// DRIVESAFEMADE BY ZEISS

To learn more visit www.zeiss.com/DriveSafe

Better vision in low light conditions. Glare reduction that targets today’s

high-intensity headlights.

Clearer viewing of the dashboard,

mirrors, and road.

1 2 3

©2015 Carl Zeiss Vision Inc. DriveSafe products are designed and manufactured using Carl Zeiss Vision technology. US patent 6,089,713. Other patents pending. Rev. 10/15

NEW!ZEISSDriveSafe

More than two thirds of your patients may suffer from stress while driving, including challenges

with vision. Help alleviate their stress with a new all-day lens solution – ZEISS DriveSafe.

October 2015 • Volume 9, Issue 86 • www.ECPmag.com

AUTUMN’S AFFORDABLE FRAMES / page 14 • UPDATING YOUR DISPENSARY DÉCOR / page 20

cover1015.indd 1 10/6/15 6:52 PM

ONEHUNDRED

Y E A R S

C E L E B R A T I N G

After 100 years in the optical industry,

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of our customers, our employees and

the communities that we serve through

better vision. With our common

commitment to service, innovation and

a focus on the success of our customers,

we will continue to help the eye care

industry grow and your business prosper.

Thank you for your partnership.

Here’s to the next 100!

Ads.indd 1 8/27/15 6:26 PM

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Vol. 9 — Issue 86

CONTENTSOCT 2015

20Dispensary Layout and DécorIt doesn’t cost an arm and a leg to refresh a lack luster

dispensary to make it more appealing and proftable.Beth Carlock, OD

26 AR and HEV OptionsLens coating offerings are plenty, but how do ECP’s know

which to choose? We highlight some of the newest choices. Judy Canty, LDO

30 When Physics Meets FashionUnderstanding the difference between lens options can aid

opticians in making smarter choices for their patients.Sam Winnegrad, MBA, LDO

32Moving On Up!How to make yourself stand out above the rest and get

noticed for that overlooked promotion in the workplace.Anthony Record, ABO/NCLE, RDO

36Eyeglasses For Those in NeedInterview with New Eyes, a non-proft organization that

provides corrective eyewear to people all around the world. Lynnette Blanton, Publisher/Editor

40Diagnosis and Management of GlaucomaYour patients need to be educated on the many different

aspects and types of Glaucoma that exist today. Jason Smith, OD, MS

46 Independent Book Stores are Dead? Not at all, they popping up and getting creative with unique

social media marketing ideas to differentiate themselves.James Magay, RDO

Zeiss

800-358-8258

www.Zeiss.com/lenses

On The Cover

20 36

Autumn’s Afordable and Stylish EyewearConveying on-trend designs for modern day men and women,

wanting style and fashion in their eyewear selection. by ECP Staff

OCT_TOC.indd 1 10/7/15 10:01 AM

Vision Expo West

The place to be for everyone in the eyecare industry

Vision Expo West is in the past and what a great show it was! The vast

offerings of education, products, trends and solutions at International Vision

Expo West helps to keep us all informed and updated on the best practices for

the industry. For the ECP’s it keeps you all updated to provide the best care

and treatment of your patients.

Just to recap on some of the show highlights— On the frames side, the

trends I saw were magnificent pops of color, exaggerated and unusual shapes,

retro detailing and the inclusion of many natural materials such as wood,

leather, horn, etc. This fall season looks brilliant and is definitely focused on

bringing out the fashionista for both men and women alike.

The weather was simply perfect in Las Vegas and the show floor had a

steady stream of traffic. Many exhibitors that I spoke with stated that the

attendees were serious and not just there for browsing.

It was great to engage with everyone at the events—from the OD’s on

Facebook party, the Adidas Performance Rx kickoff launch, the OWA Annual

Networking and Raffle Event to the Marchon Party at the Paris Hotel pool

just to name a few.

Congratulations to Bill Heffner, FEA Industries pictured above 3rd

from right in the top left photo for receiving the award for

website of the year at Vision Monday’s Labapalooza.

Lynnette Blanton

Editor & Publisher

Vision Expo West

The place to be for everyone in the eyecare industry

EDITORIAL OFFICES

4600 Grandview Avenue, Bensalem, PA 19020

Phone: 215-702-0625 • Fax: 215-702-0629

editor@ecpmag.com

EDITOR/PUBLISHER

Lynnette Blanton

lblanton@ecpmag.com

SR. PRODUCTION/GRAPHICS DESIGN

Bruce Drob

graphics@ecpmag.com

CONTRIBUTORS

Mary Armstrong, Judy Canty, Pamela Capaldi,

Beth Carlock, Renee Jacobs, Jim Magay, Corrie Pelc,

Anthony Record, John Seegers, Jason Smith, Sam Winnegrad

EYECARE PROFESSIONAL MAGAZINE

published monthly by ECP, LLC.

Volume 9 Number 86

EYECARE PROFESSIONAL MAGAZINE

ECP, LLC makes no warranty of any kind, either expressed,

or implied, with regard to the material contained herein.

No reproduction of printed materials is permitted without the consent

of the publisher of EyeCare Professional Magazine, ECP, LLC.

ECP, LLC is not responsible for any errors and omissions, typographical,

clerical and otherwise. The possibility of errors does exist with respect

to anything printed herein.

It shall not be construed that ECP, LLC. endorses, promotes, subsidizes,

advocates or is an agent or representative for any of the products,

services or individuals in this publication.

For Back Issues and Reprints – Contact Lynnette Blanton,

Publisher/Editor at 215-702-0625 or by email at editor@ecpmag.com.

For subscription changes, email: lblanton@ecpmag.com.

Opinions expressed in editorial submissions contributed to EyeCare

Professional Magazine, ECP, LLC are those of the individual writers

exclusively and do not necessarily reflect the opinions of EyeCare

Professional Magazine, ECP, LLC its staff, its advertisers, or its readership.

EyeCare Professional Magazine, ECP, LLC assume no responsibility toward

independently contributed editorial submissions or any typographical errors,

mistakes, misprints, or missing information within advertising copy.

Advertising Information Call: 844-384-2181

Scan this barcode with your smartphone to go to our website.

FROM THE EDITOR

SINCE 1994

The Publication with a Voice... The Conversation Starts Here.

Visit www.ecpmag.com to view digital versions of each of our editions.

Cou

rtes

y /

Visi

on M

onda

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Photographika Las Vegas©

20

15

OCT2015_editor.indd 2 10/6/15 6:59 PM

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With insurance today, your patients’ choices in

eyeglass frames and lens treatments are often restricted

for the first pair. Ofering afordable second and third

pairs of glasses has become a challenge due to price.

Many patients have varied life styles that the first pair

does not always satisfy. Being able to ofer sunwear

or special application lenses such as computer

and other lifestyle eyewear is essential to

maintaining a healthy bottom line. The

use of frame and lens packages allows

for the multiple pair sale resulting

in increased patient satisfaction

(retention) and a better bottom line.

This is where you can use these

types of frame and lens packages to

your advantage. The package allows

you to present a second and third pair

as being discounted or ‘special price’, thus

making it more attractive to the patient. Many

patients need to be educated about what is available to

enhance their lifestyle. Packages that include free-form

lenses are the best. These packages allow you to ofer

virtually any type of lens tailored to the patient’s unique

activity. One lab’s frame and lens program includes over

12 diferent free-form designs that meets virtually all

your patient lifestyles, while maintaining an afordable

price for both you and your patient. The more modern

frame and lens programs also include all the treatments

(Anti-reflective coating, Photochromics, UV & Blue Light

protection, etc.) and multiple lens designs - not just clear

single vision lenses in a frame.

These types of packages can also make service

and turn-around much easier, enabling you to

deliver complete jobs to your patients faster

than normal. The way these programs

work is that your lab provides the

frame, and deals with edging and

mounting. Once you order it, the

only other thing you have to do is

dispense it. That makes it an even

better investment for you, the ECP,

as you don’t have to invest a lot of

your time or efort in shipping frames

or edging the lenses yourself.

It can be beneficial to ask your lab(s) if

they have this kind of a program that you can use for

your more budget-conscious customers. If you can ofer

them a good selection at reasonable prices, then you

create an additional sense of value in your customer’s

mind. It becomes more attractive for

them to come back to your practice, as

opposed to going to whoever happens

to accept their insurance.

AFFORDABLE EYEWEAR:FRAME AND LENS PACKAGES

Your monthly overview of

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Many patients

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800.327.2002

Written by Bill Hefner IV.

FEA Industries, Inc.

About Bill Hefner IV

Bill Hefner IV – or “Otherbill” currently heads up Lens Technology at FEA. His education includes a bachelors degree

in Information Technology and another bachelors degree in Business Administration, both from Drexel University .

Bill also holds a master’s degree in Software Engineering from The University of the West of England. Named as one

of the top 35 up-and-coming professionals in the optical field by Optical Lab Products Magazine, Bill is dedicated to

ensuring that FEA Industries is always focused on technology.

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THE NEXT STEP IN

THE DIGITAL LENS

REVOLUTION

How returning to fundamental optical theory yielded the latest advancement in vision care

Base Curve BasicsWhen the power of a lens is paired with its

ideal base curve, the wearer enjoys clearer

vision, with minimal oblique astigmatism.

In a single vision lens, there is one power,

so it‘s easy to choose the ideal base curve

for the prescription.

However, in a progressive lens, the dis­

tance zone power calls for a lower (fatter)

base curve, while the near zone power

calls for a higher (steeper) base curve. In

traditional molded front­side progressive

lenses, the varying base curve is built

into the design.

Nowadays, modern digital lens technology

allows labs to create progressive lenses

out of single­vision lens blanks. But this

means the various powers must share a

single base curve, one that may not be

ideal for all zones.

The new Camber lens ofers an elegant

solution that represents the next step

in digital prog ressive lens technology.

Front Surface InnovationCamber lens technology, developed

by Younger Optics in partnership with

Indizen Optical Technologies (IOT),

introduces a new front surface innovation

known as the VBC (variable base curve),

which provides the signifcant advantage

of an optically ideal base curve for all

viewing zones.

Each Camber lens blank comes from a

section of the “Elephant’s Trunk” curve,

creating a unique, patented VBC front

surface that continually increases in

diopter from top to bottom.

This improved front surface profle gives

each viewing zone a base curve that is

well­suited to its function.

This totally new VBC front surface,

unique to Camber lenses, provides

benefts to wearers in all zones. Wearers

enjoy noticeably increased acuity in the

periphery of the distance zone, as well as

a reading area that is more comfortable

and easier to fnd with the eye.

