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Articles
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VISION
Editor welcomes letters, articles and other contributions for publication in the magazine
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particular issue. Copyright © 2022 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. Nicky Collinson Editor Editor: Nicky Collinson BA (Hons) nicola.collinson@nationaleyecare.co.uk Features Contributor: Joan Grady jgparischats@wanadoo.fr Business Editor: Philip Mullins p.mullins@nationaleyecare.co.ukFBDO Art Editor: Stacey Potter BA (Hons) spottcreative.co.uk Publisher: Michael C Wheeler FCOptom DipCLP FSMC FAA0 Inside 15 17 23 www.nationaleyecare.co.uk Vision Now September 2022 3 NEWS 4 Alcon launches new dailies toric 7 Workforce survey insights 9 SEE Summit save the date 11 Lens firm’s Eureka moment 13 Professional affairs expansion 15 Call for national eyecare strategy FEATURES 17 Product profile Menopause and dry eye disease 21 Product profile Adding value in testing times 25 Product profile Do zonal multifocals still add up? REGULARS 15 An independent view 28 Style spotlight 30 Suppliers’ directory
The and reserves the right to Any such whether it bears the name, initials or is accepted on the understanding that its is responsible for the expressed in and that its does not imply that such opinions are those of The PK National Eyecare Group Ltd. submitted for should be work and are accepted on the basis that they any other of for is not a guarantee that it will be included any
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amend them.
in
While only 14 per cent of registrants (4,102 in total) responded to the General Optical Council’s 2022 Workforce and Perceptions Survey (page 7), the annual exercise does paint a generalised picture of the current mood.
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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. NOW is published by Peekay Publishing Ltd for The PK National Eyecare Group Limited, Clermont House, Cranbrook, Kent TN17 3DN NOW is printed by CFH Docmail Ltd. St Peter’s Park, Wells Road, Radstock BA3 3UP
Job dissatisfaction was higher amongst optometrists, locums, those who work for a multiple, and disabled registrants –and (unsurprisingly) the chief causes were busy/increasing workload/pressure, poor pay/lack of reward and sales pressure/retail focus. More than half of respondents (57 per cent) claimed to be working beyond their normal hours, with 41 per cent saying they felt “unable to cope with the workload”. In fact, a third rather worryingly said they “felt unable to provide patients with the sufficient level of care they needed”.
he favourable news is that the majority of respondents (62 per cent) were currently experiencing job satisfaction. The less favourable news is that a fifth (21 per cent) were not; the rest were neither here nor there.
There is no one answer to improving job satisfaction and relieving work pressures, but with 40 per cent of respondents saying they planned to gain additional qualifications/skills within the next 12-24 months – with a focus on delivering better care, expanding scope of practice to deliver more services, and career progression – this could certainly be a step in the right direction.
Further qualifications and skills training are there for taking – for all practice staff, in all disciplines and in a multitude of formats – so why not take a look at what’s out there. If not for yourself, then for a member of your team...
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Two new sustainable Land Rover eyewear styles for men from Eyespace have been crafted using bio-based G850 Rnew and recycled stainless steel – offering clean masculine lines and a keen attention to detail. The earthy crystal colourways of Benedict are presented in a 54mm softened-square eye shape, paired with a keyhole bridge. Subtle designer details reference the Land Rover’s inimitable architecture, including hexagonal screw detailing on the hinge and a custom Land Rover tip shape and tip plates.
The lens material features a gradual increase in water content, approaching 100 The lens integrates Alcon’s the SmarTears Technology, which features the release of an ingredient found naturally in tears that helps to stabilise the lipid layer of the tear Thesefilm.technologies are now combined with Alcon’s proven Precision Balance 8|4 lens design: the proven design used in both the Precison1 and Air Optix plus HydraGlyde toric contact lenses. First and only water gradient toric lensAlcon Two options for Land Rover Bernard Eyespace
Dr Robert Cubbidge, principal of ABDO College, said: “It was with great pleasure that we welcomed IOT and their partners to ABDO College. The high quality teaching materials they have provided will ensure that our students are able to understand the latest technological advances being made in the ophthalmic lens industry, and how they can benefit patients.”IOT’s
General Optical Council
Eluned Creighton-Sims and Carlos Muñoz cut the ribbon Alcon’s water gradient material.
The General Optical Council (GOC) has published two new guides relating to its CPD scheme – ‘CPD record review: a guide for registrants’, and ‘Guide to audit of providers of CPD’ – to help explain what’s involved. The guides contain: an introduction to the record review/provider audit process, including why and when it takes place and how registrants/providers will know if they’ve been selected; and an outline of the process, including what will be looked at, potential outcomes, and next steps following receiving these outcomes. Visit www.optical.org to download the new information.
Bernard features an exceptionally lightweight, recycled stainless steel fin-style temple with skeleton detailing. A cuttingedge dual finish has been given to the eye front, with a matt exterior and polished interior. Benedict comes in brown or grey, while Bernard comes in matt navy blue and matt black – each style complemented by subtle Land Rover logo branding.
IOT In a show of support to further education, IOT has launched a three-year collaboration with ABDO College. The move was celebrated with the recent opening of the IOT Dispensing Suite, ready for the new term. IOT will collaborate with the college –together with Caledonian Optical, Optimum RX Lens Specialists and Norville – to help drive knowledge, learning and innovation within the ophthalmic lenses industry. Training materials will cover different optical concepts and processes.
4 Vision Now September 2022 News Want to feature in VN? Email the editor nicola.collinson@nationaleyecare.co.ukat: @PK_NEG www.nationaleyecare.co.uk @national-eyecare-group
Karen Stoddart, vision care franchise head, Alcon UK & Ireland, said: “With stable vision and outstanding overall comfort, Dailies Total1 for Astigmatism addresses customer demands and patient needs while delivering on our purpose to help people see brilliantly.”
Your max 1 day contact lens family.
Talk to
The mediflex® max 1 day family o ers more prescription options than any other one-day contact lens family1 – and it’s exclusive* to NEG members. mediflex® max 1 day is the CooperVision House Brand version of MyDay®; available at the same price. All mediflex® max 1 day lenses are powered by Aquaform® Technology** – as found in Biofinity® – to create a naturally wettable lens that delivers incredible long-lasting comfort.
1. CVI data on file 2020. mediflex® max 1 day multifocal spherical power range +8.00D to -12.00D. Based on Rx option combinations (sph & add) available across all daily disposable so lenses in multifocal from four main manufacturers in UK, France, Germany and Italy Oct 2020. Cosmetic & Photochromatic CLs not included. Multiple base curve variants not included. 2. CooperVision data on file 2020. Rx coverage database n=120,406 eyes for Rx with <0.75DC; 14 to 70 years. 3. Prescription option combinations of sph, cyl, axis. mediflex® max 1 day toric power range of sph component +6.00D to -10.00D extends at least +2.00D beyond competitor products, and at least -1.00D beyond competitor products. Based on prescription option combinations (sph, cyl, axis) available across all daily disposable toric so lenses from CVI, JJV, B+L and Alcon in UK, France, Germany and Italy Oct 2020. Cosmetic & Photochromatic CLs not included. Multiple base curve variants not included. 4. CVI data on file 2020. mediflex® max 1 day multifocal spherical power range +8.00D to -12.00D. Based on Rx option combinations (sph & add) available across all daily disposable so lenses in multifocal from four main manufacturers in UK, France, Germany and Italy Oct 2020. Cosmetic & Photochromatic CLs not included. Multiple base curve variants not included. day day toric maxmediflex®1 day multifocal
mediflex®
Vision Now September 2022 5
*Within the UK&I market mediflex® is available exclusively to NEG members. **Re-brand from Smart Silicone Chemistry. No change to lens material or performance.
maxmediflex®1
Featuring Optmised Toric Lens Geometry™ – as found in Biofinity® toric – and o ers the largest number of prescription options of any one-day toric lens.3 Featuring the CooperVision® Binocular Progressive System™ – an evolution in lens design and fitting approach – o ering the widest power range of any one-day multifocal lens.4 your CooperVision® Business Development Manager today. www.coopervision.co.uk
Featuring the Aberration Neutralising System™ – as found in Biofinity® sphere – and provides correction for 99.9% of all spherical prescriptions.2
maxmediflex®1
References: 1. In a clinical trial to assess overall performance of DAILIES TOTAL1® for Astigmatism lenses where n=134 patients; Alcon data on le, 2021. 2. In a clinical trial to evaluate stability of axis orientation of DAILIES TOTAL1® for Astigmatism lenses where n=47; Alcon data on le, 2020. See instructions for use for wear, care, precautions, warnings, contraindications and adverse effects. 15012 © 2022 Alcon UKIE-DTA-2200018 EXCEPTIONAL COMFORT 1 MEETS EXCEPTIONAL STABILITY 2 The rst and only daily disposable Water Gradient toric contact lenses for exceptional comfort.1 Proven PRECISION BALANCE 8|4® lens design for exceptional stability. 2 DAILIES TOTAL1® for Astigmatism Contact your Alcon® representative to nd out more.
light weight – weighing as it does just 7.6g. Also available with solid colour fronts, the SI-30164’s soft profile is designed to suit many face shapes and skin tones.
