TIPS & TECHNIQUES IN DISPENSING EYEWEAR TO TODDLERS

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Jeffery Lang
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1 TIPS & TECHNIQUES IN DISPENSING EYEWEAR TO TODDLERS Jackie O Keefe, LDO HOACLS 2015 General Level 1 1

2 All Kids Are Not Alike Toddlers 1-3 years Pre-school 4-5 years Elementary 6-7 years Tweens 8-12 years Teens years 2

3 Psychology 101 Who Is The Patient?

4 Special Needs Children Don t Be Afraid To Ask.

5 EYES (3937) Optometry Cares - the AOA Foundation 21 Optometrists are within 50 miles of 23866

6 Toddler Behavior Crossed or Misaligned Eyes Frequent Eye Rubbing Excessive Blinking Poor Eye Contact.

7 Prior To The Visit/Appointment Preview The Rx Doctor Consult The Appointment Shed The Coat

8 Communications Approach Slowly Smile At Their Level Parents Lap Special Chair Floor. Loaner Frame While Napping

9 Lenses Before Frames REALLY? 9

10 The Full Experience Parent or guardian involvement Clap & Sing Goo Goo & Peek-a-Boo Touch my nose Have a bag of tricks on hand. 10

11 The Full Experience Parent or guardian involvement Clap & Sing Goo Goo & Peek-a-Boo Touch my nose Have a bag of tricks on hand. 11

Frame Selection Stock 32-38 mm 90-100 mm

12 Frame Selection Stock mm mm Table 1 st Limits Interruptions Time Saver Choices

13 Fitting Triangle Eyeglass frames should make contact at three points. On top of the ears On the crest. 13

14 Facial Considerations Low, Flat, Wide Underdeveloped Bridge. Protruding Forehead High Cheeks 14

15 Frame Shape Selections Ovals Pillowed Rectangles Modified Ovals Modified Pillowed Rectangles. 15

16 Plastic Frame Materials Cellulose Propionate Mold injected. Light weight. Can be thinner with endless colors. Nylon Durable, lightweight, virtually unbreakable, extremely impact resistant and ideal for active people. Hypoallergenic. Carbon fiber graphite Mold injected. Strong, lightweight, can be thinner. Colors are darker. Optyl Epoxy resin, light weight with endless colors. Memory and hypoallergenic. Cellulose Acetate-Zyl Cut Out Sheets with endless colors. Not Hypoallergenic. 16

17 Metal Frame Materials Pure Titanium 99.5%,.5% oxygen and nitrogen Lightweight, durable,hypoallergenic Beta-Titanium Small amounts of vanadium and aluminum Lightweight, strong, hypoallergenic Memory Titanium 40-50% in combination with nickel Flexible, lightweight, not hypoallergenic. 17

18 Metal Frames Stainless Steel 67% iron, 20% chrome and other metals Thin and sturdy, corrosion resistant. Hypoallergenic Nickel Silver 62% copper, 20% zinc 18% nickel Base metal, good for hinges. Not hypoallergenic Monel 68% nickel, 30% copper, 2% iron Strong, less corrosive than nickel. Not hypoallergenic Cobolt 78% monel, 22% nickel Strongest, lightweight and non corrosive. Not hypoallergenic. 18

19 Bridges Keyhole? Contour? Rocking? Strap? 19

20 Frame Color Selection Exterior Patterns Smooth Finish Less is Best Clear Flesh Tones Soft Tans Pastel Pinks Light Blues 20

21 Before Final Frame Selection... Calculate Lens Centration This determines where the lens thickness will be realized. 21

22 Before Calculating Centration... You need to measure the pupillary distance (PD) of the child This is measured in millimeters (mm). 22

23 Before Calculating Centration... Pupillometers = Toddlers =

24 Millimeter Rules (PD Stick) Hand held tool designed to measure in millimeters and/or inches Made of durable plastic, wood or stainless steel Most are ambidextrous or bimanual. 24

25 Measuring Outer Canthus To Inner Canthus The Canthus is the point at which the upper and lower lids meet to form an angle. 25

26 Measuring Outer Limbus To Inner Limbus The Limbus is the circular zone where the cornea meets the sclera. 26

27 Measuring PD With A Penlight? 27

28 Measuring PD With A Penlight? 28

30 Before Calculating Decentration... You need to measure the frame PD in millimeters. Also known as the Geometric Center Distance (GCD) or Distance Between Centers (DBC). 30

31 Boxing System A system for measuring the size of a lens. A = width of the lens B = depth of the lens DBL = the distance between the lenses DBL A B 31

32 Measuring Frame PD Measure the frame using the Boxing System. A + DBL = Frame PD. Example: =? Frame PD. DBL=16 A=36 32

33 Decentration = Frame PD - Patient PD 2 Frame PD = 40 Patient PD = 40.. Frame PD = 40 Patient PD = 36.. Frame PD = 40 Patient PD =

35 Lens Considerations Materials Designs.

36 Cr39 Impact Resistant Light Weight Polycarbonate Impact Resistant Light Weight UV400 Absorbent Trivex Lightweight Lens Materials Impact Resistant Superior Optics 36

37 Minus Lenses (Concave) Prescribed for Myopia or Nearsightedness Thickness Centration Motion. 37

38 Plus Lenses (Convex) Prescribed for Hyperopia or Farsightedness 50% Toddlers Amblyopia Thickness Centration Motion 38

39 Cylinder Lenses Prescribed for Astigmatic Cornea or Astigmatism Thickness Centration Motion. 39

40 Lens Treatments Scratch Resistance Ultraviolet Protection Tinting Variable Tints Premium Anti-Reflective Note: Always check with the Pediatric Physician should the parent request tinted lenses. 40

41 Delivery Time Make The Appointment Prepare The Table Human Relations Fit & Dispense Consistency Conservative Clothing Warm Your Hands Approach Slowly Smile Be Prepared. 41

42 Pre-Adjust The Frame Standard alignment before adjustment. Frame Front (FO) 1 st Close Vertex Distance Considerations Chubby Cheeks Protruding Forhead Eyelashes & Brows. 42

43 Let The Temple Fitting Begin Skull Mark the proper place on the temple Apply heat as needed Be sure to cool down the temples with water. 43

44 Let The Temple Fitting Begin Comfort Cable More Common Don t forget the mastoid! 44

45 Simple Marketing Tips Reach out to Pediatric Physicians Speak to Day Care Providers Become The Expert. 45

46 They Remember The Experience 46

47 They Remember The Experience 47

Proper frame adjustment is critical to insure a patient s comfort and that they experience maximum vision with their lenses.

Frame Adjustment Proper frame adjustment is critical to insure a patient s comfort and that they experience maximum vision with their lenses. Standard Adjustment A standard adjustment is used for all new