Elephant‘s Trunk Curve

The Camber lens blank has a unique,

continuously increasing base curve,

ideal for the increasing power profle

of digital progressive lenses.

Learn more at camberlens.com

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Camber is a trademark of Younger Mfg. Co.

Merging Complex CurvesCamber lenses offer state­of­the­art,

digital designs which are calculated to

operate in mutual accord with the unique

Camber lens blank.

The VBC front surface is combined with

a sophisticated back­side digital design ;

both surfaces work together to become

the patented Camber fnished lens.

The Rx Design Computation is further

enhanced, when desired, by a complete set

of individualization parameters that take

into consideration the unique attributes

of the frame and the preferences of the

wearer. The result is a fnished lens that

is comprehensively customized for each

individual patient.

Where to OrderLenses with Camber technology are now

available from select labs (listed right). For

an up­to­date list of Camber­authorized

labs, visit camberlens.com/labs.

Benefts to Patients

• Dramatic reduction of oblique

astigmatism in all visual zones

• Full individualization and customization

available according to prescription,

lifestyle and frame choice

• Increased magnifcation in reading zone

• Increased area of the reading zone

• Reading zone easier to fnd*

• Improved distance vision

• Improved cosmetic appearance on

some Rx‘s due to fatter lens curvature

• Easier adaptation for most wearers*

• Wearer trial shows most wearers prefer

lenses with Camber technology*

*Compared to same lens design without Camber

technology. Wearer study available upon request.

Camber Lens Blank

From the top of the lens blank to the bottom, the base curve increases up to

three diopters. This VBC (variable base curve) ofers distinct advantages over

digital progressive lenses made from a single vision lens blank.

5.5 D

6.0 D

6.5 D

7.5 D

8.5 D

+30mm

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What makes Camber lenses diferent from other digital lenses?

Central Carolina Optical

(800) 324-4233

CFC Labs — CANADA

(902) 481-4767

Cherry Optical, Inc.

(800) 469-4211

Digital Eye Lab

A Division of ABB Optical Group

(866) 866-8673

Expert Optics, Inc.

IL: (800) 892-0097 IN: (800) 287-9778

Eye Save Optical Labs

(800) 480-4971

FEA Industries, Inc.

(800) 327-2002

HB Optical

(305) 964-2020

IcareLabs

(877) 422-7352

iCoat Company

(800) 832-2628

Laramy-K Optical

(800) 525-1274

LensWorks

(763) 557-0500

Luzerne Optical

(800) 233-9637

Midwest Labs

IA: (800) 247-2525 IL: (800) 346-5700

Midwest Lens

(800) 444-7294

National Optical Co, Inc.

(800) 489-5367

Nexus Vision Group, LLC.

(866) 492-6499

Nexus Vision Illinois

(800) 252-1621

Nova Optical Labs — CANADA

(403) 346-0999

Optical Supply

(877) 316-5775

OptimEyes Optical Lab

(855) 506-3937

Pech Optical Corp.

(800) 831-2352

Precise Optical

(800) 390-5204

Rite-Style Optical

(800) 477-9291

Riverside Opticalab — CANADA

(800) 461-9474

Robertson Optical Laboratories, Inc.

(800) 929-2765

Sheridan Optical

(800) 704-1375

Sunstar Optical Laboratories

(800) 429-2416

Toledo Optical

(800) 472-0107

Walman Optical

(877) 863-2759

Western Carolina Optical

(800) 772-6131

Wholesale Optical Supply

(800) 585-2352

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ECP NEWS

HOYA VISION CARE OFFERS BLUE LIGHT PROGRAM FOR INDEPENDENT PRACTICES

KENMARK EYEWEAR

Fall New Releases

COBURN TECHNOLOGIES

Releases New Velocity Coater

Hoya is launching a comprehensive

program that provides independent

eyecare practices with training, tools

and technology to educate patients

about the potential hazard of blue light.

The turnkey program, “Building a Blue

Light Practice,” is part of Hoya’s new

“ECP Ally” campaign that is designed to

provide “actionable marketing strate-

gies” to independent ECPs, according

to Hoya.

The new initiative allows a practice to

tailor its approach to blue light manage-

ment based on its individual practice

dynamics. ECPs that participate in the

program will obtain information about

a patient’s blue light exposure from the

patient’s intake form.

Office staff educate patients about

blue light using demonstration tools

such as Hoya’s HVC Viewer App and

Blue Light Device and its BluTech

Lenses display and blue light laser pen.

A retinal scan that reads the RPE layer

of the macula is then taken for each

patient using iOptics EasyScan, which

is made available through a partnership

between Hoya and iOptics.

“Commoditization is the greatest

threat to the independent practice. As

the ally of the independent practice, we

believe patient education is the most

effective way to battle this threat and

the subject of blue light is a tremendous

opportunity to connect with patients

through education,” said Gregg Fowler,

vice president of sales and marketing.

“These days, many companies take

their initiatives directly to the con-

sumer, which may sell more product.

But this is not about selling product. It

is about educating patients.”

Contact your local Hoya territory

sales manager or visit ecpally.com for

additional information.

ZEISS sponsors “SIGHT – The Story of Vision”

SIGHT – The Story of Vision” is an international

documentary about the importance of good vision,

about the progress in eye care and vision solutions

over the past 800 years, the impact of the global vision

crisis on life and work; and importantly, about the

efforts taken by individuals and organizations to fight

this crisis.

This documentary was previewed at a ZEISS sponsored

event at Vision Expo West in Las Vegas and received

enthusiastic reviews from the 300 Vision Industry and

media representatives who attended theevent.

The SIGHT project is an international initiative, involving award winning directors

and filmmakers, an advisory board of medical, business and science advisors, and

collaboratively sponsored by several major corporations and organizations from the

vision care industry. Initiator and filmmaker Kris Koenig and Public Broadcasting

Systems acknowledge that this industry-wide initiative has brought companies together

with a common objective to educate and raise awareness of the significant challenges in

providing good quality eye care and vision solutions to the millions of people affected

by poor vision.

SIGHT will be aired first in the United States in Fall, 2015, but will be shown

by other broadcasters in Europe, Latin America and Asia and will eventually

be seen by millions of viewers around the world.

AMIRA

IRENE

ZAC POSEN is a world-renowned fashion

designer with a vision for modern American

glamour that marries couture technique with

striking innovation.

The latest styles in the Women’s Collection

include Amira, Joan Juliet, Irene and Nena.

Amira, a chic full rim zyl with a dramatic

Zac Posen logo on the new comfort fit temple.

Available in three bold colors, Blue, Emerald

and Wine 52-18-140

Irene is a progressive-friendly shape and features

the new Zac Posen temple tips for better fit and

comfort. Avaialble in 3 rich colors including

Black, Berry and Chocolate.

Coburn’s new Velocity

Coater is a fully auto-

mated industrial hard

coating system providing

the highest throughput of

any system on the market

while also delivering

excellent yields. The au-

tomation system includes

a multi-stage pre-

cleaning system as well

as lens handling from

the job tray, through a

multi-stage lens pre-

cleaning system, followed

by a secondary cleaning system, coating, and cure,

finally returning the lens to the job tray. All of this

is accomplished without operator involvement.

Information is available from Coburn at:

1-800-COBURN-1 for pricing and additional details.

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ECP NEWS

ManagementPLUS Cloud Eliminates the Need for

Office-Based Servers; Revenue Cycle Management

Improves Accounts Receivable Workflow

ManagementPlus, a market leader

in electronic health records

(EHR), electronic medical

records (EMR) and practice manage-

ment software for ophthalmology

and optometry practices, announces

the introductions of two new product

offerings: ManagementPLUS Cloud and

Revenue Cycle Management.

ManagementPLUS Cloud allows

practices to back up and store vital

health records and applications to

remote and secure servers, while

Revenue Cycle Management ensures

claims get timely attention to detect and

avoid delays in payments and write-offs.

“ManagementPLUS Cloud and

Revenue Cycle Management are logical

extensions of our core platform,”

says Bryan Thorell, Chief Information

Officer, ManagementPlus. “With

ManagementPLUS Cloud, physicians

can be assured that patient data is

safely and securely managed. When

data is centralized, downtime associated

with upgrades, conversions, and new

software set-up are minimized, and

the need for comprehensive IT server

support is virtually eliminated, saving

potentially thousands of dollars a year.”

ManagementPLUS Cloud automatically

and systematically backs up records

from a practice’s EHR or EMR system

and stores it in secure data centers,

thus eliminating the need for an on-site

server and costs associated with having

fully supported IT services. It is fully

compatible with multiple operating

systems and devices such as the iPad®,

AndroidTM, and Microsoft SurfaceTM

tablets.

With this service, users are able to

centralize EHR, EMR and other critical

practice applications at secure data

centers to make the applications easier

to manage. Additionally, because

data is offloaded to a secure

external source, patients’ data

is protected against computer

failure, theft, or damage to

in-house servers and computer

networks.

ManagementPlus’ Revenue

Cycle Management is specifically

designed to codify and simplify

the revenue stream of an

ophthalmology or optometry

practice. The service includes

the following functionalities:

Electronic Patient Eligibility Check –

Patients’ insurance eligibility is verified

prior to the appointment, reducing costly

errors from occurring at a later stage.

Claims Submission – ManagementPlus

will work with the practice to set up

electronics claims and Explanation

of Benefits (EOBs) submissions, thus

minimizing the number of rejections and

invalid claims while saving time.

Denial Analysis and Handling – An

analytics team will review denials trends

and suggest how they can be corrected

to avoid any bad debt write offs.

Accounts Receivable Follow-Up and

Collections – Claim submissions are

followed for up to 90 days and past due

balances are collected.

Detailed Reporting – Revenue

Cycle Management offers various

customizable reports to manage and

monitor claims from submission until

they are posted.

Quality Checks – Quality auditors

perform checks to highlight trends, etc.

Managementplus Adds New Service Oferings To

Expand The Utility Of Electronic Health Records

Jim Edwards (left) and Garrision Wynn (right)with Mike Menard (center) of CooperVision.

Opti-Port President/CEO Jim Edwards (left) with keynote speaker change management expert Garrison Wynn (right).

OPTI-PORT Members Prep

for Industry Change at VEW

During Opti-Port’s SPARK Conference at Vision Expo

West, members discussed “change management” topics

ranging from leadership and behavior modification to

implementing a new EHR system and insurance coding

procedures.

“These are turbulent

times. Faced with a

shifting regulatory

environment, increased

industry consolidation,

and the growth of

online competition,

multi-office regional

eye care practices have

to adapt and evolve

to succeed,” said Jim

Edwards, Opti-Port

President and CEO.

