Dispensing Optics June 2022 by ABDODispensingOptics

NEWS, INFORMATION AND EDUCATION FOR OPTICIANS

JUNE 2022

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JUNE 2022

contents features 16.

CPD – C-102380 Modern management of presbyopia Part 1: Communicating spectacle considerations by Michelle Derbyshire

22.

CPD MCAs – C-100263 Myopia management and research resources by Alexandra Webster

24.

Profile ABDO president and vice president New term begins

26.

Report: 100% Optical So much to see

regulars

24.

16. Front Cover Persol Essilux on the catwalk at 100% Optical

stay in touch

DO Online DO Twitter DO Instagram ABDO Facebook ABDO Twitter ABDO LinkedIn

DO Dispatches

Newsome's Notes

News

14.

Product spotlight

28.

Jottings

29.

Business Bites Eyecare FAQ OA Corner

30.

Notices

inserts Re:View - Issue 42 Optical Vouchers at a Glance England

JUNE 2022

DISPENSING OPTICS

Frames by TALLA®

FOR MORE INFORMATION CONTACT YOUR LENS SUPPLIER OR VISIT TRANSITIONS.COM

Transitions and XTRActive are registered trademarks, the Transitions logo, Transitions Light Intelligent Lenses, Transitions XTRActive Polarized and XTRActive Polarized are trademarks of Transitions Optical, Inc. used under license by Transitions Optical Limited. ©2022 Transitions Optical Limited. Photochromic and polarisation performance is in昀uenced by temperature, UV exposure and lens material.

DISPENSING OPTICS The Professional Journal of the Association of British Dispensing Opticians Volume 37 No 6

DO Dispatches

EDITORIAL STAFF Publisher

Sir Anthony Garrett CBE HonFBDO

Editor Email

Nicky Collinson BA (Hons) ncollinson@abdo.org.uk

Assistant Editor Email

Jane Burnand jburnand@abdo.org.uk

Design and Production Email

Duncan Taylor-Jones dtaylor-jones@abdo.org.uk

EDITORIAL/ADVERTISING Telephone Email Website

0797 903 3542 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

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 Debbie McGill BA (Hons) Sir Anthony Garrett CBE HonFBDO Jo Holmes FBDO

A THANK YOU AND A WELCOME On 4 May, Jo Holmes handed over the presidency of ABDO to Daryl Newsome after what has been probably the most difficult time a president has held office. Thankfully, Jo was able to hand over the presidential chain of office to Daryl in person at a special ceremony in London. This was in stark contrast to when she took over the presidency from Clive Marchant by Zoom in 2020. Jo has led the Association with great passion and skill over the past two years. She has displayed a huge appetite for getting things done, despite the very great restrictions which have been placed on everyone. I have greatly enjoyed working with her, and am full of admiration for her tenacity and commitment over such a trying time. The whole Association owes Jo a great deal, and I hope she will be able to look back on her time in office with great pride. Daryl's first official engagement as ABDO president was to attend the graduation of our students in Malaysia last month. I know everyone will welcome Daryl to his new role, and wish him every success for his two-year term in office. We also welcome Kevin Gutsell as our new vice president, and look forward to working with them both. Members may have already seen the news that Alistair Bridge, our current head of strategy, has been appointed as my successor. I look forward to working with him over the coming months, leading in to his official appointment in January 2023. I am sure that Alistair will do an excellent job, and will be a great asset to the Association in the years ahead.

Sir Anthony Garrett ABDO general secretary

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: 7,421 copies (July to December 2021)

JUNE 2022

DISPENSING OPTICS

OUR MONTHLY COLUMN FROM THE ABDO PRESIDENT DARYL NEWSOME

Newsome's Notes Ready to face the future

t is a great honour and a pleasure to write this, my first column as ABDO's newly elected president. Because I still work in practice on a regular basis, I feel I genuinely understand what our members do at grassroots level – and the challenges they face. Of course, being president means taking time out of practice to fulfil other roles, and I couldn't do this without the support of an amazing group of staff to whom I will be forever grateful. As an organisation, I believe ABDO is in a strong position. Through the last couple of years, our management and heads of department have been frugal. ABDO resources realised from the sale of 199 Gloucester Terrace have been held safely while our senior managers sought investment opportunities to present to our board of directors. Good leadership and clear thinking have left our organisation robust and Daryl in one of his practices ready for the future. ABDO is a dynamic organisation, changing and developing all the time. I am genuinely excited by the future and see great opportunities for our members being developed by our staff. I foresee improvements in training, enhanced scope of practice and a real participation in the development of the optical landscape of the UK. We are working on more opportunities for members to be involved and engaged. Combined with a strong team of directors, I sit as chair of the ABDO board. This is a time of huge change as we prepare to see our CEO, Tony Garrett, retiring at the end of this year after 20 years in the role. I will be learning to work with our new CEO, Alistair Bridge, while maintaining ABDO's presence in the optical landscape – representing members and our board of directors in line with our stated purpose from our five-year strategic plan and with our annual plan for 2022. I look forward to meeting more members, collaborating with our fellow professions, and being part of the development of the optical industry.

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

DISPENSING OPTICS J U N E 2 0 2 2

New CEO appointed Alistair Bridge will take over from Tony Garrett as chief executive of ABDO on 1 January 2023. Announcing the news, ABDO president, Daryl Newsome, said: “Alistair’s appointment comes following a competitive interview process with a strong field of candidates. I am sure that he will lead the Association with skill and determination.” Alistair joined ABDO in 2020 as head of strategy, leading the development of the Association’s new strategic plan. He began his career as a solicitor before holding senior roles at the communications regulator Ofcom, and serving as executive director of the Communications Consumer Panel, the statutory advocacy body for consumers. Immediately before joining ABDO, Alistair was director of strategy at the General Optical Council. ABDO general secretary, Tony Garrett, said: “I am sure that Alistair will do an excellent job and continue to grow and strengthen the Association as it moves forward. I look forward to working with Alistair in the months ahead to ensure a smooth and hopefully seamless transition.” Commenting upon his appointment, Alistair said: “It will be a great honour to succeed Tony and build on the Association’s achievements under ALISTAIR BRIDGE his leadership. Our members play a vital role in providing high quality eyecare to patients. In serving their interests, I will be fortunate to be able to draw on the insight and experience of both the board and my executive team colleagues. I also look forward to working closely with organisations across the optical sector for the benefit of members and the public.”

Presidential handover Daryl Newsome became the new ABDO president during a presidential handover ceremony last month in London. Daryl thanked outgoing president, Jo Holmes, for her dedication and hard work during the two years that she held the post, and then handed over the vice presidency to Kevin Gutsell. During a speech overviewing her time as president, Jo spoke about the unexpected challenges of being ABDO president during a pandemic, as well as focusing on the very special skills of a dispensing optician. As immediate past president, Jo will become an advisor to the board for two years. Daryl will serve as ABDO president until April 2024, before handing over the chain of office to Kevin Gutsell. The next ABDO vice president will be announced in October 2023. Turn to page 24 for a profile of the new president and vice president.

NEWS

JUNE 2 0 2 2 Chartwell frames mark centenary

UNIVERSAL MASKING STILL APPLIES

Covid-19 phase now green With all the UK nations' health systems now in the green phase, ABDO members are advised to follow the Association's Advice and Guidelines alongside their nation’s updated infection prevention and control guidance (IPC) for healthcare settings. The College of Optometrists’ (CoO) Covid-19 amber phase guidance ceased to apply in all UK nations on 10 May. General Optical Council amber phase easements also no longer apply. “As we move to the green phase whilst still living with Covid, it is important to note that the new normal will include the continued use of personal

protective equipment [PPE] and IPC processes as specified in the CoO guidance," said ABDO head of policy and public affairs, Debbie McGill. "ABDO will also continue to work with all UK representative bodies on the supply of PPE and lateral flow devices [LFDs]. We will be updating the ABDO website, including our FAQs, to reflect this.” Measures that continue to apply include universal masking and regular asymptomatic LFD testing for all staff. Read more on this story on DO Online. ABDO members with any questions on current guidelines may email policy@abdo.org.uk

2023 show in the diary Following a successful 2022 outing in April, 100% Optical will return next year from 25-27 February. Nathan Garnett, event director, said: "Having postponed the event twice, it was amazing to match our 2020 attendance level. This is an even greater achievement when you hear that we were the first show back at ExCeL London to recover fully. "What was also striking was the togetherness of the sector,” Nathan continued, “with major industry associations the AOP, ABDO and the Optical Suppliers Association all pulling together to help the professionals working in optics. This has led to lots of ideas we are already implementing for 2023. We had a record rebook as well: always a sign that a show has delivered.” For a summary of ABDO/ABDO College activities at the show, visit DO Online. Turn to page 26 for a show product One of the many ABDO CPD sessions launch round-up.

Millmead has created a limited edition pair of Walter & Herbert spectacles to mark the centenary of Winston Churchill’s purchase of Chartwell Manor, his country residence in Kent where he lived from 1922 until his death in 1965. Named the Chartwell, the frames are based on the exact design, specification and colour scheme as Churchill's original glasses, right down to the elongated sides and the different numbers of dots on the end tips. These were said to have helped the prime minister to determine which pair were for reading and which pair were for speeches. Only 100 pairs have been created, with further information available at walterandherbert.com

The limited edition Chartwell

Rewards for partner practices EssilorLuxottica has launched a new rewards programme complementing Essilor's Essilor Experts and Luxottica's existing programmes. Built around three levels of increasing partnership – standard, gold and platinum – the programme features a reinforced frame returns policy and the development of deals for lenses/instruments, equipment and frames. It also offers marketing tools, supporting in-practice and social media communication, and avenues to improve the patient experience. “The strength of the EssilorLuxottica programme results from its ability to cover the entire offer for the store and to pool strengths: attractiveness of brands, expertise in vision and capacity for innovation," said Franco Ferrante, North Europe vice president for professional solutions (UK&I, Nordics and BeneLux). “Our unique position on the market allows us to develop this offer to further support our partner opticians. Our priority is to reinvent added value within practice to enable our customers to grow," added Franco. JUNE 2022

DISPENSING OPTICS

NEWS

JUNE 2 0 2 2 Dynamic reaction to bright light

Designed for light-sensitive eyes

Joining up the DOTs Spectacles that use SightGlass Vision Diffusion Optics Technology (DOT) have demonstrated efficacy in slowing the progression of myopia in children, based on 24month interim data from the company's CYPRESS trial, now in its third year. An analysis of full-time wearers – children aged six to 10 years at initiation whose parents reported that they did not remove the study spectacles for near vision activities – showed statistically significant improvements between groups using DOT lenses and the control. Axial length exhibited a 0.21mm difference, and the spherical equivalent refraction difference was 0.52D. Spectacle lenses using patentprotected SightGlass Vision DOT incorporate thousands of microdots that softly scatter light to reduce contrast on the retina – a method intended to reduce myopia progression in children. Andrew Sedgwick, CEO of SightGlass Vision, said: “We’re enthusiastic about sharing more detail from the two-year interim results, which will further support our development efforts and ongoing commercialisation activities in select markets.”

