Editor: 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
Art Editor: Stacey Potter BA (Hons) info@spottcreative.co.uk
One of the great benefits of being an NEG member is the chance to offer your patients something not available elsewhere – sometimes not even at other independent practices.
This emphasis on ‘exclusives’ is the focus of a new initiative being introduced by the Group this autumn – showcasing members-only products from trusted supporters of independent practice.
As reported in this month’s lead news page, these ‘evenings of exclusives’ will be held in October and November – one in the south of England and one in the north – introducing three very different products in three very different (but complementary) sectors: contact lenses, sports eyewear, and marketing. If you haven’t yet registered then don’t miss this chance to harness the ‘exclusive’ status that your NEG membership brings.
One of the products that will be showcased during the two events is the new HEAD sports eyewear collection from Charmant – and you can delve deeper into this legacy collection on pages 20-21. Elsewhere, read about the new ‘born in Madrid’ Look collection from Atlantic Optical, and how Centrostyle is gearing up for an even bigger and brighter future under new ownership.
In a follow-up to our July issue feature on inclusive eyecare, Elaine Grisdale writes about dementia-friendly eyecare – offering her expert insights into this condition that affects so many. She also offers valuable practical solutions to ensure your practice – and your team – are providing the best quality eyecare possible to those who have received a diagnosis.
Finally, feast your eyes on some fantastic sports eyewear as we slalom at speed into the colder (and most probably wetter) winter months in this month’s Style Spotlight…
Nicky Collinson Editor
Coming up this autumn are two special evening events from NEG, designed to showcase some of the latest products available exclusively to members. Taking place on Tuesday 21 October at the Holiday Inn, Brighouse, Leeds, and on Thursday 6 November at the Hilton Hotel in Reading, the events will showcase Mark’ennovy’s new Eyefit contact lenses, the new HEAD sports eyewear collection from Charmant, and Practice Building’s new Optical Marketer platform.
The evenings will begin at 5pm with a product viewing, followed by a light buffet.
Open Their World is a new multi-channel campaign from Hoya highlighting the “lifechanging potential of myopia management with MiYOSMART spectacle lenses”. Timed to coincide with the start of the autumn school term, the campaign will run into early November. It centres on two short films, each telling the story of a child “whose world has been expanded thanks to the proven myopia control effect of MiYOSMART”. The campaign also underscores the clinical evidence behind MiYOSMART, including the recently published eight-year followup study confirming the lens’s long-term effectiveness.
Open Their World is being delivered through targeted social media advertising across Facebook, Instagram and YouTube, complemented by a national PR push and a partnership with Primary Times magazine, reaching more than one million parents
BIB Ophthalmic Instruments has announced its exclusive distribution in the UK and Eire of the new Visionix VX625. The one touch, 25 mega pixel, true colour, non-mydriatic UWF 176° fundus camera features auto-montage, providing visualisation of more than 95 per cent of the retina. The automatic system features a powerful image analysis and management platform, supporting comprehensive fundus examinations and large-scale screenings. A small compact footprint allows the VX625 to fit on to any table or combi unit.
Jim Dickson, head of professional affairs UK and Ireland at Mark’ennovy, will then present a self-directed learning CPD lecture titled, ‘One size doesn’t fit all in contact lens fitting’. Attendees will also be able to see the latest developments from Optinet and catch up with the NEG team. “Each evening will be an informal opportunity for members to view these fantastic products, and discuss how our preferred suppliers can support their business,” said Phil Mullins, NEG managing director. Find out more and register at www.nationaleyecare.co.uk/an-eveningof-exclusives-with-neg
across the UK, said Hoya. Campaign assets are available for independent practices to use in their own local marketing – including video ads, social posts, template patient
letters and press releases. These can be obtained through local Hoya business development managers or by emailing marketing@hoya.co.uk
The instrument features a built-in PC, including complete imaging acquisition, analysis and patient database software, so all that’s required is a suitable monitor, keyboard and mouse. Tim Baker, BIB CEO, commented: “Widefield retinal imaging is well known and accepted for its importance in the early detection of peripheral retinal diseases and pathologies, however, the physical size of devices offering this technology – along with the investment cost – has been restrictive, until now. The Visionix VX625 offers a highly competitive
price point and is very compact in design, making it more affordable and easier to integrate into any practice clinic setting.”
The ASP L589 is the latest optical release from the Eyespace Aspinal of London collection. Inspired by the chain shoulder strap of Aspinal’s iconic Mayfair bag, the style features a metal accent inlaid along the top line of the temples. Each frame is crafted from premium acetate and metal materials, while a rich curated colour palette incorporates perennial black with gold along with glossy jewel tones.
The ASP L589 is designed for the discerning, style-conscious consumer, seeking modern heritage luxury with a sustainable edge, said the company. Reflecting both Aspinal and Eyespace’s commitment to responsible innovation, the collection also incorporates eco-friendly materials and premium finishes, positioning the frame as a “true expression of sustainable luxury”.
“To move freely in any light – with speed, style and smart vision” is the concept behind a new 360˚ marketing campaign from Transitions Optical. Designed to encourage spectacle wearers to upgrade their eyewear look and performance, the campaign is expected to generate more than 15 million impressions. It features a video promoted across YouTube, Disney+, Amazon Prime Video and Netflix, along with digital adverts on social media and consumer lifestyle titles. Practice materials have also been created.
Tim Precious, managing director at EssilorLuxottica, said: “We envision a world where Transitions lenses are the standard – empowering people to move through life with clarity and ease, transforming
Peep Club’s new eye make-up remover wipes featuring coconut oil are now available from Positive Impact (PI). The Soothing Coconut Eye Balm Wipes use the same formula as Peep Club’s Soothing Coconut Eye Balm and are made from biodegradable plant-based viscose, with 100 per cent recyclable sachets. The wipes contain a blend of virgin organic coconut oil, organic bilberry oil and organic chamomile extract, are suitable for daily use, and are ophthalmologist-tested.
Peep Club founder and optometrist, Nicola Alexander-Cross, said: “Coconut oil is rich in fatty acids like lauric acid, capric acid and caprylic acid, which deeply nourish and hydrate the delicate skin around the eyes. The vitamin E also helps condition lash follicles and because coconut oil has mild anti-inflammatory and antioxidant properties, it’s suitable for those who have irritated or chapped eyelids and any redness or tightness as they will help to soothe sensitivity and dryness., Plus, the coconut oil is naturally anti-bacterial so it helps restore the natural microbiome of the eyelid.”
everyday moments into experiences of comfort, confidence and connection. It’s time to embrace the future and forge ahead, leaving behind the old and embracing the
new. We need to showcase how Transitions dynamic lenses are the new standard for everyday glasses by demonstrating how they can make a real difference in patients’ lives.”
This December marks a major milestone for Stepper Eyewear: the 90th birthday of founder Hans Stepper. A German Master Optician, Hans established Stepper Eyewear in 1970 with a clear purpose – to create frames engineered around the contours of the human face, delivering comfort, precision and ‘the Perfect Fit’.
Alongside this personal celebration, the brand is reflecting on its 55th anniversary. “For more than half a century, Stepper Eyewear has advanced the principles of anatomical fit and premium materials, introducing innovations such as TX5 and lightweight titanium. These foundations remain at the heart of every frame today, making Stepper Eyewear trusted by professionals and cherished by wearers worldwide,” the company stated.
Equally significant is the news that the third generation of the Stepper family has officially joined the company. Aila Stepper now works alongside her grandfather Hans and her mother Saskia, who leads as a director. “Together, they embody both heritage and forward momentum – combining experience, vision and fresh energy to carry the brand confidently into the future,” the company added.
Celebrating its first independent presence at Silmo Paris last month, the Reykjavik Eyes collection takes its inspiration from the unique landscapes of Iceland. The latest styles include models Hanna, Alix, Rakel and Mikael. A soft geometric take on the classic round eye, Hanna is designed to echo the balanced forms found in Iceland’s basalt columns. Clean-lined and compact, Alix is shaped for smaller faces with a gentle square form.