Steve Brooker, GOC director of regulatory strategy, said: “While it is encouraging to see job satisfaction improving since last year, clearly there remain challenges for the sector to tackle, with significant minorities of respondents finding it difficult to cope with workloads and provide patients with a sufficient level of care.”
“Add to this the hypoallergenic properties of both TX5 and titanium and you can understand why this frame has already proven such an attractive choice for so many women,” added Peter. The SI-30164 is available in grey/cerise, rose, dusky pink/ grey and blue-grey/bronze, and in the eye size 54.15.
The durable, flexible and strong frame offers a TX5 bridge, enhancing the frame’s
SPOKE Project Three will focus on course admissions and recruitment, including value-based admissions and routes into the professions.
General Optical Council
Read the full report at www.optical.org/Survey2022
The Stepper SI-30164 features a delicate pattern replicating lace held within a crystal front, revealing “how Stepper combines creative design, innovative manufacturing and eyewear know-how to produce something truly special”, said Stepper UK managing director, Peter Reeve. The ornate motif reinforces the lightness and elegance of the frame that’s created from lightweight TX5 and titanium.
It advises that if myopia management is not currently within their scope of practice, that eyecare professionals should be able to hold a discussion with patients and parents about the evidence, benefits and risks of myopia management and refer to an appropriate local practitioner as required.
Steve Brooker, GOC director of regulatory strategy, added: “We welcome this latest project from SPOKE providing a valuable evidence-base to support providers adapting to our new education and training requirements for optometry and dispensing optics. We are delighted that Project Two has attracted significant interest across the sector and we encourage those interested to continue to share their information on innovation and best practice to raise the overall standard of optical education.”
Stepper SPOKE
CooperVision
The survey also found that around 40 per cent of respondents planned to gain additional skills and qualifications.
“Rates of myopia in children continue to rise in the UK and the longer axial lengths, associated with myopia, increase the risk of sight-threatening conditions such as myopic maculopathy, retinal detachment, and glaucoma later in life," said Christina Olner, head of professional services, CooperVision UK and Ireland. "We are encouraged by the renewed guidance from the College of Optometrists and welcome its recognition of this important field. Any increased awareness of myopia management will ultimately be to the benefit of young myopic patients," added Christina.
Soft lace inspired SI-30164
Vision Now September 2022 7 News
The Sector Partnership for Optical Knowledge and Education (SPOKE), a cross-sector collaboration funded by the General Optical Council (GOC) and led by the College of Optometrists, has published the outputs of its second project. The case studies describe best practice approaches to teaching and learning for student optometrists and dispensing opticians. They have a particular focus on the new GOC outcomes and spiral curriculum, and include effective methods for scaffolding learning.
Professor Lizzy Ostler, GOC director of education at the College of Optometrists, said: “We’re thrilled to see the publication of the Project Two case studies, contributed from across the sector, providing great examples of teaching and learning methods
The General Optical Council’s (GOC) 2022 Registrant Workforce and Perceptions Survey suggests that the majority of respondents (62 per cent) are satisfied in their role – a slight increase on last year’s survey results. However, despite improving job satisfaction, workplace conditions continue to be challenging for registrants with high numbers planning to either leave, retire, or reduce their working hours.
Learning case studies published and projects that will help inspire and inform the teams developing new courses.”
CooperVision has welcomed the College of Optometrists' updated guidance for optometrists on myopia management in children, which states that when myopia management is within an optometrist’s scope of practice, treatment may be offered, provided optometrists have the relevant knowledge and skills to do so, through appropriate training and experience.
8 Vision Now September 2022
ABDO Professional bodies and organisations from across the optical community are speaking up in support of the Association of British Dispensing Opticians’ (ABDO) second SEE Summit on the Environment – from 7-8.30pm on 3 October. This online evening event is open to all and will bring together progress within the sector on social, ethical and environmental (SEE) issues.
“From significant reductions in packaging and single-use plastic to carbon-reducing strategies in manufacture and freight and eco-material innovation in product development, there have never been more SEE Summit save the date tools available. The OSA Sustainable Glossary and Green Charter are ideal places to start. We are very much looking forward to the forthcoming SEE Summit; each one Esprit model ET34010 in black/red Alcon Alcon and the World Council of Optometry (WCO) have partnered to form a global, evidence-based dry eye disease education initiative to improve optometrists’ understanding of dry eye aetiology and prevalence, diagnosis and practical
Themanagement.initiativewill feature the collected insights of several world-renowned opinion leaders, and a simplification of the latest research covering different aspects of dry is a milestone in our industry’s collaborative journey to find green solutions.” Find out more and book at events/see-summitwww.abdo.org.uk/ eye disease. Each will include related, easy-to-implement educational materials.
“We’re excited to help more optometrists access the latest data and world-class faculty so that more patients who suffer from dry eye disease find treatment and relief.” www.worldcouncilofoptometry.info
Vision Now September 2022 9 News
New E-Heath Focus Group
“The impact of dry eye on quality of life is comparable to other disabling conditions, and even mild to moderate dry eye can reduce quality of life,” said Carla Mack, global head, professional affairs for Alcon.
Jayne Abel, chair of the Optical Suppliers Association’s Sustainability Committee, said: “Our work in the past year has brought positivity and optimism, and it is inspiring to see cooperation across the entire optical community to learn about sustainable practice and embrace rigorous standards of social and environmental performance.
Charmant Casual, comfortable and minimalist, the latest Esprit ophthalmic styles from Charmant are aimed at active Zoomers (Gen Z) and Millennials who demand smart-casual, functional eyewear that fits in with busy lives, travels and urban style sensibilities. The new styles, in pure metal or metal-acetate mixes, are minimalist and light and come in a range of contemporary colours. Model ET34010 is a contemporary, full-rimmed men’s frame with a pure metal profile. It has been given a sophisticated twist with two tones creating a striking contrast. This urban style comes in matt combinations of black/red, dark/light grey and navy/light blue.
The rise of software as a medical device, and accountability for the profession when utilising new diagnostic technologies, is to be addressed by the Optical Suppliers Association’s (OSA) new E-Health Focus Group. The group is expecting to draw members from across the optical supply chain, including contact lens and dry eye treatment providers – as well as those in the surgical field supplying Leadingophthalmologists.thenewgroup is Karl Jeebaun, CEO of Advanced Ophthalmic Systems. He said: “We need to form a collective view as to where the industry is going and the role software can play in supporting the profession. There are many issues to be addressed and we need to ensure the right trajectory for adoption.” Find out more at www.osa-uk.co.uk
Optical AssociationSuppliers
To find out more, features a range of fun, stylish and comfortable eyewear with a combination of acetate, stainless steel, and TR90 models. Created for children aged 6 months to 12 years old, the collection offers a choice of bright colours and fashionable eye shapes. Perfect for today’s younger patients. To find out more, callsales@norville.co.ukemailor01452528686
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10 Vision Now September 2022 A new lens specifically designed for managing myopia in children Gloucester 01452 528 sales@norville.co.uk686 Livingston 01506 434 livingston@norville.co.uk261 Seaham 01915 238 seaham@norville.co.uk023 Safety Eyewear 01204 381 safety@norville.co.uk224 NEW ADDRESS: Norville, Waterwells Drive, Gloucester GL2 2AA
The Blitz Kidz frame range features a range of fun, stylish and comfortable eyewear with a combination of acetate, stainless steel, and TR90 models. Created for children aged 6 months to 12 years old, the collection offers a choice of bright colours and fashionable eye shapes. for today’s younger patients.
