Vision Now December 2023

December 2023

Vision Now December 2023 1

SOFT CONTACT LENSES FOR KERATOCONUS & IRREGULAR CORNEAS 2 Vision Now December 2023

Inside

4

Vision Now magazine is published by Peekay Publishing Ltd for The PK National Eyecare Group Ltd, the UK’s largest purchasing group for independent opticians.

Edito r: Nicky Collinson BA (Hons) nicola.collinson@nationaleyecare.co.uk Features Contributor: Joan Grady jgparischats@wanadoo.fr Business Editor: Philip Mullins FBDO p.mullins@nationaleyecare.co.uk

24

Art Editor: Stacey Potter BA (Hons) www.spottcreative.co.uk

NEWS 4N ew coating technology from Rodenstock 7E yecare pathway for visually impaired launched 9 AOP welcomes urgent eyecare review 11 New eyewear licence for Safilo

FEATURES 13 Paediatric eyecare Paediatric frames: are they fit for the future?

16 Advertorial Viscotears® Tri Action: Bausch + Lomb 18 Advertorial Stepper kids: a new generation 20 100% Optical preview Supply and demand

REGULARS 11 An independent view 24 Style spotlight 30 Suppliers’ directory

9

Editor’s comment

As we come to the end of another year, the various teams working across NEG are busy taking stock, planning ahead, analysing what’s worked well and where improvements could be made.

A

s the Group continues to evolve under the CECOP umbrella, colleagues are working hard to ensure that members continue to receive the best value possible as part of this (now) global community of forward-thinking independents with a passion for clinical excellence and sustainable business development.

Whether it be introducing new preferred suppliers, improving terms with existing suppliers, or supporting new product and service launches, NEG continues to put independent practice owner members and their teams front and centre. To this end, we have a special four-page spread this month dedicated to NEG’s preferred suppliers exhibiting at 100% Optical in February. Each and every one has something special to offer the independent practice.

Also this month we have a particular focus on paediatric eyecare and eyewear.

We hear first-hand about Dr Alicia Thompson’s ground-breaking ABDO-funded research into children’s frame fitting, and from two preferred suppliers – Stepper and Continental Eyewear – who have already developed new frame collections based on the results of Dr Thompson’s PhD research. We also have an advertorial on Bausch + Lomb’s Viscotears® Tri Action, which aims to help practitioners ‘break the vicious cycle of dry eye’. Both topics will undoubtedly offer much food for thought as we head into the holiday season.

All that remains is to wish each and every reader a very restful, relaxing break over the festive period. We will be back in the New Year from February onwards as usual.

Nicky Collinson Editor

www.nationaleyecare.co.uk VISION NOW is published by Peekay Publishing Ltd for The PK National Eyecare Group Limited, Clermont House, Cranbrook, Kent TN17 3DN VISION NOW is printed by CFH Docmail Ltd. St Peter’s Park, Wells Road, Radstock BA3 3UP

The Editor welcomes letters, articles and other contributions for publication in the magazine and reserves the right to amend them.

Any such contribution, whether it bears the author’s name, initials or pseudonym, is accepted on the understanding that its author is responsible for the opinions expressed in it and that its publication does not imply that such opinions are those of The PK National Eyecare Group Ltd. Articles submitted for publication should be original, unpublished work and are accepted on the basis that they will not be published in any other journal. Acceptance of material for publication is not a guarantee that it will be included in any particular issue. Copyright © 2023 for Peekay Publishing Ltd. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, including photocopying and recording, without the written permission of the publishers.

Such written permission should also be obtained before any part of this publication is stored in a retrieval system of any nature.

@PK_NEG

Vision Now December 2023 3

News

@PK_NEG

Want to feature in VN?

@national-eyecare-group

Email the editor at: nicola.collinson@nationaleyecare.co.uk

www.nationaleyecare.co.uk

Rodenstock Rodenstock has introduced an innovative new coating technology to enhance the visual performance of its biometric lenses. New Soltaire LayR technology incorporates a series of multifunctional layers – each designed to combat a different impairment to clearer vision and visual comfort. Its anti-reflective layer is said to reduce visible reflections by 50 per cent, by using a subtle blue reflection colour instead of the more widely-used green. An integrated UV layer will block UV light from both the back and front surface of the lens, while a hard coating also protects the front and back surface. There is an optional blue-light reducing layer, plus an anti-static coating layer.

New Soltaire LayR technology

Rodenstock’s LayR technology incorporates its X-tra Clean finish, which prevents water, grease and dirt from accumulating on the lens surface. In a 2021 study commissioned by Rodenstock and conducted by an independent institute, 93 per cent of spectacle wearers said that lenses with an X-tra Clean finish were easier to clean than their current lenses – and that fingerprints could be wiped off without streaks. “As another building block to Rodenstock’s biometric lenses that provide the sharpest vision, LayR technology brings Rodenstock one step closer to its mission of BIG Vision for all,” said a spokesperson.

Go Eyewear Get into the festive sunwear spirit with oversized Ana Hickmann model AH9402.

This retro silhouette features sculpted or bevelled edges in colourways of black, red and tortoise. Available from Go Eyewear, the style is part of Ana Hickmann’s latest collection that incorporates advanced, high-quality materials including acetate, titanium, beta-titanium and stainless steel.

For the first time, Ana Hickmann is offering a contemporary clip-on in the collection, which magnetically attaches to the acetate or metal front at several separate points of the frame. The brand’s signature Duo-Fashion concept is highlighted in the collection once again, this season in a new patterned mosaic variation.

Association of British Dispensing Opticians

advanced skills in paediatric eyecare, this programme has everything that you need.”

The Association of British Dispensing Opticians (ABDO) is launching a new professional certificate in paediatric eyecare. The flexible, CPD-accredited professional certificate will be delivered online by leading academics, with a training and assessment day at ABDO’s National Resource Centre in Birmingham. Dr Alicia Thompson, ABDO director of education, research and professional development, said: “For dispensing opticians and other eyecare practitioners wanting to develop

4 Vision Now December 2023

Building on the expertise that dispensing opticians develop in gaining ABDO’s Level 6 FBDO Diploma, the programme will contain modules on: advanced communication skills and psychology; facial development; facial parameters and frame design; refractive management in children; neurodiversity and dispensing; interventions; specialist care, including for patients with Down’s syndrome; and paediatric low vision. ABDO will unveil full details of the programme in early 2024, and interests can be registered

Ana Hickmann model AH9402

New certificate course in paediatrics

at www.abdo.org.uk/paediatriceyecare-course

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TOTAL30 ® target population includes people 7 years of age and above who require vision correction. Daily wear only. TOTAL30 ® contact lenses are not indicated for overnight wear or whilst sleeping. The lenses are still required to be removed and cleaned daily.

References: 1. In a clinical study wherein patients used AOSEPT® solution for nightly cleaning, disinfecting, and storing; Alcon data on file, 2021. 2. In a clinical trial to evaluate on-eye performance of TOTAL30 ® for Astigmatism lenses where n=69; Alcon data on file, 2021. 3. In a clinical study wherein patients (n=77) used AOSEPT® solution for nightly cleaning, disinfecting, and storing; Alcon data on file, 2021. 4. Alcon data on file, 2022. 5. In vitro analysis of lens oxygen permeability, water content, and surface imaging; Alcon data on file, 2021. 6. In vitro analysis of lehfilcon A contact lenses outermost surface softness and correlation with water content; Alcon data on file, 2021. 7. In vitro evaluation of bacterial adherence in commercial lenses: Alcon data on file, 2020.

8. In vitro evaluation of bacterial biofilm in commercial lenses: Alcon data on file, 2020. 9. Ishihara K, Fukazawa K, Sharma V, Liang S, et al. Antifouling silicone hydrogel contact lenses with a bioinspired 2-methacryloyloxyethyl phosphorylcholine polymer surface. ACS Omega. 2021;6:7058-7067. 10. In vitro evaluation of lipid deposition for lehfilcon A and commercial lenses using 3D confocal imaging; Alcon data on file, 2021.

See instructions for use for wear, care, precautions, warnings, contraindications, and adverse effects.

15408 © 2023 Alcon Inc. UKIE-T30-2300062

Vision Now December 2023 5

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4, Bedwas Centre, Bedwas, Caerphilly, CF83 CF83 8DU 8DU UnitUnit 4, Bedwas BusinessBusiness Centre, Unit 4, Bedwas Bedwas, Business Caerphilly, Centre, CF83 Bedwas, 8DU Caerphilly, T: 02920 857| 122 F: 02920 580 | 860 E: lensteccc@lenstec.co.uk T: 02920 857 122 F: 02920 T:|02920 860 857 580 122 | 860 E:|lensteccc@lenstec.co.uk F: 02920 580 | E: lensteccc@lenstec.co.uk 6 Vision Now December 2023

News Positive Impact Positive Impact (PI) is now supplying the Peep Club range, focused on the brand’s propriety Heated Eye Wand Pro as an alternative heat and massage therapy for dry eye. The wand, which can be set between 37°C and 45°C and heats up in 60 seconds, has been clinically proven to hold heat at the optimum temperature, to increase non-Invasive tear break-up time, lipid layer thickness and tear meniscus height. It offers four modes in one device: two to improve comfort for those with dry eyes and two to improve the appearance of fine lines and puffiness around the eyes.