With its modern upswept design, Rakel has been created to suggest the natural rise of Iceland’s volcanic peaks, while its titanium construction ensures a feeling of lightness. Designed for smaller faces, a soft square shape and dropped bridge give Mikael its distinctive form – reminiscent of Iceland’s carved fjords and flowing terrain.
A British Contact Lens Association (BCLA) webinar on 15 October will give an insight into the typical journey of a patient with presbyopia. The Bausch + Lomb sponsor-led webinar will be presented by Dr Sarah Smith, who said: “Presbyopia is not a barrier, but a natural progression in the contact lens journey. Drawing on the latest research and insights, the session will highlight strategies to personalise contact lens wear, reduce dropout rates, and support our presbyopic patients’ first steps; ultimately ensuring that lenses not only fit, but function in real life.”
Dr Smith has worked in a wide variety of roles in the optical industry, including in multiple and independent practices, in research, teaching and for manufacturers. In 2012, she was awarded her PhD which looked at the role of optometrists in the UK. The webinar is open to all and will be held from 7pm to 8pm on Wednesday 15 October. One CPD point will be available. Visit www.bcla.org.uk to book, and to learn more about the Association’s newlylaunched Certificate in Presbyopia for members.
The autumn 2025 Calvin Klein Eyewear collection of ophthalmic styles and sunglasses from Marchon feature an allover monogram pattern showcasing the new CK Emblem logo. Reinterpreting the signature Calvin Klein monogram, the new logo is a more minimalist graphic – and will appear across the brand’s other categories, including underwear, apparel and accessories. On the latest eyewear styles, the all-over pattern appears in two distinct ways: one embellishes the metal core wire, while the other adorns the whole temple.
Model CK25549 (pictured) is crafted from Acetate Renew – made from a blend of
The latest Ana Hickmann Eyewear collection was unveiled at Silmo Paris last month. Bold new models in the Oversize sunglasses collection – AH9503, AH9504 and AH9510 – feature architectural and feminine lines, reinforcing the brand’s identity of delivering eyewear that blends fashion, elegance and personality.
Featuring gradient lenses and imposing acetate frames, the Oversize styles are designed for women “who want to make a statement with both confidence and
O’Neill, the original Californian surf, snow and lifestyle brand, has introduced its autumn/winter eyewear collection – available through Inspecs. The new collection introduces colours inspired by the ocean and the mountains, on-trend shapes, and the functionality the brand has been known for since Jack O’Neill invented the world’s first wetsuit in 1952.
Model ONO-4598 (pictured) features a handmade acetate front and sleek stainless steel temples.
The General Optical Council (GOC) has published new research exploring the lived experiences of registrants who have experienced harassment, bullying, abuse or discrimination at work, and the impact this has on them and their ability to provide
bio-based and certified recycled materials – and presents a sleek cat-eye front. The new temple design, with visible all-over monogram pattern lasered on the core
wire, also features the Calvin Klein logo. This styles is available in Black, Havana and two transparent variations of rose and burgundy.
sophistication”. Available in a variety of colour options – from timeless black and tortoiseshell to translucent acetates and
gradient tones – these designs reflect the versatility of the brand’s autumn/winter 2025/26 collection.
Spring hinges and fully adjustable temple tips ensure comfort and fit are prioritised, while its subtle square shape and classic vintage keyhole bridge make it a versatile choice for all face shapes. The model is
safe patient care. The qualitative research includes 38 in-depth interviews with optometrists and dispensing opticians – all of whom had experience of harassment, bullying, abuse or discrimination at work.
Steve Brooker, GOC director of regulatory strategy, said: “This powerful report
O’Neill model ONO-4598
available in a striking matte black with green and gunmetal flashes, a gloss blue front with blue and white temples, and a gloss grey crystal fronted version with black and red temples.
reveals the devastating personal impacts of bullying, harassment, abuse and discrimination in the workplace. It also demonstrates the potential patient safety consequences of these behaviours, which gives the GOC a clear public protection mandate to act.” Find the research report at www.optical.org
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UK practitioners are invited to a webinar on 15 October to herald the launch of SightGlass Vision’s DOT myopia control spectacle lenses in the UK. Designed to utilise contrast management, the lenses are said by the company to “provide an effective way for clinicians and families to help fight the growing epidemic of childhood myopia”.
“Introducing DOT lenses in a new country is always an exciting moment for us because it means we can offer even more eyecare professionals this globally trusted tool to protect their young patients’ vision,” said Andrew Sedgwick, CEO of SightGlass Vision. “With over one million children already having worn DOT lenses, we look forward to working with the UK optical community to expand access, intervene early and help preserve children’s eye health with this highly effective technology.”
Clinical studies have demonstrated the efficacy of DOT lenses in slowing average myopia progression by up to 75 per cent after 12 months of wear across diverse populations. The webinar, titled ‘Manage contrast to manage myopia: introducing DOT lenses”, will enable UK practitioners to learn more about the lens design, the supporting clinical research, and to ask questions to senior members of the SightGlass Vision team during a live Q&A. Register for the webinar at https://tinyurl.com/yc7n83kv
Registration has launched for 100% Optical 2025, taking place at London’s Excel centre from 28 February to 2 March. The CPD programme will cover topics such as advances in glaucoma care, contemporary myopia management, clinical negligence and artificial intelligence. Dr Ian Beasley, head of education at the Association of Optometrists, said: “With our comprehensive CPD programme and expert speakers, delegates can shape an experience that meets their professional development objectives, and maximises opportunities for collaboration and networking.”
Celsa Vazquez, commercial director at CloserStill Media, said: “We are thrilled for the 2026 edition of 100% Optical –the UK’s premier gathering for all optical professionals to connect, celebrate and champion the industry. From CPD
Plans taking shape for London show
education and exclusive product launches to the prestigious Love Eyewear Awards, 100% Studio and 100% Catwalk, 100% Optical showcases the very best in eyewear.” A new mobile app will be available to download ahead of the show, enabling attendees to plan their visit with an interactive floor plan, full seminar agenda along with exhibitor and product listings. Register at www.100percentoptical.com
Asnaini: helping to clean up the world
In recognition of World Cleanup Day last month, CooperVision released Turning Plastic into Purpose, the latest instalment in its video series featuring its partnership with Plastic Bank. The episode tells the story of how plastic waste – when collected, processed and reused – can make a positive impact on People + Planet. It highlights Asnaini, who turned to plastic collection after losing her job. What began as a short-term means of income evolved into a growing community recycling initiative. By building a small team of collectors, she was also able to fund her daughter’s education to become a pharmacist.
“Asnaini’s journey represents the heart of what our plastic neutrality initiative is all about,” said Aldo Zucaro, senior director for corporate responsibility at CooperCompanies. “It’s not only helping to reduce ocean-bound plastic – we’re supporting people, families and futures. This video series brings those stories to life and reaffirms our commitment to making a difference every day.” All episodes in the video series can be found via https://coopervision.co.uk
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A government consultation on widening the medicines availability for all optometrists and contact lens opticians (CLOs) has been welcomed by the optical sector. Under new proposals, optometrists and CLOs would be able to provide a wider range of medications to treat minor eye conditions. Adam Sampson, CEO of the Association of Optometrists, said: “This announcement is good news and rightly focuses on ensuring the public can access treatment for common conditions such as conjunctivitis and hay fever, closer to home.
“Research we carried out with members and the public revealed that two million GP and A&E appointments every year are taken up to deal with eye health issues that optometrists are trained to manage. Ensuring optometry can provide the public with a wider range of medicines in the community is essential – we have to stop forcing people to take on the 8am dash for a GP or hospital appointment to treat minor eye conditions. The Pharmacy First scheme has shown there is a better way to provide care to the public, and this plan builds on that success,” Adam added. Find out more about the government consultation, which closes on 27 November, at https://tinyurl.com/mr43uhe3
The General Optical Council (GOC) is conducting a thematic review into commercial practises and patient safety. The move comes after its 2025 Registrant Workforce and Perceptions Survey, and wider engagement, found that “many registrants and other stakeholders have indicated concern about the influence of
some commercial practices on the ability to deliver safe patient care”.