“The agenda of this year’s SPARK Conference focused

on helping our members navigate these changes by

providing both leadership training and new tools

for success.”

Best-selling author

and management

consultant, Garrison

Wynn, presented a

high energy keynote

address. Identifying

the perceived threat

that change presents to

an experienced team

as— “No one wants to

be a senior beginner”—

Wynn helped the Opti-

Port audience understand

ways to overcome the

paralyzing fear of change

that often prevents an organization from reaching

optimal performance.

In peer-to-peer sessions designed to encourage best

practice sharing, members led discussions on instituting

a new company-wide hiring protocol, preparing for a

meaningful use audit, training opticians for enhanced

patient engagement, and implementing new EHR and

ICD-10 coding procedures.

Founded in 2001, Opti-Port is a national alliance of

leading eye care providers that leverages the combined

strength of its members to provide them with revenue

growth strategies, as well as cost-saving and market-

expanding opportunities.

OCT2015_news.indd 6 10/5/15 4:51 PM

Matrix Display Searching – Find available ranges for

fnished and semi-fnished lenses

Barcode Searching – Online lens data base including

barcode symbols

Confrmation Check – Online order verifcation and

order summary

Shipment Notifcation with Electronic Packing List –

Online lens shipment detail / One Step receiving

Green Bay, WI 54311 email: info@opticom-inc.com

800-678-4266 • Fax 920-965-3203 www.opticom-inc.com

USE ONE WEBSITE TO ORDER ALL OF YOUR STOCK LENSES! AND USE IT FOR FREE!

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order your Rx shorts by searching our complete lens data base.

To Demo Our Lens Ordering Site

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Click on: Product Search/Ordering

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If you are currently ordering

lenses from any of the following

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using the Opticom website at

no cost to you!

Augen Optics

Bristol C&D

Carl Zeiss/AO Sola

Centennial Optical Limited

Conant USA

Essilor (Silor, Varilux & Gentex)

Eye Solutions

Eyenavision

Eyewear by ROI

Eyewear Designs

Fantom Optics

Hilco (Supplies)

Hoya Lens

I-Coat

Kaenon Polarized

KBco

Lab-Tech

L.B.I. Lenses

Lensco

Nassau Lens

Nouveau Eyewear

Optima/PFO Global

Polycore

Polylens (Chandel Optical)

Private Label Optical

Rochester Optical

Seiko Optical

Shamir Insight

Shore Lens

Signet-Armorlite

SOMO Optical

Speciality Lens/iRX Xperio

Titmus (Frames)

Vision Dynamics

Vision-Ease

VSP Optics Group

X-Cel Optical

Younger Optics

Zyloware (Frames)

OPTICAL A&QA. Ordering Lenses Using Opticom.

Q. What is a Piece of Cake?

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Affordable Eyewear

OCT2015_frames.indd 2 10/6/15 11:26 AM

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1 VUARNET

The iconic 002 has had an electrifying makeover! This

unisex model, with its fexible nylon frame, now comes in

a range of bold colors. Featured with their “fash” mineral

lenses, high-set arms and gentle cat’s eye shape, these

glasses just say contemporary and a lust for life. A frame

that is right on trend for the upcoming season.

www.vuarnet.com

2 MARCOLIN

The substantial design of KC7173 from the Kenneth Cole

Eyewear collection delivers a bold retro feel to this sun-

glass style. The iconic screw and metal wrap-around detail

accents the front of this handmade acetate frame. A neutral

palette ranging from black fade to tortoise, translucent grey

or translucent stone, as well as shiny black, help defne this

modern silhouette. www.marcolin.com

3 PRODESIGN

This all male project has a distinct graphic profle, ex-

pressed by a tone in tone style with a recessed stripe in a

strong accent color. The shapes are very commercial and

suitable for any man, who is looking for an elegant frame

with a sporty touch and a little twist. Colors are kept classy

with an exclusive rubber coating surface and matching

acetate end tips. www.prodesigndenmark.com

4 REM

If you’re looking to turn heads, the JA307 is the perfect

frame. Boasting a breath-taking cat-eye silhouette, the

JA307 is crafted from a rich, two-layer acetate lamination

throughout and features the iconic Jonathan Adler logo

plaque on its temples in addition to a laser-engraved epoxy

fll of signature ‘JA’ initials on round temple tips, making any

woman drop dead gorgeous. www.remeyewear.com

5 XX2i OPTICS

Award winning XX2i Optics France2 sunglasses ofer

unparalleled performance while going easy on your wallet.

With multiple colors and lens confgurations, including Po-

larized and Sport Polarized Reader available with discrete

backside magnifcation zones. The France2 provides a

range of superb optical solutions. www.xx2i.com

6 OGI EYEWEAR

Ogi 7149 utilizes an uncommon layering technique in which

each frame becomes a unique, wearable, piece of art.

A wide spectrum of convivial color options—infusions of

green, purple, brown, and blue cabana—should inspire

color lovers to rejoice. The simple shape and soft corners

of the 7149 complement a cheerfully translucent acetate

frame and temple. www.ogieyewear.com

7 MODO

Modo’s Block Titanium is a timeless category based on a

minimalist design and lightweight, fexible construction and

is going bigger in shapes representing a current fashion

trend. The FW2015 Collection adds one squared and deep

men’s style together with three wonderful ladies’ styles

ranging from the classic cat eye to deeper and larger

square cat eyes. Colors include: light teal, steel pink, ruby,

mauve, grey plum. www.modo.com

OCT2015_frames.indd 3 10/6/15 12:44 PM

CLARITI EYEWEAR Bold and adventurous! This Konishi Flex Titanium

is efortlessly designed with the fnest high quality

materials you come to expect from Konishi! The

curve of the Temples has an impeccable arch with

a highlight of color! Featured in these brilliant new

colors of Matte Black, Matte Gunmetal and Matte

Blue! www.claritieyewear.com

L’AMY

Nicole Miller’s newest metal ophthalmic frame, the

NM Dufy, embodies feminine, easy to wear styling

with a rich, Celtic inspired metal detail on the

temple. The Nicole Miller Dufy adds a touch of

glamour with subtle stones interspersed in the metal

temple. www.lamyamerica.com

MARCHON Conveying the same brand DNA as the rest

of the Nine West Eyewear Collection, the new

petite-ft styles are designed for the fashion

savvy consumer who is looking for a smaller

sized frame. The collection features on-trend

designs for modern day women with petite faces,

wanting style in their eyewear fashion. NW5088 is

a vintage-inspired plastic silhouette that showcases

the repeat 9 jacquard logo pattern on the temples.

www.marchon.com

EYEBOBS

Make a stylish spectacle! Featured in a crisp

clear color which is hot for fall – these polarized

sunglasses shield eyes from harmful UV rays while

looking fashionable. High-quality polarized lenses

ofer 100% UV protection, superior color rendition

and glare reduction. www.eyebobs.com

ZEAL OPTICS CARSON features our top-of-the-line

E-llume lens that brings the world

around you to stunning life through

unrivaled clarity. Whether you’re

exploring the ghost towns of Colorado,

or just heading out for happy hour on

the patio, CARSON has you covered

with these features: Profex, Hydro-

phobic and oleophobic coatings repel

water and oils, anti-refective coating

prevents glare. www.zealoptics.com

Italian made, Polarized, e-llume lens,

Digital RX +3.00 to -5.50.

OCT2015_frames 2.indd 2 10/6/15 11:27 AM

We wantyour business.

We listened when you asked for more consistent product quality,

improved turntime, and better customer service at all levels. Here’s what

our new management team has implemented to serve you better:

©2015 Essilor of America, Inc. All Rights Reserved. Unless indicated otherwise, all trademarks are the property of Essilor International and/or its subsidiaries in the United States and in other countries. Varilux S Series and design are trademarks of Essilor International. PTR T679 PDF/SA 07/15

Call 21st Century Optics today at 800.221.4170 and let us prove to you the difference!

• Invested in new equipment, better designed to meet the demands of our customers

• Expanded our facility to include more digital capacity, AR capacity, and an in-house stock lens division

• Streamlined the layout of the lab for improved effciency and turn time

• Dedicated Varilux S Design™ digital line with specialized technicians

• Raised the bar on our customer care team to better serve you

• Multiple daily deliveries throughout the NY & NJ metro market, allowing you to better serve your patients

PLAINTALK

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EYEWEAR BY ROI

Thin to Win. The Richard Taylor

Scottsdale HAL, is an ultra-light, fat

metal semi-rimless style ideal for

your presbyopic patients/customers.

Available in charcoal and midnight

blue, the HAL features tasteful two-

toned temples with a clean fat metal

front look. www.eyewearbyroi.com

TIFOSI

Introducing the 2016 Tifosi Wasp, an interchange-

able lens model for extra-small to medium

face sizes. Taking a cue from its predecessor

the Wisp, the Wasp features sleek styling and

maximum visibility. Interchangeable lens options

make it perfect for multiple sport activities, the

vented lenses reduce fogging, and the adjust-

able hydrophilic nose and arm pieces ensure a

no-slip custom ft. www.tifosioptics.com

ADIDAS

Wildcharge and whipstart will undoubtedly grab the

attention with outstanding color combinations blended

with key performance attributes adding comfort and

durability. The new performance essentials category

provide a perfect ft and trendy styling to accent the

athletic lifestyle and the person always on the go. Both

frames feature a 6 base lens optical acuity and also

allows for greater prescription solutions than common

wrap sunglasses. www.adidas.com/eyewear

MODERN OPTICAL

Loaded with upscale design details, Sparta fuses

seasonal hues onto a classic retro silhouette. This

handmade zyl frame, boasting unisex appeal,

features a keyhole bridge, metal trim, and spring

hinge. Size: 51-16-140. Colors: burgundy/tortoise

matte, black/navy matte, grey/black matte. www.

modernoptical.com

KENMARK EYEWEAR

Style by Timex is known for vibrant colors and

interesting temple décor. Junket is a metal/zyl

combination with a touch of décor sweeping the

frame front. Available in Brown, Robin and Rasp-

berry, sizes 49-17-130 and 51-17-135. Style by Timex

embodies the fashion-forward and stylish side of

Timex. www.kenmarkoptical.com

Style by Timex embodies the fashion-

forward and stylish side of Timex.

OCT2015_frames 2.indd 4 10/6/15 11:27 AM

Modern Optical’s

Modern Art CollectionModern Art makes elegance and

sophistication accessible to all women.

With ultra-feminine detailing and tasteful

embellishments, this well-curated collection

also has many practicat features such as

spring hinges, deeper silhouettes, and

Summit Silicone nose pads. Every woman

deserves her own piece of Modern Art.

