Welcome to the role of a Dispensing Optician, this is my blog about my job so please feel free to leave comments as all can.







Friday 16 December 2011

The use of Multi-focals and the advantages updated 16/12/11

Bifocals or multi-focal's to give them there correct term are fantastic lenses, they include two or three distant visual zones.  There are so many types of lenses, straight segs, round segs, D segs (glass) and the executive type, not to mention the up-curve, double D, trifocals such as straight and 
round, executive with a straight top the list continues.


The major advantage of multi-focal's over progressives is the clear area of vision.  The advantages of this are clear, no distortion or area of no us on the lenses.  As a Dispensing Optician this means I can ensure I can give a patient defined clear areas of vision designed for the work tasks they need them to do.  There are a few restrictions on the prescriptions that can be used, but most can be overcome with a small modification.


The manufactures of multi-focal lenses have started to progress again as there is a clear demand for the lenses and more dispensing Opticians are going back to this kind of lens.  Norville Optical have developed a seamless lens and a very high index plastic (n=1.74) lens so even very short sighted people can now benefit from thin lenses.


The need for this type of lens is still valid and patients need to get over the fact that there may be a small line on the lenses as the vision is second to none and the cost matches as well.




Monday 24 October 2011

Half Term Again

I am hoping that all the parents this time decide to get there children in and tested in the first few days and don't leave broken specs until Saturday with no chance of fixing until after the weekend.

Dispensing children is a joy and pleasure most of the time, children have that ability to bring joy to the day when they are able to see correctly and love the new specs.  The down side is when you have parents that refuse to pay for thinner lenses and you just know that the child is going to get bullied or just not wear their specs.  I understand that cash is tight and that the NHS are unable to fund thinner lenses but i wish that parents would listen to us professionals and just do whats best for their child.  The saying if a child likes it they will wear it is so true when i comes to glasses.

Well I will update after this week on all that has happened in the mean time have fun

LJ

Thursday 20 October 2011

Sorry

I have neglected to write for a while been very busy and on holiday, will update the blog soon, ie sunday.

Monday 27 June 2011

What to do on holiday

On holiday this week so going to look at some text books and do a bit of knowledge updating. Optics changes so quickly you need to look back at the basic points from time to time.
Basic is the key if the basics are not sound then the rest will fall apart too.

Tuesday 3 May 2011

Varifocals but the proper name is progressive powered lenses

The joys of PPL's (progressive powered lenses) is that you can see most things that you want to so why do so many people not cope with them.  Well this can be split into three main reasons, one they were not told about the disadvantages two they are just on the start of needing PPL’s and not getting the benefit yet and three the lest common they are a true non toll to them. 

The third reason is less common but many people feel that they are non-tolerant to them where actually they are either not suitable for the job that they are trying to do in them or they find that they are too restricting in the reading area compared to a single vision or a multi focal (bifocal) lenses. 

The second reason well that tends to be either the optometrist recommending them too early or the optical assistant doing the same, Dispensing Opticians will always check that the patient does with their vision before recommending a lens for them, hence all the questions regarding your occupation and your hobbies.  PPL's are not suitable for everybody and do not come in a one size fits all.

The first and main reason is the way in which the PPL's have been explained or not explained to the patient, and what lenses the patient has chosen. 

The problem with PPL’s is the cost, the more expensive the lenses the better the quality of lens and better manufacturing skills have been used such as freeform and point to point twinning.  The problem often occurs when the patient does not want to spend £200 on a pair of lenses, so they go for the cheaper option which does not perform in the same way.  I often compare it to something the patient will be able to comprehend i.e. cars, e.g. a ford KA is not as good as a VW Golf and that is not as good as a Jaguar which is not as good as a Ferrari.  Hence as the car cost increases the performance does so does the features and benefits.

All the different types of PPL’s have different advantages and disadvantages these need to be explained in full to the patient so the patient is aware of what the lenses will and won’t be able to do.  I tent over worn my patients as I want them to have realistic expatiations of what they will be like, and saying I have tried the wife’s is not good. 

So when you get your new lenses check that the dispensing optician has double checked all the measurement as this is vital as if they are sitting just a 1 mm off the correct place the vision can be incorrect and get the correct advice.