The GOC said its purpose in carrying out the review was to “understand the nature and extent of these practises and their impacts, and to identify any interventions that the GOC and the wider eyecare sector can take to help mitigate against this”. It is currently
The AIO welcomes the Geneal Optical Council’s (GOC) recentlyannounced thematic review into commercial practises and patient safety.
This follows many registrants and other stakeholders indicating concern about the influence of some commercial practises in the ability to deliver safe patient care. Specifically, the GOC references:
■ Overbooking/ghost clinics (typically where a business double books patients in a clinic, to mitigate against lost appointments due to patients that don’t attend, which may result in rushed or reduced appointment times)
■ Short sight testing times
■ Commercial targets and incentives (such as selling products that are
financially beneficial to the business or that patients may not clinically require)
■ Lack of transparency around costs and eligibility for NHS financial support
■ Refusal to treat young children, in part for commercial reasons
For some time now, the AIO has provided the independent sector with an eye health care quality mark – the Eye Promise –which enables patients to identify practices that offer eye health care primacy over commercial drivers. The five Eye Promises directly address three of the practises identified by the GOC and, by implication, the others as well.
The AIO council has decided that all AIO members may register for Eye Promise at no additional cost to enable wider geographical coverage enabling national promotion through social media. Of course,
gathering information through internal and commissioned research as well as stakeholder engagement – including a series of LinkedIn conversations with registrants –which will continue until March 2026.
The GOC will then publish a report summarising its key findings and recommendations.
not all independents will meet the standards required by the Eye Promise, but for those that do it provides a real opportunity for building long-term patient relationships.
By Phil Mullins
There was once a restaurant in New York that was rated as middle of the road, so the owner took all his staff to the most highly rated restaurant in the city. They experienced the full-on service, taking in as much as they could. The next day, the owner gathered his staff together to review what they thought of this topclass establishment.
They all gushed about the service and the food and the surroundings; it was all fantastic and they started talking about how they could do similar things. But the owner stopped them and said: “What didn’t they do very well?”
Well, the coffee was dreadful and those who wanted to drink beer rather than wine didn’t have great service. So, the owner said: “Let’s do it better”. He employed a great barrista, and someone in the kitchen who had a passion for craft beer, and they created something unique. The whole team got behind it; their passion became infectious and drew customers from far and wide.
That’s great, I hear you say, but what’s it got to do with me? Well, it follows on from the ‘being independent’ debate. All the multiples must look the same, stock the same product, set the same prices and basically be clones of each other. The advantage of this is that the customers always know what they are getting, but the cons are there is no individuality – and much of the service is price led. But as an independent, you can be as individual as you like – and run with your passions whatever they may be.
Reviewing your business from time to time is a really good idea, or you run the risk of just offering the ‘same old same old’ year after year. Before you know it, you’re out of date and finding it difficult to attract new patients. So, I recommend that you take a leaf out of the restaurant owner’s handbook and do some mystery shopping
in your area – or even further afield. Mystery shopping is a great exercise that you can involve your practice team in. Ask them to go to different practices and then report back what they find to the group. Engage them in what’s ‘good’ and ‘bad’ for the businesses they encounter, and between you work out what you want to offer or do in your business.
For some, this might be in terms of clinical services, such as independent prescribing, dry eye, diabetic eye, low vision, or specialist contact lens prescribing. After all, how many of your competitors are willing (or have the skills) to fit a scleral contact lens?
For others, it may centre around fashion – be it luxury brands, or increasinglypopular artisan brands and those that have a real story behind them like some sustainability brands. It might be sports fashion or children’s eyewear, particularly if you want to promote myopia control. The possibilities are endless and can be as wide as your imagination. Just remember not to copy or clone the competition; you’re independent and an individual.
But just sitting down and saying, I fancy doing this or that, is just the start. You will need to do a talent audit of your staff to see
if you have the right skills already within your team.
I once worked in practice that was looking at taking on Cartier frames, which was a big investment. It turned out that one of the staff members had begun their career in a high-end jewellers, and so they were a perfect fit. They had the right skillset to promote and sell this high-end product to the right customer –and the investment was a great success. Of course, some new ventures will require additional skills training – or even an additional member of staff to make them work.
Next, make sure you have the right product in, or the best equipment or the space you need to set up. It’s all about planning. It doesn’t have to be done overnight; you’re planning for the longterm success of your business.
Once you’re ready to launch your new venture, you need to look at telling everyone about it. This doesn’t have to be expensive marketing; you have a website, social media, a front window and your current patients, but most importantly you have your team. It’s important that they are committed to the business as their enthusiasm will be a driver to success.
So, remember don’t copy, innovate – and be an individual. ■
Atlantic Optical has announced the exclusive UK launch of The Look, a vibrant new eyewear collection from Spain...
Created by the same esteemed design house behind popular fashion brands like Mango and Pull & Bear, The Look collection fuses high-end optical design with the vibrant spirit of modern Spanish fashion. The statement eyewear collection features bold, contemporary styles that draw inspiration from the dynamic lifestyle and creative energy of Spain.
“We are incredibly proud to bring The Look to the UK market,” said Daniel Smerald, director of sales and marketing at Atlantic Optical. “This collection embodies a design philosophy that is both independent and unapologetically vibrant. It’s for the modern wearer who embraces colour, lives life to the fullest, and sees their eyewear as an extension of their unique personality.
“The Look offers a fresh perspective on what it means to be original, allowing wearers to express themselves while being part of a community that celebrates fun and individuality,” added Daniel.
Each frame is crafted with meticulous detail, using high-quality materials to ensure both durability and comfort, while the colour palette blends classic hues with chic, experimental twists for a stylish finish.
Inspired by emerging trends seen across the world, whether in Asia, Europe or the New York catwalk, the collection is very much based on ‘street style’ and targeted at those wanting to stand out, whilst maintaining universal appeal.
With a clearly unisex approach and youthful in spirit, the collection is designed to suit – and appeal to – spectacle wearers of all ages. From Hipsters, who love intellectual and retro touches, to Muppies with a passion for sport, travelling and
healthy living, to Neohedonists who like to stand out in the crowd, The Look offers something truly independent. ■
The Look collection is now available exclusively at Atlantic Optical and its retail partners across the UK. For more information or to view the collection, visit www.atlanticoptical.co.uk, email sales@atlanticoptical.co.uk or telephone 02920 362136.
By ERIC PAPAS PhD, BSc (Optom), BSc (Physics), DipCL
Professor Emeritus
Department
of Optometry and Vision Science
University of New South Wales Sydney, Australia
TAKEAWAYS
Soft contact lens materials and surface properties have evolved to meet the needs of a growing population of wearers
New visual demands and patient expectations mean that soft contact lenses will need to continue to evolve
Future advances will need to provide a contact lens wearing experience that enhances the changing ways we view the world
Soft contact lens beginnings
Like in all aspects of life, understanding drivers of change and ways to adopt and use new technologies is key to progress in health care. This is certainly the case in eye health and vision care, where the incredible evolution of contact lenses serves as an instructive example.
Maybe the biggest technological innovation in contact lenses, since they became a practical reality over a century ago, has been making them soft and pliable. While Tuohy’s patent for corneal lenses in 19501 opened the possibility of spectacle-free vision for many, this came at the cost of discomfort, as wearers attempted to get used to having two bits
of hard plastic on their eyes. The struggles of an undergraduate friend come to mind; even after weeks of slowly building wearing time, he retained the “pop-eyed” stare, that betrayed his reluctance to blink.
Soft lenses changed all that. Because they could be more easily adapted to, it’s no surprise that soft lenses served as the stimulus for a massive increase in the popularity of contact lenses in general.
The first soft lenses were made from pHEMA, a material invented by Wichterle and Lim in the 1950s.2 That early polymer had some properties which remain important, even for contemporary lenses. First was its softness, due to a low modulus of elasticity, a property that supports
better comfort. The downside however is that it can make lenses relatively fragile. Second, because the polymer takes up water, it has some permeability to oxygen and is reasonably wettable on-eye.
As uptake of early soft lenses became more widespread, it became evident that the amount of oxygen reaching the ocular surface was often inadequate.
