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22.01.2016 1Optical Dispensing
Over view
• Definition
• Frame style & Cosmetic Dispensing
• Frame measurement
• Spectacles Instrument Accessories
• Counselling
• Ophthalmic lens fitting
Optical Dispensing 222.01.2016
Definition
• An optical dispensing is subspecialty of
optometry of which includes all
procedures from the time the glass
prescription is presented to the optician
till the patients are on with the pair the
glasses satisfactorily.
Optical Dispensing 322.01.2016
• Frame selection is often a process of trial and error
can be time consuming.
• Proper assistance in frame selection is especially
important for the type of patient who may be inclined
to accept the first frame presented.
• The best frame for a patient complements his or her
facial structure, requires minimal adjustments, and
will securely hold the lenses in place.
Optical Dispensing 422.01.2016
Frame style and cosmetic dispensing
Frame selection
• Follow these steps to choose a best stylish eyeglass
frames.
5Optical Dispensing22.01.2016
Determining facial wrap
• Broadly, there are six face shapes that we
observe around the world.
 Oval
 Round
 Square
 Rectangle
 Triangular
 Heart
6Optical Dispensing22.01.2016
Frame for Oval Face shape
• Ovel face shape is the most common face
shape and is considered as an ideal one.
• We recommend oversized or rectangular
frames
Optical Dispensing 722.01.2016
Frame for Round Face shape
• Round faces are usually proportional to width
and length that features your full cheeks and a
broad forehead.
• We recommended rectangular or angular frames
for round face shaped persons.
Optical Dispensing 822.01.2016
Frame for square Face shape
• Square faces are characterized by a broad
squares forehead and a strong jaw line.
• We recommended Round or Oval shaped
frame.
Optical Dispensing 922.01.2016
Frame for Rectangle face shape
• Rectangle faces are regarded as the elongated
proportion that means a longer, narrower face
and nose, along with the
same strong jaw line and
squares forehead.
• We recommended round
or cat eye shaped frame.
Optical Dispensing 1022.01.2016
Frame for Triangle face shape
• Triangle face have a narrow forehead, but
wider cheek.
• These faces look the best in top heavy styles
which help balance out the jaw.
Optical Dispensing 1122.01.2016
Frame for Heart face shape
• Heart shaped faces have a broad forehead and
narrow jaw line or small chin.
• We recommended deep vertical frame shaped
frame.
Optical Dispensing 1222.01.2016
Frame Measurements
• Datum system
• Boxing system
Optical Dispensing 1322.01.2016
Datum system
• Previously used system for measuring lenses
was established as a system of reference points
for the frames & lenses so that position of lens
optical centres & bifocal
segment heights would
be consistent.
Optical Dispensing 1422.01.2016
Boxing System
• In 1962 the optical manufacturers association
adopted the boxing system to provide a standard
for frame and lens measurement that greatly
improved upon the accuracy of previous systems.
• The boxing system is based upon the idea of
drawing an imaginary box around a lens shape
with the box’s sides tangent to the outer most
edges of the shape.
Optical Dispensing 1522.01.2016
Optical Dispensing 1622.01.2016
Frame measurement guide
Optical Dispensing 1722.01.2016
• It is measured as the horizontal distance
between the furthest temporal and nasal edges
lens shape of the box.
• This is measured in millimeters.
Optical Dispensing 18
“A” MESURMENT
22.01.2016
• It is measured as the vertical distance between
the furthest top and bottom edges lens shape
of the box.
Optical Dispensing 19
“B” MESURMENT
22.01.2016
• Frame difference
• Datum Line
• Geometric center
• Distance between lenses
• Distance between Centers
• Effective Diameter
• Segment Height
• Segment drop
Optical Dispensing 2022.01.2016
22.01.2016 21Optical Dispensing
Pre dispensing measurement
• Facial wrap
• Pantascopic tilt
• Vertex distance
• IPD measurement
 PD rular
 Pupillometer
 Pen torch
Optical Dispensing 2222.01.2016
• Facial wrap
facial wrap the frame fills properly following
the curved line of the face.
• Pantascopic tilt
Pantascopic tilt is the angle between the normal
to the temple and frame front.
• Vertex distance
Vertex distance is the distance between the front
of the cornia and back of the lens.