Peep Club was co-founded in 2020 by award-winning optometrist, Nicola Alexander-Cross, to provide eyecare products for dry or sensitive eyes. Nicola said: “We are thrilled about this partnership with Positive Impact and the opportunities it will unlock. PI has a great reputation in the profession and industry and a proven track record for delivering results.” PI sales and operations director, Maxine Green, added: “We’re delighted to be able to work with such a novel and innovative electronic solution to delivering heat with massage to improve signs and symptoms of evaporative dry eye and meibomian gland dysfunction.”

Novel solution for dry eye

Marchon Skaga recently celebrated its 75th anniversary by unveiling a limited-edition, vintage-inspired sunglass style in keeping with its ethos of Swedish minimalism, sustainability and technical innovation. The new sunglasses, available from Marchon, are inspired by an iconic optical style launched in 1975 and created for Skaga by Sighsten Herrgård, one of Sweden’s most famous designers and trendsetters.

The unisex sunglasses boast a gogglesinspired front crafted in lightweight aluminum alloy, and fitted with solid smoke or gradient light azure floating Tritan Renew lenses.

Skaga style SK2168S Sightsen

The flexible and resistant beta-titanium sides host the iconic Skaga ‘S’ logo, evocative of the long-standing history and tradition of the brand, while the

‘1948 heritage’ logo is lasered onto the responsible acetate tips. The Sighsten sunglasses are presented in timeless black or blue on the front and tips.

Royal National Institute of Blind People

moving forward to better support people across their eyecare journey.”

A Royal National Institute of Blind People (RNIB) Collaborate for Good event in London last month brought together the eyecare and sight loss sectors to unveil a UK wide Eye Care Support Pathway, designed to ensure patients have timely access to information, advice and support throughout their eyecare journey. The RNIB highlighted that there were more than eight million out-patient eyecare appointments in the UK in 2021/22, the highest footfall for any speciality, and that its own research showed people often found it difficult to access eye health and sight loss information, services and support.

Louisa Wickham, national clinical director for eyecare for NHS England, commented: “Success in transforming the way eyecare services are provided to meet the increasing demand on the NHS will require the whole sector to transform its approach to improving patient care.

The Eye Care Support Pathway puts the person at the centre of their eyecare and sight loss journey. When the Eye Care Support Pathway is implemented, we must seize the opportunity to truly transform services, empower patients and improve outcomes.” The next steps will see the VI Charity Sector Partnership working with NHS and social care bodies, and those with lived experience, to implement the pathway. Read the pathway insight report on the RNIB website.

Speaking at the event, RNIB chief executive officer, Matt Stringer, said: “We know that the experience of people

Paving the way for improved support

with eyecare needs and sight loss varies greatly across the UK. It’s not acceptable that anyone, regardless of their condition or where they live, does not get the right help and support at the right time. It’s encouraging to see so many partners are joining us for the event to work towards establishing, implementing and delivering the Eye Care Support Pathway. Today is an important milestone, but only the beginning of the work we need to achieve together, bringing everyone together and

Vision Now December 2023 7

FULFIL YOUR PATIENTS’ VISION NEEDS SOONER

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OpticAlign™ Design ≤5˚ rotation on 95% of patients2

Easy to fit*3,4 In stock and ready to ship

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M U LT I FO CA L FO R AST I G M AT I S M Call now for your Fitting Guide and to order Trial Lenses

N UK: 0845 602 2350 N Ireland: 1800 409 077 E cs.vc.uk@bausch.com * When the ECP followed the fitting guide 1. Bausch + Lomb; 2020. Bausch + Lomb ULTRA® Multifocal for Astigmatism Patient Evaluation. 2. Bausch + Lomb ULTRA® Multifocal for Astigmatism stabilisation study. 3. Gallileo Business Consulting; 2022. Assessment of patient satisfaction with Bausch + Lomb ULTRA® Multifocal for Astigmatism. 4. Bausch + Lomb., 2016. A study to evaluate the product performance of two designs of soft toric lenses Rochester.

Please read the Instructions for Use (IFU) for risks associated with Bausch + Lomb ULTRA® contact lenses.

8

Vision Now December 2023 or its affiliates. ©2023 Bausch & Lomb Incorporated or its affiliates. /™ are trademarks of Bausch & Lomb Incorporated

®

UMT.0007.IE.23

News Silhouette Vivid Sky is an all-new design family from Silhouette, featuring frames with digital, art-inspired visual effects. The colourful, lightweight frames offer pronounced contours and a wide temple design in two-tone finishes. Blending Silhouette’s unique techniques and high-tech materials, the collection comprises of four full-rim shapes in six colours and a matte or gloss finish.

Pronounced contours with Vivid Sky

Silhouette head of design, Roland Keplinger, said: “Contemporary shapes paired with vivid colours give a bold look with unparalleled Silhouette wearing comfort and lightness.

Versatile colouring techniques and colour blocking bring a fresh appeal and widen the range of full-rim options in the Silhouette world.” The maintenance-free designs include snap-hinge technology, while all Vivid Sky styles are easily adaptable and available to prescription.

AOP CEO, Adam Sampson

Association of Optometrists The Association of Optometrists (AOP) has welcomed a request by parliamentary under secretary of state for primary care and public health, Neil O’Brien, for the Local Optical Committee Support Unit (LOCSU) and the Clinical Council for Eye Health Commissioning (CCEHC) to develop a standard service specification for minor and urgent eyecare for commissioners.

AOP chief executive, Adam Sampson, said: “We have reached a significant moment for optometry.

“The Department for Health and Social Care is right to acknowledge the role the profession plays, providing valued eyecare across the country. And the intention to make more effective use of our highly trained clinical workforce, coupled with a commitment to the delivery of eyecare services that are fit for the future and able to reach more patients earlier, is overdue.

LOCSU and CCHEC have the important task of designing the standard service specification for minor and urgent eyecare, on behalf of the whole sector, and the AOP is committed to assist wherever we can.”

100% Optical

Counting down to Love Eyewear Awards

ShopAR by DeepAR, a leading AR and 3D commerce platform adding ultraHD 3D models and AR try-on to any website or mobile application, has been announced as a headline sponsor for the 100% Optical Love Eyewear Awards. New for the 10th anniversary show, ShopAR by DeepAR have also helped 100% Optical create a fun and interactive filter for both attendees and exhibitors to try out – taking shortlisted designs digital for people to try on virtually.

Marlon Cera-Marle, 100% Optical show director, said: “These awards have grown year on year and truly reflect and celebrate fashion and design as well as the innovation and growing technology in this exciting sector. Last year, we had a record number of entries.

Every year, the standard gets higher and the judging process gets tougher so we expect to see some incredible entries featuring designs and submissions from a who’s who of the optical world. We’re excited to have ShopAR by DeepAR on board and can’t wait to get a look and feel – be it virtually – using the new filter we’ve collaborated on.”

DeepAR will be demonstrating its ShopAR and 3D commerce platform at the show, explaining how AR and 3D visualisation technology works for any website or mobile app, as well as for in-practice solutions. It will also be offering two practices the chance to make their entire product suites AR and 3D enabled both online and in-practice. Turn to page 20 for our preview of what NEG’s preferred suppliers will be highlighting at the London show.

Vision Now December 2023 9

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from

Introducing the Peep Club

Heated Eye Wand™ PRO RRP £75

A novel treatment for dry, tired eyes

(42% Gross Margin)

4 modes in 1 device: 2 modes to improve comfort for those with dry eyes 2 modes to improve the appearance of fine lines and puffiness

10+ beauty industry awards

The triple-action Heated Eye Wand Pro is an alternative to a conventional warm compress. It can be set between 37°C and 45°C, heats up in 60 seconds and a clinical study* has shown it to increase: Non-Invasive Tear Break Up Time Lipid Layer Thickness Tear meniscus height.

Launch Offer: Buy 9 & Get 1 Free www.positiveimpact.co.uk

Telephone: 01424 851375 | Email: info@positiveimpact.co.uk

10 Vision Now December 2023 No Other discounts apply. Max 20 units per practice. Offer Ends: 31st Dec 2023 T&Cs apply. *Study conducted by City University, 2021. Data on file.

News Charmant

AN INDEPENDENT VIEW Being principled comes at a cost The outcome of the recent General Optical Council (GOC) survey into bullying, harassment and discrimination in the workplace produced some startling and very serious results.

European-inspired Ad Lib designs

Charmant has added 10 new styles to its European-inspired titanium Ad Lib eyewear collection offering bright colour contrasts and 3D accents. Unusually, the men’s styles are vivid and colourful with contrasting hues, while the styles for women feature shiny and matt metallic finishes and eyecatching colour combinations in fresh shades such as mint and coral. Unique 3D temples and brow lines accentuate the details and dual colour applications in light, premium titanium and flexible temples.

Safilo The Safilo Group and Stuart Weitzman have announced a new exclusive global licensing agreement for the design, manufacturing and distribution of Stuart Weitzman branded eyewear. “Building on our long history and successful collaboration with Tapestry, we are very proud to start this new partnership with Stuart Weitzman, an iconic brand that is synonymous with women’s global luxury footwear,” said Angelo Trocchia, CEO of The Safilo Group. “As this agreement marks the coveted footwear brand’s entry into eyewear, we are excited to introduce to the market a distinctively designed launch collection. Furthermore, Stuart Weitzman represents an excellent brand addition to our portfolio in the women’s luxury eyewear segment.”