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The Association of Optometrists (AOP) is launching its five-year strategy for 20222026 – setting out its vision for the future and a roadmap to achieving its goals. Responding to profound changes in UK eyecare driven by the Covid-19 pandemic, coupled with proposed health reforms and new technology set to transform the way eyecare services are commissioned and Silhouette Translucent striping, matte and shiny finishes plus opaque tones and new colours such as tricolore dark orchid, caribbean blue, olive lace and black lace, feature in the newes styles added to Silhouette’s full-rim SPX Illusion collection. A Silhouette bestseller, the SPX Illusion range can be mixed and matched to individual preferences with a variety of shapes to flatter all face shapes including rectangular, butterfly and circular styles. The company’s in-house ultralight and hypoallergenic SPX+ material provides the foundation for these advanced design choices.
New SPX Illusion 2936
Vision Now September 2022 11 News
British Contact Lens Association
delivered, the strategy takes a long view on supporting the delivery and expansion of optometric services by AOP members now and in the future, said the Association.
Association of Optometrists
Adam Sampson, AOP chief executive, said: “Our strategy may be bold and aspirational, but it also comes at a time of real urgency.
“Our members have a role to play at the very heart of the primary healthcare system as expert medical professionals alongside dentists, pharmacists and GPs, all of whom are playing a critical role in supporting the NHS and its mounting backlog in secondary care,” Adam added. Read the strategy at www.aop.org.uk/fiveyearstrategy
Stuart continued: “Their companies all have strong innovation growth potential in the ophthalmic space and will benefit from ongoing investments to accelerate advancements in speciality eyecare for customers worldwide. By joining the Eureka family, mark’ennovy will be better positioned to serve all our customers with a broader portfolio of innovative products.” UK operations will remain as they are, but with a broader speciality lens portfolio for presbyopic, keratoconic, and myopic patients coming down the line. including soft contact lenses (dual-focus and multifocal options), orthokeratology, spectacle lenses and the latest information on atropine eye drops –not currently indicated for the purposes of myopia management. Visit www.bcla.org.uk or www.coopervision.co.uk/practitioner numbers attend Asia
*Record numbers of delegates have helped Record
The future of eyecare across the four nations of the UK has never been more malleable, and it is vital that we prepare for the seismic changes ahead – and do so without delay.
A new myopia management factsheet and consent form, developed by the British Contact Lens Association (BCLA) in partnership with CooperVision, aims to simplify the condition and dispel myths around what it means for patients, reassuring families of the methods used to manage myopia and to slow its Theprogression.factsheet addresses five key parental questions: what is myopia?; will my child’s myopia get worse?; what is myopia management?; why has my ECP advised myopia management?; and what options are there for myopia management? Different management interventions are discussed, ‘shapethe future’ of contact lenses during a two-dayhybrid event in Taipei. BCLA Asia, run in conjunction withthe Myopia Update Symposium in Taiwan, was held atthe Evergreen International Convention Centre on 13 and 14 August, giving local eyecare professionalsthe opportunityto attendthe meeting face-to-face, with international delegates participating online.
Mark’ennovy Mark’ennovy has become part of Eureka – a globally integrated vision company focused on eye health, including speciality contact lenses. Writing to UK customers about the move, Stuart Neilson, associate director UK and Ireland, said: “Since being founded 25 years ago by ophthalmic industry veteran Georges Sarrouf, mark’ennovy has built a strong legacy of supplying high quality, custom soft contact lenses. We are proud to count you as a valued customer and partner. To help enhance our future commitment to you, we are pleased to inform you about our decision to become part of Eureka”.
BCLA
The slimmest contact lens packaging in the world, with Smart Touch™ and Smart Fit technology for easier handling, cleaner and more comfortable wear. Available in sphere, multifocal and toric options. For more information please visit: menicon.co.uk
On Miranda’s appointment, Tony added: “I am delighted that Miranda has accepted this new position. She is an experienced and dedicated professional who brings considerable skill and knowledge to the role.”
PI professional services director, Phil Thompson, said: “Bringing these three amazingly talented practitioners, who offer a wealth of experience between them, into our team enables us to better Phil with Adele, Caroline and Ros deliver an efficient and bespoke training programme, both virtual and hands-on.
Professor Leon Davies
multi-disciplinary, cross-sector eyecare workforce data modelling project, to understand workforce supply and patient Collegedemand.president,
New TR90 Eyestuff models College of Optometrists
Association of British Dispensing Opticians
Each professional affairs consultant brings a unique strength to a specific area of the Positive Impact portfolio but also cross pollination of their knowledge to all areas, making for an incredibly strong level of expertise.”
The Eyestuff collection from International Eyewear is taking it back to basics with nine new minimalistic designs with a focus on colour and fit. A variety of bold and colourful shapes and sizes are available in the unisex collection, suitable for all age groups. Three new TR90 styles – ES Trail, ES Treble and ES Tropical – keep it simple with stainless steel sides and colour matching tips. Cold glazing only the TR90 material makes this design slimmer and lighter than regular Eyestuff acetates.
Professor Leon Davies, said: “The College’s Workforce Vision provides an ambitious and unique chance to shape the future direction of eye health provision, and our profession. The activities planned are vital to build the evidence base needed to advocate on behalf of optometrists across the UK. There are
International Eyewear
Alicia Thompson
Positive Impact Contact lens opticians (CLOs) Ros Mussa, Caroline Presland and Adele Peacock have joined the professional affairs team at Positive Impact (PI). An experienced CLO and dry eye practitioner at the Eye Place, Ros will be helping practitioners to set up their own dry eye clinics. With more than 30 years’ experience, Caroline is working with PI across a number of areas, including myopia management, presbyopia, hybrid lenses and a range of dry eye solutions. With an advanced diploma in contact lens fitting, Adele currently works in the hospital eye service clinics at Great Western Hospital in Swindon.
The College of Optometrists has launched a new vision setting out its ambitions for the future of the profession, and its plans to put the optometric workforce at the forefront of eyecare provision, education and research. As part of this, the organisation will be working with its members and key stakeholders to gather data and insights to better understand the current eyecare workforce and future needs. To this end, it is launching a new,
Alicia Thompson has relinquished the role of director of professional examinations at the Association of British Dispensing Opticians (ABDO) to become its director of education, research and professional development. Taking up the head of exams vacancy is Miranda Richardson, Alicia’s deputy since 2013. Alicia will steer the future development of ABDO’s registerable qualifications as well as a suite of postgraduate qualifications and awards. She will also develop a new programme for academic advancement for existing and future members, and lead ABDO’s reformed Research and Clinical ABDOCommittee.general secretary, Tony Garrett, said: “Alicia is an outstanding optical educator with a well-deserved and growing international reputation. This appointment demonstrates ABDO’s total commitment to enhancing the profession and developing and promoting the role of dispensing opticians.”
14 Vision Now September 2022 Unit 4, Bedwas Business Centre Bedwas, Caerphilly, CF83 8DU T: 02920 857 122 | F: 02920 920 480 E: Eyewear@lenstec.co.uk www.lenstecopticalgroup.co.uk | www.lensteceyewear.co.uk Unit 8, Bedwas Business Centre Bedwas, Caerphilly, CF83 8DU T: 02920 883 009 | F: 02920 889 798 E: LenstecCC@lenstec.co.uk 17 Twyford Business Centre, London Road Bishop’s Stortford, Hertfordshire, CM23 3YT T: 01279 653 785 | F: 01279 658 308 E: TantCC@tantlabs.com New Sunglass Collection Now Available Introducing the new P4U Sunglass Collection. Low cost, high finish frames that are fantastic value for money! Contact your sales manager today to view.