DISPENSING OPTICS J U N E 2 0 2 2

Newly launched Transitions XTRActive Polarized lenses feature ‘dynamic polarisation’, which means that as the lenses darken, the level of polarisation increases to match the tint level. Tim Precious, managing director at Essilor, said: “The lens is designed for wearers who are very sensitive to light and need exceptional visual performance without being impaired by glare, eye strain or experiencing sub-optimal vision in bright light environments." The polarisation efficiency ranges from between zero per cent when inactive indoors, meaning that wearers

will not experience the screen distortion commonly associated with polarised lenses, right up to 90 per cent when fully activated outdoors – comparable to a pair of polarised sun lenses, said the company. The lenses also feature Transitions XTRActive New Generation technology so go extra dark, even in hot temperatures and can achieve category two levels of darkness in the car. They also achieve up to 90 per cent polarisation efficiency and block 100 per cent of UV light, and offer protection from blue light.

Colourful new cases Louis Stone (Optical) has added 10 new models to its hard and soft case collection. The range includes everything from high design cases like Spectacular and Mosaic, which features a flocked texture to assist those with sight difficulties in locating it in their handbag, through to younger, fun pieces such as Star Struck and Smile. A number of cute and playful children's cases are also now available. "We have had a number of compliments from opticians who are so grateful that they can finally get hold of beautiful, high quality cases that simply come at better prices than they have been used to recently," said Clare Hayley Brent, head of marketing and communications.

Mosaic cases

Islands in the sun Maui Jim has introduced four new sunglass styles: Mehana, Stone Shack, Two Steps and Upside Down. Mehana is a cat-eye in four frame and lens colour combinations, while Stone Shack is a square acetate style with a thick frame in three matte colour combinations and dual tone sides. Two Steps is named after Big Island's large flat lava formations, which lead into the water at the Pu'uhona Honaunau National Historical Park. The frame mimics the rectangular shape of these lava formations. Finally, Upside Down is named after the Waipuhia Falls in Oahu, also known as the Upside Down Waterfall. All styles feature the brand's Super Thin Glass lenses with UV protection, and its premium PolarizedPlus2 Upside Down technology. in navy

TX5/Stainless steel Stepper (UK) Limited 11 Tannery Road Tonbridge Kent TN9 1RF 01732 375975

www.steppereyewear.com

Styles shown not available in all markets.

NEWS Sowing the seeds Michelle Mehta has joined UltraVision as professional services consultant for its Seed 1dayPure range of daily disposable contact lenses, including the new SEED 1dayPure EDOF design. With more than 20 years of experience in the High Street sector and six in teaching and education, Michelle will offer technical assistance and education and training, including CPDaccredited content. Michelle said: “I am really excited to be joining the brilliant team at UltraVision, bringing my experience of High Street practice and passion for education and training.”

ALL WHITE ON THE NIGHT

New roles for supplier stalwarts Derek and Jeremy Cox, founder members and directors of Continental Eyewear, have joined the team at White Optics. "Both Derek and Jeremey resigned from Continental Eyewear following 35 years building the company to where it is today," said White Optics and Funk Designs director, Les Johnson. "They bring with them a wealth of experience

in the optical industry, which is a real asset to our team as we look to prepare for the future." Steve McGowan and Jackie Leefe, who previously worked at Continental Eyewear as area sales managers, have joined the company's sales team. Derek and Jeremy are pictured with the White Optics team in London during 100% Optical.

Flying the eco flag

incorporated alongside wood-pulp bioacetates and sustainably sourced leather accents for Aspinal of London eyewear. Other eco launches included a sustainable bio-acetate selection from Cocoa Mint, Basebox sustainable styles as part of the Slimology collection, and six new Rock Star children's models made from recycled sea-bottle plastic.

Eyespace unveiled more than 200 new releases at 100% Optical across its award-winning eco-portfolio and flagship collections. Among the highlights was the debut of Land Rover Eyewear sustainable styles developed using a combination of G850 Rnew – a cutting edge, GMO-free material derived from castor seed oil – and recycled stainless steel components. Also on show was the Aspinal of London collection, the first Eyespace brand to advance the use of Econyl, a premium material produced using regenerated nylon and fabric surplus from the fashion industry. Composed of 100 per cent recycled content, Econyl can be re-moulded and infinitely recycled without losing quality, creating a closed-loop regeneration process that is said to reduce the impacts of global warming associated with nylon production by up to 90 per cent. Econyl is

DISPENSING OPTICS J U N E 2 0 2 2

NEW COCOA MINT STYLE

Michelle Mehta

Take three promo Running until the end of the year, Essilor's new Take Three promotion allows patients to order three pairs of lenses and receive two pairs at a discounted price. “Our multi-pair offer just got even stronger for the spring, making it easier for eyecare practitioners to offer patients the best in vision correction," said Tim Precious, managing director at Essilor. "Practitioners can order three pairs of lenses for the same patient and receive the net price on two pairs. This enables independent practices to create extra value for their business whilst giving the customer multi pairs at attractive price points."

JUNE 2 0 2 2 Eye science meets beauty Positive Impact (PI) previewed a UKexclusive launch at 100% Optical with the world’s first optocosmetics, Eyes Are The Story. Founded by Amy Gallant Sullivan, executive director of the Tear Film & Ocular Surface Society, the Eyes Are The Story formulas are specifically created for dry eye, contact lens wearers and for those with sensitive eyes. Clinically tested and validated, the optocosmetics are endorsed by leading innovators in the field of vision health. Having worked in the field of ocular surface disease for 20 years, Amy discovered an unmet need for eye-

PI'S NICK ATKINS AND MAXINE GREEN AT THE SHOW PREVIEW

friendly products to address the burgeoning wellness trend. Amy said: “The eyelid skin is the thinnest in the body and the eyelids function to protect the eyes. Beauty products can be harsh to the delicate eye areas and cause damage to the lid, lashes and eye. Together with Positive Impact, we are taking strides in the beauty world with a significant focus on eye health,” she said. The range includes mini mascaras, eyeliners, facial cleanser, eyelid towelettes and eye serum. PI managing director, Nick Atkins, said: “We are delighted that this unique range will be exclusively available in the UK through Positive Impact from June. Coupled with Purifeyes, a propriety eyelid hygiene spray that maintains lash health, Eyes Are The Story products are a must addition for an eye-safe beauty routine.”

Pearl-embellished silhouettes The new Carolina Hererra eyewear collection from Safilo comprises of feminine acetate and metal styles – or a combination of the two materials – in squared, butterfly or cat-eye shapes. The styles are personalised with a shiny tag of the iconic red monogram CH logo, or by a round 3D insert with the monogram on the end tips. Many of the styles are further embellished by pearls on the fronts, sides and end tips. Our photograph shows slim metal cat-eye model CH 0007, decorated with a pearl on both sides, as well as by a subtle half pearl on its acetate tips.

Professor Carly Lam

Study shows no rebound effect Hoya Vision Care has shared the results of a six-year follow-up clinical study on its Miyomsart spectacle lens with Defocus Incorporated Multiple Segments (DIMS) Technology. The findings of the longest study on a myopia management spectacle lens were shared by Professor Carly Lam from the Centre for Myopia Research at the Hong Kong Polytechnic University, who conducted the research, at the recent Association for Research in Vision and Ophthalmology conference in Denver, Colorado. The results of the study conducted on 90 children in Asia looked at the progression of myopia in children who wore the lens, and proved that its myopia control effect was sustained over time, it was reported. The study also confirmed that patients who stopped wearing the lens showed no rebound effects, when compared to the initial myopia rates of progression during the company's two-year randomised control trial or with the general population. “This six-year follow-up clinical study...shows the myopia control effects are sustainable over time which is very exciting news,” said Natalia Vlasak, global head of medical and scientific affairs at Hoya Vision Care. “This study also answered another key question from eyecare professionals which was about the rebound effect of the lens; we are very pleased that this clinical study proves that there is no rebound effect if lens use is stopped.”

Carolina Hererra model CH 0007 JUNE 2022

DISPENSING OPTICS

NEWS Evoking the Belle Époque Lavish Elle sun model Sarah EL31561 from Charmant is inspired by legendary Parisian actress Sarah Bernhardt. Bernhardt dazzled the international stage during the Belle Époque period and was toasted the world over for her talent, confidence and vibrancy. The bold, oversized profile of the Sarah is realised in

striking Havana shades of blue, rose with colour tinted lenses, and classic brown with mirrored lenses. Ophthalmic styles in the Elle spring/summer collection feature softly braided and folded details woven into sides, rims and end-tips on metal, plastic and mixed material frames.

Line up for BCLA Focus

Book now for workshops and sessions

New Elle model Sarah

Seeing the light Transitions Optical has launched a new media campaign across multiple channels that is expected to receive 80 million impressions to help increase awareness of light intelligent lenses. Transitions will be live on top TV channels through to July targeting adult spectacle wearers. An extensive digital

campaign will use a set of creatives to appeal to different audiences, while a social media campaign will be supported across the year with top ranking search advertising to capture queries and drive qualified traffic. Wearers are directed to the Transitions Virtual Try-On and Light Sensitivity Quiz online.

