Originally Posted by
fjpod
I can think of a few situations where harm might occur...
...the young myopic student who may not speak up and his parents just have his glasses copied for the sake of convenience or economics - Agreed!
...the young hyperopic child who may have worsening amblyopia and doesn't know it Agreed!
...the myopic/diabetic bus driver whose VA change has gone unnoticed Agreed, but this really goes to the heart of how ridculous our society views are with respect to the potential consequences of poor acuity/contrast sensitivity during driving (especially at night!)
...the teenager (or adult) developing corneal neovascularization who keeps ordering CLs without an exam or recheck of the fit. Agreed!, but this is a CL question, where you'll *never* get an argument from me about potential harm.
I don't have all the answers, but yes, even some emmetropes should have mandatory exams like bus drivers, pilots, those who carry a gun,...and wouldn't you want young students to have an exam every few years even if they were previously thought to be emmetropic?
I'm not saying don't duplicate a pair of glasses for someone in a bind, but some guidelines should be in place. For some to say "there should be no guidelines" for Rx duplication, and for some to say "there should be a mandatory eye exam for everybody every six months" would be rediculous. Too bad there is so much variation from state to state. NYS allows any pair of eyeglasses to be duplicated without limit. Yes, and like other states, NY only requests a vision *screening* (aka, pass/fail at 20/40, tested at 6 feet away!!) every 8 years, instead of, say every 2??
And please, before a flame war starts, I am not trying to be cynical or inflammatory...and the current state of affairs is due to a little bit of "error" on the part of all O professions.
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