Marchon

Premium acetate Liu Jo Joy LJ784S

The AIO was one of the signatories to the GOC joint statement on the findings, which included a commitment to a zero-tolerance approach. Making such a commitment is the right thing to do, but delivering it may be somewhat complex. Whilst representative and professional bodies can urge their members to adopt a zero-tolerance approach, it is difficult to effectively police it – particularly as there are two distinct constituents to the problem.

On the one hand is the surprising percentage of patients responsible for such behaviour. What can a practice do to address this? Putting up zero-tolerance signs may be one deterrent, but an optical practice is not the same as an NHS hospital or a railway company: patients buy eyewear while they are in the practice. The dichotomy for practice owners and their employees is potentially losing business by standing up for a principle. This may be complicated further in some practices by the existence of sales targets. In other words, whilst it is of course to be encouraged, being brave and principled may cost money.

It is a different matter where the bullying, harassment and/or discrimination are internal to the practice. The first question is the extent to which representative and professional bodies should get involved in individual cases. How would they become aware of incidents and what sanctions might they exert? In serious and repeated cases, would the relevant body be prepared to revoke a practice/practitioner membership? How might this sanction be enshrined in rules of membership? Who would make the judgement to suspend a member or revoke their membership? Would any such sanction be publicised – and what impact may this have on the representative/professional body involved?

Arguably, the responsibility for policing zero-tolerance where the problem lies within a practice should lie with the GOC as the regulator. A precursor to this, however, may need to be the proposed reform of legislation that brings regulation of all optical practices within the remit of the GOC.

The expanded Liu Jo Joy collection features styles crafted in premium acetate. Contemporary designs are characterised by a distinctive colour-contrast lamination technique for feminine appeal. An intense textured palette is exemplified in model LJ784S – glamorous butterfly-shaped sunglasses offered in various colour combinations. The Liu Jo logo is placed on the sides and the colour combination options include black/rose, black/white, brown/blue, blue/red, and red/black.

Vision Now December 2023 11

The best Varilux progressive lens ever* Powered by artificial intelligence, for instant sharpness even in motion.** * As reported in Essilor R&D simulations – 2022 – calculation based on lenses measurements weighted by the level of importance of each criteria for progressive lenses declared by users (Quantitative Consumer study - Ipsos - Q1 2022 - BR/FR/IT/UK/US - n=4000 progressive lens wearers). ** Varilux® XR series™ – in-life consumer study - Eurosyn – 2022 – France (n=73 progressive lens wearers). © Essilor International – July 2023 – Essilor® and Varilux® XR Series™, are trademarks of Essilor International. Frames: Persol®, Oliver Peoples®

12 Vision Now December 2023

PA E D I AT R I C E Y EC A R E

Paediatric frames: are they fit for their future?

By Dr Alicia Thompson PhD BSc (Hons) FBDO R (Hons) SLD SMC (Tech)

V

isual learning is said to be preferred by 65 per cent of the population1 – and even more so by children who are both learning and growing in an adult-centred world. Clear vision is vital for both the formal education a child receives and learning how to interact socially with their peers. Young children learn about positive behaviours from visual cues2 commonly as a reaction to their behaviour, and how to adjust this if necessary. Therefore, if a child needs to have a refractive correction, or an intervention in their younger years, it is so vitally important that this is delivered accurately to give clear vision in a stable and comfortable frame.

CURRENT PAEDIATRIC FRAME PRODUCTION Until recently, the distinct lack of data on paediatric facial parameters meant that the majority of frame manufacturers were producing scaled-down versions of adult frames for the paediatric market – such as the example of the paediatric (Frame A) and adult frame (Frame B) shown in Figure 1.

It can be seen from Table 1 that the ratio of the two results, i.e. the scaling factor, indicates that a child has either the same (scaling factor of one), or very similar nasal profile, head width and side length as that of an adult. Furthermore, where the parameters differ, the paediatric frame has been made smaller such as the splay and frontal angle, the apical radius and the distance between rims (DBR) (measurements at 10mm and 15mm below the crest). This concept is not correct, as recent research and the resulting data – described in this article – now shows us that the paediatric nasal form is generally

Figure 1: Frame A paediatric frame marketed at a five-year-old (above left) and Frame B an adult frame (above)

lower in position, wider and with larger angles than the adult form3.

RESULTANT FIT AND CORRECTION The result of fitting a young child with a frame designed for a small adult is that the crest is situated too high on the frame, resulting in too few touch points to stabilise the frame and balance the weight distribution. This leads to the frame sliding down the nose to find the first point of anchorage, which then allows the child to look either through an incorrect part of the lens, or more commonly, look over the top of their spectacle frame (Figure 2 overleaf). This problem is exacerbated in an adult-designed world where children naturally are required to have an upward gaze of approximately 20 degrees4 coupled with the flatter-topped lens shapes.

This can mean the lack of any useful refractive correction or intervention, or indeed an inaccurate correction being

received during a critical time of visual development. If we consider only the effective power due to the slippage of the frame, a positive prescription will be effectively over-corrected and a negative prescription under-corrected. In terms of myopia management, the literature now suggests that under-correction of myopia could in fact accelerate the rate of progression5,6.

RESEARCH METHODS The Fairbanks facial gauge (Figure 3 overleaf) that optical registrants will be familiar with is not ideal for measuring most children’s facial parameters as it comprises of a swinging metal pointer and physically cannot measure a negative crest height which many young children may have.

The PhD research3 undertaken by the author utilised three-dimensional (3D) stereophotogrammetry using the 3dmdFace system6, which comprises Frame A

Frame B

Scaling factor

Eyesize (mm) width x depth

45 x 33

51 x 37

1.13 x 1.12

Crest height (mm)

6

6

1

Splay angles (degrees)

25

30

1.2

Frontal angles (degrees)

20

25

1.25

Length to bend (mm)

90

95

1.05

Distance between rims (DBR) 10/15 (mm)

15 /19

16 /23

1.06/1.21

Apical radius (mm)

6

6

1

Head width (mm)

110

120

1.09

Table 1: Measurements of a randomly-selected paediatric frame and an adult frame with the scaling factor calculated

Vision Now December 2023 13

PA E D I AT R I C E Y E C A R E

Figure 3: Fairbanks facial gauge

Figure 2: Four-year-old male dispensed with a small adult-design frame

two pods of three cameras at a fixed distance apart (Figure 4). The system can capture a 3D image of a child’s face in 1.5 milliseconds, without the child having to be restrained or in close proximity of the equipment.

This image can then be rotated around any axis, the skin texture removed, and a contour map overlaid to allow accurate placement of key landmarks for measuring.

The semi-automated programme then generates 15 facial measurements relevant to frame parameters and dispensing. A total of 1,349 images were captured during the research, along with details such as gender, ethnicity and if the child has Down’s syndrome.

Results were presented in scatterplot

form for each of the 15 measurements (an example of which is shown in Figure 5.

This informed how that facial parameter develops with age and the spread of data across the sample. This is useful information where adjustability of that frame element can be factored in.

If we consider the paediatric frame measured above, it has a front-to-bend (FTB) measurement of 100mm. Looking at the results in Figure 5, we can see that this side length will be at least 15mm too long for the age group the frame is marketed at, and it has no adjustability to physically shorten the side. Therefore, the length of drop will have to increase and become both uncomfortable and unsightly.

The spread of data gives useful information to frame manufacturers when they consider to what extent sides may need to be shortened; giving a range of even 25mm of permanent adjustment would then satisfy the majority of this population studied.

Percentile data was also calculated

Figure 4: 3dMD Face system (courtesy of 3dMD LTD, Georgia, USA)

14 Vision Now December 2023

to show the 50th percentile (Table 2), or median figures for each age group. This shows us exactly where current frame designs need to be modified. For example, in the frame measured above, the crest height was 6mm for a five-year-old, which the data tells us would be more suited for a crest height of a typical eight to 10-yearold child. The apical radius and DBRs are too narrow, the head width too wide and the FTB too long.

RESEARCH RESULTS For younger children, the design parameters of most frames need to change dramatically. In essence, the crest height or pad arm position needs to be positioned lower to accommodate a lower crest height. This will position the frame more centrally in the vertical plane, therefore reducing the risk of the child looking over the top of the frame.

For bridges designed to spread the weight across the bearing surface, the apical radius and the DBR measurements need to be wider than are currently produced. Sides need to be generally shorter, preferably with some degree of permanent adjustability and, similarly, the joints and lugs need to be designed and made of a material capable of adjustment to accommodate varying head and temple widths.

Frame manufacturers such as Millmead Optical Group (StarFit) and Stepper UK (AlphaFit) are amongst the first companies to have taken the research data and produced redesigned ranges, having taken into account the evidence on facial parameters and adjustment requirements eyecare practitioners need to make.

The objective is to have more evidencebased designs for children so that the entire population can have a real choice of frames that will hold their correction or intervention in the correct place, be desirable, comfortable and affordable.

PA E D I AT R I C E Y EC A R E busy choosing a case or walking around the practice.

■ Young children can look after their own spectacles very successfully, especially if stickers are involved: use this a tool to regularly check the fit is maintained in between routine eye examinations. The responsibility on the child can significantly reduce the risk of repairs and breakages.