75 years in frame design Optische Werke Passau (OWP) is celebrating its 75th birthday with anniversary style 249 – a new edition of a legendary acetate style created in 1981. The style is limited to 1,947, reflecting the year (1947) when on 13 January in the Passau district of Grubweg, Hans Strätz and Franz Fremuth laid the foundation stone for OWP. Werner Paletschek, OWP managing director, said: "A lot has happened in the three quarters of a century since. A lot of good things, but also some challenges. It is our common vision to create a jewel of creativity and a home for exciting, innovative and sustainable products and brand concepts here in Passau – and to inpsire people worldwide." The story of OWP is told in 120 seconds as an animation at www.owp.de

Anniversary style 249

DISPENSING OPTICS J U N E 2 0 2 2

In just under two weeks, practitioners will gather online and in person for the British Contact Lens Association's (BCLA) new hybrid conference, BCLA Focus. Taking place on 11 and 12 June at the Vox Conference Centre in Birmingham, the event will also be live-streamed to members and non-members alike. Among the highlights will be a session chaired by BCLA president, Neil Retallic, and presented by Professors James Wolffsohn and Lyndon Jones looking at learnings over the last 10 years that have changed clinical practice. Neil said: “This session will reflect on innovations in contact lens practice over the last decade to assess the uptake and how they impact on patient safety, comfort and vision.” Karen Walsh, David Webley and Krupa Patel will explore what drives long-term satisfaction, including discussing what healthy lens wear entails, and how to maximise comfort and vision across a lifetime of wear. A scleral lens ‘super-session’ with the Global Specialty Lens Symposium will see an international panel featuring Shreeti Lakhani, Sophie Taylor-West, Karen DeLoss and Patrick Caroline discussing their experiences and viewpoints of incorporating scleral lenses into their practices. Associate professor Nicole Carnt and clinical professor Deborah Jones will discuss children and contact lenses, and Dr Shehzad Naroo and Professor Philip Morgan will ask: what will we learn over the next 10 years that is likely to change clinical practice? Workshops will cover corneal topography and biometry theory and practice, orthokeratology, refining and adjusting sclerals, demodex and advanced dry eye. Details and registration at www.bcla.org.uk

JUNE 2 0 2 2 Queen's Award at the double

Raising awareness of eye hygiene The Body Doctor has scooped a second Queen’s Award for Innovation. The family-owned manufacturer of the Eye Doctor range has won the Queen’s Award for Enterprise in the Innovation category for its Sterileyes patented anti-bacterial compresses used to treat dry eye disease, meibomian gland dysfunction and blepharitis. Body Doctor managing director, Sue Grant, said: “We are incredibly proud at receiving this recognition again. It is reflective of the hard work and dedication from the whole Body Doctor team to offer the very best products to our customers." Sue is pictured with supporter TV’s Dr Hilary Jones at 100% Optical.

Clinics for the homeless "not difficult" Setting up a new clinic for the dispossessed in your local area was a key message at 100% Optical from the show’s charity partner, Vision Care for Homeless People (VCHP). Karen Gennard, an optometrist from Gloucester who has done just that, told delegates that with the charity’s guidance, and good links with the local optical committee, it was not difficult. She said: “VCHP provides great support with contracts and setting up. Their links with many equipment and frame companies are very useful and ensure that the clinic is well equipped to provide a comprehensive eye examination and glasses when they are needed. "There is no provision for homeless people to seek out eyecare in many parts of the country, but we aim to change that and know that we can create a very welcoming environment. The great support from Gloucestershire Clinical Commissioning Group could be a template for other areas of the country, as Gloucester is the first VCHP clinic to secure funding over and above the GOS,” she added.

KAREN GENNARD AT THE SHOW VCHP is looking to significantly increase the number of its regional clinics – now in seven cities – and used the show to reach out to fundraisers, volunteer optometrists and dispensing opticians. David Brown, VCHP general manager, said the show had brought interest for the charity from throughout the UK. “The response from delegates at 100% Optical cemented our ambitions to create new clinics, and to feel confident that our existing clinics will be well supported," he said.

Ever dreamed of owning

YOUR OWN PRACTICE? If owning your own practice has been something you’ve ever given serious thought to, join us at the ABDO “Become an Independent Optician” twilight session.

The organisations and businesses attending will include - AIO, Sightcare, NEG, Eyeplan, Eyewear Styling Academy, Myers La Roche, Performance Finance and Specs Network.

This informal gathering is the perfect opportunity to network, share ideas and hear from independent practice owners about the key to their business success as well as speaking with organisations and businesses that support the independent optician sector.

As part of the wrap-up session we will run a Q&A forum where you will have the opportunity to ask questions of the experts in the room. Don’t miss this great opportunity to find out more about taking those first steps to become an independent optician.

WHERE: ABDO National Resource Centre, Aqueous II, Aston Cross Business Village, Birmingham. B6 5RQ WHEN: TUES 1 1 OCTOBER 2022 3.00pm - 7.00pm NOTE: There is no charge to attend this event and refreshments will be provided but places are strictly limited so book early to guarantee your place.

For more information and to book your place visit www.abdo.org.uk/indy

JUNE 2022

DISPENSING OPTICS

PRODUCT SPOTLIGHT - CONTACT LENSES

1. Working together to make an impact

2. Minimising impact of drops and solutions facilities

3. Supporting patient education on myopia

Contact lens focus 1

Plastic neutrality initiative expanded

Last year, CooperVision pioneered the world’s first plastic neutral contact lenses by funding Plastic Bank’s collection, processing and reuse of general oceanbound plastic waste equal to the weight of the plastic contained in designated CooperVision products in North America and Europe. Eyecare professionals and contact lens wearers can now view the programme’s collective impact using a new Plastic Neutrality Dashboard at plasticneutral.coopervision.com/eng “For CooperVision, plastic neutrality is about making a meaningful, measurable difference in partnership with eyecare professionals and wearers," said Simon Seshadri, CooperVision senior vice president of global marketing. "By simply prescribing and wearing our plastic neutral lenses, they’re making an impact. With our Dashboard, everyone can see for themselves how these contributions quickly add up. It displays the eye-opening amount of ocean-bound plastic we’ve recovered to date and the local communities we’ve empowered — working together." CooperVision expects to prevent the equivalent of nearly 90 million plastic bottles from reaching Earth’s oceans in 2022.

DISPENSING OPTICS J U N E 2 0 2 2

Landfill certification first achieved

Alcon has become the first healthcare company to achieve zero waste to landfill certification from GreenCircle environmental assessors. The rating applies to two ophthalmic drops and solutions facilities in Fort Worth, Texas, and one in Singapore. The three supply products to markets around the world. “Alcon teams continually focus on innovative ways to streamline our manufacturing processes to reduce operational waste, and I’m extremely proud to achieve GreenCircle certification as a testament to our commitment,” said Ed McGough, Alcon senior vice president, manufacturing and technical operations. The three facilities manufacture many of Alcon’s over-the-counter eyecare products, including Opti-free, AOSept Plus and Clear Care contact lens solutions. They also make Systane dry eyedrops and Pataday allergy eyedrops. Alcon’s Fort Worth Aspex site also manufactures surgical procedural and pharmaceutical eyedrops as well as BSS, a sterile intraocular irrigating solution commonly used during surgery. GreenCircle is recognised by the US federal government, the US Green Building Council, the International Living Future Institute and the Association of Plastic Recyclers.

Getting the conversation going

No7 Contact Lenses has launched a myopia management information pack to help its EyeDream orthokeratology contact lens customers disseminate facts about myopia through their own marketing channels. "Taking action at the early stages of a child’s myopia progression could have a critical effect on the future health of their vision, so I believe we are obligated to help our patients understand these facts,” said Katie Harrop, No7’s professional services director and key opinion leader on myopia management. The pack includes myopia management patient leaflets, an infographic practice poster, window sticker, a web pack and social media content. “We want this message to meet as many eyes and ears as possible, and we need our customers to help do that," said. "By posting to their social channels, building a web page, giving the poster pride of place and popping up the window sticker, they can get the message out. But, most of all, we want customers to use these materials to start a conversation, engage with their patients about myopia management, share the facts, and let them make informed decisions,” Katie concluded. No7 customers wanting to participate can register for the campaign at www.no7contactlenses.com/myopiamanagement-may

PRODUCT SPOTLIGHT - CONTACT LENSES

4. Supporting a greener future

5. Next generation material and advanced technologies

6. Holistic approach to managing myopia

Myopia management, innovation in one-day silicone hydrogels and sustainability initiatives are in the spotlight this month as we round-up the latest news from the contact lens sector...

Eco packaging move for lens deliveries

As part of a broader commitment to reduce its environmental footprint, Johnson & Johnson Vision is removing the plastic pouches currently placed on the outside of European Acuvue deliveries, and in the UK, and using stickers instead. Jacqueline Henderson, Johnson & Johnson Vision EMEA area vice president, said: “At Johnson & Johnson Vision, we’re dedicated to reducing our environmental impact and finding sustainable solutions. This is why we’ve made the decision to optimise our packaging by removing plastic pouches and using stickers instead. It may seem like a small step, but it’s significant – even minimal changes to dayto-day processes can make a huge impact in the long run and help contribute to a healthier planet.” This latest move will support Johnson & Johnson’s overall journey towards its 2030 net zero target. The business says it has saved 42,000 tons of CO2 annually through renewable and energy efficient programmes and moving to 100 per cent renewable electricity in 2022, three years ahead of target. It predicts that replacing delivery notes inside orders without external packaging will save approximately 10 tons of plastic across Europe every year.

Fulfilling the unmet needs of wearers

Making its UK optical trade show debut at 100% Optical recently, new Bausch + Lomb Ultra One Day is designed to fulfil the "unmet needs of contact lens wearers". According to a consumer symptoms survey of 318 silicone hydrogel daily disposable contact lens wearers, commissioned by Bausch + Lomb and undertaken in April 2019: 82 per cent of respondents were interested in a contact lens that could help prevent or reduce dryness; 74 per cent had settled for less comfort in order to wear lenses the entire day; and 74 per cent blamed their own lifestyle for eye issues, not their lenses. Ultra One Day contact lenses feature a next generation contact lens material (kalifilcon A) and the company's Advanced MoistureSeal and ComfortFeel technologies, which release moisturisers/conditioners, osmoprotectants and electrolytes to help protect, enrich and stabilise the tear film. "Bausch + Lomb Ultra One Day brings a higher standard of innovation to the contact lens category," said Thomas J. Appio, president, Bausch + Lomb/International.

Complete portfolio for myopia management

The Menicon Bloom Myopia Control Management System offers a holistic approach to myopia control management that can easily be incorporated into children’s routines, says the company. The portfolio includes Menicon Bloom Night orthokeratology contact lenses for myopia control, CE-approved and designed for overnight use. Manufactured in hyper oxygen-permeable Menicon Z rigid material for optimal corneal oxygenation, the lenses are said to provide comfortable and safe contact lens wear. The daytime lens option is Menicon Bloom Day, a centre-distance multifocal daily disposable. Menicon Bloom also provides practitioners with Easyfit software to accurately guide the fitting process. It comes with a mobile app, Menicon’s Virtual Doctor, to enhance monitoring and communication between patient and practitioner. Training and e-learning modules are available for practitioners to become certified Menicon Bloom specialists, as well as marketing materials for in-practice use.

