Chris, if someone really doesn't want or can't afford AR, I don't push them into it. I explain the benefits and that (even as a hyperope) I think it's a worthwhile investment. But if the budget doesn't allow it, that's ok.
I really think that any of us who push patients into options they don't want or can't really afford are being very short-sighted, trading immediate profit for the long-term patient relationship, which will likely go down the tubes. I want the patients to be happy and come back.
Andrew
"One must remember that at the end of the road, there is a path" --- Fortune Cookie
Chris, I can't speak for others, but I don't shove AR down anyone's throat. Do I mention it's benifits to everyone? Yes. Many, in fact most patients here want lighter weight, thinner lenses. I also believe these materials benifit optically with AR's. But if a patient wants a -6 in plain Jane CR in a 58 eye, even though I don't recommend it, I'll be happy to supply that too.
Patients must be pleased with the product also. I seldom see a patient that's had a good AR not want it again and again. It's not up to me to determine how much a patient wants to invest in their eyewear needs. But it would be irresponsible of me not to educate all my patients of their options.
I do not think any of us are shoving AR down peoples throats. Are we are saying is recommending the product and a good quality one.
If you do not let the customer know if it, then you are really doing them a disservice. Let them choose for themselves.
I'm with you all the way here. I hate lens reflections -- seeing my face in my own lenses, or the desk lamp - I freakin' hate it.
You have said a lot of truth her, For-Life. Good A/R coats don't show "grease" marks like the old ones. They don't water spot and they have much less static attraction than standard hard coated lenses. Consequently they stay cleaner and are easier to clean.
The internal reflection factor dramatically increases when you increase lens material density. (Read MoJalie's stuff). As you said I'm not aiming this at anyone, but prescribing indecies above 1.56 without top grade AR might even be a flagrant violation. Certainly an overstatement, but point made.
Our main commercial lab, in the rural farm country of Northwest, has gone to 20 layer A/R, in house. It's cotton-pickin' amazing. Takes an extra 16 hours, and they deliver by courier. We seldom replace because of a failed A/R. Maybe a split Silhouette mounting, but not a failed A/R.
My advise is don't sell A/R if current info doesn't say it is top of the line. On hi-indecies, don't make it an option, and don't use less than a 2x multiplier. If that's shoving, then I shovel. Spending bookoos on 1.70 PA's without A/R is nonsense. If they want it that way we deliver, but I still tell them -- it's Crazy!
(Well if my advice is any good. My wife says it's worth about what she pays for it.Go figure.)
Respectfully,
dbracer.
Last edited by dbracer; 09-28-2007 at 04:05 PM.
"Do not waste time bothering whether you 'love' your neighbor; act as if you do." C.S. Lewis
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