Morel Releases Alpha 34

from Lightec

Alpha 34 expands the Lightec offering

with four new models which emulate the

previously released Alpha 22 concept. Stain-

less steel temples feature two superimposed

blades assembled at the endtip and endpiece

with a hook. Temples are either blue, black,

red, gun, or green with an overlaying blade in

a metal tone, the entire temple is a complete

with a matte finish. Alpha 34 is also equipped

with Lightec’s screwless Alpha hinge.

Alpha 34 is available with two rimmed

models, one which is designed with a

double bridge, and two semi-rimless models,

each model is available in three colors.

All models are progressive friendly.

Nike Vision And Kevin Durant Team Up Again To Release

NEW COLLECTION OF OPTICAL EYEWEAR FOR FALL 2015

FOR FALL 2015, Nike Vision and

professional basketball player

(and 2013-2014 Most Valuable

Player) Kevin Durant announce

the newest edition of their

collaborative eyewear. Last year

marked the frst partnership be-

tween Durant and Nike Vision; the

inaugural collection featured one adult

style and one young athlete style. Te Fall

2015 collection will feature an expanded

ofering, comprised of three adult styles

and three children’s styles. Te eyewear’s

color ways will sync up to Durant’s latest

sneaker, the KD8, which features Nike’s

Flyweave technology and released in

Summer 2015.

“We’re thrilled to partner with Kevin

again, to not only produce another

collection, but to elevate it to another

level,”said Steve Tripi, Marketing Director

at Marchon, Nike Vision’s licensing

company. “We’re certainly breathing

new life into this partnership by ofering

something special for KD fans.”

NK 5KD, MSRP $138.00 (Young Athletes):

Modifed for young athletes, the NK

5KD is the youth version of the adult’s

37KD. Te style comes in two color

ways and features a customized acetate

frame design, spring hinges for comfort

and durability, KD’s logo on the outside

temple tip and his signature on the inner

right temple tip.

Modern Optical’s

JENNIFER LOPEZ DAZZLES IN BIANCA by SAMA EYEWEAR

The dazzling diva kicked of the fnal season

of American Idol auditions wearing a killer

look topped of with a bun swept-up “do” to

show of her ferce frames . . .

NK 5KD

Actress Kira Kosarin wearing the

Converse All Star B006 frames.

Popmania

level ”said S

NK 5KD

OCT2015_frame_news.indd 1 10/5/15 4:35 PM

20 EYECARE PROFESSIONAL

DISPENSARY TIPS

Unlike strictly retail environments, dispensaries have to serve

two purposes: sales and patient care. Both of these purposes

have to be taken into account when remodeling or refreshing a

dispensary. Since eyewear sales makes up approximately 65% of

a practice’s revenue, maximizing sales is important. However,

providing outstanding patient care and education keeps patients happy.

Happy patients return for future exams and refer others for eye health care.

This helps boost the revenue from healthcare.

Furthermore, everyone who works in the practice needs to be able to

provide excellent customer service in an effcient, effective manner. It can

be diffcult to do this if technicians and dispensers have to wait for tools to

adjust eyewear or a computer station to enter orders.

Looking at Your Dispensary with a Retailer’s Eye

The next time you enter your offce, walk in through the front door and

look at the entire building through a potential patient’s eyes. Is it easy to see

the receptionist and other staff from the door? Are the windows sparkling?

Do the carpets have spots? Are the furnishings up-to-date, comfortable and

clean? Are there any potential hazards that could harm children or elderly

patients?

Patients expect and need a healthy, clean and safe environment for their

eye care. Your offce and dispensary should be spotless. There should be no

tripping hazards from electric cords or steps. Furniture should

be clean and attractive. Include furnishings that support and

accommodate heavier patients comfortably. There should be

no food trash, Kleenex or other debris left on any desks or

tables. Magazines, toys, books and patient literature should

also be clean and organized. Discard any magazines or other

literature that is torn, dirty, or dog-eared.

Some things that should be done both outside and inside the

dispensary on a daily basis:

䀘 Clean and sweep the entry door.

䀘 Remove any trash from the building exterior.

䀘 Make sure all lighting is working.

䀘 Clean the restrooms.

䀘 Clean all windows and mirrors.

䀘 Clean foors and shelves.

䀘 Dust dispensary displays.

䀘 Fill all holes in the frame boards.

Beth Carlock, OD

Dispensary Layout & Décor HAS IT BEEN SEVERAL YEARS SINCE YOU LAST DECORATED

OR UPDATED YOUR DISPENSARY?

Have you noticed a decrease in sales in the last year?

Are your employees or coworkers running into each other trying to help patients?

If the answer to any of these questions is “yes”, it is time to look at your dispensary layout and décor.

Fashion Optical Display - Elements Built in Look

Frames Displays - Modular Optical Displays

OCT2015_Beth.indd 2 10/6/15 9:21 AM

What’s Your

Style?

LET US SHOW YOU THE POSSIBILITIES.

CALL TODAY

8 0 0 . 8 2 4 . 4 1 0 6 / FA S H I O N O P T I C A L . C O M

At Fashion Optical displays, we offer a wide range of products that make it possible to capture any

design style you are looking for. With help from our experienced designers we will work with you to turn

your space into the dispensary you have been envisioning. And if you don’t know where to start, we can

help! Let us guide you to discover what would best ft your needs.

DIS

PLAY CATA

LO

G

RE

Q

UEST OUR

NEW

2015

F R E E D I S P E N S A R Y D E S I G N / M A N U FA C T U R I N G / I N S TA L L AT I O N

Impressions Wall Displays

Prestige Wall DisplaysOvation Displays

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䀘 Neatly restock shelves and kiosks

of retail items like contact lens

solutions eyeglass cleaners.

䀘 Check branded point-of-purchase

materials like shelf talkers and

dangle cards daily for dirt or

damage.

䀘 Identify and immediately fx any

safety hazards.

䀘 Ensure dispensing and sales

stations are orderly and have clean

materials.

Keep frame boards flled throughout the

day and make sure adjusting and measur-

ing tools stay at the dispensary stations.

Not only does this ensure a patient can

see all available frames while shopping,

it also helps you keep track of any miss-

ing frames to catch potential theft more

quickly. A dispensary that is uncluttered

keeps patients at ease and is visually more

appealing. It also helps all staff be more

effcient because each person can fnd

needed tools quickly without searching all

over the dispensary.

Monthly Tasks

Look at your window displays. Have they

been changed in the last month? Are any

of the displays faded? If so, replace them

so that they look fresh. Update your decor

monthly to keep these important displays

novel and inviting. Below are some other

tasks that should be done monthly:

䀘 Perform any needed deep clean-

ing tasks.

䀘 Review the prices on eyeglasses

and other products and update as

needed.

䀘 Check frame boards for outdated

or discontinued frames and ar-

range for returns.

䀘 Review expiration dates on all

contact lens trials, medications

and solutions and remove expired

products.

䀘 Remove damaged or outdated

decor like posters and point-of-

purchase signage.

䀘 Change out promotional materi-

als and seasonal merchandise.

As new frames arrive, place them into

groups by frame lines rather than price

or color. This allows brand-conscious

patients to fnd the designs they like more

quickly, which can enhance your sales.

Take advantage of any merchandising

aids that frame vendors offer to make

the frame lines stand out. Set up special

displays for high-end frames to highlight

them more effectively.

Keeping up with these monthly tasks will

prevent them from becoming overwhelm-

ing. It will also ensure that signage and

displays are as current as possible to

maximize sales.

When It Is Time to Update

Perhaps you have noticed furniture and

fooring are showing wear, or it has been

longer than fve years since you have

opened or changed your dispensary. Make

some changes to keep your dispensary

looking modern and fresh. If you have

avocado green shag carpeting from the

1970s along with harvest gold walls, it’s

defnitely time to overhaul that decor.

You do not have to do a major renova-

tion to freshen up the interior and make

patients feel more welcome in your offce.

Think about appealing to all fve senses.

Replace or reupholster furniture, and add

textures to the fabrics. Replace older light

fxtures with new ones that can use broad-

spectrum lighting to enhance your frame

boards while saving energy costs.

Replace frame boards with newer ones

that allow better visibility and customiza-

tion. Install a single-cup coffee maker and

offer different favor coffees to add depth

to scents and taste. A small water feature

or appropriate music can provide sooth-

ing sounds.

Update wall coverings with something

new. To get ideas on the most current

styles, look at decorating magazines or

contact a local interior designer. Get

inspiration from your building style or

patient profle. If you work in a historic

building, for instance, you might choose a

classic décor.

If your clients are technology savvy, you

might look at sleek, modern ideas that

incorporate LED or touch-screen displays

throughout the offce. When selecting

paint colors, experts suggest about 80% of

the optical should be decorated in neutral

colors with 20% of the remaining space

done in a bolder, complementary color as

an accent.

The window displays and the area that is

to the right of the entrance are prime real

estate in your dispensary. Place your spe-

cialty displays for your high-end frames

in these spots. You might want to hire a

professional window dresser to come in

periodically to handle the décor in these

important locations. The increased sales

revenue can easily make up for the costs.

Handling Major Changes

If you are expanding the offce, moving

to a newer, larger dispensary, or need to

do a major renovation to increase patient

services, it is time to consult some interior

designers. While there are many retail

design experts, choosing a designer who

has experience specifcally in eye care

offces and optical dispensaries can make

a big difference between an offce fow

that works and one that is awkward and

ineffcient.

Optical interior designers know how to

use lighting and frame display cabinets or

boards to best enhance eyeglasses. They

know how to work around your space

limitations to develop a foor plan that

offers the best fow and ergonomics while

keeping in mind all ADA and HIPAA

privacy requirements. The latest colors,

styles, textures, displays and fooring will

be discussed.

Some of these designers, such as Fashion

Optical Displays, include free dispensary

design services based on your building’s

layout. When working with professionals,

don’t hesitate to talk about timetables,

prices, and expectations. It is always best

to have all the information up front to

avoid cost overruns and delays.

If you want to increase optical sales, look

at your offce’s layout and décor. Make

sure it is clean, modern, and comfort-

able for your patients. Break down work

into daily and monthly tasks to keep the

dispensary up-to-date and attractive.

If you are ready for a major building

change, consult an optical interior

designer to make sure all the unique needs

of your practice are met. The money spent

will attract and keep more patients in

your offce and enhance your revenue. ■

OCT2015_Beth.indd 4 10/6/15 9:24 AM

THE VISIONARIES

COMMUNITY

Join the new closed social community of eyecare professionals, industry

leaders and visionaries that fosters valuable, relevant connections to

educate + share + inspire.

As a Visionary, this is where you need to be.