NEXT MONTH'S PRODUCT SPOTLIGHT Children's eyewear

JUNE 2022

DISPENSING OPTICS

CPD LEARNING DOMAINS

Modern management of presbyopia PART 1: Communicating spectacle considerations By Michelle Derbyshire MA, FBDO, SMC (Tech)

PROFESSIONAL GROUPS

CLOSING DATE: 7 September 2022 ANSWERS PUBLISHED: October 2022 CPD CODE: C-102380 MCQs AVAILABLE ONLINE: 3 May 2022

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 Wednesday 1 June 2022. 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-102380 16

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efined in its simplest terms by Millodot as: “A refractive condition in which the accommodative ability of the eye is insufficient for near vision work, due to aging”1, presbyopia is most commonly experienced initially as a gradual inability to focus on near objects. This prompts emerging presbyopes, sometimes through sheer frustration, to self-diagnose and seek a range of optical and non-optical solutions to correct their faltering near vision. Tactics employed by patients to avoid accepting their impending visual condition may include colour-coding keys, using a magnifying lens or mirror, wearing two sets of spectacles simultaneously, and increasing the font size on their phone and computer2. A rising proportion of presbyopes in the population represent a challenge for eyecare practitioners (ECPs) to keep abreast of changing technology, whilst offering a significant commercial opportunity3. Traditional single vision, bifocal and progressive spectacle solutions are being challenged by a variety of new approaches3. At the same time, the broad accessibility of cheap, over-the-counter, ready-made magnifying and variable-focus spectacle options may lead to many of the available bespoke alternatives being overlooked. With around two billion people now affected by presbyopia worldwide, and approximately 42 per cent of the UK population being over the age of 453, patients presenting with presbyopiaassociated symptoms are a daily occurrence in optical practice. As such, dispensing opticians (DOs) have a good

working knowledge of this widespread condition, its effects on vision, and its impact on people’s quality of life. It is essential to appreciate, nonetheless, that presbyopia is a dynamic condition; experienced differently not just between individuals but also with changes over time and with increasing age. Methods of correction suitable for a 50-year-old may not work well for someone in their 80s3 and, similarly, a solution 20 years ago for someone in their 50s may well not be the most appropriate option in 2022. Thus, a detailed discussion with each patient is needed in order to construct a portfolio of spectacles tailored to meet their individual and diverse needs.

UNDERSTANDING PATIENT NEEDS Whereas spectacle frames are often readily displayed to see and try, lens choices are intangible, and in many cases alien to patients. Therefore, the responsibility for communicating the benefits and compromises of the most appropriate selection sits entirely with the ECP. Honed by experience and backed with extensive product knowledge, actively listening to the patient and interpreting their visual needs is one of the most important skills that can be demonstrated by the DO. The patient will likely be concerned with their visual comfort at a variety of distances, the physical comfort and appearance of the spectacles, and both the convenience and cost4. Through deeper engagement with the patient, the DO has the opportunity to integrate further criteria based on their current visual needs during both work and leisure time, their lifestyle and self-image.

When dispensing a newly presbyopic patient, DOs should also be mindful of the emotional impact of being forced to accept that their near vision is no longer perfect2. A mounting dependence on spectacles can affect the way people feel about their own age and ability to take care of themselves2 and, even from the age of 45, is reported to have a real impact on quality of life5. The need for a reading correction is perceived as a sign of age4, and the patient is coming to terms with changes in daily activities that they have always taken for granted2. Today’s rising reliance on hand-held digital devices and demand for constant connectivity serve as further sources of frustration and act as constant reminders that the struggle of ageing is real and looming large. In addition to an inability to read fine print or thread a needle, manifestations of presbyopia include a delay in refocusing and slow drifts in distance refraction3. The presbyope will likely be experiencing multiple problems when reading, such as, a need for increased task lighting and symptoms such as headaches, visual fatigue, diplopia and even epiphora5. In these challenging times, alterations have occurred in individual’s behaviours, their lifestyle choices, and, in some cases, their appetite for change6. Communication, compassion and understanding have never been more significant in supporting, motivating and educating patients to make informed decisions and manage expectations surrounding their healthcare. As well as natural emmetropes, many who have previously undergone surgical intervention to correct distance vision also eventually require correction at near5. This can be a source of consternation for post-operative patients, often met with disappointment and reluctance, perhaps even disbelief – and so the conversation needs to be handled with care.

SOME TWO BILLION PEOPLE WORLDWIDE ARE AFFECTED BY PRESBYOPIA

Although not addressing or providing any treatment for the underlying cause of presbyopia5, spectacles are generally considered to be the most accessible intervention for the management of related symptoms5. Yet, with all the available options, the patient should be led to understand and accept some degree of compromise in the quality and flexibility of vision offered at different distances5.

PROGRESSIVE ADDITION LENSES Arguably, with their no jump, seamless blend of continuous vision, progressive addition lenses (PALs) best replicate natural, pre-presbyopic vision by providing

PLAN YOUR CPD TODAY For all the latest available CPD from ABDO, visit www.abdo.org.uk. All online and face-toface interactive CPD events open for booking can be found on the Events pages. CPD articles and recorded lectures can be accessed in your personal membership area. Resources to help you plan and reflect on your CPD are available in the Professional Development Toolbox. GOC registrants are now responsible for submitting their own CPD and points are no longer uploaded by providers. On successful completion of this CPD session, log into your MyGOC account and follow the steps to submit this session using your certificate of completion as evidence. For more information on the new GOC CPD scheme, visit www.optical.org

an unbroken range of focus from far to near7. Since the first generation ‘varifocal’ lens, considerable advances have introduced wider and more comfortable viewing zones and transition. A huge range of options have become readily available, and prices have reduced comparatively. The optical and cosmetic advantages are, by now, well known and PALs have become a default single-pair solution for patients and practitioners alike7. Freeform surfacing, utilising highly complicated computer driven technology, now dominates lens manufacturing8 and has become commonplace in contemporary PAL production. Precision optimisation of each spectacle prescription is afforded by this revolution in lens surfacing8 enabling the optics to be matched exactly to every patient’s individual visual requirements and customised for the actual position of wear9. This advancement in digital lens design has enabled an immense variety of high definition and personalised products requiring ever-more complex fitting measurements and fuelling growth in practice-based digital measurement

JUNE 2022

DISPENSING OPTICS

CPD technology to determine exact viewing position. State-of-the-art measuring devices facilitate fast, accurate capture of such data whilst limiting social contact and respecting social distancing in practice. In addition, some of the sophisticated dispensing aids incorporate further characteristics such as postural and behavioural components10 in order to fully appreciate the customisation possible in the design parameters. The patient benefits from enhanced visual performance including reduced peripheral lens aberrations, wider zones of clear vision and improved binocular vision9. Ultimately, these benefits increase patient satisfaction and reduce incidents of PAL non-tolerance9. Precise fitting of each frame to the patient before measurement is, therefore, now more than ever, imperative for accurate dispensing3. Even carefully selected and accurately measured PALs are not entirely without limitations. Escalating unwanted peripheral astigmatism linked with increasing prescription power11 inevitably results in peripheral blur and restricted field of view that requires a level of acclimatisation from the visual system and modified wearer movement patterns. Positioning of the optimal near vision low in the lens requires an unnatural, and sometimes uncomfortable, angle of gaze and a narrow range of intermediate vision can fall short of contemporary visual needs. These restricted optical zones can impact the wearer’s subjective experiences5, for example, while driving or performing workplace, sports or hobby tasks. Additionally, PALs have been reported to impair depth perception and edge contrast sensitivity12 contributing to increasing mobility problems, difficulty with step negotiation and risk of falls. Identified as a significant public health concern5, falls among presbyopic age cohorts need to be kept in mind when dispensing PALs. Each of the major lens manufacturers has its own, unique approach in pursuit of precision and ultimate personalisation, persistently pushing the frontiers of PAL design and advancing manufacturing techniques. Whether it is binocular harmonisation technology (Hoya)13 or biometric intelligence (Rodenstock)14, what is certain from this ongoing global

DISPENSING OPTICS J U N E 2 0 2 2

investment in research and development is that progressive lens design continues to be a primary focus of spectacle correction of presbyopia7.

BIFOCALS AND TRIFOCAL LENSES With continued availability in a wide range of materials, shapes and sizes, conventional bifocal lenses provide a stable and wide distance area15 preferred by some and a fixed near portion that is easy to find over the segment line. Without the peripheral swim effect15 they are useful for those who want the convenience of a single pair of spectacles but do not have a steady head position and for those unable to tolerate restricted horizontal field of view and edge distortion. Like other dual focus or multi-focus lenses, bifocals and trifocals remain viable solutions for many occupational, sports, hobby and lifestyle scenarios. With options to combine distance and intermediate, or intermediate and near, they are frequently the default choice for some professions such as musicians who may want to read sheet music at a fixed working distance and simultaneously see the conductor and/or the keys or strings of their instrument. Some wearers find the dividing line between the two fixed zones, and the associated ‘jump’ in image size and position found in certain types of bifocal, to be distracting and especially troublesome when navigating uneven areas and steps. In addition, as presbyopia advances, the patient’s range of intermediate vision becomes gradually more compromised7. However, traditional straight top or round segment lenses are by no means exhaustive of the modern bifocal and trifocal options obtainable. There are specialist alternatives to address some of the disadvantages of bifocal wear; such as invisible round segs, blended segs, double decker segments, and combination lenses (combining bifocal and low add progressives)16. These innovations in lens design blur the boundaries between bifocals and PALs; benefitting the patients with advantages such as less visible segment lines, reduced or eliminated ‘jump’ and potentially providing a stepping stone towards easier acceptance of fully progressive designs16.

SINGLE VISION LENSES When presbyopia is the only refractive error related issue experienced, a patient may opt for a simple single vision spectacle solution11. Colloquially referred to as ‘reading glasses’, this tried and tested technology provides a relatively cheap, ‘easy on, easy off’ solution to aid with any near vision task. It could be suggested that modern lifestyles with recurrent long periods working at fixed close distance require an intensive ocular effort that can be more comfortably endured with the aid of a single vision correction designed with the appropriate focal length. For this purpose, a single vision pair of spectacles can be the perfect complement to a pair of PALs for such activities as reading and sewing. A bedside pair of readers, for example, can be an invaluable addition. A supplementary single vision distance correction, for walking and outside activities, might be advantageous for an elderly person identified at risk of falls12. Comprehensive lifestyle and visual needs should always be investigated during extensive task analysis with the patient, and any requisite working distances explored together.

