are concerned about the logistics of seeing small children, Abi suggests: “We encourage only one parent to attend. Pre-Covid, we had entire families attending and this works much better now. Because of Covid, we no longer have toys in practice and I don’t know if it will come back; a lot of things have changed forever but the kids cope remarkably well. “We now triage everyone before we book them in. If a parent books two or three of their children in for what is expected to be a routine check-up, we can advise on the date of our next routine clinic during the school holidays. We will then allow families to enter in a group and clean in between.

Getting kids interested in eyes Catriona Smith is a dispensing optician and company director at Melina Joy Opticians, and she has a fun prop to help get youngsters interested in eyes. She explains: “I have an inflatable gym ball ‘dressed’ as an eye, called Iris, with detachable parts. I also have a felt retina with detachable optic nerve called Rita, and I take them with me to talk at school assemblies. “I have a couple of different presentations for key stage one and key stage two. The kids love taking Iris apart and putting her back together with lots of squealing. I finish the chat with stickers for the kids and a flyer for their book bags about the importance of an eye examination and so forth,” Catriona adds.

Catriona with Iris the inflatable eyeball


Novel idea for eyecare education At TKS Optometrists, Brian Tompkins and his team keep patients of all ages educated about eyecare by providing informative materials. He says: “We have professionally-produced booklets for adults about what to expect when they come to see us. It’s clear that children should have a knowledge or expectation when they come in too. “We were in a marketing meeting when Nicky, who is company finance director and my wife, had the idea of a book for children. Our optometrist colleague Deborah Grant, who runs the binocular clinic, then plotted

These routine ‘no Rx’ clinics mean I can allocate staff better. I spend time on admin in the office, and can be available if an unexpected dispensing is needed.” For those children who do need spectacles, Abi says: “I spend a lot of time on my knees because it’s important to come down to their level and have a chat.” She also has advice on how to approach choosing frames with parents: “If you walk into the practice, it is small. We have four drops of kids and teens frames, not split by gender. We also have a cabinet full of children’s frames, sorted into size order. We have frames covered by the voucher, some budget, some midpriced and some designer frames in the high-end price range. I discuss lenses, lifestyle and budget and then select frames that will fit the child.” Abi goes on to say: “Don’t be scared to talk about the best. Offer to upgrade lenses and give parents the options. They will often spend money on trainers or sports, so don’t make decisions for them; it’s up to the parents. We often do a second pair for children too, with good quality coated

CHARACTERS FROM TKS OPTOMETRISTS

out the patient journey for a child. This was obviously written from the optometrist's point of view, so we then got input from a

lenses. If you are seeing a lot of children, it is essential to offer these options. It benefits the child and ensures that the practice remains viable,” Abi concludes.

BECOME A STEM AMBASSADOR While school visits have had to be put on hold in the past year, now is the time to prepare for the chance to be able to go back into schools. With this in mind, ABDO is encouraging members to register to become science, technology, engineering and mathematics – otherwise known as STEM – ambassadors. Nick Walsh, ABDO head of corporate development, is a STEM ambassador and says: “We have been working hard over the past few months to develop a benchmarked lesson plan for year 10 and upwards, to help ABDO’s team of STEM ambassadors when they go into schools. It uses ABDO’s Careers in Eyecare resources to help teenagers explore all the different roles in eyecare, challenging preconceptions about the world of work, and hopefully ensuring more children know about the role of the dispensing optician.

Fundraising art Artist Simon Perrins has created a series of fun paintings of animals wearing glasses in support of the charity, Vision Care for Homeless People. Displaying one of these feel-good colourful prints, either in the consulting room or in the dispensing area, could make the practice seem even more welcoming for young patients. So why not snap up the remaining ones and raise some vital funds for charity. Visit Simon's online shop on Etsy.

copywriter who has written children’s books and she has rewritten it in a way that is child friendly. “We wanted to keep words like optometrist, dispensing optician and myopia. If they are old enough to read themselves, they can learn these words, and if younger a parent can read it to them and explain the words. “I met an optometrist called Rebecca Ireland at a student event who is an incredibly talented illustrator, and the characters she has created have really brought the story to life,” Brian adds.

