Give me my PD Petition.....................................

[wmcdonald]

Ya’ll do realize that in the UK, where this petition started, optometrists are called opticians, right?
That said, this is a problem (& a petition) for doctors, not U.S. opticians……..

They are referred to as Ophthalmic Opticians and require a formal education. We attempted to do the same thing here in starting the Society to Advance Opticianry. We wanted to recognize those who saw value in education and training. They made a membership organization out of it.

[wmcdonald]

You know Barry, you made a wise statement in 2000 when you said this! Some still argue about a simple PD! We as a profession/trade/job......need to do a lot of things. I'm working now to do just that! Look for it down the road! Professions have much in common. Common education and training, licenses to practice in some cases, or like CPAs, advanced Certification, called CPA! We are working towards something like that!

"This is why I've said we as a profession must reflect upon exactly what we say is the real danger with online eyewear. Trying to falsely tap into the public's emotions with unsubstantiated scare tactics will not work. It will in fact, work against us."

I hope you have a wonderful holiday season, Bubba Santini!

[kittyeyes]

Ya’ll do realize that in the UK, where this petition started, optometrists are called opticians, right?
That said, this is a problem (& a petition) for doctors, not U.S. opticians……..

[NAICITPO]

@JASG here are some other older threads that I am awaiting your amazing insights on.

https://www.optiboard.com/forums/showthread.php/1034-TIPS-ON-DISPENSING

https://www.optiboard.com/forums/showthread.php/59620-Trivex

https://www.optiboard.com/forums/sho...e-a-confession

https://www.optiboard.com/forums/sho...Prism-thinning

https://www.optiboard.com/forums/showthread.php/69386-EyeMed-versus-VSP

[Uncle Fester]

jasg- Just what is your title in our field? Other???

You're resurrecting 10 year old threads and it feels like you are trolling.

[drk]

As analogies go, yours is singularly uncompelling.

Corrective lens prescriptions are written so that a given patient can have lenses made for a given purpose. If that isn't patently obvious, then why else would a refraction include testing at different distances? And why else would phoroptors adjust to bring the lenses over the center of each pupil? And if PD is irrelevant to an Rx then why, after having made the aforementioned adjustment, does the PD (or a close approximation thereof) automatically appear on the PD SCALE on the phoropter? The point is, a refraction cannot even be done if the each lens of the phoropter isn't centered over each eye such that the distance between the centers of the lenses closely matches the patient's PD!

Without a PD, lenses cannot even be manufactured, let alone used for a given purpose. Without an accurate PD, corrective lenses do not correct. That being the case, PD is an integral and essential component of an Rx.

What is an Rx without a PD? INCOMPLETE !

Instead of quibbling over the extra 2 minutes spent measuring PD, why not charge whatever it costs to those who don't like, or can't afford, any of the frames you carry? Or just hang a sign on your window that says "No Framy – No Prescripty".

You really don't know that much. I'm going to take you apart. Watch.

Corrective lens prescriptions are written so that a given patient can have lenses made for a given purpose.

Sometimes. If so, they're specified as such. Example SVDO, SVNO, over-CLs, computer use, etc. Other times it's a general prescription for an optician to design glasses with.

If that isn't patently obvious, then why else would a refraction include testing at different distances?

Almost all refracting is at infinity. Only exceptions around here are for emerging presbyopes.

And why else would phoroptors adjust to bring the lenses over the center of each pupil?

Monocular refractions don't require any specific attention to centration. All refractions on absolute presbyopes are done monocularly.

Otherwise, it is good to have the patient look through zero prism when doing binocular refractions or measuring ocular deviations.

And if PD is irrelevant to an Rx then why, after having made the aforementioned adjustment, does the PD (or a close approximation thereof) automatically appear on the PD SCALE on the phoropter?

Nobody measures a p.d. that way. It's totally imprecise. It works the other way around: if you want zero prism, you use the scale to separate the lenses to the proper distance.