ENHANCED SINGLE VISION LENSES Whilst an entire lens dedicated to a single point focus can be advantageous, the necessity to keep removing or swapping between different spectacles can be problematic; especially where there is a frequent need for corrected intermediate vision. Demand for these more versatile viewing needs can be met with the employment of degressive lenses, whereby a minus (or less plus) power is worked into the upper portion of the reading prescription thus providing a dual focus for intermediate and near. Although degressive lenses are not to be confused with occupational progressives, their potential uses in occupational situations are almost infinite. Some manufacturers (such as Norville for its Versatile lenses) are able to supply a demonstration kit, or set of glazed lorgnettes, enabling the patient to interactively experience and better understand the benefits, and indeed disadvantages, of such lenses before choosing them. These are valuable dispensing tools for DOs to have at their disposal.

The evolution of today’s electronic environment has also led to the development of enhanced single vision lenses designed for ‘pre-presbyopes’ (typically aged 25 to 40 years)16. This generation of lenses, such as the Booster lens offered by Norville16 or Nikon's RelaxSee lens17, incorporate a small low plus (or reduced minus) area into the lower portion of an otherwise single vision lens, in order to relieve symptoms of visual fatigue and to assist with adjusting between variable distances and reading of small pixelated characters. These lenses pave the way for the next generation of emerging presbyopes – and time will tell whether their use will help reduce the emotional impact of presbyopia and ease the visual adaption involved in transitioning to PALs.

OCCUPATIONAL PROGRESSIVE ADDITION LENSES Carefully chosen progressive lenses offer great all-round vision, allowing the patient to constantly adapt to a wide range of distances. However, they can be troublesome for long periods of fixed intermediate or close work – especially when a higher near vision addition is needed18. Back, neck and shoulder posture in particular can suffer – with the need to hold one’s head in an unnatural position and, if the intermediate portion is too narrow, the patient may struggle to see clearly as extensive a range as they require18. With modern work and leisure computer use, e.g. gaming, it is not unusual for multiple screens to be employed simultaneously. While intermediate/near bifocals can be usefully employed in this situation, they do not afford the viewer any range beyond that of the fixed intermediate distance, e.g. the computer screen(s). This is precisely where occupational progressive addition lenses (OPALs) come into their own. Designed to accommodate viewing at a restricted distance, OPALs are ideal for office, board room and small class teaching situations. As increasing attention and higher priority is afforded to occupational health and employee comfort (and their link to productivity), opportunities to address computer vision syndrome19 and office ergonomics become more openly welcomed.

ENHANCED LENSES CAN RELIEVE SYMPTOMS FOR PRE-PRESBYOPES

However, to consider OPALs merely as ‘office lenses’ would do a great injustice to the multitude of potential uses. What about, for example, artists, painters, electricians, dentists, DOs? The list is, undeniably, endless. As is the way with multifocal lenses, there is a play-off between width and depth and most lens suppliers offer both wide and deep OPAL designs within their portfolio. For example, the Computer and Workplace lens from Shamir20, or Nikon’s Online Wide Neo and Home & Office Neo17. A short and wide design offers an upgrade to single vision lenses that removes the requirement for the wearer to lean forward to view their screen, and can be especially useful for anyone needing a broad field of clear vision; a bookkeeper for example. A deeper (and therefore narrower) version lends itself to multi-tasking in a wide range of indoor home and office situations, such as simultaneous tablet use and watching television, crafting or cooking.

There is significant skill involved in successfully dispensing OPALs, including gauging the appropriate lens selection (and therefore working distances) through discussion with the patient and taking accurate measurements. Considered communication, helping the patient to understand how the selected lenses will work for them personally, without getting too technical, is absolutely fundamental to patient satisfaction with any occupational lenses. The benefits of the increased range should be established with the patient, for example, by holding a -0.75D lens in front of their near vision correction in their spectacles, if they have them, or in a trial frame. Additional time needs to be allocated for collection too, in order to facilitate comprehensive demonstration and repeated explanation of the completed spectacles. Most important of all, to remind the patient that their new lenses are not, under any circumstances, to be used for driving.

JUNE 2022

DISPENSING OPTICS

CPD

OPALS ARE IDEAL FOR OFFICE, BOARD ROOM AND SMALL CLASS TEACHING SITUATIONS

FUTURE CONSIDERATIONS Although the continuously evolving offering of conventional ophthalmic lenses still meets the basic requirements of the majority needing near vision correction for now, most would concede that there are limitations and inconveniences associated with spectacle wear – not least the necessity to have the correct pair at hand3. Changes in technology, and in the ways we live and think, are coming along at a frantic pace and although the principal functions of optical practice remain fundamentally the same, solutions for correcting refractive error will ultimately need to adapt. Hand-held electronic devices, such as smartphones and tablets, are now everpresent (in some cases literally) from a very young age and there is growing evidence to show that this change in the way our eyes are used is affecting the ways in which they develop21, introducing new eye movement patterns and altering body posture.

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Developments in spectacle lens design have been influenced by extensive research into evolving consumer insights and modern visual behaviour and widespread investment in new technologies7. Whether modern technological advances, however, are satisfying, or driving, demand for evermore optimal visual experience (for example, 8K televisions) is very much up for debate. Over many years, alternative designs of ‘tunable lens technology’ have been widely investigated by scientists seeking substitutes for conventional optical lenses with both instruments and spectacles in their sights. After more than a century of patents and prototypes, practical variable-power spectacle lenses suitable for presbyopic correction are now commercially available3. Dial adjustable specs, based on the Alvarez dual lens principle22, with variable focus from -6.00D to +3.00D are obtainable and cheap to purchase from generic online retailers, such as Amazon and eBay.

Also enjoying years of scientific attention and iterative progress, liquid crystal lenses use a battery to supply an electrical current and regulator circuit to regulate the voltage to control variable refractive index and consequently the focal length. Although the physically moving Alvarez lenses have not been widely adopted yet, spectacles utilising liquid crystal lenses aka ‘smart glasses’ are reported to be the ‘next big thing’23 set to transform the optical and digital world. Prescription lenses, sunglasses and ‘electrochromic’ lenses are already available in early models with integrated features such as still and video cameras, Bluetooth bone-conduction headphones, noise-cancelling microphones, and social media connectivity (e.g. Rayban Stories). In April 2022, EssilorLuxottica won the prestigious Best of the Best Red Dot Design Award for Rayban Stories24 (“the highest distinction in the competition, awarded to pioneering designs”25) perhaps indicating that ‘the next big thing’ has, in fact, already arrived. In recent times, electro-tech rumour mills worldwide are glowing red-hot as the sun rises on the dawn of a new technological revolution that is the widespread availability of super-smart glasses and mainstream adoption of augmented reality (AR). AR uses a visual device to overlay transparent movement-sensitive digital graphics over a real time real world view; creating the illusion that they “occupy the same space”26. Applications are already employed in the military and for medical, commercial and educational purposes. Domestic examples are readily recognised in televised sport, with live scores overlaid like a holograph on the field of play, or swimmers and runners seemingly chasing a bar indicating a target to meet. Using this technology, smartspecs with incorporated small computer screens (e.g. Vuzix’s Blade) allow wearers to watch a film while they work, do the housework, or go about their chores. Built in gyroscopes and motion tracking ability enable basic AR app integration, for example, sat nav or phone and message notifications. Research in 2019 by Jonghyun Kim et al27 proposed an eye gaze-tracking accommodation-supporting transparent display termed ‘foveated AR’. Their work

incorporated a complex system of cameras and mirrors to create a tunable varifocal lens system with a wide field of view, high resolution and thin form in a ‘head-mounted’ or ‘near-eye’ display. Foveal feedback provided focal clues that introduced an ‘always-in-focus’ display system. By their own admission, these brave ideas made great advances – far exceeding the capabilities of previous systems. Their ultimate aim: to combine variable “prescription corrective optics, adaptive sunglasses, and AR display into a single accessory that is personal and always worn”. In January 2022, Apple was granted a patent titled ‘tunable and foveated lens systems’28 which, much simplified, paves the way for a lens system (of stacked voltage-modulate liquid-filled optical materials surrounded by electrodes and embedded between transparent substrates) within a wearable device, that automatically adjusts to correct a wearer’s vision (using ‘foveation’). In the patent28, Apple claims that the lenses can be configured to correct for “myopia, hyperopia, presbyopia, astigmatism, higher order aberrations and/or other vision defects” and combined with AR content. Although, as is common with the prelaunch of new electronic products, there is rumour, hype and speculation about the pending release of ‘smart glasses’ from a number of digital technology companies, the prospect of such futuristic concepts becoming reality appears to be on the horizon.

CONCLUSION

REFERENCES: References and a

Person-centred care, ensuring the patient is always the absolute focus of individual health care decisions, is fundamental to optical practice and no less so for dispensing patients with presbyopia. Such care and attention can only enhance satisfaction and encourage loyalty, and should be a primary foundation stone of building modern-day practice. An ever-extending portfolio of traditional, contemporary and technically innovative solutions provides a mindblowing range of spectacle-based corrections for patients with presbyopia. It is fully integrated within the expertise of the DO to deconstruct the marketing speak of industry manufacturers and suppliers to unearth the technical details of all the available products and match them, like an intricate game of pairs, to their patient needs. Complex task analysis remains key to unlocking patient needs and impactful dialogue about presbyopia. Explaining in lay terms the ageing eye and patient prescription is paramount for managing outcomes and expectations. However, in this new age of constant connectivity, instant gratification and digital stimulation overload, ECPs need to be prepared to think further outside of the box. As the first of the millennial (Gen Y) generation turn 40, and innovative electronic solutions become mainstream, it may be time to disregard the box altogether. Before long, there may no longer be any box.

bibliography are available with the online version of this article.

MICHELLE DERBYSHIRE has more than 30 years’ experience in the optical profession – as a technician, dispensing optician, senior manager, director and consultant – combining professional practice with education management and project and programme leadership. Michelle now works as a freelance consultant utilising her diverse experience, and Master’s degree in Management Studies, to offer services including research, data extraction, copywriting, governance advice and programme validation support. Michelle is a theory paper marker for ABDO and has recently taken up a role as advanced healthcare practitioner (ophthalmology) within the NHS.

LEARNING OUTCOMES FOR THIS CPD ARTICLE DOMAIN: Communication 1.7: Communicate effectively with presbyopic patients to ensure they are able to take an active part in decisions made about their methods of spectacle correction. 2.1: Appropriately adapt your communication to provide presbyopic patients with information in a way that is understandable to the individual.