Starting around 1993, the SEE3 project aimed to generate a more oxygen-permeable soft lens material and I was fortunate to be involved as one of its lead clinical scientists.
Looking back on this project, it’s interesting how oxygen permeability, wettability, and softness were effectively in a three-sided, tug-of-war. Frankly, getting oxygen through the lens was the easy part — to the polymer chemists, it was a simple matter of incorporating silicone into the material. Unfortunately, there were undesired consequences — many of the early trials produced lenses that had great oxygen permeability, but were too stiff and/or hydrophobic. These prototypes had clinically unacceptable comfort, poor wetting, or both. Another difficulty was that, like the silicone elastomer materials that had been tried previously, there was a tendency for lenses to become stuck to the eye.
Concerted efforts from a team of material scientists, polymer chemists, and clinicians eventually allowed us to overcome these challenges3 and produce a polymer with oxygen permeability exceeding that of the conventional hydrogels at the time that was also soft and comfortable. The lenses were welltolerated in clinical trials and free from the hypoxia-related complications that had become so familiar. There was also a quite unexpected bonus.
Conventional soft lens wear had typically been accompanied by slight limbal hyperaemia, which was generally seen as an unavoidable consequence of soft lens wear.4 Eyes wearing the new SiHy lenses seemed free from this effect and indeed, looked markedly whiter than expected.5 The revelation that soft lenses could be worn without accompanying limbal redness, provided they have sufficient oxygen transmissibility, has been one of the enduring benefits of SiHy lenses.5
As revolutionary as the first SiHy lenses were upon their introduction in 1998, they were not trouble-free. Wearers of conventional lenses sometimes reported that their initial comfort with the new silicone hydrogel was slightly poorer than they were used to, and this was subsequently addressed with additional fitting increments to improve lens fit.
It was not long before SiHy lenses with moduli comparable to conventional hydrogels were available. This achievement has led to a better understanding of how lens performance can be optimised by divorcing surface material properties from those of the main body of the lens. This can be seen in many of today’s lenses, for example, those with material properties that increase water content from the lens core to outer surface. The prospect of a lens surface that looks and behaves like ocular tissue is tantalisingly attractive, offering the potential for improved compatibility. It may even help solve the puzzle of end-of-day discomfort, which remains problematic for many wearers and can lead to discontinuation of wear.
Physiological aspects of contact lenses, however, are not the only factors governing success. Progress in manufacturing has helped make frequent replacement a reality. If daily disposal is not desired, lens characteristics can be adjusted for less frequent replacement schedules, any of which can support successful wear.
Soft contact lenses have shown us the incredible possibilities of ongoing improvements. Eye care professionals have demonstrated a willingness to integrate new technologies — Optical Coherence Tomography and fundus photography come to mind — and accelerated innovation in contact lenses provides a similar opportunity.
Mirroring technological and modality advances to come, clinicians will need to embrace change to deliver the best possible care for their patients.
By AGATHE ACCHIARDO Health futurist, Think Next Barcelona, Spain
Almost no part of the body is more directly impacted by our increasingly digital world than the incredible organs that enable us to experience it: the eyes. For the millions of people who wear contact lenses — and the growing number of future wearers6 — the evolution of these devices holds exciting opportunities for better vision and improved health.
Most obviously, advances in lens materials, surface properties, and wear schedules will need to continue, and in many ways accelerate, to provide a wearing experience that keeps up with and enhances, the changing ways in which we view the world.
Perhaps even more tantalising is the promise, in the near future, of advances that would place contact lenses at the centre of personalised health, evolving from strictly corrective tools to proactive healthcare devices. Such changes will likely necessitate a re-thinking of lens replacement schedules and questions of sustainability, suited to weekly or monthly, rather than daily, replacement.
While the primary function of contact lenses will remain, for most patients, providing outstanding, comfortable vision correction, we can increasingly think of these devices as a unique platform for the advancement of vision and whole-body health.
B.A. Holden, High-oxygen-transmissibility soft contact lenses do not induce limbal hyperaemia, Curr Eye Res 16(9) (1997) 942-8. // 5. N. Tahhan, T.J. Naduvilath, C. Woods, E. Papas, Review of 20 years of soft contact lens wearer ocular physiology data, Cont Lens Anterior Eye 45(1) (2022) 101525. // 6. Fortune Business Insights. Contact Lenses Market (2023-2030) 15970 © 2025 Alcon UKIE-VC-2500016
See instructions for use for wear, care, precautions, warnings, contraindications and adverse effects. http://ifu.alcon.com
In the world of sports, few names carry the same weight and legacy as HEAD. From the tennis courts of Wimbledon to the snowy peaks of the Alps, the brand has become synonymous with performance, precision and innovation…
Established in 1950 by aeronautical engineer Howard Head, the company revolutionised skiing by introducing the first laminated metal ski, a bold move that changed the industry forever. That spirit of pioneering technology and pushing boundaries has remained at the heart of the brand for more than seven decades.
Today, HEAD is more than a sports label – it is a global lifestyle icon. Renowned for excellence in tennis, skiing and racquet sports, the brand is trusted by champions and embraced by enthusiasts around the world. Its DNA blends cuttingedge engineering, functional design, and an uncompromising commitment to performance, creating products that inspire athletes of every level to reach their full potential.
It is precisely this ethos of innovation meeting functionality that makes the new partnership between HEAD and the Charmant Group such an exciting story. Just as HEAD has constantly redefined what athletes can achieve through technology, Charmant has set the benchmark in the eyewear industry with its mastery of materials, most notably Japanese titanium, and a reputation for engineering excellence.
Both companies share a belief in combining high performance with contemporary design, ensuring that style never compromises functionality, and that technology is always in the service of people’s everyday lives.
With the launch of the new HEAD optical and sunglass collections, this synergy comes to life. Built on the brand’s athletic DNA and developed with Charmant’s eyewear expertise, the collections deliver frames that embody sportiness, comfort and modernity. They are designed not just to be worn, but to be lived in. The perfect eyewear for active,
style-conscious individuals who demand more from their frames.
Eyewear today is no longer just about vision correction or sun protection – it is about lifestyle, identity and performance. With the launch of HEAD Eyewear, developed and distributed by the Charmant Group, a new chapter begins: one where sport-inspired functionality and contemporary style merge seamlessly into frames designed for active, modern lives.
The HEAD collection has been created with a clear purpose: to meet the needs of those who live dynamically. It speaks to men and women who are active, confident and conscious of both function and style. For optical frames, the focus is primarily on men, with designs that also extend naturally into unisex appeal. For sunglasses, the offer broadens to include both men and
Pushing boundaries and pioneering technologies
women, making the collection relevant for a wide spectrum of wearers. From outdoor enthusiasts to professionals in the city, these frames are built to support everyday performance while enhancing personal style.
Much like HEAD’s heritage in sport, the eyewear collection reflects a philosophy where innovation serves real-life needs. Every frame is developed with comfort in mind, using lightweight constructions and ergonomic solutions that make them suitable for long hours of wear. Special features, from adjustable temple tips to ventilated designs, ensure stability and breathability. Subtle functional details are integrated into modern shapes, ensuring that the wearer feels as good as they look.
HEAD Eyewear brings together a wide range of premium materials carefully
chosen for their balance of lightness, durability and flexibility. Japanese titanium and beta-titanium offer stability at a fraction of the weight, while stainless steel and refined alloys provide everyday strength. High-tech plastics such as TR90, PPSU and eco-friendly G850 add resilience and flexibility, while silicone and rubber elements secure the fit during active use.
For sunglasses, the offer extends into high-quality polycarbonate lenses enhanced with optional features such as polarisation, hydrophobic or oleophobic coatings, and striking mirror finishes.
HEAD Eyewear is defined by a design language that is sporty yet modern, versatile yet distinctive. The colour palette combines timeless shades such as black, grey and blue with fresh seasonal accents inspired by the brand’s sporting collections. For those seeking bolder statements, brighter hues and layered effects highlight the brand’s technical DNA. Clean, rectangular and square silhouettes dominate the optical line, while the sunglass collection expands into more dynamic shapes and expressive looks, all infused with the energy of sport.