#forVISIONARIES#forVISIONARIES

CHECK IT OUT AT: VisionariesCommunity.com

Brought to you by International Vision Expo

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No… we are not kiddingFEA Industries, Inc. has teamed up with Norwood

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DISPENSING OPTICIAN

AR and HEV OptionsLens coatings or treatments if you prefer, are everywhere. Every

manufacturer, every lab, every retailer has the latest and greatest

coating ever produced. So how does the savvy ECP choose?

A BRIEF HISTORY

John William Strutt, 3rd Lord Rayleigh

(1842-1919) was a British physicist and

mathematician and Nobel Prize win-

ner, who developed the mathematical

explanation for the light scattering that

gives the sky its blue color, the Rayleigh

Scattering. Lord Rayleigh also observed

that a thin flm, such as tarnish on a glass

surface can reduce refectivity. The ray

of light is refected twice, frst from air to

the flm surface and again from the flm

surface to the glass surface.

Alexander Smakula (1900-1983),

a Ukrainian-born physicist at Carl

Zeiss, received the frst patent for an

anti-refective coating process in 1935.

The coating identifed as T Transparenz

remained a military secret until early

in World War II. The Zeiss “T” is a core

process, rather than a specifc formula,

constantly redefned as new lens materials

and applications are developed.

Katharine Burr Blodgett (1898-1979),

an American-born chemist and physicist,

was awarded the frst US patent for thin

flms and surface preparation while at

General Electric. Dr. Blodgett was able to

precisely control the thickness of her flms

by building them one molecular layer at

a time, resulting in a layer equal to ¼ the

average wavelength of visible light. She

also refned the composition of the flm to

adjust its index of refraction to enhance

the refection-canceling, eliminating

almost all of the refection.

H.R. Moulton, Assistant Research

Director, American Optical Company,

developed an improved coating flm and

application process in 1943. It was also

restricted to military use for the duration

of WW II.

And so the development of anti-

refective coatings has grown from a layer

of tarnish on glass to the multi-layer

coatings now readily and easily available

from innumerable sources.

ANTI-REFLECTIVE COATINGS

Why utilize anti-refective coatings?

䀘 To reduce unwanted refections

from a lens surface.

䀘 To increase the amount of light

transmitted through the lens

into the eye.

There are 5 types of unwanted refections

that can be reduced by the application of

an anti-refective coating.

1. Light refected from the back

surface of a lens

2. Light refected from the front

surface of a lens, common in

low light conditions and a bright

light source such as headlights.

3. Ghost images created by a bright

light source refected at varying

angles.

4. Power rings. Refections created

by medium and high powered

lens edges.

5. Refections created by high- and

mid-index resin materials such

as polycarbonate, 1.60, 1.67, 1.70,

1.74, and 1.60, 1.70, 1.80 and 1.90

glass lenses.

Anti-refective coatings like Crizal®,

Carat Advantage®, DuraVision®, EX3 and

others are differentiated by the number

of layers, substrate and hard coatings,

hydrophobic properties, oleophobic prop-

erties and refex colors. Anti-refective

coatings are not completely clear and

will exhibit a refex color based on the

combinations of metals in the AR stack.

The current confgurations for anti-

refective coatings include base or hard

coats that are matched to substrates (the

bare lens materials) to create the hard

surface necessary for proper adhesion and

are often included in the count or number

of layers in a broadband or multiple layer

coating. The count may also include

a hydrophobic layer as well. A more

in-depth discussion on the content of

anti-refective coatings and the methods

used to apply them can be found in

Ophthalmic Lenses & Dispensing, Second

Edition by Mo Jalie.

The durability of any anti-refective

coating is determined by the preparation

and application of the stack by the lab or

coating facility AND the care taken in

cleaning and storage by the wearer.

HEV REFLECTIVE / ABSORPTIVE

TREATMENTS

HEV lens coatings such as Crizal®

Prevencia™, Zeiss DuraVision® BlueProtect,

Hoya Recharge™, Unity® TechShield are

anti-refective coatings combined with

either blue absorbing or blue refecting

properties. They absorb/refect between

17% and 20% of potentially harmful

HEV light. These coatings generally have

a slight tint and a more noticeable blue

refex color. These lenses do not begin

Judy Canty, LDO

OCT2015_Judy.indd 2 10/6/15 9:46 AM

Introducing The Latest Technology in UV and HEV Blue Light Protection

TheraBlue is unlike other blue light protection

products in today’s marketplace in several ways.

R TheraBlue is a clearer lens unlike other products.

R The UV Ray and HEV Blue Light Protection comes

from the lens material itself.

R TheraBlue is not a coating like some other products on the market and does not have a purple

or blue reflective color that some may object to.

R TheraBlue does not have a yellow, orange, or peach color pigment like some other products on

the market that some may object to.

R TheraBlue is available in three different materials: 1.67, 1.60 and an impact resistant 1.56 that

has passed the ANSI-Z87.1 High Velocity Impact Test.

R TheraBlue is compatible with a wide variety of Anti-Reflective Coatings and can be ordered

with or without AR.

R TheraBlue is available in Single Vision, Progressive lenses, Digital Round 22, Digital Round 25,

and Digital Round 28 bifocals and computer lenses in all three materials.

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with a tinted lens base. The slight color

and refex are a result of the AR stack.

Why should we be concerned about

HEV exposure? Realistically, we are

surrounded by blue light, both indoors

and outdoors. We need some blue light to

regulate circadian rhythms and to discern

colors. However, our increased use of

digital devices, including fat screen moni-

tors and televisions and hand held devices

including tablets and smart phones has

changed our visual environment.

We are using these digital devices for

longer periods of time per day and at

closer viewing distances than ever. We

are exposing ourselves to blue light when

our innate circadian rhythms believe it

should be dark and thus interrupting

sleep patterns. We are using them at

younger ages, which will increase the

amount of exposure during our lifetimes.

While there are few defnitive studies

on this potential hazard, the available

fndings indicate serious concern about

the oxidative effect HEV light has on

photoreceptor cells and its relationship to

age-related macular degeneration (AMD)

and sleep deprivation.

It’s worth noting that patients who

are already developing cataracts have

no real need for HEV light refecting

treatments since the developing cataract

is already fltering that portion of the

visible spectrum. However, post-cataract

patients, even those with HEV fltering

lens implants will need the additional

protection of these treatments.

There are two products currently avail-

able that are not coatings, but rather lens

materials with inherent HEV absorptive

properties. BluTech lenses from Eye Solu-

tions are available in a wide range of lens

styles, both single vision and a wide vari-

ety of progressive addition lens designs.

BluTech offers lenses in both indoor and

outdoor color options. TheraBlue™ from

Luzerne Optical Labs in Wilkes-Barre,

PA is a new category of HEV protection

with very little perceived color, available

in both single vision and multifocals,

including digital PALs, computer lenses

and a digital round seg.

TO “AR” OR NOT TO “AR”

That’s a tough question. The vast major-

ity of ECPs will advise patients to choose

an anti-refective coating for their eyeglass

lenses. The considerations for selecting

which product to use is a judgment call

for both ECP and patient.

Is the coating:

䀘 Durable?

䀘 Easy to maintain?

䀘 Refex color complimentary?

䀘 Guaranteed with a warranty?

䀘 Right for the wearer’s

environment?

䀘 Affordable?

Our duties as responsible Eye Care

Professionals include being well educated

in the fner points of the products we

offer. Simply steering patients to the

product that has the best marketing or

the cheapest price is not good customer

service. Understanding and responding

to our patient’s needs and wants is a core

skill to be maintained through healthy

curiosity and constant education. ■

“How Does the Savvy

ECP Choose?”

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THROUGH THE LENSTHROUGH THE LENS Sam Winnegrad, MBA, LDO

Sometimes some of the more intangible variances between lens materials can make all the difference in the world. Being able to understand and utilize a working knowledge of refractive index, specifc gravity

and abbe value can help the optician make better choices for their patients. These and other distinguishing lens traits are the foundation upon which we create our spectacle masterpieces. Sometimes it is important to understand the “why?” in order to best serve our patients in the dispensary.

Index of refraction, or refractive index, can be defned as the

ratio of the speed of light in a vacuum to the speed of light in

a medium (lens). The vacuum represents a variable controlled

environment in which light has no obstructions, obstacles or

meandering to compete with. Under perfect, un-deviated cir-

cumstances light travels at an alarming one hundred eighty-six

thousand miles per second! In ratio form we see that the speed

of light in a vacuum divided by the speed of light in a vacuum

(186,000 mps / 186,000 mps = 1 or n=1).

Thus, the number 1 is the basis for all other indices of refrac-

tion. When light passes through a medium other than air it

is necessarily slowed down and refracted, or bent. The higher

the refractive index of a material the easier it can bend light.

For example the refractive index of columbia resin-39 is 1.498.

Effectively this is stating that light travels 1.498 times faster in air

than it does through the CR-39

lens. Likewise, a polycarbonate

lens with a refractive index of

1.586 slows light down 1.586

times more traveling through

the lens than through the air.

This is why higher index lenses

of the same dioptric strength as

their lower index counterparts

are manufactured thinner and

more cosmetically appealing;

the lens is able to slow the light

down and refract, or bend, it

faster. Basically, it takes less lens

material thickness to get the

same desired Rx because the

higher indices medium is able to

produce a harsher refraction.

Knowing the refractive indices

of the various ophthalmic

materials is of paramount

importance in the dispensary so

the eyecare professional is able

to determine what the fnest

lens will be for the patient. With

plastic lenses achieving refrac-

tive indices of up to 1.74 the

industry is able to create thinner

lenses than were once ever

imagined. The higher the index

of refraction, the thinner the

lenses will be for your patient;

and with lens thickness being

mentioned as the number one

lens concern of eyewear custom-

ers it is extremely important

that the optician understands

this concept. Then shouldn’t

everyone receive high index

lenses? Not necessarily. There

are other variables and lens

characteristics to consider while

selecting the proper material for

you patient.

Specifc gravity is the ratio of

the density of any substance to

the density of water (water is

the standard variable, much like

air in a vacuum is the standard

variable for index of refraction).

Density is a measure of how

compact or heavy an object is in

a given volume. The higher the

specifc gravity is of a given lens

material generally the heavier

the fnished spectacles will be.

Some common specifc gravities

are CR-39 at 1.32, polycarbon-

ate at 1.20, Trivex at 1.10 and

crown glass at 2.54. We all know

that glass lenses are gener-

ally heavier than their plastic

rivals, and that polycarbonate

is lighter than CR-39. This is

clearly refected in the specifc

gravity values. It is interesting to

consider; however, that though

When Physics Meets FashionChallenged with wading through a multiplicity of available lens options, the eyecare professional must be able to distinguish some of the more innocuous characteristics of lenses.