DOMAIN: Clinical Practice 7.5: Provide effective patient care for presbyopic patients and recommend ophthalmic dispensing solutions based on current good practice.

SMARTSPECS LIKE VUZIX BLADE INCORPORATE SMALL COMPUTER SCREENS

NEXT MONTH'S CPD ARTICLE, MODERN MANAGEMENT OF PRESBYOPIA PART 2, WILL LOOK AT CONTACT LENS OPTIONS FOR PRESBYOPIA.

JUNE 2022

DISPENSING OPTICS

MCAs

Multiple choice answers Myopia management and research resources By Alexandra Webster MSc, PGDipE, FBDO CL, FHEA, FBCLA CPD CODE: C-100263 Published in February 2022

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. Which of the following measurements has been shown to have the strongest correlation to myopia-associated pathology? a. Age at onset of myopia b. Cycloplegic refractive error c. Axial length d. Number of myopic parents (0-2) c is the correct answer. Myopia-associated pathologies, such as myopic maculopathy and retinal detachment, are caused by the lengthening of the eye, which is associated in practice with a myopic refraction but is actually measured using axial length. It is still rare to have the ability to measure axial length in practice, therefore it is more common to discuss ‘risk’ factors associated with levels of myopic refraction. There is now thought to be consistent evidence of a causal association between higher prevalence and degree of myopia with which of the following? a. Close working distances b. Time spent on tablet devices c. Living in urban environments d. Duration of education d is the correct answer. From reviewing the evidence currently available, the IMI (International Myopia Institute) has identified education and time spent outdoors as the key factors associated with the development and progression of myopia. Greater levels of time spent outdoors is a factor in decreasing risk whereas, intensity and duration of education are found to be factors increasing risk. Which of the following refractions could qualify as premyopia, given the IMI definition of premyopia? a. +0.50D b. +1.00D c. -0.75D d. -1.00D a is the correct answer. To ensure there is no miscalculation and unless no accommodation is assured, it is advised to conduct a cycloplegic refraction

DISPENSING OPTICS J U N E 2 0 2 2

If a child is identified as having ‘pre-myopia’ according to the IMI 2021 Reports and Digest – Reflections on the Implications for Clinical Practice paper: a. they should be provided with a refractive spectacle correction b. they should be recalled in 12 months c. their parents should be informed and provided with or signposted to resources to aid their understanding d. they should be fitted with soft contact lenses designed for myopia management c is the correct answer. Wolffsohn et al (2021) suggest the evidence-based clinical approach to managing a patient with pre-myopia or low myopia (<-0.50D), is to provide advice on the need for regular examinations and inform the patient and their parents/carers about the circumstances, but that is not appropriate to provide a refraction. This is in the absence of any other refractive or binocular issue. Considering the patient case information provided in the article, which of the following statements is true? a. Part 1 of the PreMO risk calculator can be used to determine Scarlett’s risk of future myopia b. The PreMO risk calculator can be used as a stand-alone tool to support how to manage Dominic in practice c. There is not enough information provided to be able to use the PreMo risk calculator accurately d. Scarlett should be placed on a six-month recall as, according to Part 2 of the PreMo risk calculator she is at high risk of myopia progression c is the correct answer. Part 1 of the PreMo risk calculator could be used to better understand Dominic’s risk of becoming myopic, however, a cycloplegic examination is required and an estimation of axial length using the Estimate Axial Length tool would be required. The PreMO risk calculator Part 2 is used for children over the age of six who are already myopic. However, the calculator requires the practitioner to have conducted two successive cycloplegic examinations to confirm the spherical equivalent refraction. Although we are provided with Scarlett’s spectacle refraction over two examinations, there is no confirmation that a cycloplegic refraction was performed and a spherical equivalent has not been provided.

Reviewing academic research supports everyday clinical practice and patient care

Which three possible risk factors for developing myopia are identified in the patient information provided for Dominic? a. Two myopic parents, being more minus than +0.75DS at age six and little time spent outdoors b. One myopic parent, having East-Asian ethnicity and being more minus than +0.75DS at age six c. One myopic parent, having East-Asian ethnicity and spending little time outdoors d. Having East-Asian ethnicity, being more minus than +0.75DS at age six and not having an eye examination previously. b is the correct answer. Dominic has one parent with myopia, he has East Asian ethnicity on his mother’s side and he is more minus that +0.75DS at age six, which has been identified as ideal in the emmetropisation process that takes place in childhood. From the information provided, we know Dominic spends some time outdoors playing football and with his Beavers troop. The evidence that is found in the NICER study is particularly relevant to some optical practices in the UK because: a. it is the latest study to be conducted about myopia and children b. there was a broad range of ethnicities amongst the participants c. the study participants are from a UK-based population d. the study involved more participants than any other conducted about myopia and children c is the correct answer. The NICER study involved children from primary and secondary schools in Northern Ireland and was the first of its kind to monitor growth patterns of the eye from childhood to adulthood in a UKbased population. Much research about childhood myopia has been conducted in countries in the Far East, where the general ethnicity mix of the population is different from that found in the UK and many European countries. Therefore, research that has involved a population ethnicity similar to that which may be found in UK practice may be more relevant. It should be noted the NICER study participants were exclusively white and this should be considered in relation to the population base of individual practices in the UK.

Myopia is a concern as it is associated, particularly later in life, with damage to which ocular structures? a. Crystalline lens, cornea and chorioretina b. Crystalline lens, optic nerve and chorioretina c. Iris, optic nerve and chorioretina d. Cornea, iris and optic nerve b is the correct answer. Myopia and an increase in axial length is associated with myopic pathologies, which although more common with higher levels of myopia, can occur with low levels of myopia. Ocular structures that can be damaged both directly and indirectly are the crystalline lens, the chorioretina and the optic nerve. Findings from the NICER study have shown that the number of children who are short-sighted in Northern Ireland has: a. remained consistent over the last 50 years b. doubled over the last 50 years c. doubled over the last 15 years d. decreased over the last five years b is the correct answer. One of the key findings from the NICER study is that the number of children who are short-sighted in the Northern Ireland has doubled over the last 50 years. They also found children in Northern Ireland are becoming short-sighted at a younger age than was previously thought, and this is most likely to occur during the primary school years.

Eyecare professionals should be fully knowledgeable about the products they recommend

JUNE 2022

DISPENSING OPTICS

PROFILE – ABDO PRESIDENT & VICE PRESIDENT NICKY COLLINSON

New term begins A

s Star Wars fans traded "May the 4th be with you" greetings across the globe, a new two-year ABDO presidential term began in a galaxy not so far, far away. At a special dinner held in London on the evening of 4 May, attended by guests from the profession and industry, Daryl Newsome officially received the presidential chain of office from Jo Holmes. In turn, Kevin Gutsell began his term as vice president of the Association. In this special profile feature, we learn a bit more about ABDO's new president and vice president, their backgrounds and their hopes for the future.

IN THE HOT SEAT A second generation eyecare practitioner who followed his father into the optical profession, Daryl qualified as a dispensing optician (DO) in 1984. Over the past 38 years in practice, Daryl has gained experience in both multiples and independents in a variety of roles including buying, middle management, training and teaching. He is currently a partner in three optical practices in Devon, a practical and theory examiner for ABDO, and a practical tutor preparing undergraduate students for their professional examinations. Daryl is also a qualified glazing technician, contact lens optician and minor eye conditions services optician. NC: What or who inspired you to become a DO? DN: My father was an optometrist and my sister studied dispensing before going to Glasgow to study optometry; so I guess it was probably my sister.

NC: What's been your most memorable dispense to date? DN: Probably making a hand-made frame for a gentleman in Rochdale who had special facial characteristics and had never had a pair of specs that fitted properly. One of our core competencies is taking facial measurements to make a handmade copy of a frame . It was as satisfying for me as it was pleasing for him and, of course, the whole practice buzzed about it because we all know how to do it but we do it so rarely. NC: What is your most treasured optical item? DN: Probably my father's set of Jackson crossed cyls; strange I know but my sister Davina taught my father how to use them. He used block and fan, and along with various bits of workshop kit I inherited when he passed away, I use the cross cyls more than any of the other things. It always makes me smile. NC: What is you biggest professional achievement to date? DN: It would be churlish to say anything other than being elected as the president of ABDO. It is an honour awarded by the membership, by voting me on to the board, confirmed by a vote of the other directors to be chairman of the board of directors – and now the president of the Association. It is a role I enjoy, and I feel thoroughly supported by a fantastic team of staff. My thanks go to every member of staff, every part of our various regional teams and every member of ABDO. NC: If you weren’t a DO, what would you be? DN: Either a jeweller because I love working in detail, or an airline pilot because I love to travel.

NC: What is your greatest hope for the profession? DN: Collaboration and recognition. I would like us all to work together to expand our scope of practice and get involved with new things. For dispensing opticians to grow doesn’t mean anyone else has to become less; we can all improve and better serve our patients and, in doing so, be valued by both our colleagues and patients. NC: What is your biggest fear for the profession? DN: Becoming a production line. I love the diversity of my role as a dispensing optician: no two days are ever the same, we have the opportunity to do so many different jobs already, and I know our scope of practice is growing all the time. The job I do now doesn’t compare to the job I was doing 10 years ago, and it will be different to the job I will be doing in 10 years' time. That’s exciting. Not developing and expanding would be my biggest fear.