Optical Dispensing 2322.01.2016
Spectacles Instrument accessories
PD measurement devices
• PD ruler
• Pupillometer
• Pen torch & marker
Optical Dispensing 2422.01.2016
PD Ruler Method
• Sit directly opposite the patient (arm’s length)
• Position yourself 40cm in front of the patient.
• Eyes are level.
• Place ruler on the bridge of the patient’s nose
• Hold pen torch under your left eye directed
at the patient’s RE
Optical Dispensing
2522.01.2016
• The dispenser aligns the zero mark of the
demo lens with the centre of patient’s pupil.
• The PD for distance is read as the mark falling
on the left pupil.
22.01.2016 Optical Dispensing 26
The Pupilometer method
• Fast and accurate measurement
for monocular and binocular
PDs.
• The variation between
the visual axes and
pupil center.
Optical Dispensing 2722.01.2016
Monocular PD
Binocular PD
Practitioner’s side
Patient’s side
 Procedure:
Hold the instrument in both hands and rest the pupilometer
on patients face.
Ability to vary working distance from 20cm to infinity
Internal hairline moved until line and corneal reflection are
coincident
Corneal reflection typically located nasal to pupil center (2
to 5 )
Optical Dispensing 28
Pupilometer
22.01.2016
22.01.2016 Optical Dispensing 29
Subject’s view
Practitioner’s
view
Direct pupillary reflex marking
• A pen torch will produce clear corneal
reflections.
• Position yourself 40cm in front of the patient.
• Eyes are level
• Hold a pen light under your left eye, aiming
the light at the patient’s eye.
• Mark the patient corneal reflex in marker.
22.01.2016 Optical Dispensing 30
• Mark the patient corneal reflex in marker.
22.01.2016 Optical Dispensing 31
Layout card measurment
• Measure monocular PD. The recommended
procedure is the use of a pupillometer.
• Incorrect PD may cause difficulty in using
different zones through the lens.
22.01.2016 Optical Dispensing 32
Counselling
• Lens materials
Glass
Plastic
Hi-index etc
• Lens Design
Single vision
Bifocal
Executive
Progressive etc
Optical Dispensing 3322.01.2016
• Lens coating
ARC
SRC
UV OR Polarized
• Photochromatic
• Tinted lens
22.01.2016 Optical Dispensing 34
Lens material
Traditionally, people used to prefer glass lenses. But
they have become less popular now due to the
danger of breaking. They are also heavier in weight
than alternatives. These days, CR-39 plastic lenses
are the preferred material for spectacle lenses.
It is safer, cost effective and offers an outstanding
optical quality. some people would be satisfied
with just that-a cheap good quality lens which can
correct vision.
Optical Dispensing 3522.01.2016
• People become more aware, they’ve started
realizing there is more to it than it appears.
Like UV protection, even lighter weight,
Optical Dispensing 3622.01.2016
Lens Coating
• Every good lens has 3-4 coatings,
• Each of a microscopic thickness.
• Most common of coatings is for toughening the
lenses to make it break-resistant.
• Then UV protection coating and Scratch resistant.
• Lastly, there is the anti-reflective coating
Primarily helps in reducing the
effect of reflective light from
bright objects such lamps or
car headlights at night.
Optical Dispensing 3722.01.2016
UV Protection and Polarized lens
This is one of the major deciding factors. UV
exposure has been clinically proven to be an
important cause of cataract because of its
oxidative effects on humans.
Optical Dispensing 3822.01.2016
photochromatic
• A major breakthrough in the area of absorptive
lenses took place in 1964 with the invention of
corning’s photo gray photo chromatic.
• These lenses darken when exposed to light.
• photochromatics are available in both glass
and plastic material.
22.01.2016 Optical Dispensing 39
Tinted lenses
• A tint is usually associated with a certain
quantity and depth of color, the depth of color
is described as density of lens.
• Both glass and plastic lenses can be tinted to
achieve the desired color.
22.01.2016 Optical Dispensing 40
Ophthalmic Lens fitting
Laying off
• Before a lens is edged it must be marked so
that cylinder axis if any is set according to
prescription and its optical centre is in correct
position relative to lens shape.
