Does it?
Lets talk nosepads!
How important is the shape and size nosepads to a comfortable fit for a patient?
What shape and size do you use...............and why?
What material do you use most.................and why?
Does it?
Lets talk nosepads!
How important is the shape and size nosepads to a comfortable fit for a patient?
What shape and size do you use...............and why?
What material do you use most.................and why?
The larger the nose pad and more surface area covered, the greater disappation of weight. The more perfectly aligned with the shape and configuration with the surface upon which it rests the less pressure placed on the nose.
The nose pad should (read this, not personal experience) should be straight up and down, not angled in or out.
The smaller the nose pad the better cosmetic effect. Little difference in shape of nose pad from a comfort stand point. Colored nose pads cause the observer to think the patient has a fly on his nose. Softer nose pads tend to give less discomfort especially if frame/lens has conciderable weight. Stiffer, especially metal ones last longer.
Chip
Larger and softer nosepads are always better..............................
Larger and softer nosepads are always better, what is most important that they have some loose play sideways and up and down as todays opticians, (exceptions granted) are not the masters to make a perfect adjustment with rigidly mounted pads.
Size, I try to get the pt to accept the largest possible. We have a lot of emerging presbyopes who are extremely vane, so ~13mm is usually what ends up in there after they balk at the 15mm.
Material, I typically go for the silicone. Exceptions would be more elderly px with particularly loose skin, they get vinyl or Ti to avoid pulling on the skin. People with allergies or especially oily skin as well. All my sunglasses have Ti because I think its cool (no really they always feel nice and cool when I put them on).
Then of course you have the old guys who have accepted reality, they generally accept a 19mm, when they don't insist on a strap or saddle.
Unfortunately, we have a high # of goober employees where I work so we only keep a small stock of asymmetrical D's for particular px. Most people get ovals, though I have no idea if that matters so long as they're adjusted properly.
Nosepads!
Nosepads!
We dont need no stinking nosepads!
- Optician
- Frame Maker/Designer
- Teacher of the art of crafting handmade eyewear.
Actually the strap bridge shown by Mr. Count provides the best pressure/weight distribution of all. But you better have your bifocal or progressive seg. ht. measurents exact because there is no way to compensate at all with nose pad adjustment.
Chip
It's a very comfortable piece to wear Mr. Anderson, but you are correct it's not a product for the meak when it comes to seg heights. the interesting part of the pictured frame are the sliding temples. I wear this same frame and have grown quite fond of the ability to 'snug up' the temples.
- Optician
- Frame Maker/Designer
- Teacher of the art of crafting handmade eyewear.
On all the frames I wear (that have pads), I wear a 13 mm silicone, but I remove the silicone, and wear only the acetate piece that rides under it. It's comfortable, easy to clean, and doesn't "over" grip.
Ophthalmic Optician, Society to Advance Opticianry
The pads we have, if you pull off the silicone off, it leaves a sharp ~2mm square. We use stormin' Norman, do you use a supplier out your own source?
I'm partial to the 14mm tapered silicone pads. 13mm's are good as well, but I find the 14's just a bit better. They seem to fit more noses and the tapered end makes it less bulky. Anything over a 16mm will poke you in the eye.
We source our own. They're shaped like a profile view of a nose and have our initials inlaid in gold underneath.
/not really
Last edited by edKENdance; 11-29-2011 at 06:33 PM. Reason: clarity
I wonder what you do with the pieces that you remove ......Originally Posted by Johns
We reshape them into punctal plugs and lens liner.
Ophthalmic Optician, Society to Advance Opticianry
Punctal plugs! Sheeesh, good idea! It should save my office $3-$4K a year!
How often you change them?
Also Do you use the older ones with face cheese for the same purpose? :)
We are what you'd consider a "high volume" office, and therefore, process quite a few pads during the course of the day. One day last June, I forgot my lunch, and since I didn't have to spend time eating, I tinkered around with some old frame parts, and put together this baby: (It can process millions of pads an hour, into hundreds of different shapes)
Ophthalmic Optician, Society to Advance Opticianry
Who needs nosepads? Just get this:
http://www.strangenewproducts.com/20...yeglasses.html
We do that in our office all the time! You can buy the piercing tools for about $99, and there's not much competition from the internet.
Ophthalmic Optician, Society to Advance Opticianry
And you think you're pretty good at purchasing prices... You got ripped off man! We use a piece of ice and a sewing needle!
Yeah, man, just use your old turkey sewing needle from thanksgiving, and run out to 7-11 and get a BIG Slurpee with a lot of ice in it
We practice on our lab guy. After awhile, you can usually get it right on the first try!
Ophthalmic Optician, Society to Advance Opticianry
...
Last edited by Johns; 04-25-2012 at 09:56 PM.
I mostly use Silicone...from the 8.5mm little round button ones up to 17mm nice big soft cushy ones.
Johns: Is that individual running loose amoug the great unwashed or institutionalized? What happens when it gets near a magnet or any strong electro-motive source?
Chip
Would love to give him an MRI...
Chip,
Most of the "Occupy" encampments have been torn down, so running into a large group of "unwashed" is usually not an issue.
Ophthalmic Optician, Society to Advance Opticianry
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