The point is, a refraction cannot even be done if the each lens of the phoropter isn't centered over each eye such that the distance between the centers of the lenses closely matches the patient's PD!

I can refract with a loose trial lens.

Without a PD, lenses cannot even be manufactured, let alone used for a given purpose. Without an accurate PD, corrective lenses do not correct. That being the case, PD is an integral and essential component of an Rx.

What is an Rx without a PD? INCOMPLETE !

This you have right. Whomever designs the lens should have a p.d. Among other biometric data. You can also apply your thought process to those other data, and quit making p.d. some special issue.

What is the Rx without an optician? INCOMPLETE

[NAICITPO]

As analogies go, yours is singularly uncompelling.

Corrective lens prescriptions are written so that a given patient can have lenses made for a given purpose. If that isn't patently obvious, then why else would a refraction include testing at different distances? And why else would phoroptors adjust to bring the lenses over the center of each pupil? And if PD is irrelevant to an Rx then why, after having made the aforementioned adjustment, does the PD (or a close approximation thereof) automatically appear on the PD SCALE on the phoropter? The point is, a refraction cannot even be done if the each lens of the phoropter isn't centered over each eye such that the distance between the centers of the lenses closely matches the patient's PD!

Without a PD, lenses cannot even be manufactured, let alone used for a given purpose. Without an accurate PD, corrective lenses do not correct. That being the case, PD is an integral and essential component of an Rx.

What is an Rx without a PD? INCOMPLETE !

Instead of quibbling over the extra 2 minutes spent measuring PD, why not charge whatever it costs to those who don't like, or can't afford, any of the frames you carry? Or just hang a sign on your window that says "No Framy – No Prescripty".

No one is saying a PD isn't necessary to make a pair of glasses, nice strawman. The pd is not measured by the doctor, it is measured by the optician. You pay for the doctor's exam, if you go elsewhere to purchase glasses you didn't pay for my services.

Let me ask you a question, if we should measure everyone's PD for free should we also measure their seg height for an online progressive lens purchase too? Because you cannot have a pair of progressive lenses without a seg height, it would be as you said, INCOMPLETE! (In this example the customer got 3 trials frames from an online store and brought them into the doctor's appointment so they could have us measure the seg)

How we deal with it:

We are happy to give people their PD if they have purchased glasses with us in the past. We are also happy to give them their mono pd from the auto-refractor if we still have that on file and they haven't purchased glasses with us before. If someone wants a more accurate measurement we do charge to take their PD and we offer free troubleshooting and adjustments for the lifetime of their glasses.

[kittyeyes]

The PD is taken by the optician who will verify it.

[jasg]

Why do people think they have the right to other people's time and equipment? The reason a PD is not part of the RX is it is not a (made-up word here) a diagnosable condition such as presbyopia or PVD. If a consumer is shopping at "DIY Optical" on line then they should DIY their PD.

Not being a carpenter, if I screw-up a DIY project at my home by not having the proper tool, I don't go to the local carpenter and brow-beat him to use his expertise/equipment. Same is true in reverse, I don't go to the carpenter to get his tools and expertise before starting my project.

As analogies go, yours is singularly uncompelling.

Corrective lens prescriptions are written so that a given patient can have lenses made for a given purpose. If that isn't patently obvious, then why else would a refraction include testing at different distances? And why else would phoroptors adjust to bring the lenses over the center of each pupil? And if PD is irrelevant to an Rx then why, after having made the aforementioned adjustment, does the PD (or a close approximation thereof) automatically appear on the PD SCALE on the phoropter? The point is, a refraction cannot even be done if the each lens of the phoropter isn't centered over each eye such that the distance between the centers of the lenses closely matches the patient's PD!

Without a PD, lenses cannot even be manufactured, let alone used for a given purpose. Without an accurate PD, corrective lenses do not correct. That being the case, PD is an integral and essential component of an Rx.

What is an Rx without a PD? INCOMPLETE !