“Taking action to maximise capacity in eyecare services is vital for ensuring patients are seen in the right place and at the right time, whilst also supporting the ophthalmology and optometry workforce,” Stephen continued. “The appointment of the new national clinical director is a really positive step forward...” The partnership is planning a Westminster Eye Health Day to be hosted by Marsha de Cordova MP on 19 October. Find out more and sign up to a pledge wall at https://eyeshaveit.co.uk/doc/pledge
The joint conference of the Association for Independent Optometrists and Dispensing Opticians (AIO) and the British Association of Behavioural Optometrists (BABO) takes place on 1 and 2 October at Chesford Grange in Warwickshire. A panel session on the reform of the Opticians Act will see representatives from the main optical bodies sharing their views. There will be dedicated sessions on going (wholly or partly) private, looking at the recently released Going Private Roadmap developed for the AIO by Myers La Roche.
AIO/BABO
NHS England has appointed Louisa Wickham, consultant ophthalmologist and medical director at Moorfields Eye Hospital, as the first-ever national clinical director for eyecare. The appointment is expected to put ophthalmology, the largest generator of outpatient appointments, on a par with other major specialties.
The Eyes Have It partnership is calling on NHS England’s new national clinical director for eyecare, Louisa Wickham (see above), to implement a national strategy to address the issue of referral delays for sight-saving diagnoses and procedures. Speaking on behalf of the partnership, Stephen Scowcroft, Macular Society director of services, said: “We believe a clinically-led national eyecare strategy that prioritises maximising capacity in NHS eyecare services is needed to better support people experiencing sight loss.
AN INDEPENDENT VIEW
So many opportunities
Louise will be responsible for developing national strategies and overseeing eyecare across England. She said: “I am delighted that ophthalmology has been recognised as a specialty by the creation of this position, and it is an honour to be the first national clinical director for eyecare. I am looking forward to working with partners from across the system to develop a national strategy for eyecare...”
News
There are many issues and questions facing independents, and these are not likely to diminish over time. The reform of the Opticians Act will have a major impact on the future delivery of optical services, and it is so important that the independent voice is heard. This once-in-a-generation opportunity to drive a different future for the delivery of primary eye health care cannot be left to the will of the multiples. Reform of the Act, in whatever form, should lay the groundwork for a single national strategy for eyecare in England, which is properly funded by the NHS, and that brings an end to the current postcode lottery.
Vision Now September 2022 15
NHS England Louisa Wickham
The Eyes Have It partnership Partners launch the new campaign
The conference will open with a practical session on the new CPD scheme, looking at how to set up a personal development plan, and claim CPD points to include self-directed learning. There will be plenty of sessions on behavioural optometry/vision therapy and new and emerging clinical services. Amongst the speakers is NEG operations director, Phil Mullins, who will discuss optimising your business in a changing optical marketplace. For more information and to book, visit www.aiovision.org or telephone 0800 1300 486 and ask for Lin or Mike.
In the meanwhile, there is the sensitive subject of practices ditching the NHS contract, in whole or in part. Do practices go entirely private, or perhaps change the balance of private and NHS work? Whilst a number of independents have already gone completely private, others either can’t or are nervous about doing so and concerned about the Thenpracticalities.thereis the new CPD regime; the AIO is concerned by the number of practitioners who have not even set up their personal development plans yet, let alone banked any self-directed learning points. And how about the important question of expanding optical services provision? Does behavioural optometry, often referred to as ‘vision therapy’, provide an opportunity as demand for these services continues to grow.
Expansion of clinical services based on ever-developing technology is also a question, as research increases our understanding of such influencers as red light and blue light. Another issue is the ever-growing number of independent practices that have been acquired in part or whole by companies such as the Hakim Group and Bayfields Opticians. What does that do for the competitive landscape for Well,independents?allthesesubjects are on the agenda at next month’s AIO and British Association of Behavioural Optometrists conference in Warwickshire (seeopposite). So book your place now for this unique opportunity to gather and network, celebrate the sector, and enjoy some great social events.
MiYOSMART: the smart way to treat myopia in children. Now available in the UK & Ireland. Access the accreditation course by scanning the QR code: The longest lensmanagementmyopiaspectaclestudyintheworld!
The tear film has three components: the outer lipid layer, which is secreted by the meibomian glands, the aqueous layer secreted primarily by the lacrimal gland, and the inner mucin layer secreted by the goblet and epithelial cells of the conjunctiva.
SHARING KNOWLEDGE AND EXPERIENCES
Menopause and dry eye disease
blepharitis and is now successfully managing her conditions with Théa Blepha cleansing products and preservative-free dry eye Havingdrops.Margaret share her own experience was really valuable. Even as an experienced optometrist, it made me think again about how we can better serve these women in practice. Adopting a simple approach of letting patients know you are open to discussions, and offering straightforward daily routines to manage the condition, will really benefit both patient andForbusiness.manywomen, going through the menopause can make them feel in a constant state of premenstrual syndrome.
JOINING UP THE DOTS
Alongside the feelings of irritability, sadness, and lack of motivation, comes additional symptoms like hot flushes, night sweats, weight gain and mood swings. A symptom that may be lesser known to these patients but all too familiar to us in practice is dry eye. Understanding the correlation between the menopause and dry eye can assist us in helping our patients.
Vision Now September 2022 17 PRACTICE MATTERS Easing the burden
This summer, Théa spent time successfully engaging with this patient group, raising awareness of the link between DED and the benefits of visiting a optometrist. Our press event saw patients together with a panel of experts, including Sarah Farrant and Francesca Marchetti, sharing their knowledge and experiences, resulting in an array of media coverage. Having never experienced any eye problems to suddenly suffering with “bizarre” watery, gritty and irritated eyes, 53-year-old Margaret recounted her fairly typical and frustrating journey. This involved trying home remedies at first, being told it was hayfever, visiting her GP and pharmacy, and finally seeking help from a local optometrist. She told the audience that as well as physical symptoms, there were mental challenges of living with DED: “There’s not a day that goes by where you are not dealing with it,” she said. “It’s a very debilitating condition.” Margaret went on to say that living with DED had made her very aware of the key role that optometrists play: “You take your eyes for granted until something happens. You don’t appreciate what they mean to you.” With the help of her optometrist, Margaret was diagnosed with DED and managewomenHelpingtotheirsymptoms
The meibomian glands are modified sebaceous glands, which produce and secrete lipids to promote stability of the tear film and reduce evaporation of the aqueous layer.The production of all three layers is influenced by the sex steroid hormones –androgen, oestrogen and progesterone. The meibomian glands and lacrimal glands have oestrogen and androgen receptor sites that stimulate secretion.
By Meena Puar BSc (Hons), MCOptom, FBCLA
›
Approximately 61 per cent of perimenopausal and menopausal women are affected by dry eye disease (DED). In fact, women over 50 are nearly twice as likely to experience the condition compared to men of the same age1. Are we delivering the best service for these women, and do they know it? Are we making the most of this valuable patient base? Is this an opportunity for growth in your practice?
During menopause, the production of these sex steroid hormones is reduced, which can lead to tear film imbalance. The reduction in androgen can impact the quality and quantity of lipids produced by the meibomian glands, and the reduction in oestrogen and progesterone, may suppress the sebaceous glands which can, in turn, lead to a reduced lipid production. This disruption to the tear film can then start a cascade of events, including inflammation and the appearance of ocular surface disease including DED. When we include time spent on screens, wearing contact lenses for long periods of time, cigarette smoke exposure, heating, air-conditioning as well as certain medications and other chronic conditions, it really is a recipe for the onset of those
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MATTERS
The Blepha Eyebag is a reusable warm compress that works by emitting heat that helps to soften the oily secretions in the eyelids, aiding the release of natural oils to maintain tear film and ocular comfort4,5
Developed and recommended by ophthalmologists6, the Blepha Eyebag is made with silk and cotton, and is natural, convenient, easy to use and can be reheated up to 200 times. Its handmade design, notably its flax (linseed) filling, is free from additives and plastics.