Figure 5: Results of the front to bend measurement for typically developed white British females

Age in years

0-4

4-6

6-8

8-10

10-12

12-14

14-16

Pupillary distance (mm)

51

53

55

57

59

60

63

Crest height (mm)

2

4

5

6

7

8

9

Apical radius (mm)

10

9

8

8

8

8

8

Distance between rims 10/15 below (mm)

19/23

17/22

16/21

16/21

15/19

14/19

16/20

Frontal Angle (degrees)

62

58

57

53

50

51

49

Splay Angle (degrees)

28

28

27

27

26

26

27

Head width (mm)

134

144

147

150

154

156

155

Front to bend (mm)

76

79

83

87

89

91

102

Table 2: Fiftieth percentile facial data from typically-developed white British children

PRACTICAL TIPS FOR PAEDIATRIC PRACTICE All children (and their parents) can sometimes be a challenge but, essentially, we want the dispensing experience to be positive and successful for all of our patients. Being aware of that individual child’s needs and making their journey fun, not introducing any negativity and placing the finished spectacles on their face which fit perfectly first time, is the ultimate goal.

Below are some hints and tips designed to help achieve this for our youngest patients: ■ Visually assess the child’s bearing surface whilst introducing yourself: where is the crest sitting in relation to their lower lid? Note: you need to be on their level to do this. This will then direct you to a frame with the crest on the horizontal centre line, or lower if necessary.

■ Give the child something to do: their attention spans will vary but undoubtedly you will need to communicate with parents/carers and have to write notes and measurements – so keep them busy during this time.

■ Use a transparent ruler for pupillary

distance: solid instruments placed in front of the eyes can be frightening, whereas transparency means a great game of peek-a-boo.

■ Measure their head width and temple width if possible: this is essential for setting up the frame for fitting, and callipers are quite fun for a child. Let them measure you too.

■ Don’t let the child (or parent) browse the full frame range: ideally, pick a range that will fit them and then let them input into the final choice. This means never having to say ‘no’ and introducing a negative when they have fallen in love with a character frame that is unsuitable.

■ Take as many measurements as you can in order to pre-adjust the frame and record these: parents and children soon lose confidence if the frame needs multiple major adjustments and doesn’t feel good initially on the final fit.

■ Distract the child when fitting their first pair: most children do not like to feel self-conscious if everyone is staring at them. Once fitted, get them

Dr Alicia Thompson is director of education, research and professional development at the Association of British Dispensing Opticians (ABDO). In 2013, whilst ABDO director of professional examinations, Dr Thompson enrolled on a part-time doctorate with Aston University based on paediatric facial anthropometry – and was awarded her PhD in 20213.

This research was funded by ABDO as part of its ongoing strategy to develop the role of dispensing opticians, enhance the profession, and promote evidence-based practice. ■ REFERENCES 1. Yarbrough JR. Infographics: in support of online visual learning. Academy of Educational Leadership Journal 2019 Apr 1;23(2):1-15.

2. Valentini N. Visual cues, verbal cues and child development. Strategies 2004;17(3): 21-23. DOI: 10.1080/08924562.2004.10591081 3. Thompson AJ. Paediatric facial anthropometry applied to spectacle frame design. PhD thesis. Aston University, Birmingham, 2021.

4. Obstfeld H. Spectacle frames and their dispensing, London: W.B. Saunders Company Ltd; 1997.

5. Chung K, Mohidin N, O'Leary DJ. Undercorrection of myopia enhances rather than inhibits myopia progression.

Vision Res. 2002;42(22):2555-9. DOI: 10.1016/S0042-6989(02)00258-4 6. Adler D, Millodot M. The possible effect of undercorrection on myopic progression in children. Clin. Exp. Optom.

2006;89(5):315-21. DOI: 10.1111/j.14440938.2006.00055.x Vision Now December 2023 15

A D V E RTO R I A L

Bausch + Lomb: 170 years of helping people see better, to live better

Aqueous deficient dry eye (ADDE)

Mixed dry eye (MDE)

Evaporative dry eye (EDE)

Lacrimal glands are not functioning adequately6.

Patients can be diagnosed with ADDE and EDE at the same time6.

The lipid layer of tear film does not have an adequate level of lipids6.

This is where patient’s tears do not contain enough lipids or aqueous content6.

Therefore tears evaporate and dry out quicker6.

Therefore, there is not a sufficient amount of aqueous content in the tear film to protect the ocular surface6.

®

Figure 1 Viscotears Tri Action from Bausch + Lomb

By Ross Mcluckie

T

he third of November 2023 marked the 170th birthday of Bausch + Lomb.

Since the company was founded in 1853, it has nurtured a reputation for bringing innovation to the market – and this is exemplified by advancements in the Viscotears® brand.

This extension of the product range reflects Bausch + Lomb’s commitment to meeting the evolving needs of today’s patients, demonstrating a timeless commitment to finding solutions in the ever changing eye health landscape.

Bausch + Lomb has looked to evolve the Viscotears® portfolio for mirroring advancements in science, technology, and our understanding of dry eye conditions.

Formerly, preservative-free treatments were often delivered in single-wrapped plastic units to ensure sterility1. However, innovation in the form of preservative-free bottle technologies eliminated this need, offering patients a multidose option2. Today, preservative-free multidose formulations for treating dry eye are commonplace, containing diverse ingredients aimed at alleviating patients’ dry eyes2.

LIPID AND AQUEOUS SUPPLEMENTATION IN ONE FORMULATION Identifying the specific type of dry eye a patient is experiencing – without carrying out a Schirmer test or slit lamp examination3 – remains a formidable challenge for both patients and clinicians given that 85 per cent of dry eye cases are attributed to meibomian gland dysfunction (MGD)5.

16 Vision Now December 2023

Figure 2 There are three main types of dry eye – with patients typically falling into one of these three categories (adapted from Craig JP et al 2017 TFOS DEWS II Definition and Classification Report7)

The intricacies involved with the inclusion of lipid supplements intensifies the challenge further – because one already has to navigate the challenge of trying to differentiate between various aqueous agents like carbomer, sodium hyaluronate or hypromellose4. To compound matters, NHS prescription guidance places the responsibility on patients to manage their condition5.

Recognising these challenges, Bausch + Lomb has introduced Viscotears® Tri Action (Figure 1), a preservative-free multidose treatment designed to treat the three most common types of dry eye: aqueous deficient dry eye, mixed dry eye and evaporative dry eye (Figure 2). The product aims to simplify the decision-making process for patients and eyecare practitioners, offering a comprehensive solution in one formulation8.

Viscotears® Tri Action marks a stride in Bausch + Lomb’s attempt to address the intricate web of factors contributing to the cycle of dry eye disease. Its formulation strategically combines popular ingredients, such sodium hyaluronate and trehalose, with a lipid competent comprising of Sacha Inchi seed oil, aiming to disrupt the inflammatory cascade and facilitate the recovery of ocular cells (Figure 3)8. It is contact lens compatible, phosphate and alcohol free, and has a sixmonth shelf life8.

A 2020 study by Laihia et al sought to measure the impact of Viscotears® Tri Action, aiming to demonstrate simultaneous improvements in each aetiological factor after 30 days of treatment9. In the realm of dry eye pathophysiology, TFOS DEWS II succinctly identifies three pivotal factors10: ■ Tear film instability

■ Localised hyperosmolarity ■ Epithelial damage and inflammation The study, designed with 52 randomised and blinded patients, divided equally into control (sodium hyaluronate 0.2 per cent) and treatment (Viscotears® Tri Action) groups, conducted baseline ocular assessments on day one. Both groups applied drops three times a day for 30 days, with subsequent assessments mirroring the baseline evaluations9 (Figure 3).

CLINICAL EVIDENCE OVERVIEW 1. Stabilising the tear film Tear film break-up time increased significantly by about 50 per cent in subjects using Viscotears® Tri Action compared to a non-significant 25 per cent increase in the control group (sodium hyaluronate 0.2 per cent). Ocular Protection Index scores experienced a significant 57 per cent improvement with Viscotears® Tri Action, demonstrating a significant enhancement compared to sodium hyaluronate 0.2 per cent (p=0.0047)9.

2. Restoring osmotic balance Viscotears® Tri Action successfully restored tear osmolarity to normal levels, exhibiting a significant reduction in patients with hyperosmolarity after 30 days of treatment (p=0.038)9.

3. Ocular surface damage and inflammation Viscotears® Tri Action showcased a significant reduction in corneal staining, a key indicator of ocular surface damage (p=0.014). Furthermore, Viscotears® Tri Action significantly decreased conjunctival

A DV E R TO R I A L and lid redness scores after 30 days (p=0.001 & p=0.012)9.

Viscotears® Tri Action is a lipid microemulsion eye drop designed and tested to counteract the major factors that contribute to dry eye9. As the clinical overview above shows, after 30 days of consistent use, it demonstrates marked improvements in each aetiological factor of dry eye disease. This formulation not only addresses tear film instability, hyperosmolarity and ocular surface damage – but it signifies a paradigm shift in the management of dry eye conditions9.

Viscotears® Tri Action aims to negate the need for patients to purchase separate aqueous and lipid supplement eye drops. In a healthcare landscape where consumer choice is abundant but value for money is crucial, Viscotears® Tri Action aims to stand out as the preservative-free multi-dose treatment of choice that caters to the diverse needs of patients with different types of dry eye.

GOING BEYOND PRODUCT PROVISION The spirit of Bausch + Lomb’s founders lives on today, as we continually seek new ways to enhance the value we provide.

The journey to health doesn’t end with product receipt. Navigating a new product can be daunting, and at Bausch + Lomb we recognise the vital role of patient education. Our commitment goes beyond product provision; we aim to equip patients with a comprehensive understanding of their conditions, offering simplified explanations of the product.