Monday 2 May 2011

Been off work

Having been off work for two weeks I have missed my job alot. It brings me joy to be able to solve somebody's optical problems and enable them to see correctly. The gift of sight is such that it should not wasted. Why do people accept poor vision well I believe it's because they haven't seen the dispensing optician at the time they had there specs made up and well they are not suitable for their needs. Their needs that's a good saying one size does not fit all a Plummer and a banker have different needs so why would the same optical product be suitable? Some people do not see the bigger picture and that is rather shortsighted of them ( no pun intended)

Wednesday 2 March 2011

Why do people expect far too much

I wonder, why am I still trying to explain why somebody is unable to see as well as they want to makes me think why and what are optometrists doing?

The most frustrating thing is that they don't understand that they are unable to see as well as they uses to. I get I want stronger specs that will help me see or just give me more powerful reading glasses. Why do optometrists think that not ensuring that the patient understands what they have just told them is exceptable. I think I know because they don't have to deal with the after effects that comes to me the dispensing optician and then when you book a patient in to see the same optometrist they don't want to see them. The only answer I can come up with is that they do not know how to deal with the general public and are unable to communicate to them why they can't see as well as they want too

The other thing is why do people think that a pair of specs will answer all of their problems. The answer to that is not as easy the main thing that I have discovered is that they do not want to take ownership of a problem or responsibility for something that is within their control ie putting on a pair of specs. I guess they want a one size fits all answer and a pill to take to make it all better. If only it worked that way my life would be so simple but dull I guess. The real thing is that the dispensing optician is not only a valuable team member but a counclier and peace maker as well. The role is so different each day I love it.

Saturday 26 February 2011

Half Term and Why?

The joys that half term brings is all the lovely children coming into the practice.  Parents that want their child to have their specs before they go back to school, then moaning when you can't.  I ask why wait until Saturday to get things sorted.

The joys of dispensing to children is the satisfaction of ensuring that you are doing all that you can for that child.  If the frame does not fit correctly you can deform the child's features and possibly cause long term damage.  Reassuring parents that they have not been a bad parent because they have missed the fact that their child is unable to see as well as they could have been.  Explaining to children why the must wear their specs and when to use them.

The thing that gets me is hospital prescription.  The last 10 or so hospital prescriptions of over a combined power of 5 diopters without a BVD is outrageous and when i phone to get it I get the standard please fax the prescription to us and we will then get the information you need.  Its British standards to write the BVD on all prescriptions over 5 diopters do they feel that as they are hospital prescribers they do not need to comply to this rule.

Sunday 13 February 2011

Why visit a optical practice

Why do so many people use Internet sights for their eye care needs?  The answer I have come up with is lack of professional advice in most optical practices, where are the Dispensing Opticians - in meeting as the practice manager in most cases.  I have been a practice manager and from personal experience the two roles are so different you cant always put the patient first as the manager as your sales hat goes on, as a dispensing optician you can have the patient interests at heart and if that means letting the patient leave without a purchase then that's fine. 

I feel that if all patients are given the correct advise for them and only them the loyalty will continue and the patient will see eye care as a health profession and not a sales area.  The uptake of eye examinations will increase and the frequency will also increase as people wont leave a visit to the optometrist until there is a problem.  This will also reduce the high level of undiagnosed eye conditions in England and wales - Scotland has NHS tests for all patients when that was introduced a 5% increase in referral's to hospital for major eye conditions such as glaucoma.

So in conclusion we need to be stating the importance of regular eye examinations to all, not tests examinations as I strongly believe that a test suggests sales and a examination implies heath care.

Friday 11 February 2011

The role of a dispensing optician is very important yet under valued and not understood by most of the general public. This make me think that the role needs to be promoted and publicised to the importance of having qualified professionals dispensing spectacles to patients, not just the at risk groups but to all.

I say dispensing not selling, patients not customers. A dispensing optician does not sell they recommend on experience and academic knowledge, they ask questions regarding lifestyle and occupation to ensure that the best optical solutions are presented, fully explained and then allows the patient to make an informed decision on the best solution for them, that fits their budget and their life. A good dispensing optician will always provide the truth and be honest and put the patients needs first.

This is what I stand for.