Zaspray is a three-in-one solution to relieve itchy and dry eyes, especially caused by allergies. It is specifically designed to hydrate, lubricate, and soothe the eyes with its unique formula made up of hyaluronic acid and Per-Lip complex with perilla seed. The spray mechanism also makes it easy to use and convenient for those who struggle with drops, have dexterity or coordination issues10
Next is Blephaclean to remove any allergens, debris or make-up from the eyelids due to allergy or infection. Due to the micellar action, it is highly tolerated making it suitable for the most delicate skin, which is particularly welcomed by women who suffer with skin complaints whilst going through the menopause. It is clinically proven to reduce symptoms of blepharitis after 21 days of twice daily use7
visit www.thea-pharmaceuticals.co.uk ■Figure 2: Hydrate with Thealoz Duo Figure 3: Zapsray: a new three-in-one solution Figure 1: Warm the eyes with the Bepha Eye Bag
STEP 1: WARM AND CLEANSE Step 1 of the routine is to warm and cleanse
TREATMENTS Luckily, there are treatments and simple lifestyle adjustments that can help manage DED symptoms. Théa has a range of clinically proven products that help patients adopt a systematic approach to good eyecare with a simple warm, cleanse, hydrate and nourish routine. Empowering your staff to discuss the options a can really make a difference. We can support you and your staff to confidently communicate the benefits and treatment options you offer.
PRACTICE
STEP 2: HYDRATE Step 2 is to provide dry eye symptom relief with Thealoz Duo or Zaspray (Figure 2 and 3). Around one fifth of people suffer with DED and this can be caused by hormonal changes. Thealoz Duo offers immediate relief for all dry eye patients as it hydrates, lubricates and uniquely protects the surface of the eye – as well as increasing the tear film thickness and improving tear film stability. It’s paramount that patients are encouraged to opt for a preservative-free eye drop. Products containing preservatives have a risk of toxicity, which can damage the surface of the eyes, leading to inflammation9. Théa’s unique dry eye range is 100 per cent preservative-free and lasts for up to three months. Thealoz Duo is a premium preservativefree drop delivered in the patented ABAK bottle: easy to squeeze for those experiencing dexterity issues. The menopause can also be a direct cause of heightened sensitivities due to hormone levels and the immune system being intricately connected. So, when hormone levels fluctuate, the immune system can be thrown into chaos. Théa has something to suit everyone with our newest addition to the dry eye range – Zaspray.
the eyes and eyelids with the Blepha range. Starting with warming, the Blepha Eyebag (Figure 1) provides rapid ocular comfort, relieving symptoms of meibomian gland dysfunction (85 per cent of dry eye is caused by this), blepharitis, stye and chalazion in just 14 days3
STEP 3: NOURISH Step 3 is to support eye health and vision with Nutrof Total. Théa has discovered that only four per cent of people eat enough of the recommended foods to support eye health. Nutrof Total offers a clinicallysupported formulation delivered in a once-daily soft gel capsule, shown to be easier to swallow than tablets. Containing vitamin D in line with government guidance, Nutrof Total can help combat deficiency, whilst supporting women’s eyes during age-related changes. Nutrof Total includes vitamin D and omega 3, which can also help combat dry eye symptoms.
IN CONCLUSION Supporting women as they go through the menopause may just be a key to growing your relationship with this group of patients – and growing your business in independent practice. For references, please practice,productToleadMeenaalex.france@theapharma.comemailPuarisprofessionaleducationinoptometryforThéaUK.findoutmoreaboutthefullThéarangeandsupportforyourtelephone03455211290or
Vision Now September 2022 19 ‘bizarre’ symptoms of DED so well explained by Margaret. Symptoms of DED include pain, blurring of vision, foreign body sensations, redness, tired eyes, excessive watering, photophobia, and dryness. Despite some people suffering with DED, more than a third of people are unaware of the symptoms2 meaning that lots may be suffering needlessly. Whilst DED can be effectively managed, if left untreated it can lead to serious infections and ocular surface damage.
PRACTICE MANAGEMENT SIMPLIFIED 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. 00083102400 sales@optinetuk.com • www.optinetuk.com Business Intelligence Order Stock Till Clinical Patient Manager Diary SMS/ Email @eGos
Eyewear Direct is the ideal partner for UK opticians as we work in long-term partnership to create solutions for opticians and their patients. As well as manufacturing and distributing a full range of quality eyewear brands that appeal to every patient’s taste and price point, we pride ourselves on being flexible, quick and creative, developing seasonal campaigns and offers to catch the eye of active and prospective patients.
Wmorepressure now than at any time in the last decade. This impacts every business across the country and none more so than eyecare practices, which provide essential services to patients and communities. Now more than ever, patients are looking future, prices will come under close scrutiny – whether it be for eye examinations, frames, contact lenses, spectacles lenses or WORKING IN PARTNERSHIP
Ergonomically designed, all materials are selected based on comfort, durability and style. We specialise in quality, commercial shapes that provide unrivalled value. With extensive experience, we have built strong relationships with our trusted suppliers who share our vision for high quality eyewear and close attention to detail. All Ashton Riley products are put through our rigorous quality control tests before making it into our carefully selected range.
HOOKhttp://ashtonriley.co.ukLDN Riley Ashton Riley
Adding value in testing times businesses.Here’saquick intro to three of our most popular eyewear brands...
Vision Now September 2022 21 PRODUCT PROFILE
A good example of this is our ‘30 for 20’ offer (30 frames for the price of 20) that we have run with NEG and opticians across the country for the last six months. This has been incredibly popular with our UK customers and really helped them extract extra value and increase margins in their Hook LDN Franklin sunglasses
Extraordinary times place an emphasis on value for money, writes Brett Waugh
Newquay sunglasses › Hook LDN sunglassesJude
AFFORDABLE FASHION FRAMES
sunglasses, Bude
sunglasses are all designed in the UK with a focus on UK customers. As a reminder of our UK roots, all the frames and sunglasses are named after towns and cities in the UK. The frames are thoughtfully designed by our in-house UK team – and we offer a personal service, working closely with opticians and listening carefully to feedback.
Since 2018, when Eyewear Direct was founded, value for money and affordability has been at the heart of the business. Over the last four years, we have developed close partnerships with hundreds of independent opticians across the UK, helping them grow their businesses by offering a range of quality, stylish eyewear at price points that work for both the opticians and their When economic times are tough, opticians are being called upon to help their communities by being innovative and solving problems with new offers, product ranges and services that can work within a tight household budget.
ASHTON RILEY
Thehighestqualityeyewear,bornandraisedinmusicBornandraisedinmusic,HookLDNisaBritishbrandthatspecialisesinthedesignandmanufacturingofthehighestqualityeyewear.ThemusiccompanybehindHookLDNcametogethertocombinetheirsharedpassionformusic,popularcultureandfashiontobuildabrandinspiredbymusicandfashion.Asaresult,someoftheworld’smostfamousmusiciansbegantoadoptthebrandandtakeittotheirhearts.HookLDNopticalframesandsunglassesarealldesignedinLondonandonlyusepremiummaterialsinbothframesand Ashton
offerHigh-quality,BritishdesignedframesthatexceptionalvalueformoneyAshtonRileyisbuilton20years’eyewearexperience–designingandmanufacturingthebestvalueformoneyeyewearintheUK.Withperfectlyproportionedframes,everyfacewillfindaproductforthem.Classiccoloursarecomplementedbysophisticatedtortoiseshellsandaccentcolours.Onlypremiummaterials,includingacetate,stainlesssteelandtitaniumareusedinourframes,ensuringahigh-qualityfinish.AshtonRileyframesandprescription
22 Vision Now September 2022 OPTICAL Timeless Styling PremiumPrecisionMaterialsDetail www.relyks.uk | info@relyks.uk | +44 (0) 020 7193 3334 Exclusively available from
The range has grown from just four styles of optical frames and sunglasses to now more than 30 in a short space of time
Born and bred in the UK, inspired by Britain’s reputation for outstanding design and craftsmanship, Relyks Eyewear combines the very best in British creativity, quality, and timeless style. Subtle yet iconic detailing that sets the collection apart from its peers, this range of premium eyewear is designed to fit beautifully while still offering incredible value for money. As a UK family business, great design and creativity remains at the heart of all our eyewear ranges and Relyks is no different.
Inspired by the theme of British legends, the Relyks range combines the use of premium acetate, titanium and wood materials while zeroing in on the fine detail of features like adjustable acetate temple tips, rivet hinges and embossed branding. Inspired by the stunning architecture of Oxford’s iconic college buildings, our patterned cores have been specially designed to have universal appeal –combining sophisticated shapes and classic craftmanship to create an eye-catching finish to every frame. Our premium, adjustable, five-barrelled hinges go all way through the frame to maximise the strength and durability while offering an attractive premiumPrecision-moulded,finish. chalice branded metal tips highlight the quality and workmanship that goes into every frame while providing the high-end finish you’d expect from Relyks. Premium, sustainable materials coupled with subtle fusion of creative styling provides a high-end finish each and every time.
frames offer the best of both worlds with sustainable, classic wood materials combined with acetate tips to provide maximum comfort to wearers.