With a 170-year legacy, Bausch + Lomb acknowledges the pivotal role of wellinformed patients in managing conditions effectively. In line with this commitment, we’ve crafted an insightful eight-page product guide specifically for patients.

Embedded within are QR code links (see below) providing access to enlightening explainer videos. These videos cover diverse facets, from fundamental disease origins to a concise exploration of the science behind how Viscotears® Tri Action aims to break the vicious circle of dry eye8.

Scan here to learn about the causes of dry eye

The combination of oil and sodium hyaluronate provides extended retention and stabilisation of the tear films lipid and muco-aqueous layers.

Sodium hyaluronate 0.2%

Rich in Omega 3 and Omega 6 and Sacha Inchi seed oil, which strengthens the tear film’s lipid layer to prevent evaporation and hyperosmolarity.

Sacha Inchi Seed oil 0.1%

Trehalose 2%

Trehalose, along with sodium hyaluronate and glycerol, bind water in the tear film and with a mildly hypotonic (low osmolarity) solution, bring tear film osmolarity to a normal level.

Figure 3 The ingredients included in Viscotears® Tri Action aim to support all three layers of the tear film and work together to break the vicious circle of dry eye8

Tear film instability

Measured variables6 • Tear break-up time :TBUT(s) • Blink rate (min-1) > IBI • Ocular Protection Index TBUT/IBI = OPI (ratio)

Measured variables for epithelial damage6 • Corneal staining (Oxford scale 0-5) • Conjunctival staining, temporal (Oxford scale 0-5) • Conjunctival staining, nasal (Oxford scale 0-5) Measured variables for inflammation6 • Conjunctival redness (IER grading 0-4) • Lid redness (IER grading 0-4)

Ocular surface damage and Inflammation

Tear film hyperosmolarity

Measured variables6 • Tear osmolarity, all (mOsm/1) • Hyperosmolarity, ≥308 (mOsm/1)

Figure 4 Variables measured to established whether Viscotears® Tri Action could simultaneously target each aetiological factors that causes the vicious circle of dry eye to perpetuate9

REFERENCES

CLINICAL EVIDENCE

1. L atham SG, Williams RL, Grover LM et al.

Achieving net-zero in the dry eye disease care pathway. Eye (2023). https://doi.org/10.1038/ s41433-023-02814-3 2. A ssociation of British Dispensing Opticians 2014. Dry eye preparations: an update.

Accessed 1 November 2023 from https:// tinyurl.com/3m2trurz 3. National Eye Institute. 2021. Accessed 1 November 2023 from: https://tinyurl. com/2tvkxkxk 4. Findlay Q, Reid K. Dry eye disease: when to treat and when to refer. Aust. Prescr.

2018 Oct;41(5):160-163. doi: 10.18773/ austprescr.2018.048. Epub 2018 Oct 1. PMID: 30410213; PMCID: PMC6202299.

5. NHS England. 2018. Conditions for which over the counter items should not routinely be prescribed in primary care: guidance for CCGs. Accessed 1 November 2023 from: https:// tinyurl.com/2nrsfwbx 6. Goodhew & Hguyen 2020. What are the different types of dry eyes?. Accessed on 2nd February 2023 from: https://tinyurl. com/3rm3vtv3 7. C raig JP et al. TFOS DEWS II Definition and

Scan here to learn about the vicious circle of dry eye

Scan here for a video summary of the clinical evidence supporting the use of Viscotears® Tri Action for treating dry eyes

Classification Report. Ocul. Surf. 2017;15(3):276283. doi: 10.1016/j.jtos.2017.05.008. Epub 2017 Jul 20. PMID: 28736335.

8. Viscotears® Tri Action IFU. V1.2. 09/2022.

9. L aihia J, Järvinen R, Wylęgała E, Kaarniranta K. Disease aetiology-based design of multifunctional microemulsion eye drops for moderate or severe dry eye: a randomized, quadruple-masked and active-controlled clinical trial. Acta. Ophthalmol. 2020 May;98(3):244254. doi: 10.1111/aos.14252. Epub 2019 Oct 3.

PMID: 31579987; PMCID: PMC7216857.

10. Craig JP et al. TFOS DEWS II. Definition and Classification Report. Introduction. Ocul. Surf.

2017;15(3):276-283. https://doi.org/10.1016/j. jtos.2017.05.008

Ross Mcluckie is Rx marketing manager at Bausch + Lomb UK. Viscotears® is a trademark of Bausch + Lomb Incorporated or its affiliates. © 2023 Bausch + Lomb Incorporated or its affiliates. Please see Instructions for Use (IFU) for full ingredients, storage conditions, warnings and cautions.

November 2023/vis.0021.UK.23. ■

Scan here to learn about how the ingredients in Viscotears® Tri Action can treat different types of dry eye

Watch the Viscotears® Tri Action ‘how to use’ video here

Vision Now December 2023 17

A DV E RTO R I A L

Stepper Kids: a new generation Stepper Eyewear has introduced a new generation range of children’s frames that embody an evidence-based approach to paediatric frame design and construction...

S

tepper Kids New Generation frames are as innovative as they are attractive. Utilising new expert scientific research and innovative frame technology, the result is a range of children’s frames that fit and hold lenses with a new level of precision and stability.

From every angle, it is clear Stepper Kids frames are as innovative as they are attractive. But only once the extent of the science behind this New Generation of frames is explained, does their potential for helping the vision of our young spectacle wearers become clear.

Corrective eyewear can be dispensed to a child for many reasons. Whatever these reasons, the primary purpose of a frame is to hold prescribed lenses in a stable, suitable position before the eyes as required by the eyecare professional. Ensuring the best outcome for children’s eyesight is foremost in effective paediatric eyecare.

The best outcomes prevail when the frame and lenses work in harmony to deliver the optimum eyecare solution. After choosing the corrective lenses, the frame fit and stability of the frame that holds the lenses, are the most important factors to consider.

If the frame slides down a child’s nose due to poor design, the resultant correction can be incorrect or totally ineffective at such a crucial time in their visual development.

PIONEERING RESEARCH Stepper Kids frames are designed and manufactured using new empirical research into children’s developing facial features.

Building on its professional approach to frame design, Stepper Eyewear has drawn on the research of one of the world’s leading authorities on paediatric

18 Vision Now December 2023

European Fit

Asian Fit

African Fit

Alpha Fit

More Curved

Less Curved

Less Curved

Age Related

Median

Wider

Wider

Higher

Pads

Lower

Narrower

Wider

Wider

Narrower

Wider

Narrower

Larger

Smaller

Smaller

Paediatric Facial Anthropometric Design

Figure 1 Stepper Eyewear’s World Fit concept

eyecare, Dr Alicia Thompson, director of research, education and professional development at the Association of British Dispensing Opticians, to create frames that significantly advance and improve children’s eyecare.

Dr Thompson was awarded a doctorate from Aston University, one of the UK’s leading optometric universities, for her research into paediatric facial anthropometry applied to spectacle frame design. Hans Stepper and the Stepper Eyewear design and production team have been working closely with Dr Thompson to give effect to her research findings in their new range of children’s frames.

Using 3D stereo photogrammetry, to take measurements from 1,334 3D images of children’s faces aged from birth to age 16 across differing ethnicities, Dr Thompson’s pioneering study has provided a most valuable resource for frame designers.

The resulting frames mark a significant

step-change in children’s frame design.

Dr Thompson’s work in understanding the facial anthropometry of children has given Stepper Eyewear the accurate measurement requirements to create frames that meet the unique needs of children.

Incorporating evidence-based studies into the new generation of Stepper Kids eyewear assists eyecare professionals in enhancing patient safety, optimising treatment outcomes, delivering personalised care, establishing professional credibility, and fulfilling their ethical responsibilities. It allows them to provide the highest standard of care for children's eye health and visual development.

WORLD FIT Stepper Eyewear's World Fit concept (Figure 1) has led to the creation of three fits based on broad ethnic fitting characteristics. European Fit, Asian Fit and African Fit are now established fitting types within the brand’s extensive adult

A DV E R TO R I A L frame offering. Drawing on Dr Thompson’s work, the unique fitting characteristics have been integrated within Stepper Eyewear's fitting profile and are identified as Alpha Fit. ALPHA FIT After completing her extensive and acclaimed research, Dr Thompson has shared her findings with Stepper Eyewear and other frame suppliers wishing to develop frames with outstanding fitting characteristics for children. Using these measurements, Stepper Eyewear worked on new designs. Starting with the facial dimensions as the base, the new frame shapes emerged. Once the fundamental designs were agreed, aesthetic appeal could be applied.

Alpha Fit has four fit variants. Due to child facial development with age, critical changes in the face shape require different frame measurements. For example, crest height, splay, angle, head width and pupillary distance requires accommodating.

These fit variants have been identified as: ■ Zero to four ■ Four to six ■ Six to eight ■ Eight to 10 How this translates into Stepper Kids frame design is illustrated in Figure 2.

Further customisation of frame parts, to match the frame more precisely to the wearer, are possible due to the enhanced features such as the TX5 endoskeleton nose pad and external/integral side adjustment.

These final adjustments are made with the child by the eyecare professional.