OCT2015_Sam.indd 2 10/6/15 10:12 AM

Trivex is the less dense (lightest) material

per volume (1.10 sg) versus polycarbonate

(1.20 sg), a pair of glasses with the same

prescription on the two materials will

be thicker in the Trivex due to its lower

index of refraction (n = 1.53). Having the

ability to sort out these lens inequalities

and do what is best for your patient is

incredibly valuable as a practitioner.

Abbe value, notoriously and affection-

ately known in the optical feld as “I

can’t stand these polycarbonate lenses!”

is also of principal consideration. The

abbe number, which is also known as the

(V) number is a measure of a material’s

dispersion in relation to the refractive

index. Higher abbe values indicate lower

dispersion and less chromatic aberration.

Lenses that have inherently lower abbe

numbers have less refractive index con-

sistency throughout the material which

translates to a poor visual experience for

the patient characterized by color fringes

and inadequate visual acuity.

Glass lenses which are optically superior

to most plastics have abbe values in

the upper ffties, while polycarbonate

has an abbe value of only thirty. This

is why many of the high end “over the

counter” sunglasses are equipped with

glass lenses. The optics are generally

noticeably sharper. This is not to say that

polycarbonate is optically unacceptable,

as many patients are imperceptive of the

chromatic aberrations.

In fact, it is very rare that one will actu-

ally cite a material as the reason for poor

visual acuity. This is where the eyecare

professional must pull from their knowl-

edge base and guide the patient towards

the best lens option. Even with polycar-

bonate’s lack-luster abbe number it still

equates for the brunt of ophthalmic lens

sales, but maybe that has more to do

with its higher index of refraction, lower

specifc gravity and impact resistance.

One caveat – do not use the words index

of refraction, specifc gravity or abbe

value while selling patients spectacles.

Not only will your patients not under-

stand you, but you also run the risk of

coming off as arrogant or condescending.

Use language that is easily digestable.

“Ma’am, have you considered the impli-

cations of a lower specifc gravity lens?”

or, “Your current lenses have an egregious

abbe value resulting in increased refrac-

tive inconsistencies and color dispersion”

just don’t resonate with patients quite as

well as “Would you like lightweight lenses

with superior optics?”

It is OK to secretly be an ophthalmic-

science-physics-geek-superhero, just don’t

reveal this to your patients! ■

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The “Optogenics Objective”:

We aspire to be successful by

utilizing our staffs’ dedication to

excellence and meeting our

customers’ expectations.

We strive to be the premier

provider to ECPs, delivering high

quality products with the best

service, in a professional and

friendly manner.

“Knowing the refractive indices

of the various ophthalmic

materials is of paramount

importance in the dispensary.”

OCT2015_Sam.indd 3 10/6/15 10:12 AM

FOCUS ON EDUCATION Anthony Record, ABO/NCLE, RDO

While there are no guarantees, remember what

our thirty-fourth president, Dwight David

Eisenhower, once said, “Having a plan will not

ensure your success, but without a plan you’re

sure to fail.” With that in mind, here is a systematic plan that

will get you noticed, considered, and eventually promoted.

1. Communicate Your Aspirations. I have heard the complaint

many times. Someone hoping for a promotion fails to get the

job. Then and only then he sets up a meeting with the boss to

ask why. After a few minutes of awkward conversation, the truth

is revealed: “Quite frankly, I had no idea you were interested in

the position.” Too often at work, we try to accomplish things by

telepathy – mind reading. We figure if we just work hard and do

a good job, the boss will notice and therefore reward us with the

position and salary we seek and deserve. Maybe; but more often,

maybe not. Step one in your Promotion Plan is to seek out the

ultimate decision maker – that man or woman who can actu-

ally make it happen – and clearly communicate your goal. This

doesn’t need to be a confrontational meeting, just a matter-of-

fact statement. Catch the decision maker on a good day, and ask

if you can have a word. The conversation might go something

like this: “I really love working at this practice. In fact, it is my

goal to one day be your practice manager.” Making that known is

the first step to having all your efforts to that end noticed.

2. Acquire New Knowledge.

One of the biggest mistakes

people make when it comes

to seeking advancement is to

assume that their intelligence

or work ethic alone will get

them promoted. Sometimes it

actually does, but even then, the

newly promoted manager finds

herself in a position for which

she is ill equipped.

In fact, that is one of the

real paradoxes in corporate

America. We tend to be pro-

moted because of our technical

abilities, which in the end has

little to do with our success at

the next level. Avoid that pitfall

by attending classes, participat-

ing in seminars, and reading

books. Turn your car into a

classroom by listening to audio

presentations to and from work.

Be sure to occasionally mention

what you are learning to the

decision maker, perhaps asking

her opinion on something you

have learned. This demonstrates

your seriousness of purpose

with regard to acquiring new

knowledge and subtly reminds

the decision maker of your

ultimate goal.

3. Create and Memorize Your

60-Second “Elevator” Speech.

I realize most of you do not have

elevators at your practice – it

is only a metaphor. Inevitably,

one day you and your decision

maker will find yourselves alone

in the break room. When he

says to you, “How’s everything

going?” Be ready! Most people

would reply with a tentative,

“fine…” but not you. Be ready

with an enthusiastic, “Things

are going great! I don’t know

if you’ve noticed, but our team

has not only met, but exceeded

our sales goals for the last four

quarters. And I’m really enjoy-

ing the leadership course I’ve

been taking at the community

college. I feel it is truly prepar-

ing me for the next level.” Use

your imagination. Practice it

from time to time. Just be ready

because you never know when

that kind of opportunity will

present itself.

4. Be a Problem Solver.

Business owners have enough

problems already. They don’t

need you to bring them more.

Most times when an employee

knocks at their door, managers

brace themselves inside because

MOVING ON UP!In today’s hyper-competitive world, being overlooked for a promotion can be a discouraging and sometimes even an embarrassing event.

Promotion

Planning

OCT2015_Record.indd 2 10/6/15 12:31 PM

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nine times out of ten, the person knock-

ing is bringing him a problem. Rarely do

the knockers offer solutions. Develop the

reputation for being solution-focused,

not problem-focused. Rather than saying,

“We accidentally double booked the

entire afternoon…what should we do?”

Try framing it like this: “I want to re-

schedule a few of this afternoon’s patients

to next week to make the afternoon run

smoother. Would that be okay?”

At those meetings where you know that

challenges or problems are likely to be

discussed, be sure to arrive at the meeting

with at least two or three substantive

solutions to each problem. Your approach

will be noticed and appreciated.

5. Dress and Act the Part. This one can

be a little tricky, at least the dress part.

You certainly do not want to go over the

top, but dressing at a slightly higher level

than your peers will pay off. Make sure

your clothes are always clean and pressed.

If you wear white lab coats make sure

they too are always crisp and clean. Even

on casual Fridays, be sure to pay close

attention to what you wear. Professional-

ism should always be your goal. While

taking measured risks and showing

initiative is part of being professional,

asking appropriate questions is too. If you

are not sure about something, ask. If you

make a mistake, admit it, make amends,

and move forward. Doing those kinds of

things tends to make you look different –

in a good way.

Try to develop a professional reputation

for yourself apart from your job. Vol-

unteer to give a presentation at the local

Kiwanis meeting, write an article for the

local paper, attend industry conferences,

etc. Finally, when it comes to acting the

part, do not be a clock-watcher. When

the practice owner says, “Hey…isn’t it

past your quitting time?” Imagine her

surprise when you reply, “Yeah it is…I

clocked out…I just wanted to make sure

the reception area is organized before

I go home. We’re going to be swamped

tomorrow morning and I just wanted

everything to be ready.”

6. Be Positive. The world (and probably

your practice) is filled with whiners and

complainers. The last thing it needs is

another one - especially when it comes

to office gossip. Develop the habit of

never engaging in negative comments

about anyone in the office. Here are a

few tips to help. When someone begins

to speak negatively about one of your

co-workers, when it becomes your turn

to speak, turn it around with a positive

comment about the person in question.

For example, when your co-worker

says, “I have to work twice as hard when

Charlene is working up front…she’s so

lazy,” you might turn it around and say,

“I’m surprised to hear that. Charlene was

always the go-to person when I worked

up front. She was always a big help.”

You see, the last thing your co-worker

wants to hear is something positive

about Charlene. Taking that approach

will quickly re-train your team members

that you do not engage in office gossip.

Another effective approach is to try to

involve the other person. So when faced

with the negative comments you might

day, “Wow…you sound really upset with

Charlene. She goes on break in a few

minutes. Why not bring her in and talk

about it before it gets out of hand?” Of

course the gossiper will try to avoid the

confrontation, which is when you can say,

“Well…I’m a bit uncomfortable talking

about Charlene if she’s not here…

I would never talk to her about you if

your weren’t here…and I’d like to think

you guys wouldn’t talk about me behind

my back.”

You might have to share that lesson

a few times before the message sinks

in. The message being that you do not

participate in office gossip. You maintain

a positive and professional outlook.

Follow these guidelines while you

perform your present job duties to the

best of your ability, and you’ll be on the

road to continued growth, development,

and success. ■

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“STEP ONE in your Promotion Plan is to seek out the ultimate decision

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make it happen— and clearly communicate

your goal.”

OCT2015_Record.indd 4 10/6/15 12:32 PM

ECP NEWS

Silhouette and adidas Eyewear Launch ADIDAS PERFORMANCE Rx in Partnership with Digital Eye Lab

New Program Delivers Simplicity Through Effortless Ordering

and Package Pricing

MARCOLIN and MONCLER: Sign a Worldwide Exclusive

Eyewear License Agreement

Moncler, a leading luxury brand, synonymous

with duvet par excellence, joins Marcolin, a

leading company for eyewear distinguished

for its ability to successfully combine Italian

craftsmanship with the DNA of each brand, to

create a unique eyewear collection: high-quality

excellence, innovation and experimentation will

distinguish each sunglass and optical style.

The license will be effective from January 2016

until December 2020, with the possibility of a

renewal for an additional five years. The launch

of the first eyewear collection is expected by

March 2016.

Giovanni Zoppas, CEO Marcolin Group,

commented: “Moncler is a worldwide brand,

unique and very appealing. The partnership

with Moncler will give Marcolin the opportunity

to target those consumers who are passionate

about Moncler's innovative product offerings.”

Remo Ruffini, Moncler Chairman and CEO:

declared: “I’m very pleased about the agreement

signed with Marcolin, one of the worldwide

leading companies in the eyewear industry. The

partnership with Marcolin will allow us to develop

globally the

eyewear business

consistent with

our values of

uniqueness,

quality and

selectiveness that

distinguish our

brand; a further

important step to

continue to create

value to Moncler”.