When it comes to eyewear, fashions and styles may change over time, but customers will always demand value for money. As we enter a period of economic uncertainty, budgets for UK opticians and their patients are going to be squeezed – and a greater emphasis will be placed on affordability and value.During these times, Eyewear Direct is the ideal partner for opticians across the country. Our expert team will take the time to understand you and your patients’ needs and walk you through our range of eyewear brands and how they can work for you. With regular product updates, trend information and offers, we combine a personal, expert service alongside quality products and brands – always at a great price. Coupled with expert, friendly and responsive customer service, we’re your trusted partner for all your eyewear needs.
Vision Now September 2022 23 PRODUCT PROFILE lenses. This means you get the highest quality products, delivering a range of fashion-forward shapes complemented by classic retro silhouettes.
All our titanium and acetate frames are designed with fully adjustable tips for a personalised fit. Our premium, wood Hook LDN Gloria frames
Over recent years, the brand has gone from strength to strength with the emphasises on creating quality, style-led designs. Stockists benefit from Hook LDN’s strong social media presence with regular appearances from celebrities, musical artists and influencers styling the fun, fashionable frames. The collection includes premium acetate and stainless steel styles –fusing classic and fashion-forward shapes with unique colours.
AFFORDABILITYwww.relyks.uk IS THE KEY
Brett Waugh is managing director of Eyewear Direct. ■ Relyks ophthalmic model Galahad Relyks Avalon frames Aston Riley Ascot frames Relyks Oberon frames
RELYKShttp://hookldn.com eyewear,Timelessstyling.premium,everydaydesignedtolastPrecisiondetailandmanufacturedto the highest standards, Relyks Eyewear delivers timeless styling that is designed and made to last. Sophisticated silhouettes and rich colours capture a feeling of the past whilst delivering up-to-the-moment materials and craftsmanship.Keyfeaturesinclude patterned cores, rivet hinges, metal end tips, premium finishes, adjustable tips and sustainable materials. The Relyks collection takes craftsmanship to a different level while still delivering incredible value for money. Combining classic styles with modern twists and cutting-edge materials, the collection stands out from the crowd.
Built from sustainable materials sourced by our team of partners from around the globe, every Relyks frame offers classic, timeless styling with the highest quality materials including cotton-based acetate, titanium and a range of premium wood including walnut, rosewood and maple.
COMPLETELENSGOBEYONDWITHTHEMOST NEW Discover the most complete1 lens that has it all. Only Bausch + Lomb ULTRA® ONE DAY unites high Dk/t, 4 low modulus, 4 UV blocking 6† and High Definition Optics 4 with breakthrough moisture and comfort technologies to promote a healthy ocular surface environment. 4 Advanced MoistureSeal ® Technology helps deliver the highest moisture retention after 16 hours vs. leading SiHy daily disposable lenses. 5* ComfortFeel Technology releases comfort and eye health ingredients designed to help protect, enrich and stabilise the tear film. 4,15 Take your patients and practice beyond with Bausch + Lomb ULTRA® ONE DAY. Discover More. Go www.ultraoneday.co.ukTo: *vs. Dailies Total1® and Acuvue® Oasys 1-Day contact lenses † UV-absorbing contact lenses are NOT substitutes for protective UV-absorbing eyewear such as UV-absorbing goggles or sunglasses, because they DO NOT completely cover the eye and surrounding area. You should continue to use UV-absorbing eyewear as directed. Please read the Instructions for Use (IFU) for important product use and safety information with Bausch & Lomb contact lenses. References: 1. Only Bausch + Lomb ULTRA® ONE DAY contact lenses offer a complete moisture + comfort system with Advanced MoistureSeal® and ComfortFeel Technologies plus a complete design of high Dk/t, low modulus, UV blocking and High Definition™ Optics. Bausch + Lomb ULTRA® ONE DAY contact lenses deliver health through its complete system working together to support a healthy ocular environment, the inclusion of eye health ingredients which are retained over 16 hours and the high allowance of oxygen permeability (Dk/t=134) [Applicable references 2,4,5,13]. For all references: www.ultraoneday.co.uk Bausch + Lomb ULTRA ONE DAY and MoistureSeal are trademarks of Bausch & Lomb Incorporated or its affiliates. All other product/brand names and/or logos are trademarks of their respective owners. ©2022 Bausch & Lomb Incorporated. UOD.0014.IE.22
I’m aware that the phrase game-changing is often used very loosely and sometimes inappropriately; but I believe I have the credentials to be able to recognise truly game-changing products – and we are fortunate to have one in the PI portfolio – NaturalVue Enhanced 1 Day Multifocal (NaturalVue).In2019,Visioneering Technologies (VTI) redefined the art and science of vision correction with the launch of a unique extended depth of focus (EDOF) contact lens into the UK market. I genuinely believe that NaturalVue will prove to be the most significant innovation in the optical design of multifocal contact lenses in the last 20 years. Being the first EDOF daily disposable contact lens with a CE indication for both the treatment of presbyopia and myopia progression control, this unique design will help practitioners address two major areas of unmet need today. Practitioners have known for some time that these two segments are significant business opportunities. It is fair to say that, for presbyopia, traditional multifocal contact lens options take more chair time to fit, as well as to refit when the near add power changes, only to regularly fall short on performance.
KEY FEATURES AND BENEFITS
FITTED LIKE A SV SPHERICAL LENS
By Nick Atkins, FBDO (Hons) CL,
SIGNIFICANT MARKET OPPORTUNITY
The key features and benefits of NaturalVue Multifocal contact lenses include:
It is fitted like a single vision (SV) spherical lens It has a centre distance (CD) design with a universal Add PATENTED EDOF DESIGN
During my optical career, I’ve been very fortunate to work with some innovative and some would say ‘game-changing’ products. When I was at Bausch + Lomb back in the 1990s, we launched the world’s first multipurpose contact lens solution – ReNu – and just before the millennium, the UK’s first silicone hydrogel lens – PureVision. These were exciting times, and it is great that Positive Impact (PI) has provided me with a way to still be involved in launching innovative and, sometimes, revolutionary products.
Developed, refined, and tested over nearly a decade, Neurofocus Optics technology applies the principles of pinhole optics and at near, intermediate and distance, along with excellent depth perception, enhancing presbyopic patient satisfaction (Figure 2). In clinical trials, patients achieved average visual acuity within two letters of best corrected spectacle vision (BCSV) and stereo acuity nearly equivalent to spectacles (NaturalVue 37” vs. BCSV 33” of arc)2
Do multifocalszonal still add up?
FBCLA
›
Over the years, contact lens options for presbyopic patients have created challenges for both practitioners and patients. Many emerging presbyopes have grown up comparable to spectacles2. Having a totally new multifocal contact lens design provides practitioners with a new tool to address this huge market opportunity.