Instead of quibbling over the extra 2 minutes spent measuring PD, why not charge whatever it costs to those who don't like, or can't afford, any of the frames you carry? Or just hang a sign on your window that says "No Framy – No Prescripty".

[RIMLESS]

Gentlemen, may I be so bold as to state the obvious. No dispenser in their right mind is happy to have online opticals biting at their balance sheets. But they are. You guys crack me up by arguing the ethics, morality and liability of releasing a PD. In a prior post Barry Santini stated something to the effect that eye wear is viewed by consumers as a commodity and I believe he is correct. When dealing with a commodity 99/100 price wins. So suck it up and give the people something extra in the way of customer service or whatever to make them feel that spending a couple of bucks more with a local business is actually in their best interests. Hopefully that puts the commodity aspect in the back seat. But if you have to bust out a deal to keep that price conscious patients in house I say do it. After years of being aggravated with 1800 Contact you know how I ended up dealing with them ? I straight up match their price. Do I make a big profit, no. Do I retain my patients and keep money out of their tills...yes. Anything that weakens an enemy ultimately strengthens your position. And make no mistake about it, online retailers, across the board, are at war with brick and mortar businesses. It's a combination of practitioner greed and consumer savy that fuels the on line beast. If a patients is asking for their PD instead of getting upset...try asking yourself what happened to make this patient wander off the path to your door.

[Barry Santini]

What "visual health" is endangered if the PD is off, or the Rx for that matter (some strabismus patient's excepted)? If the glasses are wrong the patient just doesn't see until it's fixed. He doesn't develop an eye murmer, or go blind, or lose vision.
Now if you dispense the wrong drops for glaucoma or hypertension, or something you are endangering his "visual health."
Lets not over-rate the importance of a pair of glasses.

Chip

And no, I am not in favor of mail order glasses. I also don't think the patient should be locked into the prescribers shop either.

Chip, I'm usually the first to agree with your visual health point. But...having just completed an article on 3D and eye-synching/eye-teaming, I'd have to say that there *are* insidious associated effects with glasses whose centering, prism, or lack thereof may impact eye-syncing in a latent manne, not overwise normally obvious. Especially with children, these effects can significantly impair their reading speed, comprehension and retention. Adults may actually be suffering from similar effects, but just shirk it off to being tired or disinterested in the subject matter.

Lot's to learn about here. I'm thinking that I will modify my current stance about the visual effects of mismade eyewear.
drk should luv this one...

B

[chip anderson]

Seems to me that a while back there was a court ruling that the last person to touch or modify a contact lens was liable.
Hense many practioners stopped doing (to the detriment of the patient) any modification in house. This leaving the lab responsible for adverse effect. Pehaps there is some sort of similar thing where we can make the person who makes the glasses responsible, and of course we will have to keep our hands off for adjustments.

Chip

[AustinEyewear]

I am not worried about online sales, in the same way I am not worried by Specsavers (big discount optical chain here). However I do not see any reason to aid my competitors. I suppose as well that the situation is slightly different here as the NHS pays for all eye examinations, and as such it would be rather hard to charge for a PD. Also, the optometrist does not measure the PD, except in very rare circumstances where the wish to produce prismatic effect, or in very high powers. It is the responsibilty of the dispensing optican here to ensure the correct measurements, and as I am not providing the eyewear I see no reason to do the measurement for who is.

makes sense. Who ever builds the eyewear, should be responsible for all of its proper measurements, eye size, temple length, pd.......

[AustinEyewear]

And no, I am not in favor of mail order glasses. I also don't think the patient should be locked into the prescribers shop either.

I don't think so either Chip, it is HORRIBLE. Just last week, they found a patient who had been locked in the exam room for over two weeks until he finally succumbed, but only after ancient Chinese tortures were applied.

[opt63]

It's spelled PorSche, and pronounced 2 syllables.

B

That's what I get for quickly responding too quickly.