• We use a lenso meter to mark three dots
indicating optical centre position and the
horizontal meridian.
Optical Dispensing 4122.01.2016
• These horizontally placed dots are used to set
the lens on correct axis.
• In case of bifocals and trifocal and trifocals the
three dots should be parallel to top of the
segment.
Optical Dispensing 4222.01.2016
Lens cutting
• Once the lens is layed off it must now be cut
into desired shape.
22.01.2016 Optical Dispensing 43
Edging formers
• Shanking tongs were then used
to crumble the edge away until
it roughly resembles eye shape.
Optical Dispensing 4422.01.2016
Lens Edging formers
• Flat edge
• Bevel edge
• Mini bevel edge
• Grooved edge
Optical Dispensing 4522.01.2016
Flat Edge
• This is the simple form of edge.
• It is mainly used for lenses fitted
to rimless mounts or as an
intermediate stage in the
production of other edge forms.
Optical Dispensing 4622.01.2016
Bevel Edge
• The bevel edge is used for
lenses to be fitted in shall
and full rimmed frames.
• To avoid pressure on the
peak of bevel and the attendant risk of
chipping the lens.
Optical Dispensing 4722.01.2016
Mini Bevel
• The peak of a normal bevel lies approximately
midway between the two surfaces with strong
minus lenses and high cylindrical power.
Optical Dispensing 4822.01.2016
Grooved Edge
• It is simply a flat edge with central groove.
• Used mainly on lenses fitted to spectacles of
the nylon supras or semi rimless types.
Optical Dispensing 4922.01.2016
Hand Edgers
• A hand edger is still indispensable piece os
equipment although new automatic are being
preferred. For starting ensure that the hand edging
machine in good working condition. It should be set
up with adequate water. Hold the lens is both hands
with convex side up. Rest your hands on the dip tray
and press the lens against the revolving diamond
wheel. Make sure to hold the lens across the wheel
and at a slight upward angle. Now slowly rotate the
lens passing the grip of lens from hand to hand.
Optical Dispensing 5022.01.2016
• After edging match size of edged lens with the
frame. The lens is right when the shape is
exactly like that of the frame to be fitted.
• PHOTO
Optical Dispensing 5122.01.2016
Optical Dispensing 5222.01.2016

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Ophthalmic dispensing

  • 2. Over view • Definition • Frame style & Cosmetic Dispensing • Frame measurement • Spectacles Instrument Accessories • Counselling • Ophthalmic lens fitting Optical Dispensing 222.01.2016
  • 3. Definition • An optical dispensing is subspecialty of optometry of which includes all procedures from the time the glass prescription is presented to the optician till the patients are on with the pair the glasses satisfactorily. Optical Dispensing 322.01.2016
  • 4. • Frame selection is often a process of trial and error can be time consuming. • Proper assistance in frame selection is especially important for the type of patient who may be inclined to accept the first frame presented. • The best frame for a patient complements his or her facial structure, requires minimal adjustments, and will securely hold the lenses in place. Optical Dispensing 422.01.2016 Frame style and cosmetic dispensing
  • 5. Frame selection • Follow these steps to choose a best stylish eyeglass frames. 5Optical Dispensing22.01.2016
  • 6. Determining facial wrap • Broadly, there are six face shapes that we observe around the world.  Oval  Round  Square  Rectangle  Triangular  Heart 6Optical Dispensing22.01.2016
  • 7. Frame for Oval Face shape • Ovel face shape is the most common face shape and is considered as an ideal one. • We recommend oversized or rectangular frames Optical Dispensing 722.01.2016
  • 8. Frame for Round Face shape • Round faces are usually proportional to width and length that features your full cheeks and a broad forehead. • We recommended rectangular or angular frames for round face shaped persons. Optical Dispensing 822.01.2016
  • 9. Frame for square Face shape • Square faces are characterized by a broad squares forehead and a strong jaw line. • We recommended Round or Oval shaped frame. Optical Dispensing 922.01.2016
  • 10. Frame for Rectangle face shape • Rectangle faces are regarded as the elongated proportion that means a longer, narrower face and nose, along with the same strong jaw line and squares forehead. • We recommended round or cat eye shaped frame. Optical Dispensing 1022.01.2016