DISPENSING OPTICS J U N E 2 0 2 2

DARYL RECEIVES THE PRESIDENT'S MEDAL FROM JO HOLMES

DARYL WITH HIS WIFE YVE AT THE RECENT WCSM LIVERY DINNER, WHEN VICE PRESIDENT

LONG-HELD AFFILIATION A well-known figure across both industry and profession, Kevin Gutsell began his career in optics in 1984 as a trainee dispensing optician. After qualifying, he spent more than 12 years in practice, including management roles, before embarking on a career in sales. "For the next 20 years, I held various sales, marketing and professional services roles with companies supplying contact lens solutions, spectacle lenses and many other products found in practice and optical labs," says Kevin. "Within this time, and for short periods, I also spent time teaching and leading a sector trade body." Since 2017, Kevin has owned a company supplying a range of optical products to practices and laboratories. Over the years, he has also been an ABDO distance learning tutor. "I have always enjoyed helping tomorrow's qualified dispensing opticians," he says. As a tutor for ABDO since 1992, Kevin's close affiliation with the Association reaches back almost as far as to when he qualified. "ABDO area meetings – as they were formerly known – have always played an important part in my professional life and I became more involved with local meetings when CET became compulsory. I served as an ABDO area committee member as well as chairman." In 2007, Kevin joined the Journal Advisory Committee [now called the Editorial Committee] of Dispensing Optics and became an ABDO College trustee in 2009. "Soon after, I was fortunate to be voted on to the ABDO board and have continued to represent the membership almost ever since," explains Kevin. Since 2014, Kevin has represented ABDO on the Spectacle Lens Committee at the British Standards Institute and, more recently, became the editor of ABDO's Ophthalmic Lens Availability Online resource. Speaking about the current state of play in optics, Kevin says: "The Association and the sector are facing exciting and challenging times – straight off the back of a two-year

KEVIN RECEIVES THE VICE PRESIDENTIAL CHAIN OF OFFICE FROM DARYL

pandemic. In particular, the General Optical Council's [GOC] Call for Evidence on the Opticians Act – and its consultation on associated GOC policies – is an opportunity for dispensing opticians and the sector at large to influence updates, modernisations and scope of practice. To be vice president and then president of ABDO during this time is very exciting." As Kevin notes, the profession is no stranger to testing times. "When you look at the history of ABDO and its predecessor, you will see times of challenge: deregulation, the end of NHS spectacles for all, the addition of VAT on sales and online supply of eyewear and contact lenses to name but a few. "Yet dispensing opticians have continued to progress during these times because of the professionalism and skills that are obtained and enhanced in practice and through training. New lens designs requiring suitable frames and accurate fitting to slow myopia in children is a perfect example of improving knowledge, understanding suitability and then communicating this new 'treatment' to patients and parents in order to improve outcomes in the future. Who would have predicted this 10 years ago?" As Kevin settles into office, he pledges that ABDO "will continue to support members in many ways, and look to improve and increase the member benefits that sit alongside the important insurance and professional development programmes". Kevin adds: "The restrictions caused by recent events have thankfully been lifted in most cases. I hope to see many members over the next four years and understand further the challenges facing dispensing opticians and eye healthcare ABDO VICE PRESIDENT, KEVIN GUTSELL at large."

JUNE 2022

DISPENSING OPTICS

REVIEW – 100% OPTICAL NICKY COLLINSON

So much to SEE

co-conscious products, advances in diagnostics technology, assistive technology for the visually impaired, contact lens innovations and bold and beautiful eyewear were amongst the product portfolios on display at 100% Optical 2022. Being able to see so much innovation under one roof was just one of the reasons the show saw pre-pandemic levels of visitors numbers. As the first major UK trade show since January 2020, the three-day event reunited eyecare professionals from all walks of practice – with UK and international suppliers, designers and business partners to try, buy and catch up on hot optical topics. As immediate past president of ABDO, Jo Holmes, remarked after the show: "100% Optical provided a much welcome opportunity to see the latest innovations and eyewear trends, giving us all renewed enthusiasm for our products back in practice."

May issue of Dispensing Optics, made its first outing at a UK trade show to showcase its eyewear made from 100 per cent recycled fishing net plastic with polarised, mineral glass lenses. Exclusive Sennen optical frame is made from 100 per cent recycled monofilament nylon fishing nets, sourced from Cornwall. Launched on the Coti Vision stand was Eden, part of a new reading glasses collection with frames made from Italian developed hexetate, an environmentallyfriendly patented acrylic. Sea2See, which recently achieved carbon negative status, discussed how it has twice eliminates its carbon footprint over the

The latest iteration of Lid Vision's eyewear for motorcyclists drew visitors to its stand. Each optical frame and sunglass can be attached to the company's articulated helmet arms, elasticated straps or skull-fit sides, transforming them into sports and leisure specific eyewear. The product is now patented globally. With an exclusive optical collection on the way, Fauna audio glasses comes complete with a case that doubles as a charger. Each integrated audio module includes a MEMS microspeaker, an electrodynamic speaker, a touchpad, associated electronics and a battery.

SUSTAINABILITY IN DESIGN In the arena of sustainability, Eyespace had a whole host of eco-friendly eyewear on display – including three new Basebox Slimology models composed of recycled ocean plastic, recycled stainless steel and bio-acetate. The styles sat alongside a new Range Rover optical collection of 12 ultrapremium Japanese beta-titanium, and the latest styles from Cocoa Mint, Aspinal of London, Rock Star and more. On the Millmead stand, visitors heard about the group's new collaboration with optical sustainability designer, Yair Neuman, to highlight the problem of lens waste. Millmead has commissioned Yair to design and build a sculpture made out of its factory’s own lens swarf and discarded demo lenses from the frames it supplies. Visitors caught up with the team at David Green Eyewear to review the company's handcrafted, biodegradable eyewear made with fallen tree leaves that are dried, dyed and then set inside a natural, cotton-based acetate. Cornwall-based social enterprise Waterhaul, featured on the front cover of the

DISPENSING OPTICS J U N E 2 0 2 2

SCOTCH AND SODA EYEWEAR ON THE CATWALK

whole life cycle of its optical glasses and sunglasses. The company’s products are made from 100 per cent recycled plastic, recovered from the sea, are 86 per cent less contaminating than cellulose acetate, 79 per cent less than TR90 grilamid frames and 61 per cent less than virgin nylon, according to sustainability experts Dcycle. Independent eyewear designers were out in force – from Kirk & Kirk with its latest acrylic designs, to hand-made Austrian frames from Johann von Goisern, along with glamorous lamination designs from British brand Caron Eyewear. Feb 31st Eyewear showcased a new collaboration with Manchester United footballer Jesse Lingard – FEB Shades – part of an exclusive collection called 'Hold the vision trust the process'.

YAIR NEWMAN FRAMES MADE FROM DUMMY LENSES

Additionally, two microphones are integrated into the right side. The Italian acetate frames and sunglasses can be glazed to prescription, with blue light filtering lenses of sun lenses. Mondottica shone a spotlight on its Scotch & Soda eyewear collection – new to the UK market – on both its stand and on the catwalk. Following a successful reception in Europe, the range joins the company's established portfolio of contemporary brands including Ted Baker, Hackett Bespoke and Joules.

TOOLS AND TECHNOLOGIES There were demonstrations of the latest equipment and technologies from suppliers including Heidelberg Engineering, Topcon,

JO HOLMES VISITS THE DAVID GREEN STAND

Birmingham Optical, Carl Zeiss, Nikon Optical, and Style Pttrns, which showcased an in-practice artificial intelligence-driven eyewear recommender. For the first time in the UK, EssilorLuxottica shared a joint stand to showcase frames, lenses and instruments. Essilor Instruments launched two new digital slit lamp adapters designed to perform a complete dry eye assessment and eye photography. The DSLC200 and the DEM100 can be used on any slit lamp to transform it into a comprehensive, industry recognised dry eye assessment. The DEM100 takes a complete tear film automated digital analysis with multiple

FEB 31ST ECO-CONSCIOUS EYEWEAR

group's proprietary eyewear brands too alongside its licensed brands and Smartshopper and Digital Media screen technologies, and its learning and development platform Leonardo. Described as "the world's first handheld, non-contact optical pachymeter", the Occuity PM1 Pachymeter was displayed for the first time in the UK. The PM1 Pachymeter shines a low powered beam of light into the eye to capture more than 200 scans per second, and presents these measurements as averages with a standard deviation immediately on screen. The star of the Bausch + Lomb stand

DISPENSING TECHNOLOGY AT THE ESSILORLUXOTTICA STAND

tests, while the DSLC200 slit lamp imaging system provides high quality images and videos of the eye. Essilor Instruments also launched the Activa Home Eye Mask by SBM Sistemi, which uses heated automatic massage technology, can be rented to patients and offered as an in-practice treatment. Also new to discuss was Essilor's Expert Myopia Care solution, composed of its Myopia Expert 700 providing precise axial length measurement accurate to 27μm, combined with corneal topography, and its digital solution Essibox Myopia Care offering a convenient workflow from myopia interview to recommendations and handover. Visitors to the stand could view the

was its new Ultra One Day silicone hydrogel contact lens, which visitors had the opportunity to try. The lens features a next generation contact lens material called kalifilcon A, and the company's Advanced MoistureSeal Technology, which is said to deliver a highly wettable surface and excellent breathability for long-lasting and healthy lens wear.

GAME-CHANGING INNOVATIONS On the lenses side, Essilor's Stellest myopia control lenses and the newly launched Transitions XTRActive Polarized were showcased on the EssilorLuxottica stand alongside branded lenses Ray-Ban Authentic Prescription and Oakley Authentic Prescription.

LID VISION EYEWEAR SOLUTION FOR MOTORCYCLISTS

Eschenbach Optik showed its expanded range of lenses, which now includes filter lenses developed for use in cases of photophobia. The new Acunis lenses with UV protection for use when driving are available as plano lenses in a range of fashionable frames, as clip-on lenses, as XL spectacles for putting over an existing pair, or in individual optical powers for any frame. Oxford-based lens technology business Adlens demonstrated its new Taskmaster lens technology for presbyopic patients. Described by the company as "gamechanging", Taskmaster represents an alternative to traditional varifocals, occupational eyewear or wearing multiple pairs of glasses. It combines Dual-Lens Alvarez PowerShift Technology and a premium progressive design to allow the wearer to switch between three different focal zones, giving a wider field of view and better focus at every distance. In collaboration with Sight and Sound Technology (SST), Visionbridge continues to widen access to appropriate assistive technology for the visually impaired. On the SST stand and during CPD sessions, demonstrations were available for Oxsight Onyx. Designed for those with central vision loss, the Onyx is said to deliver an improved ability to read and identify text, recognise faces, watch screens and TV and enhance independence across a range of daily tasks. The Body Doctor launched the Eye Doctor Premium Eye Health Food Supplement: a one-a-day vegan supplement with no fillers, binders or additives, which contains the macular antioxidants, lutein, meso-zeaxanthin and zeaxanthin. TV's Dr Hilary Jones was on the Eye Doctor stand to 'meet and greet' with visitors. With so much on display at the show, it would be impossible to cover every product and innovation. For a further general round-up of ABDO and ABDO College's activities, and other elements of the event, visit DO Online. 100% Optical 2023 will take place from 25-27 February. JUNE 2022

DISPENSING OPTICS

JOTTINGS ROSLYN MACFADYEN FBDO

Back on campus A fter 22 years working in High Street practices, in both small independent stores and national chains, it was time for a fresh challenge. During my time in practice, my passion was to be involved in training both new and existing staff in dispensing, and to supervise countless pre-registration dispensing opticians (DOs). Latterly, I was also fortunate to get a weekly placement within the Vision Centre at Glasgow Caledonian University, supervising students in the Dispensing Clinic. An exciting opportunity arose to work full-time at the university, and I was lucky to be offered the job. I have worked in the clinic for more than two years now and enjoy supervising the third and fourthyear optometry students, and second-year dispensing students.

