Internet Glasses proves Ryser Equation...

[Uncle Fester]

Ryser Equation: The success of wearing progressives is in direct proportion to the motivation of a person to wear progressives.
Internet glasses proves this to be true.

When a consumer buys cheap glasses I think they are willing to accept a loss of comfort and accuity as the price of being "bargains". Do you agree?

I went to the link at Daniel Pinkwater's web site to an online supplier and they offer three options for progressive heights. Do you wear your glasses up high on your nose, part way down, or on the end of your nose? And many of them must be satisfied.

I know many will have stories of online glasses being made horribly but we still are seeing more and more patients opting for them.

What do those who take Sheedy reports as gospel think?

[HarryChiling]

Ryser Equation: The success of wearing progressives is in direct proportion to the motivation of a person to wear progressives.
Internet glasses proves this to be true.

When a consumer buys cheap glasses I think they are willing to accept a loss of comfort and accuity as the price of being "bargains". Do you agree?

I went to the link at Daniel Pinkwater's web site to an online supplier and they offer three options for progressive heights. Do you wear your glasses up high on your nose, part way down, or on the end of your nose? And many of them must be satisfied.

I know many will have stories of online glasses being made horribly but we still are seeing more and more patients opting for them.

What do those who take Sheedy reports as gospel think?

I have often said that the price of a prgressive needs to have it's own merit in fitting. A $700.00 progressive better be painfully clear where as a $139.00 progressive probably will walk out the door without much complaint. Doesn't hold true in every case but nothing does.

I also wonder how much the patients are paying for their progressives in studies done, if they get them for FREE then the data can be tainted, if they pay an MSRP on the lenses then when two lenses are compared is the patient charged the same price for both lenses? I would love to see more research and studies done in our field, any opticianry colleges want to step up their games?

[Barry Santini]

"The *best* pair of progressives is the (old) one a (patient) continues to wear 'cause their doctor says that the just-finished exam indicates "there's not enough change to get new glasses""

So Spaked Barrs

(aka Barry)

PS This is also know as "prescribing out of ANSI tolernace"

[DragonLensmanWV]

"The *best* pair of progressives is the (old) one a (patient) continues to wear 'cause their doctor says that the just-finished exam indicates "there's not enough change to get new glasses""

So Spaked Barrs

(aka Barry)

PS This is also know as "prescribing out of ANSI tolernace"

I've always wondered at what Doctors think IS enough to change. I have had people come in that have gone 5 years between exams (And they didn't change -honest!) and still the Doctor says there's not enough change. So they decide they want to update their look and get new ones anyway. Then we look at the Rx and there's a 1D change. ?? If 1 diopter isn't enough, what the heck is?

[Chris Ryser]

I have often said that the price of a progressive needs to have it's own merit in fitting. A $700.00 progressive better be painfully clear where as a $139.00 progressive probably will walk out the door without much complaint. Doesn't hold true in every case but nothing does.

Son in law came to my office yesterday with his first pair of progressives mounted in a metal frame with some rimless nylon mount on the temp[oral sides and temples thin and very wide. They were continuously sliding of his nose.

He had been back three times to the optician who sold it to him for $ 650.00 and gave up adjusting the temples that could not be bent around the ears. Took me 2 minutes to bend them to a good fit around the skull.

Progressive reading segment was 5mm high. I held back from making any comments, but to me such sales are a crappy rippoff.............but the fashion aspect was much more important than the optical value of seeing properly, but now he does not know any better.

[LENNY]

I've always wondered at what Doctors think IS enough to change. I have had people come in that have gone 5 years between exams (And they didn't change -honest!) and still the Doctor says there's not enough change. So they decide they want to update their look and get new ones anyway. Then we look at the Rx and there's a 1D change. ?? If 1 diopter isn't enough, what the heck is?

My experience is that most of the OMD offices in our woods cant even read the progressive lenses! I called them and asked if they have the patients old RX .....
:shiner:

[mrmac]

Hey Fester,
We have been over run with p d requests in the past week. The O.D. here said that the Mass. Society claims that it is illegal for an optometrist to with hold a PD.

[Andrew Weiss]

Hey Fester,
We have been over run with p d requests in the past week. The O.D. here said that the Mass. Society claims that it is illegal for an optometrist to with hold a PD.

Eddie,

Does that mean that it's incumbent on the OD to take a PD measurement at the patient's request? From what I've seen, ODs don't do that unless they're measuring for a pair of glasses.

[mrmac]

Hey Andrew,
As I understand it, it means that they are REQUIRED to give a P D if the patient requests it. They claim that it is part of the exam.

[Andrew Weiss]

Hey Andrew,
As I understand it, it means that they are REQUIRED to give a P D if the patient requests it. They claim that it is part of the exam.

That's fascinating. I admit I've never seen an exam manifest with a space on it for PD measurement, and none of the ODs I've known or worked for have taken one as part of the exam.

I wonder if any of the ODs on this board can chime in: is a PD measurement considered to be part of a routine comprehensive eye exam? Or is this a specific regulation of the Massachusetts Board of Optometry?

[MarcE]

I wonder if any of the ODs on this board can chime in: is a PD measurement considered to be part of a routine comprehensive eye exam? Or is this a specific regulation of the Massachusetts Board of Optometry?

I'm not an optometrist, but I'll tell you what I know. In Kansas the PD is part of the script, as defined by the Optometric board. It must be on the script. Of course an OMDs are not governed by the optometric board.
Other states vary.

[Refractingoptician.com]

I'm not an optometrist, but I'll tell you what I know. In Kansas the PD is part of the script, as defined by the Optometric board. It must be on the script. Of course an OMDs are not governed by the optometric board.
Other states vary.

If it must be on the Rx , does it state that it has to be in mm ?

Or could it be in inches ?

Or could it be recorded in code ?

[Chris Ryser]

If it must be on the Rx , does it state that it has to be in mm ?

Or could it be in inches ?

Or could it be recorded in code ?

The cost of a pupillometer can be from $ 230.00 to $ 7,500 for a scanning Laser instrument.

Therefore the learning of the method and the cost of the instrument justifies a charge to the consumer if he wants only this service.

Hang up a sign at a visible spot that you charge $ 10.00 - 15.00 - 20.00 for this service, which is wanted for obvious reasons. :finger:

[MarcE]

Or could it be recorded in code ?

Disappearing ink?

[harry888]

The Massachusetts Board of optometry regs state that a spectacle Rx must have the PD. It also requires an expiration date.

So, it is the presribers responsibility only if he is an OD. Those rules don't apply to physicians or other prescribers.

I rarely get PD requests, and when I do, it usually is for safety glasses when the safety van makes it's monthly visit to the local plant.

Harry