Vision Now September 2022 25 Figure 1 37%41%27%45%40%35%30%25%20%15%10%5%0% Distance Vision Near Vision Intermediate Vision Compromises in Vision1 Distance VisionNear VisionIntermediate Vision PRODUCT PROFILE
NaturalVue works on the principle that when you get the distance vision clear, the near vision will simply follow. The key to delivering the best vision is to move the focal point along the visual axis closer to the fovea. Once focused on the fovea, the EDOF becomes available to deliver the extended range of Understandably,vision. though counterintuitive
Figure2
A patented EDOF design, which creates a wider range of focus
Distance Intermediate Near Figure 2: The Neurofocus Optics Difference: results in excellent vision at every distance2
26 Vision Now September 2022 NEG MEMBER S PROMOTION Until the end of the year we are offering NEG members an excellent opportunity to double your product margin. When you order a new presbyopic patient their rst supply (30 or 90 pack) we will only charge you for one pack, not two PLUS buy on your NEG account and your NEG member discount and management fee payment applies. References: 1 VTI Data on le, 2015. N=59. Data assessed after 1 week of wear Subjective visual ratings based on a scale of 0-100, 0=Extremely poor/cannot perform, 100=Extremely good/No problems. All values statistically signi cant, p<0.05. © 2022 Visioneering Technologies, Inc. MKT-UK-NVM-PA10 r1 Terms and conditions: Promotion available to: 1. Accredited NaturalVue tters only; 2. New patient ts only; 3. Named patients only Normal credit terms apply Promotion ends Sunday 31st December. No other discounts apply Positive Impact reserves the right to refuse to accept individual orders Buy a 30 or 90 pack & Get a second for FREE Telephone: 01424 834665 | Email: naturalvue@positiveimpact.co.uk | Web: www.vtivision.uk To order call or email customer services on: Prebyopes represent the largest and most immediate opportunity to bene t from the unique NaturalVue EDOF design. NaturalVue Enhanced 1 Day Multifocal contact lenses with Neurofocus Optics® offer excellent vision at all distances, without relying on glasses.1 Presbyope First Fit Promotion Fit like a distansingle-vision ce lens 1 1 Universal EDOF design (for an e ective ADD up to +3.00D) Preferred 4:1 over other multifocal contact lenses1 92% repurchase rate1
A clinical study coordinated by VTI has shown that when the fitting guide is followed to the letter, a successful NaturalVue fit can be achieved in an average of 1.1 visits3 Thus, if we say zonal multifocals average 2.5 visits versus 1.5 for NaturalVue (being generous to zonal multifocals), that’s at least one whole appointment saved. Not only that, but in addition to saving the cost of that appointment, another NaturalVue patient could be successfully fitted in the time freed up, generating additional revenue and more profit.
Figure 3 NeurofocusOptics®TechnologycreatesanExtendedDepthofFocus Figure 4: NaturalVue multifocal lens specifications Figure 3: Neurofocus Optics technology creates an extended depth of focus
Nick Atkins is managing director of Positive Impact and a past president of the British Contact Lens Association.
Studies show that 92 per cent of daily activities can be completed without using reading glasses when wearing NaturalVue2 Studies show NaturalVue contact lenses deliver strong patient satisfaction and retention with: Patients preferring NaturalVue 4:1 over other multifocal contact lenses2 A 92 per cent repurchase rate4 compared to 57 per cent published annual retention rate for some other multifocal designs5
CONCLUSION Wasn’t it Einstein who referred to our mental state if we continue to do the same things, yet expect different results? For me, continuing to plough the zonal multifocal furrow is a similar analogy. So, if you haven’t tried NaturalVue yet, what are you waiting for? Not only are your presbyopic patients compromised by zonal multifocals, but your practice profitability is too. Changing to NaturalVue Enhanced 1 Day Multifocal is the classic win-win.
Fitting NaturalVue is very straightforward once you know how. And there lies the nub: the caveat is that you must forget everything you ever knew about how to fit a zonal multifocal. It is for this reason that PI insists that every contact lens practitioner wishing to introduce NaturalVue to their practice and patients undergoes a one-hour, online, peer-to-peer training session to become accredited to fit lenses. The sessions are relaxed, small group online meetings, ensuring active participation and encouraging questions to ensure understanding. To book a place visit the NaturalVue page on the PI website.
ZONAL MULTIFOCALS NO LONGER ADD UP Traditional zonal multifocals create two images for the brain to interpret. Those images are ever-present and so when one is in focus, the other is blurred, to a greater or lesser extent. This blurred image is believed to create the image ‘ghosting’ patients report. This is particularly bothersome on print whilst reading and creates haloes on lights during night driving.
It is widely accepted that it typically takes two to three visits to fit a zonal multifocal contact lens; in fact, many manufacturers’ own fitting information confirms this. This is arguably okay if this time is appropriately charged for and it ends up with a successful patient; but what about when one or neither scenario is met?
REFERENCES
1. VTI Data on file, 2013. As reported by eyecare practitioners.
ONCE IT’S FITTED – IT’S FITTED But the commercial benefits don’t end there. In fact, it’s only the tip of the iceberg from a chair-time saving perspective over the lifetime of the patient. This is because once NaturalVue is fitted, it’s effectively fitted for life. By that I mean that the only reason to change the specification of NaturalVue is if the distance power changes. How so? Well, the single EDOF design manages to cover a continous range of Add powers right up to +3.00D. This means that if you were to fit an emerging or pre-presbyope successfully with NaturalVue and their distance prescription didn’t change for the next 30 years, then the patient would simply continue to wear the same specification lenses for that time. The practice simply continues to collect the direct debit for lens supply and an annual check-up. No wonder we call it game-changing. In fact, it seems almost too good to be true doesn’t it? Perhaps this, and being creatures of habit, explains why many practitioners continue to fit the tried and tested lenses they feel comfortable with; often doing so by limiting the type of patients they fit, whether by age, prescription or other factors. The innovative design of NaturalVue is proving to deliver excellent results with patients over a wide range of ages and prescriptions.
4. VTI Data on file, 2016 after 12-months.
2. VTI Data of file, 2015. N=59. Data assessed after one week wear. Subjective visual ratings based on a scale of 1 -100, 0 = extremely poor/cannot perform, 100 = extremely good/no problems. All values statistically significant, p ≤0.05.
5. Sully A, Young G, Hunt C. Factors in the success of new contact lens wearers. Contact Lens &AnteriorEye 2017 40:15-24 ■
Vision Now September 2022 27 PRODUCT PROFILE similarly good near vision in this format. By creating a virtual pinhole to generate EDOF, NaturalVue has no Add power in the conventional sense. EDOF allows multiple focal points along the visual axis to be clear. With Neurofocus Optics and EDOF technology, a range of clear vision can be delivered simultaneously (Figure 3) enabling nearly twice the range of clear vision (up to 76cm) compared to best corrected spectacle vision2. In practice, this means that patients with adds up to +3.00D can be fitted with the single NaturalVue lens design (Figure 4) INTERACTIVE TRAINING AND ACCREDITATION SESSIONS
3. VTI Data of file, 2015. N=59. Data assessed after one-week wear. When following the fitting guidelines.
Sea Friends from Louis Stone
By Joan Grady Tyne from the Optoplast Sustain collection Optoplast Sustain Eden, made from 100 per cent recycled rPET Anita from the OptoplastcollectionSustain
Adventurous accessories
CONSERVATION AND CREATIVITY Our rapidly changing climate, and increased awareness of the need to look after the planet and its fragile eco-systems, have prompted companies to produce items with sustainable features. “We have a massive story to tell,” says David Strathie, sales and marketing manager for Continental Eyewear, part of the Millmead Group. Launched in 2021, Optoplast Sustain is an innovative collection of cases and cloths crafted from recycled polyethylene terephthalate, widely known as rPET. Ingenious recycling creates this material from used plastic bottles. Exquisite coral reefs from around the world, many of which are suffering from the increasing threat of plastic pollution, are the inspiration for each case and cloth in the Optoplast Sustain collection. Further good news is that two of the Sustain cases are made onsite at Continental’s Liverpool factory, an additional element of ecological responsibility.TwosleekSustain cases – Tyne and Eden – are fabricated in 100 per cent rPET.
28 Vision Now September 2022 STYLE SPOTLIGHT
As well as providing enhanced vision, spectacles are smart personalised accessories –frequently bestowing wearers with confidence, spirit, self-assurance and even a hint of mystery. With all these qualities, frames need to be conscientiously cared for and protected when not worn. Fortunately, there are creative, protective and stylish options in the cases and accessories category. Accessories for eyewear today include sleek and colourful cases, chains in a variety of materials and featherweight microfibre cleaning cloths. Materials are varied and increasingly include recycled items, as the eyewear sector seeks to discover new, eco-friendly alternatives to help protect the planet. Attention is also given to cases that fit comfortably into a variety of handbag shapes and sizes. Most importantly, eyewear is protected with dash and flair.
Tyne is a soft pocket pouch style with an open top; it’s lightweight and easy to tuck into a bag or jacket pocket, and is currently available in light grey and black. Cosy and compact, the Eden case features a smart tuck-in front closure, and comes in light grey and black too. Streamlined Anita is a hard case, which can be folded completely flat when not in use: a magnetic closure keeps frames securely in place. Optoplast Sustain demonstrates the group’s commitment to sustainability with every part of Anita made from recycled material. The outside of the case is rPET material, while the inside is recycled flock with a recycled cardboard body.