Innovative customisable frame parts include: ■ I nterchangeable TX5 endoskeleton nose pad with silicone outer ‘skin’ ■ Adaptable side length system ■ I ntegral side adjustment within TX5 exterior

All external frame elements are metal-free

MATERIALS MATTER Transferring scientific data into threedimensional (3D), practical frames requires a best-for-purpose material to deliver the correctly shaped frame parts that retain their shape over time. Exceptional frame making abilities to translate the demanding specification are required to produce frames that also look good and feel comfortable.

Stepper Eyewear's TX5 high-tech injection moulded material allows for complex frame elements to be created.

Designed using CAD and produced in 3D, each element leaves the mould in the final shape. The result is a frame that is the right shape and that keeps its shape – all day, every day.

This reliability and stability of shape ensures that the frame maintains the correct fit, positioning the prescribed lenses before the eyes of the wearer as determined by the eyecare professional.

Creating an attractive frame whilst maintaining the fundamental purpose of holding lenses correctly before the eyes, requires use of a material with a multitude of properties: ■ Hypoallergenic materials are friendly to

Figure 2 Stepper Eyewear’s Alpha Fit incorporates four fit variants

sensitive young skin ■S hape-stable materials maintain precise fitting with day-long, day-in day-out reliability ■A ll external frame elements are metalfree and out of harm’s way ■E very curve and corner has been rounded to keep kids safe and sound ■N ose pads are covered in silicone over a TX5 endoskeleton, making them so comfortable to wear ■T wenty-five per cent lighter than conventional plastic material reducing pressure at touch points on the face ■H igh stability, improved impact strength and better scratch resistance (than conventional plastics) for durability WORKING WITH MODERN LENSES Myopia management lenses are designed to provide specific optical zones that help control myopia progression. To achieve optimal optical performance, the lenses need to be properly aligned with the child's eyes. A well-fitted frame ensures that the lenses are positioned correctly, maximising their effectiveness in slowing down myopia progression.

By ensuring a good fitting frame for myopia management lenses, the child can experience optimal optical performance, clear vision, comfort and safety. It also promotes better compliance with wearing the lenses, increasing the likelihood of successful myopia control outcomes.

SUMMARY Sharing data and findings and discussing practical solutions has allowed academic knowledge with modern design and production know-how to combine. This has been a unique frame development process, with the common goal of achieving the best possible vision correction outcomes for children. ■ Vision Now December 2023 19

100% OPTICAL PREVIEW

Supply and demand More than 250 companies will be exhibiting at 100% Optical 2024 in London next February. Cutting-edge clinical instruments, advanced solutions for myopia management, high-tech frame and progressive contact lens designs will be amongst the product innovations on show. Here is a flavour of what NEG's preferred suppliers will be showcasing...

Discover the new Medmont Meridia Topographer via BIB

Hear about the benefits of Ultra Multifocal for Astigmatism

BAUSCH + LOMB Bausch + Lomb (B+L) will be inviting stand visitors to ‘see through the eyes of a presbyope’ with an interactive experience, whilst showcasing its innovative Ultra and ZenLens contact lens brands. Speaking to Vision Now, Petra Vacca, Bausch + Lomb cluster head vision care UKI and Nordics, said: “We’re looking forward to engaging with NEG members and to inspire you to upgrade your presbyopic patients, once you see the benefits and ease of fitting* the multifocal 3-Zone Progressive Design contact lenses for yourself.’’

There will also be the opportunity to order from B+L’s lens care solutions portfolio with an offer available for 100% Optical attendees only. *Gallileo Business Consulting 2022. Assessment of patient satisfaction with Bausch + Lomb Ultra Multifocal for Astigmatism.

CALEDONIAN OPTICAL Following an investment of £1.5m in a stateof-the-art laboratory, Caledonian Optical has tripled its manufacturing capacity and incorporated cutting-edge technology to craft bespoke digital lenses. “We’re excited to show these advancements to NEG members at 100% Optical using immersive virtual reality [VR] technology,” said a spokesperson.

“Simply visit our stand, pop on a VR headset and take a virtual tour of our new lab – all without getting on a plane. You can check out the facilities and learn more about the equipment used, all from the Excel in

20 Vision Now December 2023

BIB OPHTHALMIC INSTRUMENTS As well as enjoying some special show pricing offers courtesy of BIB Ophthalmic Instruments, visitors to the company’s stand there will have an opportunity to win an Optopol Revo FC OCT (subject to terms and conditions). Exclusive product launches will include the Revo FC130 from Optopol, hailed as “the world’s fastest OCT”, providing ground-breaking artificial intelligence technology as well as boasting wider and deeper scans. SK-MED’s new high specification digital LED slit lamp SL-5C, incorporating an automated Dry Eye

Analyser, will be showcased.

Also visit the BIB stand to see the Medmont Meridia Topographer in action.

The new multimodal instrument provides limbus to limbus coverage, and is said to be the only one of its kind in the world. It now offers a battery of dry eye tests that meet internationally recognised standards.

Wavefront clinical and diagnostic equipment from Visionix will be on display, featuring wifi connectivity for seamless data transfer, and the new Visionix VX120 + dry eye multimodal 10 in one device will also be launched.

Don a headset to virtually visit Caledonian Optical’s state-of-the-art lab

London. Discuss how we can improve your margins and customer satisfaction with the latest personalised digital lens technology.

Also, find out more about your exclusive benefits with Caledonian Optical. We look forward to seeing you at 100% Optical.”

100% OPTICAL PREVIEW

Puriti Japanese titanium designs

CONTINENTAL EYEWEAR Continental Eyewear's showcase will feature a diverse range of frames blending style, innovation and functionality. One of the highlights will be the company's collaboration with Dr Alicia Thompson, director of research, education and professional development at the Association of British Dispensing Opticians: the new Star Fit collection for children featuring evidence-driven designs for paediatric dispensing (turn to page 24 to find out more).

Continental will also unveil a new licensed brand – Mr Men and Little Miss – designed to delight fans of these beloved characters with playful and charming styles. In addition, stand visitors will see the latest releases from renowned brands such as Reykjavik Eyes Black Label, Puriti, X-eyes Lite, and Lazer. These will showcase cutting-edge designs, materials and technologies, reinforcing Continental Eyewear's commitment to innovation and excellence in the eyewear industry.

Try "game-changing" VR perimetry technology on the Hilco stand

HILCO VISION Hilco Vision will launch the M&S Technologies Smart System VR headset for perimetry, in partnership with Frost Optical. “The M&S VR headset is a game-changer in terms of freeing up the traditionally very large footprint of visual fields devices, which also require a darkened room,” said Mike Riley, Hilco Vision director of commercial operations. “This CE-marked, hand-held technology has a plethora of functions with intuitive software. It produces highly accurate results quickly, which can be downloaded directly to practice management systems making glaucoma and fields screening more efficient.”

OptiPlus powered by SeeGreen, said to be the first and only sustainable range of lens cleaning products with the globally recognised Gold Standard GreenSeal accreditation, has just been launched by Hilco as another new innovation. Perfect for eco-focused practices, the solution is available in four sizes, with various kit options, plus the opportunity to personalise the bottles.

Hoya Hi-Vision Meiryo coating "setting a new standard"

Eyespace Cocoa Mint sunwear for 2024

EYESPACE Eyespace will preview 74 new fashionladen sunwear styles, uniting cutting-edge componentry, sustainable materials and polarised lenses on many models. For women, luxurious designs from Aspinal of London reimagine vintage British styling through a striking series of design features.

The best-selling Cocoa Mint collection also presents a comprehensive offering of Riviera-chic, feminine styles. For men, Range Rover’s unmistakeable design detailing is showcased in a selection of precision-engineered designer models, while the Defender Sunwear collection has been designed to excite the wearer seeking a frame that sits in a category of its own.

HOYA LENS UK Hoya Lens UK will showcase its most advanced premium spectacle lens coating yet.

"Hi-Vision Meiryo sets a new standard with significantly lower reflectance, and superior clarity that lasts," said a company spokesperson. “For those with an interest in myopia management, there will be a chance to learn more about our award-winning Miyosmart product range, which now includes photochromic and polarised lenses as well as clear.

Supporting independent practices is a key priority for Hoya and so alongside the latest product innovations, 100% Optical will be the place to discover a wealth of business support and rewards designed to supercharge your success."

Vision Now December 2023 21

100% OPTICAL PREVIEW MYERS LA ROCHE Client of Myers La Roche are currently reporting that recruitment and retention of high-quality, motivated staff is the single biggest issue facing the optical industry in the UK and Ireland today. At 100% Optical, the company will launch its latest Whitepaper, which will take a look at the issues, and investigate practical steps that practice owners can take to increase their chances of success in this challenging landscape.

The company is currently conducting research on the issue and NEG members can respond to its survey at: https:// myerslaroche.co.uk/insights/SalarySurvey.

"We want to hear from a wide range of people from within the sector, so please also ask your staff and colleagues to contribute in confidence," said a spokesperson. "As a thank you, there is the chance for participants to win £1,000 of vouchers, and independent practice owners will be able to claim their very own personalised insight report worth over £750."

OPTINET The team from Optinet, NEG’s IT services division and a supplier of advanced practice management systems for independent practices of all sizes, looks forward to welcoming visitors onto its stand to demonstrate how the latest software features can be integrated into their business to save time and money.

“At Optinet, we are committed to software development and friendly customer service,” said Chris Smith, operations director. “Close discussions with our users help shape the software, and our support team are on hand to help with staff training, assist with any problems you might encounter or answer any questions you may have.”