In every detail, the HEAD collection reflects its dual ambition: to perform and to inspire. These are frames made for real life, from the commute to the court, from the office to the outdoors. By combining technical sophistication with contemporary styling, HEAD Eyewear delivers products that truly resonate with today’s active consumers.
The HEAD optical line is defined by clean shapes, lightweight constructions and subtle technical detailing. Designed with men in mind, yet versatile enough to appeal more broadly, the frames offer a confident, modern look that fits seamlessly into everyday life. Balanced proportions and contemporary silhouettes, from square and rectangular to more rounded or geometric, ensure universal wearability with a clear sporty edge.
The HD44000 is the signature piece of the collection. Crafted in lightweight titanium, it combines strength, comfort and durability. The deep square front with a keyhole bridge delivers an unmistakably dynamic aesthetic, while remaining flattering across many different face types. A distinctive temple cut-out enhances ventilation and reinforces the frame’s
technical character, while adjustable end tips with engraved stripes secure a comfortable fit.
Available in black, blue and gunmetal, the HD44000 stands out with sharp colour contrasts that echo the energy of HEAD’s sporting DNA. This is eyewear that goes beyond correction: it embodies performance, innovation and style, designed for individuals who want frames that move as effortlessly as they do.
The new HEAD sunglasses collection blends performance, comfort and style, offering frames that move seamlessly from the sports field to everyday life. Designed for athletes and active enthusiasts alike, the collection features shield, wraparound and square profiles that combine lightweight, durable materials with maximum UV protection.
Certain models incorporate advanced lens technologies (such as polarisation, photochromic adjustments, hydrophobic and oleophobic coatings, or mirrored finishes) providing clear vision and optimal performance across a wide range of sports and outdoor activities. From running and skiing to everyday wear, there is a pair to suit every lifestyle and activity.
For those demanding top performance in extreme conditions, the HD42500 shield sunglasses deliver. Engineered for winter sports and high-speed activity, this model features window vents for airflow, rubberised elements for secure grip, and a design that sits comfortably under helmets.
The temples include unique joints for individual adjustment, ensuring a precise and comfortable fit. Lenses are treated with hydrophobic and oleophobic coatings, repelling water and oils to maintain clear vision throughout the day. Available in black and white, the HD42500 combines functional sophistication with HEAD’s distinctive sporty style.
For active sports and everyday outdoor pursuits, the HD42503P wraparound sunglasses offer unmatched comfort and performance. Designed for running, tennis, and activities requiring a helmet, these frames feature straight temples with anti-slip rubber tips and adjustable nose pads, ensuring a secure yet comfortable fit throughout intense workouts.
A clever ventilation system on the top bar promotes airflow, keeping the head cool and helping to prevent lens fogging. All models come with polarised mirrored lenses, enhanced with hydrophobic and oleophobic coatings to repel water, resist smudges and maintain clear vision in all conditions. Available in sleek shades of grey, navy blue and teal, the HD42503P combines HEAD’s sporty DNA with contemporary style.
This is eyewear that doesn’t just protect your eyes: it enhances performance, keeping you confident, comfortable and sharp in demanding environments.
The launch of HEAD Eyewear in the UK marks an exciting chapter for both the brand and its new partner, the Charmant Group. Combining HEAD’s heritage of innovation, performance and sporty style, with Charmant’s expertise in precision eyewear, these collections offer products that are versatile, high-quality and designed for modern, active lifestyles.
For independent opticians, HEAD Eyewear offers a unique opportunity: frames that combine the credibility of a global sports brand with technical sophistication and contemporary design. Supported by Charmant’s dedicated distribution and service, these collections allow retailers to offer customers highperformance, stylish eyewear that stands out in both optical and sunglass ranges. It’s an easy way to bring innovation, quality and sporty style into practices, appealing to active and style-conscious patients alike. ■
Article supplied by the Charmant Group.
To explore the full HEAD Eyewear collection, or for any enquiries regarding its UK distribution, please contact Charmant Group representative, Kay Richardson ■ Email: kay.richardson@nationaleyecare.co.uk ■ Telephone: 07899 235053
As he takes the helm at Centrostyle UK, Nick Easey is on a personal mission to strengthen UK service and honour a family legacy...
Founded almost 50 years ago by Francesco Conti, Centrostyle has been a trusted name in the global optical industry, offering smart, functional and design-led solutions for practices, patients and professionals around the world. From its roots in Italy, the company has grown into an international brand with a presence in more than 80 countries. But at the heart of it all, Centrostyle remains what it started as – a family business with family values.
That spirit lives on in the UK under the new ownership of Nick Easey, a wellknown figure in optics who has spent his entire career in the industry, starting in production, then practice and wholesale supply chains.
“Centrostyle isn’t just a supplier, it’s a community,” says Nick. “It’s built on relationships, mutual respect and genuine care for customers – and that’s what I want to continue to grow here in the UK.”
FROM POKER ARMS TO PRACTICE SUPPORT
Nick’s journey in optics began in the early 1990s, working in a busy prescription house
in Birmingham under the direction of Kevin Dennis – a leader who made a lasting impression on Nick’s professional values and work ethic.
“One of my first jobs involved using a poker arm and surfacing glass lenses,” recalls Nick. “That was a valuable experience. You learned precision, patience and just how much care goes into every lens before it ever reaches a frame.”
Reflecting on the most important lesson learned during his formative years, Nick says: “Kevin taught me that the customer is always right, and that principle has stayed with me ever since. It’s shaped every role I’ve had – from dispensing to sales to leadership and I’m always mindful that, at the end of the day, we all have the end user to thank for keeping us employed.”
After qualifying as a dispensing optician in the early 2000s, Nick moved into sales and commercial roles, working with respected names like Stepper under the tutelage of Peter Reeve, who continues to influence and inspire Nick, and Nikon. The latter is where Nick first met the current president of the Association of British Dispensing Opticians (ABDO), Kevin Gutsell,
who went on to become the managing director and owner of Centrostyle UK.
In 2019, Nick rejoined Kevin at Centrostyle UK – a move that marked the beginning of a new chapter in their shared vision for the business. Nick would later take over the company when Kevin stepped aside to focus on his role with ABDO.
“Being entrusted with the business was a proud moment,” explains Nick. “Kevin built a really strong foundation, and I’m committed to continuing it – with fresh energy and a clear focus on what our customers really need. I am passionate about the range and quality on offer and am excited to introduce our customers to new and innovative products.”
Centrostyle’s strength lies in offering more than just products – it delivers practical, design-led solutions tailored to real patients in real clinical environments. Two standout brands helping to shape that offering in the UK are the Active Kids range and the bio-based Neyeture range.
Developed in partnership with paediatricians, Active Frames are Centrostyle’s specialist
children’s eyewear brand—designed to provide visual and physical comfort from birth through to adolescence.
With six collections, each tailored to the facial development and needs of specific age ranges, Active Frames address everything from the shape of the nasal septum to optical centre alignment, comfort and shock resistance.
All frames are lightweight, soft, flexible and come complete with silicone retainer bands/frame locks and a microfibre case. A variety of compatible accessories are also available to support frame stability and proper lens alignment throughout daily use.
“Practitioners often comment that Active Frames are just an easy product to dispense confidently and hassle-free,” says Nick. “They know they can trust the fit, the durability and the thoughtful design, which makes their job easier and gives parents peace of mind.”
For patients who care as much about the planet as they do their eyewear, Centrostyle’s Neyeture brand is the ideal solution. Designed for environmentally aware consumers, Neyeture puts sustainability at the core of both product and packaging.
The collection features:
■Magnetic clip-on frames made from Rilsan
■ Frames with Rilsan fronts, beta-titanium temples, and bio acetate temple tips
■ Recyclable packaging and sustainable production processes
■ Handcrafted eyewear chains with
wooden elements
“Neyeture reflects the growing demand for eco-conscious design – without compromising on style or performance,” Nick highlights.
Centrostyle doesn’t just provide frames, it supports the entire practice workflow with a comprehensive service centre designed to maximise efficiency and minimise hassle. At the heart of this support is the Lab Modular System, an essential toolkit for modern optical practices and labs. With more than 1,000 item codes covering everything from screws to temples, it provides the quality components used by top frame manufacturers – available for immediate use in your business.