  • 11. Frame for Triangle face shape • Triangle face have a narrow forehead, but wider cheek. • These faces look the best in top heavy styles which help balance out the jaw. Optical Dispensing 1122.01.2016
  • 12. Frame for Heart face shape • Heart shaped faces have a broad forehead and narrow jaw line or small chin. • We recommended deep vertical frame shaped frame. Optical Dispensing 1222.01.2016
  • 13. Frame Measurements • Datum system • Boxing system Optical Dispensing 1322.01.2016
  • 14. Datum system • Previously used system for measuring lenses was established as a system of reference points for the frames & lenses so that position of lens optical centres & bifocal segment heights would be consistent. Optical Dispensing 1422.01.2016
  • 15. Boxing System • In 1962 the optical manufacturers association adopted the boxing system to provide a standard for frame and lens measurement that greatly improved upon the accuracy of previous systems. • The boxing system is based upon the idea of drawing an imaginary box around a lens shape with the box’s sides tangent to the outer most edges of the shape. Optical Dispensing 1522.01.2016
  • 17. Frame measurement guide Optical Dispensing 1722.01.2016
  • 18. • It is measured as the horizontal distance between the furthest temporal and nasal edges lens shape of the box. • This is measured in millimeters. Optical Dispensing 18 “A” MESURMENT 22.01.2016
  • 19. • It is measured as the vertical distance between the furthest top and bottom edges lens shape of the box. Optical Dispensing 19 “B” MESURMENT 22.01.2016
  • 20. • Frame difference • Datum Line • Geometric center • Distance between lenses • Distance between Centers • Effective Diameter • Segment Height • Segment drop Optical Dispensing 2022.01.2016
  • 22. Pre dispensing measurement • Facial wrap • Pantascopic tilt • Vertex distance • IPD measurement  PD rular  Pupillometer  Pen torch Optical Dispensing 2222.01.2016
  • 23. • Facial wrap facial wrap the frame fills properly following the curved line of the face. • Pantascopic tilt Pantascopic tilt is the angle between the normal to the temple and frame front. • Vertex distance Vertex distance is the distance between the front of the cornia and back of the lens. Optical Dispensing 2322.01.2016
  • 24. Spectacles Instrument accessories PD measurement devices • PD ruler • Pupillometer • Pen torch & marker Optical Dispensing 2422.01.2016
  • 25. PD Ruler Method • Sit directly opposite the patient (arm’s length) • Position yourself 40cm in front of the patient. • Eyes are level. • Place ruler on the bridge of the patient’s nose • Hold pen torch under your left eye directed at the patient’s RE Optical Dispensing 2522.01.2016
  • 26. • The dispenser aligns the zero mark of the demo lens with the centre of patient’s pupil. • The PD for distance is read as the mark falling on the left pupil. 22.01.2016 Optical Dispensing 26
  • 27. The Pupilometer method • Fast and accurate measurement for monocular and binocular PDs. • The variation between the visual axes and pupil center. Optical Dispensing 2722.01.2016 Monocular PD Binocular PD Practitioner’s side Patient’s side
  • 28.  Procedure: Hold the instrument in both hands and rest the pupilometer on patients face. Ability to vary working distance from 20cm to infinity Internal hairline moved until line and corneal reflection are coincident Corneal reflection typically located nasal to pupil center (2 to 5 ) Optical Dispensing 28 Pupilometer 22.01.2016
  • 29. 22.01.2016 Optical Dispensing 29 Subject’s view Practitioner’s view
  • 30. Direct pupillary reflex marking • A pen torch will produce clear corneal reflections. • Position yourself 40cm in front of the patient. • Eyes are level • Hold a pen light under your left eye, aiming the light at the patient’s eye. • Mark the patient corneal reflex in marker. 22.01.2016 Optical Dispensing 30
  • 31. • Mark the patient corneal reflex in marker. 22.01.2016 Optical Dispensing 31
  • 32. Layout card measurment • Measure monocular PD. The recommended procedure is the use of a pupillometer. • Incorrect PD may cause difficulty in using different zones through the lens. 22.01.2016 Optical Dispensing 32
  • 33. Counselling • Lens materials Glass Plastic Hi-index etc • Lens Design Single vision Bifocal Executive Progressive etc Optical Dispensing 3322.01.2016