COLOUR, CHARM AND CHIC Fun, fashion and function all merge in the extensive collection of spectacle cases by Louis Stone Optical in Wales. Sophisticated and sleek, or amusing and lighthearted, the variety includes designs for men, women and children, with 10 new styles enhancing the premium hard and soft case collection. The rhythmic flow of colourful sea creatures is artfully captured in Sea Friends, available for both adult and kids sized frames. Striking Mosaic cases have a flocked texture – a bonus when looking for glasses in a handbag, and the artisan touch is evident in the Mosaic colour variations. Star Stuck, Smile and Glam are amusing touches to eyewear accessories, plus the playful case Adorable Pups and Kitty Cat will capture
A selection of stylish eyewear accessories is a bonus for the independent practice, Colourful Mosaics from Louis Stone
Centrostyle chains for style and frame security
Vision Now September 2022 29 STYLE SPOTLIGHT the fancy of young spectacle wearers, and encourage them to care for and protect theirClareeyewear.Brent,head of marketing and communications at Louis Stone, notes: “We have had a number of compliments from opticians who are so grateful that they can finally get hold of beautiful, high quality cases at better prices than they have been used to recently.”
BRITISH HERITAGE Award-winning British company Eyespace offers premium labels with notable quality and history. Among its brands is Aspinal of London, a cherished and respected company with a reputation for superb quality.Thesunglasses collections for men and women feature elegant designs that combine contemporary concepts with traditional spectacle making by master craftsmen. Aspinal cases and cleaning cloths also reflect the supreme sophistication and distinction of the British brand. Sleek, streamlined and constructed with the finest materials, the products exude aesthetic beauty. Land Rover is an exciting part of Britain’s automobile history. The same attention to detail beloved by Land Rover fans is captured in the sporty styles for men that unite technical innovation, superior design and excellent performance. Sustainability is incorporated as well, with the Land Rover case made from FSC-accredited cardboard with an rPET removable lining, which enables the case to be recycled at the end of its life. Aspinal and Land Rover cases and cleaning cloths are available from Eyespace with frame purchases and not soldCentrostyleseparately.celebrates an extensive collection of cases, cloths and chains in bright vibrant tones. Dynamic colour accents enhance velvet cases, decorated with spectacles that are distinctive and cheerful. The semi-hard case is just one in a varied collection that includes striped materials, solid colours, cases specifically for wraparound sunglasses, and ultra light aluminium designs in fashion tones as well as neutral hues of black, white, brown and navyEyewearblue. chains are a practical and stylish answer to knowing exactly where your frames are, and to ensure they don’t go astray. Pearls, beads, decorated metals and colourful cords are included in the Centrostyle collection.
Aspinal case and cloth from Eyespace Land Rover case from Eyespace Velvet cases from Centrostyle offering the opportunity to suggest to patients useful and fashionable items to protect their specs and sunglasses. Cases, chains and cleaning cloths can also be used to create innovative window displays to provide the practice with a unique identity. The latest accessories include a vast range of influences from super styling to quality production and working with renewable resources, bringing fun and fashion excitement to the eyewear scene. ■
30 Vision Now September Preferred2022Suppliers’ directory tel: 01580 713698 | web: www.nationaleyecare.co.uk ALCON UK tel: 0371 376 0017 | fax: 0871 351 1005 | web: www.uk.alcon.com AOS LTD tel: 01932 943 040 | email: info@aos-hub.com | web: www.aos-hub.com ASSOCIATED OPTICAL tel: 01628 600410 | fax: 01628 666495 | email: sales@assopt.co.uk | web: www.associatedoptical.com 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 BIB OPHTHALMIC INSTRUMENTS tel: 01438 740823 | email: sales@bibonline.co.uk | web: www.bibonline.co.uk BONDEYE OPTICAL tel: 0121 7723888 | fax: 0808 2801865 | email: sales@bondeyeoptical.co.uk | web: www.bondeyeoptical.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 tel: 020 8992 9222 | fax: 020 8896 0287 | email: sales@charmant.co.uk | web: www.charmant.co.uk tel:CITATION 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 tel:COOPERVISION 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 DUNELM OPTICAL tel: 01388 420420 | fax: 01388 810101 | email: dunelm@dunelmoptical.co.uk | web: www.dunelmoptical.com tel:ESSILOR 01454 281281 | fax: 01454 28128 | email: orders@essilor.co.uk | web: www.essilor.co.uk tel:EYESPACE 01527 870550 | fax: 01527 837012 | email: info@eyespace-eyewear.co.uk | web: www.eyespace-eyewear.co.uk EYEWEAR DIRECT (EUROPE) LTD tel: 020 7193 3334 | email: enquiries@eyewear-direct.net | web: eyewear-direct.net GO EYEWEAR UK LTD tel: 0800 9178270 | web: www.goeyeweargroup.com HEIDELBERG ENGINEERING tel: 01442 502 330 | fax: 01442 242 386| email: info-uk@heidelbergengineering.com web: www.HeidelbergEngineering.co.uk 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 INTERNATIONAL EYEWEAR LTD tel: 0121 585 6565 | fax:0121 585 0954 | email: sales@internationaleyewear.co.uk web: www.internationaleyewear.co.uk tel:LAB3SIXTY 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 T: 02920 857 122 E: Eyewear@lenstec.co.ukT:02920883009E: E:LenstecCC@lenstec.co.ukT:01279653785TantCC@tantlabs.comT:01132883094E:OURSUPPLIERRawdonCC@rawdonoptical.co.uk–OPTICIAN–PATIENTPARTNERSHIP PRACTICE MANAGEMENT SIMPLIFIED 0845 313 0233 Optinet Flex, the innovative software that keeps your optometry business at the cutting edge. Stepper (UK) Limited 11 Tannery Road 01732TN9KentTonbridge1RF375975 www.stepper.co.uk
Vision Now September 2022 31 directorySuppliers’ 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 LUNEAU TECHNOLOGY UK/IRELAND – VISIONIX tel: 07383 555659 | email: infouk@luneautech.com | web: www.luneautech.co.uk LUXOTTICA (UK) LTD tel: 0808 1658 8555 | web: www.luxottica.com/en tel:MARCHON 0800 72 2020 | web: www.marchon.com | email: csuk@marchon.com tel:MARK’ENNOVY 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-OPTICtel: 01332 295001 | fax: 01332 295158 | email: orders@midoptic.com | web: www.midoptic.com MPG GmbH tel: 07583 076 132 | email: andrew.davies@mpg-eyewear.com | web: www.mpg-eyewear.com tel:NORVILLE 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 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 tel:PRO-OPTIC 01884 266130 | email: sales@pro-optic.com | web: www.pro-optic.com RETAIL EXPERIENCE DESIGN (RED) tel: 024 7710 3494 | email: design@retailexperiencedesign.co.uk | web: www.retailexperiencedesign.co.uk tel:RODENSTOCK 01474 325555 | email: sales@rodenstock.co.uk | web: www.rodenstock.co.uk 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 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 tel: 0345 521 1290 | fax: 01782 717 944 | email: theasupport@spectrum-thea.co.uk web: www.thea-pharmaceuticals.co.uk tel:ULTRAVISION 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 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 coopervision.co.uk 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 or visit the Members Area of our website www.nationaleyecare.co.uk.
32 Vision Now September 2022 MiSight® 1 day is now available up to -10.00D. So, children who are already experiencing higher levels of myopia can now benefit from MiSight® 1 day.
MiSight® 1 day
The world’s only myopia management lens supported by a 7-year clinical trial 1,2,3 CVGY82219-1© 2022 CooperVision. CooperVision®, ActivControl® and MiSight® are registered trademarks of The Cooper Companies, Inc. and its subsidiaries. 0123 1. Chamberlain P et al. A 3-year Randomized Clinical Trial of MiSight Lenses for Myopia Control. Optom Vis Sci. 2019; 96(8): 556-567. 2. Chamberlain P et al. Myopia Progression in Children wearing Dual-Focus Contact Lenses: 6-year findings. Optom Vis Sci. 2020; 97(E-abstract): 200038. 3. Chamberlain P et al. Myopia progression on cessation of Dual-Focus contact lens wear: MiSight 1 day 7-year findings. Optom Vis Sci. 2021; 98(E-abstract): 210049.