Key benefits of the Lab Modular System include:
■ Clear product identification with technical data and images to help select the right item quickly
■ Modular containers that can be coupled or stacked, each with integrated lids that detail use and a label for easy reordering
■ Barcoded inventory for smoother stock management and fewer errors
In addition, Centrostyle UK also offers:
■ A wide range of frame accessories
■ Reliable and stylish ready readers
■ Flexible bespoke printing services for custom needs and branding
At the heart of day-to-day operations are Samantha Ferguson and Lisa Elliott, who manage the business’s logistics, customer care and operational delivery with dedication and precision.
Out in the field, sales manager Nicholas Laing, and sales agent Mark Scott provide hands-on support to customers across the UK – offering insight, training, and real-time solutions that reflect the needs of modern optical practice. Additionally, in Italy, Ester
Brena oversees the day-to-day logistics of all UK orders and queries, while CEO Pietro Conti is always on hand to offer advice and support.
“We are a small team, but mighty,” says Nick. “Everyone plays a key role, and our customers regularly tell us how much they value having knowledgeable, friendly people at the other end of the phone or in the practice. That personal touch is a big part of what we’re about.”
To Nick, success doesn’t come from simply having a customer base, it comes from building partnerships.
“We don’t see our customers as just customers,” Nick continues. “They’re partners, problem-solvers and voices that shape the future of this market. I want Centrostyle to be a company that listens, responds and evolves based on what the profession really needs. The best ideas often come from conversations with those on the ground.”
Centrostyle remains a family-owned business, and that ethos continues across every global branch – including the UK.
“It’s not just about transactions, it’s about relationships,” says Nick. “That’s something I felt from day one with Centrostyle, and it’s something I want all our customers to experience. We’re here to support you – not just sell to you. It never ceases to amaze me when I speak to my Italian colleagues and they ask about UK accounts and the people that work in those businesses. From the CEO, the IT Department and Dispatch, the team genuinely care about our customers.”
Under Nick’s leadership, Centrostyle UK is ready to move forward, grounded in experience, guided by values, and committed to helping optical professionals thrive. ■
To find out more about Centrostyle products, call the sales team on 01923 239267. Article supplied by Centrostyle UK.
A wide range of accessories is also available
By Elaine Grisdale BSc (Hons) MSc FADO MFDO FAAO FEAAO
Around the world, people are living longer. This increase in the ageing population is accompanied by an increase in the prevalence of dementia, which while not an age-related disease, does affect many older people1. This means that the numbers of people living with dementia seeking help in optometric practice, not only for simple refractive error but also from age-related ocular pathologies, will increase. One in three people born in the UK today will develop dementia in their lifetime2
Dementia is a progressive, life-limiting, neurodegenerative condition affecting brain activity. Today, around one million people living in the UK have a dementia diagnosis. This is predicted to rise to 1.4 million by 20403
Dementia not only affects the person with the diagnosis but also the people around them – meaning that one in two people in the UK today will be affected by the condition sometime in their lifetime whether directly or indirectly2
It is for this reason that dementia has been identified as one of the greatest health and social issues of our time – and is the most feared condition of people over the age of 604
Dementia is an umbrella term for a number of different conditions affecting brain function. The most common of these is Alzheimer’s disease, which makes up 62 per cent of dementias. Other common types of dementia are vascular dementia (17 per cent) and mixed dementia (10 per cent). There are, however, more than 200 different sub-types of dementia affecting people of all ages5. Symptoms of dementia can be categorised by the 5As –as shown in Table 1.
Research into modifiable risk factors has seen exponential growth in recent decades, meaning that we are gaining a better understanding of the lifestyle changes necessary to slow down or eliminate the risks of developing certain types of dementia6
Amnesia Memory loss: this starts with short-term memory loss
Aphasia Problems with speech: developing words and using the right word and understanding what is said
Agnosia Problems recognising people and things
Apraxia Problems undertaking everyday tasks such as tying shoelaces or taking the top off a yoghurt pot
Agitation Exhibiting signs of distress, frustration or being upset
An increasing number of studies have linked visual impairment (VI) and dementia. People with dementia (PwD) often present with ophthalmological abnormalities, which left untreated may affect cognitive function adversely, leading to decline. Littlejohn et al7 concurred that there was an increased risk
Table 1: The 5As of dementia symptoms
of dementia if an individual had impaired vision. They went further by identifying VI as a potential modifiable risk factor for dementia and, therefore, a promising target for dementia prevention. Unfortunately, this promising target is not widely known to healthcare professionals or the public.
Feelings of hopelessness and grief are associated with a diagnosis of dementia8 One must not underestimate, therefore, the power that ‘hope’ could have following such a major life-changing event.
Unfortunately, as recently revealed by a number of participants and keynote speakers, including dementia care professionals and people living with the condition, at an Alzheimer’s Disease International webinar on 22 July 2025, there exists a lack of hope and help for people living with the condition and, by association, their care partners.
Eyecare and hearing professionals are in a position to offer much needed hope to patients affected by the condition, since vision and hearing are validated as modifiable risk factors by the Lancet Commission6. Eyecare professionals (ECPs) could therefore be making a real difference to the quality of life and outcomes for people living with dementia. However, ECPs acknowledge a lack of understanding in terms of what their expertise and corrected VI can offer, in how to communicate more efficiently to PwD, and in terms of preconceived ideas surrounding the condition. This led the College of Optometrists to publish guidance on the subject in 20169
The 2022 World Alzheimer’s Report10 stated: “The long-term goal of addressing sensory health in dementia is to create environments and opportunities that enable people to be, and do, what they value throughout their lives”. This means PwD can be helped and encouraged to carry on living life with optimism and hope.
VI impacts upon everyday activities and hobbies enjoyed by older adults, such as knitting, reading, watching television (and reading sub-titles if hard of hearing), gardening, cooking and socialising. Research supports VI leading to impaired quality of life11. PwD look towards leisure activities as a bridge to a ‘normal’ life, not being able to undertake beloved pastimes can be detrimental to wellbeing12. Dementia is a big contributing factor, however, and so if low vision is exacerbating this, then it should be corrected where possible.
Baber et al13 stated that PwD should be encouraged to enjoy a sense of connection to their pastimes to mitigate ‘loss in oneself’. If people have partaken in hobbies, it is accepted that these activities become part of their history and identity, therefore, curtailing them is detrimental to quality of life13. Having the ability to see clearly and
enjoy pastimes, either through appropriate vision correction or timely surgery, can improve outcomes in PwD14
PwD need to be able to see as well as possible for as long as possible and, as such, their quality of life will improve, they can stay independent for longer and this benefits society.
The seminal PrOVIDe Study15 found that PwD are more likely to be overdue for a sight test, and that they experience preventable VI compared with people who do not have a dementia diagnosis. Only 22 per cent of people in the study had had an eye examination in the previous two years. Nineteen per cent of people said that they had not had an eye examination in a decade, 32.5 per cent of people had binocular visual acuity (VA) worse than 6/12, and 16.3 per cent of people had VA worse than 6/18.
Reading is a popular pastime for older people and those who are housebound. It is also a key component in keeping people safe, for reading instructions and drug advice, for example. In the PrOVIDe study, the team found that 16 per cent of participants could not read standard size newspaper print with their current spectacles. Almost two thirds of the sample could read this print size with a new prescription following a dementiafriendly sight test15
The study also found that one third of PwD had some form of VI, and nearly half of this group only needed a simple update to their prescription spectacles to restore good vision.
In an ideal world, PwD would be signposted at the point of diagnosis to an optometrist for baseline vision checks – to then be followed up on a regular basis. Until recently, this best practice advice had not been promoted by government sources or medics in the memory space. However, in June 2025, NICE amended its dementia guideline NG97 to include: ‘1.8.11 Encourage people living with dementia to have an eye test soon after diagnosis if they have not had one recently, and then every two years. Consider referring people who cannot organise appointments themselves’16
ECPs have a duty of care to recommend this to patients who may be affected from living with the condition, or caring for someone who is. Good vision and hearing contribute to keeping PwD independent for longer.