Features visitors can see at the show include: patient records, eGOS, clinical records, appointments, dispensing, till, supplier lens catalogues, online booking, email and text messaging and much more.

POSITIVE IMPACT Positive Impact (PI) will be showcasing Glasklar, the original customer loyalty concept via refillable, practice-branded lens cleaner, enabling independents to engage with their patients more frequently. Glasklar bottles are made from 100 per cent recycled PET. The cleaning solution is naturally biodegradable, and the system has a low carbon footprint being delivered direct from Germany.

PI will also be discussing its entire Dry Eye Zone portfolio, including the Bruder

22 Vision Now December 2023

Catch up with the Performance Finance team

PERFORMANCE FINANCE Performance Finance is looking forward to catching up with “a fantastic group of industry professionals and innovative equipment suppliers who continue to pave the way for optical technology. Introducing new equipment not only helps set your practice apart, but it can also generate an impressive return on investment. We have some great support tools available to show you how to achieve this.

“As well as funding traditional optical equipment, we can also fund new technologies such as dry eye treatment devices, axial length and myopia management systems and virtual reality field screening. We can also assist with new start practice funding and all other business-related requirements. With our cyber essential’s certification, you can rest assured your data is safe with us. Finally, we are proud to be the first supplier in UK optics to be certified carbon neutral. We look forward to seeing you all again and continuing to help your business thrive.”

Eco-friendly customer loyalty concept

range of hot and cold compresses. The Eyeleve Compress is said to be the only product of its kind clinically proven to extend the wearing time of contact lenses by up to three hours. Also new to the portfolio

is Peep Club’s Heated Eye Wand Pro, a quick and convenient alternative heat and massage therapy. The device has won over 10 awards and comes with a USB charging cable and travel case.

100% OPTICAL PREVIEW PRACTICE BUILDING “If you talk to people in the optical industry about sustainability, it’s not long before you start to hear a lot of reasons why it’s too difficult and excuses why no action can be taken,” says Practice Building’s Andy Clarke.

“Inaction is something that no-one, not our businesses, not our industry, nor our planet can afford. Since our launch in January 2023, Net Zero Optics has been changing attitudes, proving that individual actions do matter, and that collectively we can have an impact greater than the sum of our parts.

“We have proved that sustainability can

be done, and done well, and we’re empowering all of the industry – from multi-national manufacturers to single independent practices – to lead the charge. To combat climate change, we have three certifications based upon the UN Greenhouse Gas Protocols - Carbon Neutral Eyewear, Carbon Neutral Audiology and Net Zero Carbon. To combat plastic pollution, our clients can become Optical Recycling Centres and achieve Net Zero Plastic certification.”

Find out more at 100% Optical.

THÉA UK Théa UK is part of the Laboratoires Théa, a family-owned French company who have been pioneers in ophthalmology for over 150 years, through the Chibret family across generations. Specialising in preservativefree product development, Théa remains the world leader in preservative-free eyecare products. Its focus on innovation has resulted in the launch of many products in the UK, including treatments for dry eye, ocular surface disease, eyelid cleansing, allergy, glaucoma and surgery.

At 100% Optical, the company will be showcasing its new products, educational programmes and promotional activities.

“2024 will be an exciting year, and we look forward to meeting our new and loyal customers at the Théa stand to find out about Théa products, our new product launches and more details about Thea Academy,” said a spokesperson.

Understanding patients’ needs

Discover the features and benefits of new LayR technology

RODENSTOCK UK With its BIG Vision concept, Rodenstock considers the unique shape and size of each eye in its progressive lens designs to create sharper vision. This includes its length and several thousand data points in the eye. To underline the level of biometric precision Biometric Intelligent Glasses (BIG) delivers thanks to exact eye measurements, the company now refers to them as BIG Exact lenses.

During 100% Optical, delegates will have an opportunity to run through Rodenstock’s BIG Exact experience with its new DNEye 3 scanner – featuring an in-built fundus camera and enhanced tear film analysis.

In addition Rodenstock will introduce its new LayR technology. Innovative high-tech enhancement Solitaire LayR is designed to improve Rodenstock’s biometric lenses offering the wearer a significantly clearer view. LayR technology layers are designed to overcome various impairments on the path to clearer vision, whether they be scratches, dust, dirt or fingerprints on the lens surface, as well as harmful UV and potentially harmful blue light.

ULTRAVISION UltraVision will be making its debut at 100% Optical 2024, showcasing its award-winning range of contact lenses.

“Through innovation, support and education, UltraVision is fully committed to helping you to grow your practice and empowering you to enrich your patients’ lives, giving them the vision to focus on what’s really important, whatever their lifestyle,” said a spokesperson.

“Understanding that every patient is unique and believing there should be an option to fit even the most complex eye, UltraVision offers a wide range of contact lenses from daily disposable to specialist contact lenses for keratoconus. Drop by our stand to find out the latest and remember – all NEG members receive an exclusive discount on selected UltraVision products.”

Other NEG preferred suppliers at the show are Bondeye, CooperVision, Essilor, Safilo UK and Seiko Optical UK. For more information about 100% Optical 2024 and to register visit, www.100percentoptical.com Vision Now December 2023 23

ST Y L E S P OT L I G H T

Frames fit for young stars

By Joan Grady

C

hildren’s eyewear presents opportunities that are intriguing as well as challenging for the companies who make them and the eyecare practitioners who dispense them.

Amongst the biggest tests is: will a child wear the frames and be comfortable in them? The early years – toddlers through to six-year-olds – can be precarious as very young children may not feel at ease with something on their face. And once in school, youngsters may feel awkward wearing frames when others are not.

Confronted with these issues, Continental Eyewear embarked on an adventurous journey to create frames that would be ergonomically harmonious with a child’s face, drawing on the research of Dr Alicia Thompson, director of education, research and professional development at the Association of British Dispensing Opticians (ABDO).

Luke Wharton and Tom Mehew are the designers at Continental Eyewear, part of the Millmead Optical Group, whose energetic exploration has resulted in the Lazer Junior Star Fit collection. Jewellery design and product design graduates respectively, Tom and Luke have worked together in eyewear for 15 years, and so were able to bring their extensive experience to the project.

EXPERTISE AND COLLABORATION “Millmead Optical Group has a longstanding relationship with ABDO,” says Tom, “and so we became aware of her work in paediatric eyewear. Dr Thompson’s extensive research highlighted how children’s faces are all anatomically different, and the importance of how a frame needs to be correctly fitted to meet this challenge. Until the age of about eight years, you can affect a child’s visual pathway for the better if a frame is correctly dispensed.

“We found that many paediatric frames on the market were either mini-me styles, with no attention to bridge fit, or designs where the lenses were not positioned correctly for the line of sight. We wanted to address this by creating a new industryleading collection of front and temple shapes that utilised Dr Thompson’s data.

The challenge was also that the child had

24 Vision Now December 2023

Star Fit Lazer Junior 07 in pink

Tom Mehew, designer at Continental Eyewear

to fall in love with the frame.”

COLOURS AND MOTIFS Children are attracted to bright, vivid colours, animals, graphics and decorations that they are familiar with from books, TV, videos and films – and so the designers investigated youngsters’ preferences.

“We researched across a range of materials that would be up to the challenges of being worn by kids, but that were also creative and engaging,” Tom explains. “We eventually decided upon a mixture of ecobiodegradable acetate and recycled metal styles.

“The acetate allowed us to really have fun with an eye-catching, age-appropriate range

Continental Eyewear designer, Luke Wharton

of colours. It’s also inherently adjustable and comfortable. We used metal for the temples for ease of adjustment, paired with rubber tips that were custom created for us. The rubber is a safe, soft material and allows for fitting a strap if required.

“We then needed another element for the frames to tie the collection together, and that became the hand-drawn patterns that Luke created. Ranging from animals, to space, to monsters this gave an individual, playful identity to each frame that kids could really relate to. These were then tonally coloured to match the overall frame colour and 3D printed to create a tactile surface on the temple.”

Penguins, lion, tigers and rockets are

ST Y L E S P OT L I G H T

Star Fit Lazer Junior 05 in blue

Eco Happy Star Fit Lazer Junior 06

Star Fit Lazer Junior 06 in purple

amongst the appealing designs on the Eco Happy frames in cheerful colours that include blue, violet, green and pink.

AUTHENTIC DATA The new Star Fit Lazer Junior range combines fit, fun and fashion for very young children who require corrective lenses. “Star Fit is one of the first ranges of paediatric frames based on actual facial data from real children,” says Dr Thompson, “resulting in a comfortable, stable fit that holds the prescription in the correct place at such a crucial time in a child’s development.”

“Star Fit frames are designed for a child’s developing nose which is wider, flatter and lower than that of a small adult,” continues Tom. “The result is a more stable, comfortable fit that does not slide down the nose. Balancing the weight of the frame is vital to a comfortable fit; Star Fit frames have adjustment properties to allow perfect balance and comfort. Even the lens shape has been designed with the knowledge of how a small child regularly looks upwards in this adult-designed world.

Star Fit Lazer Junior 04 in navy with adjustable strap

“Millmead Optical Group is a Certified B Corporation – and the acetate we use in our frames is eco-biodegradable. Furthermore, our metal frames are crafted from recycled metal, excluding the hinges, demonstrating our commitment to minimising our ecological footprint.

“The collection was almost two years in the making. This involved many rounds of sampling and reviews to check the fit and adjustability. All models were subject to wearer tests so we could incorporate feedback from children as to how they felt and what they really wanted to wear,” Tom concludes.