Happy Scotty Dog in 80s glasses

Inspire the next generation as a STEM ambassador “Careers teachers are really keen to get students to find out more about the world of work,” continues Nick, “and this is a great way to make contact with a new generation of potential optical assistants and dispensing opticians – as well as highlight the vital role of eyecare for everyone.” ABDO will be developing further lesson plans to address different topics. Members who sign up to become a STEM ambassador will be shown requests from schools in their area. “It’s up to individuals as to how much time they offer,” explains Nick. “The only requirement is that members undertake at least one activity a year. It couldn’t be easier to sign up as a STEM ambassador.” Find a step-by-step guide to becoming a STEM ambassador on the ABDO website. ANTONIA CHITTY BSC (HONS), MA, MCOPTOM, MCIPR is ABDO head of communications and author of 20 books on business, health and special needs. JUNE 2021 DISPENSING OPTICS

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JOTTINGS DAVID CANTON

Taking the long view everal years ago, we started to notice that quite a few of our younger patients were becoming myopic at a far younger age than we had traditionally seen in practice – with statistics predicting that by 2050 half of the global population would be short-sighted1. We all knew about genetics, increased education and being indoors as being potential influences. There had to be another factor involved? At the time, all of the solutions seemed to focus on control, rather than prevention. However, there wasn’t a product that was readily available to help prevent myopia and re-educate the parents and child at the same time. So, my wife and business partner, Lydia and I aimed to find a way to increase the viewing distance and therefore place less stress on the visual system.

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DOING THE GROUNDWORK Our first move was to set up a focus group of practice patients to gain further insights into the market; 45 families participated, with children aged between 10 and 16 years. They were introduced to the myopia study by Brien Holden1 and juvenile stress myopia. Measurements of phone use were recorded, and we found the average distance to be only 23cm – with many within 12cm. We also discovered that the average age of the children in the group obtaining their first mobile phone was just over 10 years. The youngest was only three. Parents wanted to reward younger users and penalise older users. And so the app was born, designed to help control and monitor children’s viewing distances. The parent would need to be involved, with both phones communicating together. We also needed to think of a name. Lydia found the word – Oyako – meaning parent/child in Japanese. It was the perfect name for the app. Modern phones incorporate sophisticated frontfacing cameras. This enabled us to use algorithms to monitor the relationship between the pupillary distance and facial measurements, including cheeks, edges of mouth and next to the ears. This gave us the ability to monitor the user in front of the phone very accurately. Next was to identify distances. We set up a simple traffic light system: green OK, amber getting too close, and red danger. The parent would get a report and be able to change the messages to the child.

Oyako app monitors children’s viewing distances One of the main investors became nervous and decided to pull out. Invoices needed to be paid. To develop an app of this complexity was going to take a lot of funding. We needed to find a new source quickly. A good friend suggested Crowdcube, a crowd-funding company. Our fledgling company now had to pass numerous tests by the Financial Services Authority and obtain Seed Enterprise Investment Scheme acceptance for investor tax breaks. Videos were made promoting the idea. With lockdown, these had to be made at work, using a steady hand and about 30 takes. We set about creating PowerPoint presentations, writing business plans, and formatting financial reports for the next three years. We also collated research on phone use from all over the world. It was a very long process and extremely nerve-wracking. Would people believe in our idea? We finally managed to secure more than £130k from 198 shareholders from all over the world. Our objective is to educate families about phone use. We’ve all seen the child out for a family meal with a smart device, held too close to their face. Using a phone or tablet as a baby-sitting device shouldn’t be the norm. If the forecasts are true, then it will be a great feeling to know that the app helped to contribute to lowering that number. As optical professionals, we should be discussing working distances far more frequently, so we can advise on real solutions to help reduce visual stress. Oyako is now available via the Google Play store for Android devices.

REFERENCE 1. Holden et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology 2016;123(5):1036-1042. DOI: https://doi.org/10.1016/j.ophtha.2016.01.006

DAUNTING LEARNING CURVE We then became involved with non-disclosure agreements, developers, website designers, solicitors and trademark lawyers. The learning curve was exciting, fast and daunting. We re-mortgaged the house and went in headfirst. Then along came Covid-19 – and everything suddenly and dramatically stopped.

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DAVID CANTON FBDO has been in the optical profession since 1992, working in both wholesale and manufacturing optics. In 2004, he set up his own independent practice and qualified as a dispensing optician in 2012. David and Lydia Canton FBDO are owners of Malmesbury Opticians and joint owners at Watchfield Opticians.


EYECARE FAQ

OA CORNER PART 6

SOCIAL MEDIA TIPS: REVIEW YOUR CONTENT

FRAME FITTING BASICS

t’s a good idea to regularly review your social media content and statistics. Look at which type of content is getting the most interaction; you may find that your followers prefer behind the scenes posts or more informative posts. It may differ by platform, for example, people using Instagram generally prefer product shots whilst on Facebook they like something completely different. Once you have a better picture of what they prefer, you can adjust your social media plan accordingly. On Eyeceare FAQ in June, we are covering children and eyecare, sports eyewear for children and diabetic eye disease. Find Q&As on more eyecare and eyewear topics here. Don’t forget: you can find EyecareFAQ on the ABDO website, Facebook, Twitter, Pinterest and Instagram.