Dementia progresses gradually; the person who has the diagnosis does not suddenly change overnight after receiving
confirmation of the diagnosis. However, society – and people’s unconscious bias – may lead to PwD being defined by their condition, by the label of dementia, and not by their personhood. This is why many people may put off seeking medical assistance or, when they do have a diagnosis, hide it from family and friends for as long as possible.
It is important to remember that the whole brain is not affected at once and the rate of progression cannot be estimated as it depends on the type of dementia, the individual involved, and environmental factors (such as good vision and good hearing).
Person-centred care (PCC) is very important to the rehabilitation and the respect of human dignity for a PwD, and is widely recognised as best practice when caring for PwD17
PCC means “getting to know the person as a unique individual and then creating a relationship with them which upholds their status as a human being”18. It is too easy for practitioners, albeit unwittingly, to define people by the condition and not the person. PCC should be at the heart of everything ECPs do; small modifications to working practice can make a huge difference to making the PwD feel respected and relaxed. Interaction with PwD to detect and treat VI, requires ECPs to engage in communication with patients and sometimes care partners. This point of view was endorsed by Clissett et al17, who found that personnel in an acute hospital setting did not always recognise the importance of the relationship between the PwD and the care partner.
Some care must be taken when considering these recommendations, in order to position them within the context of PCC. Respecting the personhood of a PwD gives them purpose, status and value in society18
Time constraints in everyday practice may risk driving ECPs towards addressing care partners to save time. If this happens, personhood can become under-valued. For example, if the professional asks the PwD a question, but they take too long to assimilate the information and formulate a response (such as deciding on a frame type or choosing between better or worse in an eye examination) ignoring them and moving on would be damaging.
If the ECP had a full diary, and was unaware that their patient had dementia, then time constraints could push them to not wait for an answer and move onto
something else, appearing dismissive. This effectively invalidates the PwD in their attempt to interact, undermining them, just as if the professional were to ask their carer to respond, in the interests of saving time. There is evidence to suggest that encouraging feelings of inclusion will improve quality of life for PwD19. As well as making interaction with a healthcare professional a more pleasant and productive experience, it gives PwD dignity. Interpretation of General Optical Council (GOC) rules identifies PwD as requiring special consideration20
Stenwall et al21 noted the importance of recognising the care partner’s role to encourage PCC. However, creating a dialogue with care partners should be done while still respecting the patient and their rights.
Not all PwD, or care partners, are able to recognise that sight problems exist. Information on what to look for would be useful, to flag up something which could be easily treatable and lead to enhanced life quality. Warning signs that an eye examination is needed can be found in Table 2.
The concept of time can be challenging for PwD22. If the patient turns up for an appointment at the wrong time or on the wrong day, do not penalise them or
1. Clumsiness
2. Not being able to find things
3. Problems with eating or drinking
4. Memory issues
5. Isolation and withdrawal
6. Avoiding doing things
7. Not being able to see even with correct refraction
8. Scratches on the car or loose/missing wing mirrors
Table 2: Common warning signs that there might be a vision problem
reprimand them. It takes a long time and effort to either get to the practice or to prepare for the ECP to visit their home. Do not send them home without doing some sort of pre-exam or wellness check in the consulting room.
Time can also be an issue when waiting for an appointment. PwD may become anxious, thinking that they have been forgotten when waiting, even after a short time. This could lead to wandering or agitation. Regular checks by reception staff, along with encouraging smiles to reassure them that they haven’t been forgotten, go a long way to putting the PwD at ease.
Find out how the PwD prefers to be addressed. This respects personhood and puts them at ease. Do they prefer Mrs Jones or Mary? Robert or Bob? Wear a badge on a lanyard clearly identifying yourself – with your name, photo and role (this could be a picture of a pair of
spectacles or an eye). The badge should be double sided in case it flips around. This allows the PwD to keep cross-checking during the consultation if they forget where they are, or why they are there. It avoids embarrassment and anxiety.
Other recommendations include:
■ PwD need to feel safe: smile and gain their trust
■ It is important to check for the capacity to consent, and to write down how and when this was obtained
■ Remember that even if the PwD is accompanied by a care partner, the patient is the one who needs your full attention. If the care partner wants to take over, you should have the PwD’s permission to talk to them
■ Reiterate what you are doing as you go along, allowing the PwD to feel comfortable and involved in their care.
This is important since dementia affects short term memory, so reiteration keeps the PwD engaged and avoids confusion and distress
■ Show and tell to reinforce understanding. When talking, for example about frame preferences, say metal or plastic, while showing metal and plastic frames
■ Be aware of cognitive fatigue: making decisions can be exhausting. Asking the patient if they feel more alert in the morning or the afternoon before making an appointment can be helpful
■ Ask if the PwD would like a drink. Hydration is important and many PwD forget to drink which leads to confusion
■ Make sure there is access to basic dementia awareness training for everyone in the practice
■ Some people will not know that they have dementia. ECPs have a role to play here (the earlier the diagnosis, the better the outcomes). Conversely, someone with dementia, might not realise that they have a VI23
■ Over-stimulation can cause the PwD to become agitated. Avoid leaving the PwD in a noisy or crowded waiting area
■ Try not to shuffle people around from one piece of equipment to another. It is better to bring the equipment to them as changing environment and staff members can lead to confusion
■ Do not give people too much choice. Once you have decided what type of frame is preferred and what colour, measure the patient’s face and select no more than three frames to bring back to the dispensing table. Never take the PwD over to the frame bars, as this will be overwhelming
Choice is also a potential problem in the eye examination room. PwD often get frustrated at not being able to answer ‘correctly’. The bombardment of questions and decisions they have to make can be stressful: Red or green? One or two? Better or worse? Just the same? These are questions which are often asked quickly, or with a repetitive gesture, trying to force a response. All of this happens in a small room with reduced luminosity, adding to the drama of the situation. Be flexible, patient and empathetic at all stages of the person’s visit to the practice. Regular eye examinations are very important and to be dementia friendly PwD should have adequate time. If giving extra time for examination completion is not possible, some PwD may need two
appointments due to fatigue. Even if the practitioner feels under pressure and ends up running behind if they slow down, the PwD should not be rushed. This will be counter-productive and may lead to them becoming flustered, confused and agitated. Piano et al24 discovered that many PwD did not always disclose their diagnosis to the optometrist. This was a barrier to the optometrist adapting the eye examination to the needs of the PwD, typically in terms of needing more time or accommodating a care partner into the consulting room25
PwD need to assimilate what is said before formulating an answer. The practitioner may need to rephrase what they have said, or use show and tell, so that the PwD understands better. Having to repeat things to a PwD can be tiring and the temptation is to shout to be understood. Do not shout or slow speech, as PwD have been found to better understand normal rhythm, speed and volume.
Some PwD have aphasia which is problems with speech. This is not only with formulating words and making themselves understood (mixing up words is common) but also understanding what is said to them. Rephrasing and using less complicated language can often help.
Clear communication is very important. PwD will appreciate a written synopsis of their visit so they can go back to it later. Frame and lens choices and a breakdown of cost is important as PwD often struggle with finances. Any discussions about pathology, referral or other advice such as diet or dry eye, should also be written down.
Make sure there are enough chairs in the examination room to accommodate a care partner if necessary. Avoid using phrases like: ‘Do you remember?’ The PwD probably will not remember and it could be distressing/belittling. If the PwD is talking about their visual needs or answering a question, however slowly or circuitously, do not interrupt their train of thought as this is disrespectful and can lead to agitation.
Hope is something that has been identified as a missing component in supporting people living with dementia. Vision impairment is recognised as a modifiable risk factor for dementia and, along with good hearing, is critical to people living with dementia to live their lives in a stimulated and fulfilling way and to stay independent for longer. Seeing patients
living with dementia in optometric practice can be particularly important when an initial diagnosis has been made, as it can offer much needed hope to the person living with the condition (and their support network).