Renowned eyewear company Silhouette International,

manufacturer of adidas eyewear, has partnered with

award-winning Digital Eye Lab (DEL) to launch a

unique program for eye care professionals (ECPs).

Entitled ADIDAS PERFORMANCE Rx, the program

will enable ECPs carrying adidas sports performance

product to place orders more efficiently than ever

before, with valuable package pricing covering both

eyewear and lenses as well as free shipping.

“By offering easy ordering and customer margin-

enhancing package pricing, adidas performance Rx

will lead the way in delivering profitable simplicity

here in the United States,” said Jan Cory, U.S. President

of Silhouette Optical, Ltd. “We look forward to

collaborating closely with DEL to continue growing

adidas eyewear, a beloved brand worn by top athletes

and sports enthusiasts alike.”

This groundbreaking collaboration

between Silhouette and DEL reflects the

commitment to quality and innovation

for which both industry leaders are

known, and makes the adidas sales team

at Silhouette a new selling partner for

the DEL Eyewear Specialists and ABB

OPTICAL GROUP Account Managers.

“We are thrilled to launch this exciting

new program with Digital Eye Lab, who

just like Silhouette are dedicated to

producing eyewear that is personalized

to the wearer’s needs and lifestyle,” said

Daniel Rogger, Chief Executive Officer of

Silhouette International.

“This partnership with Silhouette and

their exciting adidas performance Rx

line is the foundation for a revolutionary

process of ordering a complete pair of

eyewear through Digital Eye Lab’s new

EZCONNECT online portal,” added

Angel Alvarez, Chief Executive Officer

of ABB OPTICAL GROUP, DEL’s parent

company. “This unique program brings

simplicity, accuracy, faster turnaround

times and improved efficiencies to eye

care professionals.”

Visit www.digitaleyelab.com/adidasrx

and click on EZCONNECT, DEL’s portal

for highly streamlined ordering.

“The frames will combine, in perfect balance,

aesthetic functionality and techno research,

evoking the iconic elements of Moncler’s

timeless style.”

Ph

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ika

La

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© 2

015

OCT2015_news.indd 1 10/7/15 10:47 AM

36 EYECARE PROFESSIONAL

New Eyes is a 501c3 non-proft organization, founded in 1932 by New Jersey

resident Julia Lawrence Terry that helps people around the world that

require corrective eyewear. They provide Rx glasses to children and adults

to help them to reach their goals by improving their vision.

Julia Lawrence Terry was a volunteer for the Red Cross in Lower Manhattan

when she began collecting eyeglasses for Red Cross applicants who could

not see to read the forms. Terry realized that a better solution was to provide

them with their own prescription glasses. She however took it one step

further and obtained her smelter’s license and began collecting eyeglasses so

that the gold frames could be melted down and the proceeds could be used

to buy new eyewear.

Since its inception into the non-proft sector, New Eyes has helped over 8

million people around the globe making their futures brighter through clear

vision. They have purchased over 400,000 eyeglasses for the disadvantaged

in the U.S. alone since their start. In 2014 they provided new eyewear for

6,656 people in the U.S. and 400,000 used glasses overseas.

Obviously to provide this service, they have to screen everyone through

applications to assure they meet the necessary guidelines. And they also rely

heavily on funding from different resources.

On their website you can read the testimonials that

people write stating how getting this eyewear has

changed their life! It must be a great feeling to know

that you are part of that when you donate or are

involved with New Eyes.

Recently, I had the chance to interview Jean Gajano,

Executive Director:

EYECARE PROFESSIONAL: Jean – Tell me a little

about your involvement with New Eyes?

JEAN GAJANO: I joined New Eyes in 2009 as the

Volunteer Manager responsible for working directly

with the hundreds of people who volunteer at New

Eyes every year. While my background was in

fnance, I had also led several volunteer groups in

my community and enjoyed working toward needs-

based solutions with like-minded people. And as

someone with compromised vision (with diopters of

-9 and -10) I was naturally drawn to New Eyes’ mis-

sion to assist the neediest with the simple yet critical

tool of eyeglasses. In 2014, the Board of Trustees

offered me the position of Executive Director.

ECP: What type of organizations do you send the

eyeglasses to?

JG: New Eyes partners with hundreds of organiza-

tions, including large ones like Feed the Children

and Physicians for Peace, as well as smaller civic

Eyeglasses

FOR THOSE IN NEED

Lynnette Blanton, EditorGIVING BACK

New Eyes, making a difference in Cambodia.

OCT2015_GivingBack.indd 2 10/6/15 10:33 AM

Quotes from our Overseas Used Eyeglass Program

FROM NICARAGUA:

“Thanks again for the hundred pairs

of glasses, which I brought on my Alumni

Service Corps trip to Troilo, Nicaragua.

This is a small community without

electricity and running water, located

over one hour on dirt roads outside of

Leon. It was an incredible experience to

help each community resident try on a pair of

glasses and see clearly for the very frst time.

They cried and we all cried, too. Their faces

captured it all expressing such joy.”

—Lise Chapman

FROM HONDURAS

“Over two weeks, the Eye Team was

able to assist over 550 people….There

were some who needed surgery, many who

needed something soothing for sore eyes,

a few who needed only sunglasses, and the

overwhelming majority who needed glasses

to help in their daily activities as well as

reading. From a 6 year old boy who received

glasses to correct his myopia, to the teacher

who could not see clearly to read to his class,

to the truck driver who could now see where

he was going, to the elderly woman who was

ecstatic to be able to read her bible again…

Thank you to New Eyes.”

—Michael Rieger

FROM GHANA

“You donated several hundred glasses

which we took to Abetif, Ghana this July.

We saw 1,700 patients over 2 weeks. We

performed 77 cataract surgeries and we

distributed nearly all of the glasses you

donated (about 150 pounds of weight).

Thank you very much again for your generous

donation.”

—Judith Simon, MD

and religious groups, college students and

optical professionals conducting medical

clinics.

ECP: Currently, how many countries are

you helping with eyeglasses?

JG: In our last fscal year, over 250,000

New Eyes used glasses reached 21 countries

in South America, Africa, Southeast Asia

and the Pacifc Islands.

ECP: Do you provide them with RX sun

wear as well?

JG: Yes. New Eyes has great demand for

sunglasses for prescription and non-

prescription sunglasses for adults and chil-

dren from our mission partners, especially

those working in countries

on or near the equator.

ECP: What is the New Prescription Eye-

glass Program and how can we tell people

what to do that need your help? Where do

they go?

JG: New Eyes provides new prescription

eyeglasses for children and adults in need

in the United States through our voucher

program. They can apply to New Eyes

through their social worker, primary care

physician or house of worship by down-

loading our application from our website

at www.new-eyes.org and returning the

completed form to us with a copy of their

eyeglass prescription. Once approved, we

send them a voucher for a basic pair of

eyeglasses that they can take to any local

optical dispenser as long as the dispenser

accepts New Eyes’ reimbursement rates.

There is no out-of-pocket expense to our

voucher recipients.

ECP: What can ECP’s in the industry

do to help you?

JG: ECP’s can help New Eyes in many

ways. They can conduct used glasses

collections; partner with New Eyes in

commercial ventures; donate overstocked

items; accept New Eyes vouchers from our

clients; sponsor our EyeRock fund-raising

event in New York City during Vision

Expo East in April 2016; and make a tax-

deductible fnancial donation at www.new-

eyes.org (100% of individual donations go

towards the purchase of new eyeglasses).

A big thank you to New Eyes and Jean

Gajano for sharing this information with

EyeCare Professional Magazine. We are

dedicated to helping everyone know about

the organizations in the industry for

“giving back”.

SMARTBUYGLASSES DONATES $2 MILLION USD

IN EYEWEAR TO THE DEVELOPING WORLD

The SmartBuyGlasses Optical Group recently

surpassed the $2 million mark with a donation

of 10,000 pairs of glasses to Ghana.

The SmartBuyGlasses Optical Group recently

reached $2 million worth of eyewear donated

to various countries across the developing

world through its Buy One, Give One social

movement. Having partnered with Unite for

Sight since 2009, the $2 million milestone is a

big achievement for the company and accounts

for over 78,000 pairs of glasses sent to the

developing world. On September 16, 10,000

pairs of glasses were shipped to Ghana, tipping

the total amount donated to over $2 million.

“We’ve been working with Unite for Sight since

2009 but our philanthropic attitude is a core

aspect of our business history,” states Jackie Tsui,

Chief Social Officer at the SmartBuyGlasses

Optical Group. “We have helped over 78,000

people all over the world and our latest shipment

of glasses to Ghana was our largest to date. We

hope that over the next 6 months we can hit our

next milestone of $3 million USD.”

SmartBuyGlasses was founded on the principle

of giving back and this social philanthropy is one

of the core foundations of the business. The next

target set will be $3 million and it is expected to

be reached within the next 6 months.

New Eyes visits refugee camp in Kenya.

OCT2015_GivingBack.indd 3 10/6/15 12:39 PM

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OD PERSPECTIVE

By Jason Smith, OD, MS

There are several types of glaucoma

including open angle, narrow

angle, pseudoexfoliation, steroid-

induced, pigmentary, congenital,

glaucomas associated with hereditary

or familial diseases, infammatory,

phacogenic, traumatic, neovascular,

drug-induced, glaucoma secondary

to an intraocular hemorrhage, and

glaucoma associated with intraocular

tumors, retinal detachments, chemical

burns, and iris atrophy.

Other forms of glaucoma include

glaucomatocyclitic crisis or Posner-

Schlossman Syndrome, Fuchs

heterochromic iridocyclitis, uveitic

glaucoma, and herpetic keratouveitis.

Every glaucoma has one thing in

common; it can cause visual feld

losses, vision losses, and potential

blindness. Every patient who has any

form of glaucoma needs to be under

the care of an eye doctor. In many

states, the management and care of

glaucoma can be directed by an op-

tometrist. When the glaucoma requires

surgical intervention or higher levels of

medical care, a glaucoma specialist/

ophthalmologist may be required.

Many optometrists are so busy with

their practices taking care of primary

care needs that they work cooperatively

with an ophthalmologist. But, there are

also many well qualifed and well-

trained optometrists who can manage

and treat glaucoma patients unless

surgery is indicated or when other

vision complications occur.

Patients with glaucoma should be

educated as to what the action, plan,

consequences, and future will be once

it has been diagnosed. It is considered a

disease. Some patients may be in denial

that there is anything wrong when they

can see well and there may be no pain.

