Modifications Made to the Refractive Result when Prescribing Spectacles

Hrynchak, Patricia K.; Mittelstaedt, Andrea; Harris, Joel D.; Machan, Carolyn M.; Irving, Elizabeth L.

doi:10.1097/opx.0b013e31823efdfd

Cited by 7 publications

(7 citation statements)

References 12 publications

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“…Concerns that ordering eyewear online cuts consumers off from access to professional advice ranging from clinical judgement to prescription adjustments. 16 3. Concerns that online dispensing sends a message that purchasing eyewear is separate from seeking eye care and that regular eye care is not important.…”

Section: Defining the Problemmentioning

confidence: 99%

“…It might be helpful to group them into the following categories: Concerns about poor product quality, including prescription errors stemming from either the supplier or the consumer 1,2,14,15 Concerns that ordering eyewear online cuts consumers off from access to professional advice ranging from clinical judgement to prescription adjustments 16 Concerns that online dispensing sends a message that purchasing eyewear is separate from seeking eye care and that regular eye care is not important 17–20 …”

Section: Introductionmentioning

confidence: 99%

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Patient views about online purchasing of eyewear

Sivak

Spafford

Irving

2020

Ophthalmic Physiologic Optic

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Section: Defining the Problemmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient views about online purchasing of eyewear

Sivak

Spafford

Irving

2020

Ophthalmic Physiologic Optic

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“…Some require a period of adaptation to their new glasses, while others may be unable to accept a new or changed prescription 5–9 . Some optometrists, particularly as they become more experienced, 10 make adjustments to their subjective refraction, and use prescribing rules such as “if it ain't broke don't fix it”, 11 to aid the adaptation process, and to avoid cases of patient dissatisfaction 12,13 …”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7][8][9] Some optometrists, particularly as they become more experienced, 10 make adjustments to their subjective refraction, and use prescribing rules such as "if it ain't broke don't fix it", 11 to aid the adaptation process, and to avoid cases of patient dissatisfaction. 12,13 Patients are aware of the risk of not getting used to a new pair of glasses and it is a source of concern for many. 14 Recheck rates (the percentage of patients returning to an optometry practice because they are dissatisfied with their new glasses) have been reported to be between 0.7% and 5.7%, [5][6][7][8][9] with a recent systematic review finding a pooled prevalence for spectacle non-tolerance of 2.1%.…”

Section: Introductionmentioning

confidence: 99%

What are patients' beliefs about, and experiences of, adaptation to glasses and how does this affect their wearing habits?

Hughes

Fylan

Elliott

2021

Ophthalmic Physiologic Optic

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Purpose It is well known that some patients experience difficulties adapting to new glasses. However, little is known about what patients themselves understand of the adaptation process, and how this influences their attitudes and the decisions they make when adapting to a new pair of glasses. Nor is it understood whether these factors affect their wearing habits. Methods We conducted four focus groups. Participants were 22 glasses wearers (mean ± SD age 43 ± 14 years, range 21–71 years) who reported they: (1) wore spectacle correction for distance vision (single vision, bifocal or progressive lenses); (2) had struggled to get used to a new pair of glasses and (3) sometimes chose not to wear their distance correction. Focus groups were audio recorded, transcribed verbatim and analysed thematically. Results We identified three themes. Trust is about how participants' trust in their optometrist and themselves influences the likelihood of them adapting successfully to new glasses. Conflict describes how the advice patients have received about adapting to glasses can conflict with what they have experienced and how this conflict influences their expectations. Part of Me explores how participants' experiences and feelings about their glasses are important to adaptation and this includes physical, visual, emotional and behavioural aspects. Conclusions The traditional optometric perspective of adaptation to glasses is much narrower than that held by patients, and significantly underestimates the physical, behavioural and emotional adaptation that patients must go through in order to feel fully comfortable wearing their glasses. Patients should receive significantly more information about adaptation, including symptoms that may be experienced and why these happen, practical tips to aid adaptation, and when and how to raise concerns. Patients should also receive information about the day‐to‐day effects of blur adaptation to avoid them not wearing their glasses, including for vision‐critical tasks such as driving.

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“…Bypassing eye examinations or relying on standalone sight testing likely means that eye disease goes undetected and the optical prescription is suboptimal . Without an eye examination, the optical prescription will not benefit from the modifications clinicians routinely apply to the patient's initial refractive measurement, after considering factors such as vision, habitual correction, working distance, and eye co‐ordination . Government deregulation also poses the risk of signalling to the public that if eye care and eyewear are not important enough to regulate, they are not important enough to value.…”

mentioning

confidence: 99%

Motivators and deterrents for seeking eye care in a Canadian region

Spafford

Sivak

Lillakas

et al. 2020

Clinical and Experimental Optometry

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Background Motivators and deterrents for seeking eye care in a Canadian setting were sought using a qualitative study. Provincial deregulation of eyewear dispensing in 2010 allows consumers to order eyewear without an optical prescription, thus eliminating a potential motivator for obtaining an eye examination. Methods Convenience sampling was used to obtain 25 members of the public who contributed to one of seven focus groups that were facilitated, audiotaped, anonymised and transcribed. Participants completed a demographic questionnaire. Focus group data analysis employed grounded theory and theme saturation determined the number of focus groups. Results Nine men and 16 women participated, ranging in age from 18 to 71 years (mean 41.5; median 40.0). Three main themes were identified as influencers for seeking eye care: priority; advice; and capacity. Priority served as a motivator (‘lived experience’, ‘symptoms’, and ‘habit’) and deterrent (‘test distress’, ‘asymptomatic’, ‘don't know’ and ‘other priorities’). Advice was a motivator (‘professional’ and ‘family/friends’), while capacity was a motivator (‘insurance’) and deterrent (‘cost’). Conclusion The motivators and deterrents of seeking eye care in these focus groups were framed by three themes. Key findings not reported previously included the motivators of ‘habit’, ‘advice’ and ‘insurance’ and the potential deterrent of ‘test distress’. These factors should be added to other previously reported motivators and deterrents in further exploration of Canadian eye‐care seeking behaviours. Such knowledge is needed to develop strategies for improving eye‐care literacy in Canada. This is particularly important because eyewear deregulation and/or online eye examinations may encourage members of the public to bypass comprehensive eye care without fully understanding the implications of this decision for their health and wellness.

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Modifications Made to the Refractive Result when Prescribing Spectacles

Cited by 7 publications

References 12 publications

Patient views about online purchasing of eyewear

Patient views about online purchasing of eyewear

What are patients' beliefs about, and experiences of, adaptation to glasses and how does this affect their wearing habits?

Motivators and deterrents for seeking eye care in a Canadian region

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