A major barrier to adapted care is the stigma which comes with a diagnosis of dementia. Overcoming this, to recognise the person and not the condition, is a key component to providing quality care and giving hope. It is important for eyecare professionals to regularly reflect with their practice teams on what dementia is, why they should be interested in dementia, how changing their language can change the narrative around the condition, and how to be better prepared to serve this growing patient population and provide the missing element: hope.
For a full set of references, email elainegrisdale@yahoo.co.uk
Elaine Grisdale has a First Class Honours degree in Vision Science and a Master’s degree in Dementia. She is a governor for the Pennine Care NHS Foundation Trust, scientific director for the Silmo Academy and director of development for the International Opticians Association. She has had a varied and international career in technical, professional relations, sales, marketing and teaching roles and has lectured extensively around the world on a variety of topics. ■
ByJoan Grady
Winter sports are exhilarating and fun. Protective eyewear maximises the experience to ensure both safety and style. As the winter sports scene expands, desirable sports eyewear designs include the latest in technology, ventilation, comfort and fit.
Secure fit is always crucial in eyewear, and especially so in active sports. Companies frequently test frames on athletes who regularly deal with difficult conditions at high altitudes and on ski slopes.
The winter sports season is also an ideal opportunity for independent opticians to remind their patients that winter sun can be harmful to the eyes. Snow, cloud and fog reflect a high percentage of UV light, about which patients may tend to be unaware.
This season, frames for outdoor winter pursuits include bold and contemporary models in superbly lightweight materials, dashing shapes and vivid colours. Companies also pay attention to eco-friendly materials that are kind to the environment and to the skin. Shiny bright red, silver and fluorescent violet are favourites hues, while black, chocolate and sand present a more urban
attitude. Of course, high performance lenses are available in numerous colourations.
The dynamic sports eyewear brand Evil Eye by Silhouette has launched two exciting designs for winter outdoor pursuits. Crafted in Austria with expert know-how, the rimless Peaklite goggle weighs only 60g. It features an innovative LST filter lens, enabling wearers who need vision correction to integrate optical inserts directly into the filter lens.
Summit seekers will appreciate the ventilation that is optimised in this sleek design. A secure fit is achieved with a silicone strap that can be quickly and easily adjusted to different head and helmet sizes,
ensuring a non-slip hold. With its flexibility, the compact design of the Peaklite goggle is also ideal for smaller heads.
Canada Goose, the luxury activewear brand available in partnership with Marchon, has launched a spirited new sports eyewear collection that combines functionality with sustainability. The Summit sunglasses collection features bio-based and recycled materials in timeless designs.
Interchangeable sides enable a sporty elastic band to be secured for extra security and comfort.
Innovative Sideris lenses, designed with artificial intelligence, are added to provide unparalleled contrast and colour in any environment. The striking wraparound sunglasses are composed of bio-injected material from 60 per cent plant-based resin. Anti-grip rubber nose pads offer maximum comfort, and the styles are suitable for those requiring an extra-large fit.
Extreme winter sports require eyewear that offers elite eye protection, and the Elate performance frames from Evil Eye at Silhouette are an exciting new design.
Elate Extreme has been created specifically for high altitudes and unusual weather conditions. For ‘ultimate skiers’ and enthusiasts alike, the silicone facemask protects the entire nose and cheek area from harmful UV rays, cold and wind. It can be easily slipped over the frame and secured at the nose bridge, providing full coverage on glaciers and at icy heights.
A newly-designed headband ensures the goggle stays securely in place even in the most demanding situations. The band attaches directly to the frame and is adjustable in three tilt positions with the brand’s Tri-Fit function. The lenses can be glazed to prescription and are available in 14 colours. Elate Extreme is customable and offered in four colours and two sizes.
Produced by Marchon, Nike Max Pro Optics combines science, technology and expertise in active sports to provide multiple benefits for winter sports enthusiasts. The Nike Max Pro Flyfree FV2387 features interchangeable lens options enabling the wearer to swap out the lenses to match any light condition, day or night. Customised temple tips and nose pads are wrapped in silicone for added traction. Plus, the airy ventilated channels at the temples, hinges and top bar keep vision fog-free. The Nike Flyfree FV2387 also helps reduce light reflection whilst repelling water and oil for a clearer view. The nose pad and temples on the frame are flexible and self-adjust to the shape of the wearer’s face for a comfortable, personalised fit. Injected frame material is derived from at least 40 per cent castor bean oil. In addition, the Nike Flyfree FV2387 possesses prominent fashion sleekness in silver with sunny yellow temples and a splash of orange.
Design, innovation and stylish trends highlight the T-Charge collection for men by Go Eyewear. Amongst the latest models is T-Charge T9191 – an audacious silhouette with straight lines and wide lenses that convey strength and modernity. Wraparound styling in high-quality acetate shields the eyes and ensures lightness and comfort, whilst the tinted lens offers superior UV protection against the elements. Attention to detail, craft precision, timeless styling and sophistication create a unique statement.
Part of the new autumn/winter O’Neill optical collection from Inspecs, sporty and sleek model ONO-4596 is constructed in eco-conscious handmade acetate resulting in a super lightweight design. Durability and performance combine with double injection rubber temples and fully adjustable end tips. Regardless of the activity, the frame sits comfortably and securely on the face.
The styles comes in three striking colourways: matte black and red, a fresh glossy crystal front teamed with navy and lime temples, and matte dark grey crystal united with a subtle tonal grey.
Winter sports are growing more and popular thanks to advances in equipment and the ever-growing trend for health, wellbeing and community. This is an excellent moment for independents to include winter sports eyewear in their practice portfolio. The choices are diverse, stylish and provide the technology, durability and sustainability that appeal to winter sports enthusiasts. They also offer eye safety and protection – which is always of paramount importance. ■
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
ATLANTIC OPTICAL UK LTD
tel: 02920 362 136 | fax: 02920 362 137 | email: info@atlanticoptical.co.uk | web: www.atlanticoptical.co.uk
AVIZOR
tel: 0800 085 6559 | email: uk.sales@avizor.com | web: avizor.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
BIRD EYEWEAR
tel: 01392 703004 | email: ryan@birdeyewear.co.uk | web: birdeyewear.co.uk
BONDEYE OPTICAL
tel: 0121 7723888 | fax: 0808 2801865 | email: sales@bondeyeoptical.co.uk | web: www.bondeyeoptical.co.uk
CALEDONIAN OPTICAL LTD
tel: 01224 596 006 | email: info@caledonianoptical.com | web: www.caledonianoptical.com
CARDNET
tel: 0345 604 2491 Option 2
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
tel: 07899 235 053 | email: uksupport@charmant.eu | web: charmant.com
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
DESIGN EYEWEAR GROUP
tel: 0203 630 1341 | email: info.uk@designeyeweargroup.com | web: designeyeweargroup.com
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
ESSILOR
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
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
INSPECS
tel: 01225717000 | web: https://shop.inspecs.com/ | email: customerservice@inspecs.com
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
www.optinetuk.com
Think independently
Scan the QR code or call 0844 873 1110 to open an account.
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.
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
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
OPTELEC
tel: 0800 145 6115 | email: ordersuk@optelec.co.uk | web: lowvisionshop.co.uk
OPTINET LTD
tel: 0845 313 0233 | email: sales@optinetuk.com | web: www.optinetuk.com
OTE OPTICS
tel: 020 8428 9028 | email: customerservices@adaro.net | web: https://oteoptics.nl/en
PERFORMANCE FINANCE
tel: 01536 529696 | fax: 01536 310033 | email: info@performancefinance.co.uk | web: www.performancefinance.co.uk
PKP OPTICS
tel: 01892 837979 | email: info@pkpoptics.co.uk | web: www.pkpoptics.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: 00800 72345600 | email: customerserviceuk@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
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
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
STEPPER (UK) Limited 11 Tannery Road, Tonbridge Kent - TN9 1RF 01732 375975 www.stepper.co.uk
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
THOMSEN DENMARK
tel: 07899727671 | email: lee@thomsendenmark.dk | web: thomsendenmark.dk
ULTRAVISION
tel: 01525 381112 | fax: 01525 370091 | email: info@ultravision.co.uk | web: www.ultravision.co.uk