Dr Thompson adds: “Not only will paediatric patients benefit from an improved

Star Fit case and cleaning cloth are also made in recycled materials

fit and looking great, but the incredibly talented design team at Millmead also took the time to really understand what we, as eyecare practitioners, need to be able to do to a frame, to ensure it can be adjusted to fit such a diverse population.”

For independent practitioners, the Star Fit Lazer Junior Collection is an invigorating opportunity to introduce young children to eyewear. Positive approaches to frame wearing cements a child’s attitudes to eyewear, plus the benefits of improved sight, comfort and as they mature, style elements too. The Star Fit Lazer Junior Collection is now available in optical practices worldwide. ■ Vision Now December 2023 25

Preferred Suppliers’ directory tel: 01580 713698 | web: www.nationaleyecare.co.uk ALCON UK

tel: 0371 376 0017 | fax: 0871 351 1005 | web: www.uk.alcon.com

ASSOCIATED OPTICAL

tel: 01628 600410 | fax: 01628 666495 | email: sales@assopt.co.uk | web: www.associatedoptical.com

SUPPLIER – OPTICIAN – PATIENT

OUR PARTNERSHIP

ATLANTIC OPTICAL UK LTD

tel: 02920 362 136 | fax: 02920 362 137 | email: info@atlanticoptical.co.uk | web: www.atlanticoptical.co.uk

BAUSCH + LOMB

tel: 020 8781 2900 | web: www.bausch.co.uk

T: 01132 883094 E: RawdonCC@rawdonoptical.co.uk

BIB OPHTHALMIC INSTRUMENTS

tel: 01438 740823 | email: sales@bibonline.co.uk | web: www.bibonline.co.uk

BONDEYE OPTICAL

T: 02920 883 009 E: LenstecCC@lenstec.co.uk

tel: 0121 7723888 | fax: 0808 2801865 | email: sales@bondeyeoptical.co.uk | web: www.bondeyeoptical.co.uk

CALEDONIAN OPTICAL LTD

T: 01279 653785 E: TantCC@tantlabs.com

tel: 01224 596 006 | email: info@caledonianoptical.com | web: www.caledonianoptical.com

CARDNET

tel: 0345 604 2491 Option 2

T: 02920 857 122 E: Eyewear@lenstec.co.uk

CENTROSTYLE OPTICAL CENTRE SUPPLIES LTD

tel: 01923 239267 | fax: 01923 253951 | email: sales@centrostyle.com | web: www.centrostyleproducts.com

CFH DOCMAIL

tel: 07834 173 288 | email: chris.burridge@cfh.com | web: www.cfhdocmail.com

CHARMANT UK CO LTD

PRACTICE MANAGEMENT SIMPLIFIED

tel: 020 8992 9222 | fax: 020 8896 0287 | email: sales@charmant.co.uk | web: www.charmant.co.uk

CITATION

tel: 0161 464 6731 I email: enquiries@citation.co.uk | web: www.citation.co.uk

CONTINENTAL EYEWEAR

tel: 0151 426 3907 | fax: 0151 426 9340 | email: sales@continental-eyewear.co.uk | web: www.continental-eyewear.com

COOPERVISION

tel: 0870 9000 055 | email: enquiries@coopervision.co.uk | web: www.coopervision.co.uk

DE RIGO UK LTD

tel: 01923 249491 | email: info.uk@derigo.com | web: www.derigo.com/en

Optinet Flex, the innovative software that keeps your optometry business at the cutting edge.

DUNELM OPTICAL

tel: 01388 420420 | fax: 01388 810101 | email: dunelm@dunelmoptical.co.uk | web: www.dunelmoptical.com

0845 313 0233

ESSILOR

sales@optinetuk.com www.optinetuk.com

tel: 01454 281281 | fax: 01454 28128 | email: orders@essilor.co.uk | web: www.essilor.co.uk

EYESPACE

tel: 01527 870550 | fax: 01527 837012 | email: info@eyespace-eyewear.co.uk | web: www.eyespace-eyewear.co.uk

GO EYEWEAR UK LTD

OPTINET DIRECTORY AD - FEB 21_AW.indd 01/03/2021 109:47

tel: 0800 9178270 | web: www.goeyeweargroup.com

HILCO EUROPE

tel: 0800 591150 | email: info@hilco.co.uk | web: www.hilcovision.co.uk

HOYA LENS UK

tel: 0845 330 0984 | fax: 0845 330 0977 | email: enquiries@hoya.co.uk | email: orders@hoya.co.uk web: www.hoyavision.com/uk

LAB3SIXTY

tel: 0113 5211071 | email: Info@Lab3Sixty.co.uk | web: www.lab3sixty.co.uk

LENSTEC EYEWEAR

tel: 02920 857122 | fax: 02920 920480 | email: eyewear@lenstec.co.uk | web: www.lensteceyewear.co.uk

LENSTEC OPTICAL tel: 02920 883009 | fax: 02920 889798 | email: LenstecCC@lenstec.co.uk | web: www.lenstecopticalgroup.co.uk

LOUIS STONE OPTICAL LTD

tel: 029 2073 5293 | fax: 029 2073 1446 | email: info@louisstone.co.uk | web: www.louisstone.co.uk

26 Vision Now December 2023

LUXOTTICA (UK) LTD tel: 0808 1658 8555 | web: www.luxottica.com/en

MARCHON tel: 0800 72 2020 | email: csuk@marchon.com | web: www.marchon.com

MARK’ENNOVY tel: 0800 3280610 | fax: 0800 3280649 | email: mkservices@markennovy.com | web: www.markennovy.com

MENICON UK LTD (FORMERLY DAVID THOMAS) tel: 01604 646216 | fax: 01604 790366 | email: enquiries@menicon.co.uk | web: www.menicon.co.uk

MID-OPTIC

tel: 01332 295001 | fax: 01332 295158 | email: orders@midoptic.com | web: www.midoptic.com

NORVILLE

When you prescribe contact lenses, you prescribe freedom.

We’re stepping up to do more, supporting you to Prescribe Freedom for more people than ever.

tel: 01452 510321 | email: sales@norville.co.uk | web: www.norville.co.uk

No7 CONTACT LENSES tel: 01424 850620 | fax: 01424 850650 | email: info@no7contactlenses.com | web: www.no7contactlenses.com

OPTINET LTD tel: 0845 313 0233 | email: sales@optinetuk.com | web: www.optinetuk.com

coopervision.co.uk

PERFORMANCE FINANCE tel: 01536 529696 | fax: 01536 310033 | email: info@performancefinance.co.uk | web: www.performancefinance.co.uk

POSITIVE IMPACT tel: 08446 696907 | email: sales@positiveimpact.co.uk | web: www.positiveimpact.co.uk

PRACTICE BUILDING tel: 0800 840 3988 | email: andy@practicebuilding.co.uk | web: www.practicebuilding.co.uk

RETAIL EXPERIENCE DESIGN (RED) tel: 024 7710 3494 | email: design@retailexperiencedesign.co.uk | web: www.retailexperiencedesign.co.uk

RODENSTOCK tel: 01474 325555 | email: sales@rodenstock.co.uk | web: www.rodenstock.co.uk

SAFILO UK LTD tel: 0800 7234 5600 | email: customer.serviceuk@safilo.com | web: www.youandsafilo.com

SEIKO OPTICAL UK tel: 01452 610033 | fax: 01452 638250 | email: orders@seiko-optical.co.uk | email: info@seiko-optical.co.uk web: www.seikovision.com/uk

STEPPER (UK) Limited 11 Tannery Road, Tonbridge Kent - TN9 1RF 01732 375975 www.stepper.co.uk

SILHOUETTE UK LTD tel: 020 8987 8899 | fax: 020 8987 2430 | email: office@silhouette-uk.co.uk | web: www.silhouette.com

SPEC-CARE LTD tel: 01392 460806 | email: info@speccareservices.co.uk | web: www.speccareservices.co.uk

STEPPER UK tel: 01732 375975 | email: sales@stepper.co.uk | web: www.steppereyewear.com

TANT LABORATORIES tel: 01279 653785 | fax: 01279 658308 | email: TantCC@tantlabs.com | web: www.lenstecopticalgroup.co.uk

THEA PHARMACEUTICALS LIMITED tel: 01782 381698 | email: orders.uk@theapharma.com | web: www.thea-pharmaceuticals.co.uk

ULTRAVISION tel: 01525 381112 | fax: 01525 370091 | email: info@ultravision.co.uk | web: www.ultravision.co.uk

WINDCAVE LTD tel: 0800 088 6040 | email: sales@windcave.com | web: www.windcave.com

20 20 OPTICAL SERVICES LTD tel: 01460 929 690 | email: info@2020opticalservices.co.uk | web: www.2020opticalservices.co.uk Vision Now December 2023 27

Suppliers’ directory

Preferred Suppliers are suppliers who, by prior arrangement, offer members of the PK National Eyecare Group preferential terms. For full details and terms offered to the membership, please call 01580 713698.

PRACTICE MANAGEMENT SIMPLIFIED @

eGos Stock

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Take control with Optinet Flex, the innovative software with intuitive dashboards and intelligent reporting that keeps your optometry business at the cutting edge.

Call us today to book your no obligation, demonstration.

0800 310 2400

sales@optinetuk.com • www.optinetuk.com 28 Vision Now December 2023