The topic of having a laser procedure

may create tension, anxiety, or fear.

If surgical interventions are required,

patients must be advised and counseled

as to the medical consequences as

well as the fnancial costs, risks, and

benefts of any surgery.

Surgical options for glaucoma

include iridotomy, trabeculectomy,

drainage implants including valved or

non-valved, and istent implants. In a

recent article in the Journal of Cataract

and Refractive Surgery, July, 2015, Drs.

Dada, Rathi, and Angmo indicated

that there are positive outcomes for

clear lens extraction (cataract surgery)

in eyes with primary angle closure

glaucoma. “Clear lens extraction led to

a signifcant reduction in IOP, a widen-

ing of the anterior chamber angle, and

a reduced need for ocular hypotensive

medications in eyes with primary angle

closure and persistently raised IOP

after a laser peripheral iridotomy.”

There are many eye drop medications

that can treat glaucoma. The decisions

as to what drops and how many drops

GLAUCOMA DISCUSSED

Visual Field Losses, Vision Losses, and Potential Blindness

OCT2015_JasonS.indd 2 10/6/15 12:21 PM

are needed would be something that a

glaucoma specialist would determine.

The costs of medications must be

discussed because patients sometimes

cannot afford these high costs which seem

to be escalating. When a patient is elderly

or in a nursing home, there may be a

need for someone else to put drops in the

eyes on a regular basis. And compliance

using eye drops on a regular daily basis

is something that needs to be reinforced

with every patient.

According to a British Journal of Oph-

thalmology article at www.ncbi.nlm.nih.

gov/pmc/articles/PMC1856963/ “glaucoma

is the second leading cause of blindness

worldwide disproportionately affecting

women and Asians. There were 60.5

million people with open angle glaucoma

(OAG) and angle closure glaucoma (ACG)

in 2010, and that number will increase

to 79.6 million people by 2020. 74% of

these people will have OAG, women will

comprise 55% of OAG, 70% of ACG, and

59% of all glaucomas in 2010. Asians

will represent 47% of those people with

glaucoma and 87% of those with ACG.

Bilateral blindness will be present in 4.5

million people with OAG and 3.9 million

people with ACG in 2010, rising to 5.9 and

5.3 million respectively. Glaucoma is 15

times more likely to cause blindness in

African Americans than in Caucasians.

The prevalence of glaucoma rises rapidly

among Hispanics over the age of 65.”

Acute narrow angle glaucoma can occur

suddenly when the iris is pushed or pulled

forward. As the lens in the eye changes

with age, it can contribute to a narrowing

of the angle, also. If the aqueous fuid

is blocked in the drainage angle of the

eye, the intraocular pressure will rise

and damage the optic nerve. Acute angle

closure glaucoma can present with pain in

one eye, redness, blurry vision, headaches,

halos, dilated pupils, vision loss, nausea,

and vomiting.

Gonioscopy must be part of every

clinical exam in order to determine the

status of the angle. There may be periph-

eral anterior synechiae, corneal edema,

and the intraocular pressure may be very

high. This problem must be managed very

quickly and is an ocular emergency. If the

higher pressures are not reduced quickly,

permanent vision loss will occur.

Every ECP must have a minimum

database that provides the optimum of

care and service for every patient. Extra

concern for glaucoma patients exists when

there is a family history of glaucoma, the

presence of diabetes, high blood pressure,

heart disease, visual feld losses, decreased

vision, high intraocular pressure, un-

usual or unexplainable visual problems,

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corticosteroid use, physical injuries or

trauma to the eye. A more aggressive

approach for a suspicious patient must be

undertaken which may include a referral

to an ophthalmologist.

A patient history will provide the

symptoms that a patient is experiencing

as well as allow the ECP to know if there

is any family history of eye problems or

other medical problems. Corrected and

uncorrected visual acuity measurements

at distance and near will further allow

the ECP to determine if there is reduced

vision as well as to determine if there

is myopia, hyperopia, astigmatism, or

presbyopia present.

A refraction may indicate for example,

that a highly farsighted patient may have

narrow angles or a highly myopic patient

may have open angles. The angles must

be viewed under a biomicroscope and

gonioscopy can allow the ECP to view the

actual anatomy of the angle. Intraocular

pressures must be determined for each

eye by using a non-contact tonometer,

a Tonopen, or a Goldmann tonometer.

If there is any suspicion of eye pressures

that are outside of normal, several

measurements should be taken at different

times of the day due to cyclic fuctuations

through the day.

The evaluation of intraocular pressure

(IOP) is usually based on measurements

done during offce hours. As IOP is

considered a major risk factor for

glaucoma, an undetected IOP spike could

be the missing link that has not been

taken into account. People with thin

corneas can be at an increased risk of

developing glaucoma so it is important to

use a pachymeter in order to determine if

this is an added risk factor.

Every eye exam should include visual

feld testing which would include a

screening or a threshold test depending

upon concerns or risk factors. Any

glaucoma patient should be informed

that visual feld testing will be done on a

regular basis. These visual feld tests are

important in order to know if a problem

exists, to monitor any changes once any

treatment is started, and to be able to

change the treatment strategy if signifcant

visual changes do occur.

Also, every patient should be dilated

in order to determine the health of the

retina, the retinal vascular system, the

optic nerve, and the macula. Fundus

photography and taking pictures of the

optic nerve are very important. These

photos can allow the ECP to monitor

changes in the cup to disc ratio of the

optic nerve. If a cup to disc ratio is high

such as 0.5 or 0.6, this can be another risk

factor for glaucoma including the fact

that the vertical size of the cup must be

compared to the horizontal size.

There has been improved diagnosis and

management for glaucoma including

the use of an OCT (Optical Coherence

Tomography). An OCT is another tool

that measures the thickness of the retinal

nerve fber layer. The average values of the

nerve fber layer thickness can be calcu-

lated and compared to what should be

normal. OCT’s can be an expensive piece

of equipment with prices ranging from

$9000-$45,000.

In a July, 2015 Review of Optometry

article on “Treating Glaucoma in the Real

World”, Dr. Murray Fingeret, a leading

authority on this subject, and Aliza Becker

offer these suggestions when treating a

glaucoma patients’ medication adherence;

“build trust with your patients, educate,

educate, educate, provide written instruc-

tions, offer reminder strategies for taking

medications, and make sure patients

understand their insurance coverage.”

These are good suggestions under any

circumstances. ■

OCT2015_JasonS.indd 4 10/6/15 11:13 AM

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TOPICAL OPTICAL

You might think so with Amazon, Barnes

& Noble, and all the stif competition

today – sounds a lot like independent

ECP’s Huh?

In reality more bookstores have

opened than closed in the last couple

of years in the U.S. They have always

been and will always be anchors in

many communities.

In fact May 2 was Independent Book-

store Day, celebrating this vital indus-

try. That day on Twitter and Instagram,

shoppers showed of their literary hauls

so enthusiastically that for a few hours

the hashtag #Bookstoreday was trending

nationwide, up there with the royal baby,

the Kentucky Derby, and an event which

shares the event’s community-spirited

DNA, Free Comic Book Day.

As reported by The Daily Beast, “To get

new customers coming in, spending mon-

ey, and coming back, independent book-

stores have to ofer something that their

customers can’t fnd online. That might

be an intangible sense of community, or

something more concrete, like the special

products that the IBD organizers created

this year—“physical, real, bona fde book

swag,” as Rebecca Fitting of Brooklyn’s

Greenlight Bookstore called it.

The range of signed books and artwork,

available only on this day and only in

stores, included a chapbook of new

essays by Bad Feminist author Roxane

Gay; a limited-edition print by the graphic

artist Chris Ware; and a stencil of a Marga-

ret Atwood quote designed to resonate

with the bookstore crowd: “A word after a

word after a word is power.”

It resonates with me that we have a lot

in common with bookstores, more than

would be thought. Now that the shock of

the big box retailers, the cheesy on-line

merchants, and competition from dispens-

ing Doctors has subsided a bit, we are

taking a hard look at the traditional ways

we view our role as eyeglass vendors.

A look on Facebook at trendy optical

groups makes one realize there are a lot

of really sharp folks out there taking the

measure of the big, the faceless, (and

sometimes boring) mass merchandisers.

We see great local, independent opti-

cal shops that prosper by mining unique

niches they have carved for themselves,

not just trunk shows but a combination

of smart social media savvy, outreach to

under served communities as a social

good, building community, by refusing

to carry the “me too” products the mall

giants push, combining with artists and art

groups, supporting vendors who support

the local stores, and so on.

“Getting customers to reject the homoge-

neity of chain stores and the facelessness

of Amazon has been essential to the suc-

cess of unique independent stores. But the

stores that proft best from an event like

Bookstore Day seem to be those, like Mc-

Nally Jackson, that have already embraced

the new social reality of bookselling.

They are the stores that maintain a chatty

and approachable social media presence,

ofer a carefully curated selection of stock,

run children’s story time in the mornings

and readings and parties in the evenings,

and focus on making their stores pleasur-

able places to visit. They are the stores

that are the face of this unexpected retail

resurgence.”

“Pleasurable to visit”, ponder that state-

ment for a moment – that is the low bar

we must hurdle to begin making ourselves

more relevant in this hyper connected age,

and it has to be sincere.

“When I have a little money, I buy books;

and if I have any left, I buy food and

clothes.” —Desiderius Erasmus, circa 1466

Today he might add, “And glasses to help

me read them!” ■

“

Getting customers

to reject the

homogeneity of

chain stores and

the facelessness of

Amazon has been

essential to the

success of unique

independent stores.

”

Independent

Book Stores are Dead?James Magay, RDO

“A word after a word

after a word is power.”

OCT2015_Magay.indd 2 10/6/15 10:24 AM

Website Features

★ Online Chat with Customer

Service

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Jobs in Process

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Invoices, & Rewards

Information

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Pricing, & Promotions

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LAS VEGAS, N.V. - This year at its annual celebration of wholesale optical labs,

FEA Industries was named “Optical Laboratory Website of the Year”.

This year, FEA’s website was completely redesigned. One of the main features that separated FEA from the competition

was the online chat, which makes it easy to contact customer service. “It’s so much more convenient to use online chat than having

to call the lab,” said one Eyecare Professional.

FEA also received the most nominations from

Eyecare Professionals, which served to underscore the

value that this website has to its customer base. “We

are very pleased to receive this award,” said Bill Hefner,

President of FEA Industries. It’s the only site that puts FEA’s

Customer Service in the ECP’s ofce.

Labtalk is a magazine focusing directly on laboratory managers and

owners. This competition is in its sixteenth year, and is presented

annually at Vision Expo west.

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