ROSLYN AT THE GCU, GLASGOW Within the Vision Centre, we work with a multidisciplinary clinical team, who provide an assortment of specialist clinics. These specialist clinics include Visual Stress, Low Vision, Myopia Management, Neuro Clinic, Dry Eye and Additional Support Needs. The students, therefore, will dispense specialist tints, complex prescriptions, custom-fit frames, as well as completing regular dispensings that they will find in all practices. The students can ask any relevant questions, and their experience within the Dispensing Clinic is tailormade to them individually, depending on their own experience, knowledge and confidence. A couple of examples of this are, as a supervisor, I can either stand back and observe the student dispensing the patient, or I can be fully involved with the dispense, assisting the student. Some students work part-time in local practices where they are involved in dispensing, some students have no dispensing experience at all, and we also have fully qualified DOs who are continuing their studies in the optometry course. All students, regardless of their dispensing knowledge, are given fair and constructive feedback, and have the opportunity to discuss each dispensing episode that they partake in.

DISPENSING OPTICS J U N E 2 0 2 2

PREPARING FOR THE FUTURE

As well as dispensing skills, I am coaching students on their communication with patients, which is vital for their future careers. We all require confidence to communicate effectively; this is important in building a rapport with the patient, and to put the patient at ease. Anyone who works with the public knows it can be challenging at times, but I encourage the students to smile, and to be open and friendly. Even simple things, like introducing yourself to the patient, showing them to a chair and asking them how they are, can set a good foundation, so I encourage students to start with these. There are also a lot of scenarios where the student will communicate with the patient and their carer or parent, or through an interpreter: all great practise for the students to build their confidence as they will undoubtedly come across this many times in their day-to-day work. Like all practices, the students will help patients of all ages, with all of their individual and unique personalities and requirements. If there are quieter times in the clinic, without patients, then myself and the students can choose a topic to discuss, such as occupational lenses, or practise skills like taking accurate measurements, or using the manual focimeter effectively. At the Vision Centre, I am fortunate to work with other experienced DO supervisors, an invaluable reception team, technicians, optometrists, orthoptists and academic staff. It is a professional environment well equipped for training purposes. I am continually expanding my own knowledge and experience by working with patients who have attended specialist clinics within the Vision Centre, as I have the opportunity, during a handover, to discuss their unique situation and dispensing requirements with the relevant clinicians. Overall, working in the Vision Centre can be busy and challenging, but it is rewarding and a pleasant environment to work in. I feel privileged to be able to help the students within their course, and hope they enjoy and remember their experience, and learn good dispensing practices that will be a useful foundation in their careers in optics. I have learnt a lot from my time in the Dispensing Clinic; sometimes it’s refreshing to be pushed out of your comfort zone and learn from the students. It is a never-ending task for me, but I do try to remember all of the students' names. Roslyn MacFadyen is a dispensing optician at the Glasgow Caledonian University Vision Centre.

EYECARE FAQ

OA CORNER PART 18

SOCIAL MEDIA TIPS: JUNE AWARENESS CAMPAIGNS

CONTACT LENS SOLUTIONS

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN

Diabetes

what you need to know

Regular eye checks can pick up problems before you develop serious sight loss

In this month's OA Corner, dispensing optician Sue Deal asks: why are there so many different ingredients in contact lens solutions – and what do they do? . To help expand the OA's knowledge of this area of contact lens practice, Sue will first consider the fundamental purpose of a contact lens solution, which is to effectively disinfect the lens and remove any deposits. She will then look at the more common ingredients found in contact lens solutions, such as preservatives, buffers and surfactants, and outline their key functions. Read OA Corner Part 18 in full on DO Online.

une is packed with awareness events including Diabetes Week and the BCLA Love Your Lenses Week (both 13-19 June), BNF Healthy Eating Week (13-17 June) and Macular Week (20-26 June). A suggested social media post for Diabetes Week might be: "Why does diabetes cause eye problems? People with diabetes can have eye problems due to weakened, leaky or blocked blood vessels in the retina, the layer at the back of the eye. Over time, this can cause sight loss". Find Q&As on all these topics and in the Eyecare FAQ section of the ABDO website and graphics in the EyecareFAQ resources for members section. REMEMBER: you can find EyecareFAQ on the ABDO website, Facebook, Twitter, Pinterest and Instagram.

DISCOVER MORE ABOUT CONTACT LENS SOLUTIONS

BUSINESS BITES

MAXIMISING YOUR MENTORING QUESTIONS Thinking of getting a mentor, or already have one? Here are some pointers on the sorts of questions you might ask your mentor to get the best out of the relationship... To break the ice, try using questions to help you find out something about their own career. For example, you could ask: “How did you land your current role?” You could also ask more specific questions around your own career objectives and concerns. Questions like: "What do you wish you had known before taking your first management role?" "How did you learn to embrace risk-taking?" "Which leadership skills were the most difficult to develop?" Once the conversation is flowing, you can bring up more specific questions around situations that you would like your mentor to help navigate. For example: "I tried to delegate a task last week and it did not go well. Can we work through what I could do differently next time?" "I have two very different career path options available to me. Can you help me work through the pros and cons of each to help me make a final decision?"

Having the ability to see yourself as others view you is very valuable in both your career and personal life. The obvious question to start with is: “How do you think others perceive me?” Ask more questions such as: "Where do you see my strengths?" "What do you see as some of my blind spots and how can I improve?" "How could I communicate my ideas more clearly?" Is there is a skill you’re currently working to enhance? Ask your mentor for advice and resources to help you polish that skill. Ask questions such as: "How can I become better at managing people who do not report to me?" "Do you have any quick tips for re-energising an overworked team?" "Can you recommend a book or resource for dealing with difficult conversations?" "What practices can you recommend for dealing with nervousness when speaking to groups?" Re-energise your mentoring conversations and really get the results you are looking for. Find out more about mentoring on the ABDO Business Support Hub and the ABDO Mentor Platform.

JUNE 2022

DISPENSING OPTICS

NOTICES

ABDO BOARD ELECTIONS 2022

Notice is given of the election of directors to the board of ABDO There are two board places open for election in 2022. One seat is currently held by Lorraine Bleasdale who is entitled to seek re-election. The second seat is vacant as Jo Holmes becomes an advisor to the board for the next two years. Nominations are sought from fully qualified members of the Association who wish to make a meaningful contribution to the future of the profession. ABDO board members are required to attend four board meetings per year, attend at least two nationally organised meetings a year and the ABDO annual meeting. In addition, board members may be expected to attend a range of committee meetings both within ABDO and externally. All candidates will be asked for a submission of up to 350 words, in which they are asked to detail any relevant experience they can bring to the board and outline their aspirations for the future of the Association.

Members who may have a conflict of interest (i.e. by holding board, senior management or political positions with other optical bodies or rival organisations) may not be eligible for election. Any person seeking election should complete a candidate form and include details of their six nominators. Nominators should then individually complete and sign a seperate nomination form. If there are more valid nominations than seats vacant then a ballot will be conducted by an independent organisation: CIVICA Election Services, The Election Centre, 33 Clarendon Road, London N8 0NW. Ballot papers will be dispatched on Friday 15 July 2022, and must be returned by 12 noon on Tuesday 30 August 2022. Those elected will take up their duties on Friday 2 September 2022. Their period of office will be for three years.

The closing date for nominations is 10am on Friday 17 June 2022.

If you have any queries, please contact Jane Burnand by emailing jburnand@abdo.org.uk or call her on 0207 2985102 Nomination forms can be found at www.abdo.org.uk/abdo-board-election-of-directors-2022

MANAGEMENT & LEADERSHIP TRAINING COURSES Take your career to the next level in 2022 ABDO Management & Leadership training is a great way to turn your informal learning and management skills into a recognised qualification. • Study online with tutor support • Develop your management and leadership skills • Recognised Level 5 CMI qualification Applications close 8 August for the September 2022 intake COURSES ON OFFER: • Management and Leadership Diploma • Management Essentials Certificate • Continuing Improvement Certificate • Growing Leader Certificate DISCOUNT FOR ABDO MEMBERS

Find out more details and apply at www.abdo.org.uk/mlt

DISPENSING OPTICS J U N E 2 0 2 2

abdo COLLEGE

Optical Support Courses from ABDO College Optical Support courses from ABDO College are great for new staff induction and development of your existing support teams. Optical Support courses lead to qualifications awarded by the Association of British Dispensing Opticians. They are for all staff whether you work in retail optics, manufacturing, sales or technical support.

For further information and to apply for these and other courses Visit www.abdocollege.org.uk/courses Call the ABDO College Courses Team on 01227 738 829 (Option 1) or email info@abdocollege.org.uk

KEEPING EXCELLENCE IN YOUR SIGHTS

A P R I L 2 0 2 2 DISPENSING OPTICS

As well as money saving benefits and rewards your ABDO membership also provides services that will be beneficial to your practice or business.

ABDO MEMBER BENEFITS INCLUDE:

BENEFIT SPOTLIGHT

• Dispensing Optics

Eyecare FAQ EyecareFAQ is an ABDO initiative that promotes eye care and eye wear directly to the public. And as an ABDO member, did you know that you have access to Eyecare FAQ resources and promotional material to use on your practice social media? Tips on using social media are also available in Dispensing Optics magazine every month, so look up EyecareFAQ on Facebook, Twitter and Instagram today; then follow, like and share!

• Professional indemnity insurance • Personal accident cover • Counselling helpline - FREE 24-hour service • CPD • Access to selected British Standards • Cashback on everyday purchases • Member benefit plans with HMCA • Access to over 3,000 + health clubs, gyms and leisure centres • Savings on all your travel needs • 17% off worldwide attraction tickets • Totum card powered by NUS Extra • Save 20% on Columbus Direct travel insurance policies • Mobile phones on the best rates available from EE • Savings on Apple products

Go to abdo.org.uk for more details

• Membership of the International Opticians Association • Advice and Guidelines

PROFESSIONAL SERVICES

FINANCE AND ADVICE

NETWORKING AND EDUCATION

Dispensing Optics June 2022

Articles inside

Notices

CPD MCAs – C-100263

Report: 100% Optical

Business Bites

Product spotlight

Jottings

Profile