There are many factors the optical assistant should consider when helping a patient to select a suitable frame. The frame needs to look good, feel good and, most importantly, it needs to fit well. It does not matter how fabulous a frame appears, if the fit is poor, the patient will not be able to wear it. In this month’s OA Corner, Sue Deal looks at the key factors to consider when helping a patient choose the perfect frame – including the prescription, lens size and material, pupillary distance, eye size, bridge fit and side length. Read OA Corner Part 6: Frame fitting tips on DO Online.

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BECOME A FRAME FIT EXPERT

BUSINESS BITES

MAKING THE MOST OF ABDO’S MENTORING PLATFORM ABDO’s mentoring scheme aims to help with career growth and development by strategically matching those who are looking for additional knowledge or advice with suitable mentors. However, it’s much more than that. It’s a learning and development toolkit that offers a wide range of support materials to guide users through the mentoring process and the roles of mentor and mentee, ensuring that the mentoring relationship stays on track and that users achieve their mentoring goals. The most effective mentoring conversations need to focus on setting and achieving goals, exploring issues and making informed decisions. The relationship needs to have a focus and a purpose to work towards. Goals don’t necessarily need to be big ambitions; they just need to be SMART. When setting your goals and objectives, you should also consider identifying possible milestones to achieving these goals, which can be used to assess progress at review meetings. The SMART goal tool is available to complete when you are in a mentoring relationship and will provide the framework to help

Are your goals SMART? you to clearly define and set your goals. When the reminder feature is used, an email is sent on the due date with a call to action to complete the goal. This link works even if you are not logged in to the mentoring platform. There is also now a tool to set meetings. You can use this feature to add a meeting agenda, record points discussed at meetings and any actions. You can also download the meeting information to your usual calendar (Outlook, Gmail, etc). View the ABDO mentoring platform at abdo.onpld.com JUNE 2021 DISPENSING OPTICS

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NOTICES

SAVE THE DATE Sunday 11am 21 November 2021 ABDO will be holding its annual meeting, the annual meeting of the ABDO Benevolent Fund, and its Consultation Day with members on Sunday 21 November 2021 at the ABDO National Resource Centre.

Further details to follow. Email enquiries to jburnand@abdo.org.uk

REMINDER

ABDO Board Elections 2021 Four places on the ABDO board are open for election, and members are now invited to submit their nominations. Three places are held by members entitled to seek re-election. They are Julie Lees, Garry Kousoulou and Brenda Rennie. The fourth seat is held by Kevin Milsom, who will step down after serving a full term. This year, any person seeking election should complete a candidate form and include details of their six nominators. Nominators should then individually complete and sign the separate nomination form. Both forms can be found on the ABDO website here, and should be completed by 10am on Friday 18 June. Email Jane Burnand at jburnand@abdo.org.uk or call her on 0207 2985102 with any questions.

Visit DO Online Jobs Vacancies to place your recruitment adverts – or search for new opportunities. Your advert will reach some 8,000 ABDO members via eNews direct, making DO Online one of the most cost-effective platforms for DO recruitment. Vacancies are also promoted through ABDO’s active social media channels. FREE BRONZE ADVERTS FOR MEMBERS.

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DISPENSING OPTICS JUNE 2021


LY JU TH 30

abdo

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COLLEGE

Degree or Diploma? Choose the course for you Diploma If you want to further your career in optics and learn while you earn, ABDO College offers you two great courses in ophthalmic dispensing. Both courses allow you to: 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.

A three-year diploma course in ophthalmic dispensing – leading to the ABDO Level 6 FBDO qualification.

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

Degree

For more details and to apply:

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

visit www.abdocollege.org.uk call 01227 738 829 (Option 1) or email info@abdocollege.org.uk Applications close: 30th July 2021

KEEPING EXCELLENCE IN YOUR SIGHTS


PROFESSIONAL SERVICES

PROFESSIONAL SERVICES

FINANCE AND ADVICE

NETWORKING AND EDUCATION

Profile for ABDODispensingOptics

Dispensing Optics June 2021  

The monthly journal of the Association of British Dispensing Opticians

Dispensing Optics June 2021  

The monthly journal of the Association of British Dispensing Opticians

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