  • 34. • Lens coating ARC SRC UV OR Polarized • Photochromatic • Tinted lens 22.01.2016 Optical Dispensing 34
  • 35. Lens material Traditionally, people used to prefer glass lenses. But they have become less popular now due to the danger of breaking. They are also heavier in weight than alternatives. These days, CR-39 plastic lenses are the preferred material for spectacle lenses. It is safer, cost effective and offers an outstanding optical quality. some people would be satisfied with just that-a cheap good quality lens which can correct vision. Optical Dispensing 3522.01.2016
  • 36. • People become more aware, they’ve started realizing there is more to it than it appears. Like UV protection, even lighter weight, Optical Dispensing 3622.01.2016
  • 37. Lens Coating • Every good lens has 3-4 coatings, • Each of a microscopic thickness. • Most common of coatings is for toughening the lenses to make it break-resistant. • Then UV protection coating and Scratch resistant. • Lastly, there is the anti-reflective coating Primarily helps in reducing the effect of reflective light from bright objects such lamps or car headlights at night. Optical Dispensing 3722.01.2016
  • 38. UV Protection and Polarized lens This is one of the major deciding factors. UV exposure has been clinically proven to be an important cause of cataract because of its oxidative effects on humans. Optical Dispensing 3822.01.2016
  • 39. photochromatic • A major breakthrough in the area of absorptive lenses took place in 1964 with the invention of corning’s photo gray photo chromatic. • These lenses darken when exposed to light. • photochromatics are available in both glass and plastic material. 22.01.2016 Optical Dispensing 39
  • 40. Tinted lenses • A tint is usually associated with a certain quantity and depth of color, the depth of color is described as density of lens. • Both glass and plastic lenses can be tinted to achieve the desired color. 22.01.2016 Optical Dispensing 40
  • 41. Ophthalmic Lens fitting Laying off • Before a lens is edged it must be marked so that cylinder axis if any is set according to prescription and its optical centre is in correct position relative to lens shape. • We use a lenso meter to mark three dots indicating optical centre position and the horizontal meridian. Optical Dispensing 4122.01.2016
  • 42. • These horizontally placed dots are used to set the lens on correct axis. • In case of bifocals and trifocal and trifocals the three dots should be parallel to top of the segment. Optical Dispensing 4222.01.2016
  • 43. Lens cutting • Once the lens is layed off it must now be cut into desired shape. 22.01.2016 Optical Dispensing 43
  • 44. Edging formers • Shanking tongs were then used to crumble the edge away until it roughly resembles eye shape. Optical Dispensing 4422.01.2016
  • 45. Lens Edging formers • Flat edge • Bevel edge • Mini bevel edge • Grooved edge Optical Dispensing 4522.01.2016
  • 46. Flat Edge • This is the simple form of edge. • It is mainly used for lenses fitted to rimless mounts or as an intermediate stage in the production of other edge forms. Optical Dispensing 4622.01.2016
  • 47. Bevel Edge • The bevel edge is used for lenses to be fitted in shall and full rimmed frames. • To avoid pressure on the peak of bevel and the attendant risk of chipping the lens. Optical Dispensing 4722.01.2016
  • 48. Mini Bevel • The peak of a normal bevel lies approximately midway between the two surfaces with strong minus lenses and high cylindrical power. Optical Dispensing 4822.01.2016
  • 49. Grooved Edge • It is simply a flat edge with central groove. • Used mainly on lenses fitted to spectacles of the nylon supras or semi rimless types. Optical Dispensing 4922.01.2016
  • 50. Hand Edgers • A hand edger is still indispensable piece os equipment although new automatic are being preferred. For starting ensure that the hand edging machine in good working condition. It should be set up with adequate water. Hold the lens is both hands with convex side up. Rest your hands on the dip tray and press the lens against the revolving diamond wheel. Make sure to hold the lens across the wheel and at a slight upward angle. Now slowly rotate the lens passing the grip of lens from hand to hand. Optical Dispensing 5022.01.2016
  • 51. • After edging match size of edged lens with the frame. The lens is right when the shape is exactly like that of the frame to be fitted. • PHOTO Optical Dispensing 5122.01.2016