PD responsibilities

[nawsman]

Please forgive me if this is not the right forum for my questions,

Who is responsible for obtaining a PD.

We are tell our customers it's the Dispensing OPticians responsibility to provide the PD, Not the Dr. because it is not part of the exam.

We have a numerious Customers whom just get their Prescriptions and then use them to order online. Which brings me back to my question, Who is responsible

[Barry Santini]

Soon, all Rxs will have a PD mandated.

B

[Judy Canty]

Whoever wants to put themselves in that position. Not me.

[Wes]

Soon, all Rxs will have a PD mandated.

B

Maybe, maybe not, depends on whether the ODs and OMDs can convince the legislatures of the truth or not. That being, that pd is nowhere near enough to make glasses. PD. Mono PD. OC height. Then take into account actual fitting measurements due to crooked noses, and uneven eyes. A PD represented as only one number is a recipe for disaster in many cases. Who to believe? The entire body of Doctors, or the internet eyewear provider? Probably whoever pays the legislators in question the most money. That's how laws get made folks!

[drk]

Anything other than "future vision" to inform that opinion, Mr. Santini? :)

[Barry Santini]

Anything other than "future vision" to inform that opinion, Mr. Santini? :)

I tend to think, in keeping consistent with the FCLCA, that eyeglass Rxs will no doubt be required to Include a PD to allow free and unencumbered redemption by consumers...particularly when EMR/EHR become the norm for transmitting eyewear "health" info.

[APBOD]

I tend to think, in keeping consistent with the FCLCA, that eyeglass Rxs will no doubt be required to Include a PD to allow free and unencumbered redemption by consumers...particularly when EMR/EHR become the norm for transmitting eyewear "health" info.

Noone's encumbering anyone. As long as they have a valid Rx, they can get glasses...from anywhere.

Does Home Depot come out and dig the holes for the people that buy shovels?

You wanna buy online? Take your own damned PD.

[Judy Canty]

Noone's encumbering anyone. As long as they have a valid Rx, they can get glasses...from anywhere.

Does Home Depot come out and dig the holes for the people that buy shovels?

You wanna buy online? Take your own damned PD.

+1 =)

[Wes]

SV & Bif/Trif glasses were made for DECADES with a binocular PD. let's get real about how harmful the "wrong" PD actually is. When you (over) simplify it, accurate mono PD's most closely affect progressive utility in moderate to high adds. As far as the importance of unwanted prism, Rxs today are insufficiently complete or robust enough to predict problems, discomfort or harm with unwanted prism, IMHO.
I'm open to being corrected here, however.
Go.
B

So because we did it wrong in the past, we should continue doing it wrong in the present and future?

I tend to think, in keeping consistent with the FCLCA, that eyeglass Rxs will no doubt be required to Include a PD to allow free and unencumbered redemption by consumers...particularly when EMR/EHR become the norm for transmitting eyewear "health" info.

Honestly, this makes no sense, especially coming from you. You KNOW that a basic PD will generally result in garbage glasses. I've read your articles and posts. You're smarter than this, and you can't play both sides of the fence with us. An eyewear rx is in no way similar to a CL rx because in the eyewear rx, the frame size, shape, dimensions, vertex, panto, wrap, and wear habits are not taken into account. Isn't this what you teach in your articles? Yes, because I've read them. You discuss freeform this and that, aspheric and atoric this and that, and then suggest that a binocular PD is good enough for anyone? I smell a RAT! There is FAR too much left off an eye exam to make a good pair, because the frame is unknown in the RX process. There is NO way to prescribe GLASSES from the chair. I know you know this, because you are at least as knowledgable as I, and I think more so. Your facts are usually spot on, but... Whatever it is, you play both sides of the fence far too often for me to put much stock in your opinions.

Here's what I'm afraid of: I think you're gaming the system to rid the world of the "average " optician so that a premier optician like yourself can be more successful in the aftermath. Please tell me I'm wrong.

[iokuok2]

But do we have to accept their PD? Some of these offices take binocular PD's; some just plain aren't right and aren't taken by licensed opticians who are going to be responsible for following up on their work. Is there an issue if we want to retake a PD when the one provided causes concern.

[Uncle Fester]

The PD responsibility zombie rises from the dead.....

[Barry Santini]

Just what is so wrong with using a binocular PD?

[NAICITPO]

Just what is so wrong with using a binocular PD?

Nothing is wrong with it per se, especially for small Rxs. But I know I don't need to explain to you if a patient's eyes are not symmetrical it will create horizontal prism and depending on their Rx it could be within tolerance or it could not.

[dima]

Nothing is wrong with it per se, especially for small Rxs. But I know I don't need to explain to you if a patient's eyes are not symmetrical it will create horizontal prism and depending on their Rx it could be within tolerance or it could not.

I think many pd on rx are taken by autorefration unit...and They are often soo wrong.

on autorefraction due to position I have a 70mm PD..... with pupillometer or by hand I have a binocular 67.5...

[Barry Santini]

Nothing is wrong with it per se, especially for small Rxs. But I know I don't need to explain to you if a patient's eyes are not symmetrical it gwill create horizontal prism and depending on their Rx it could be within tolerance or it could not.

But if they look in any direction except straight ahead, the consequences apply.

Now what?

[optilady1]

We tell them the person who sells them their glasses is responsible.

[Barry Santini]

Wes:
What you describe is only necessary for excellent eyewear.
PDs alone are sufficient for adequate eyewear.
B

[Wes]

Wes:
What you describe is only necessary for excellent eyewear.
PDs alone are sufficient for adequate eyewear.
B

Symmetry equals beauty. http://news.nationalgeographic.com/n...-symmetry.html
Googling those words lead to a plethora of articles.
Most of the patients I see are not beautiful, nor are they symmetrical. Very often, I see variances of 2-3 mm in horizontal pd measurements, and further variances due to broken/misaligned noses, and vertical differences in the 1-2 mm range. These variances in higher powers and especially in progressives, lead to glasses being made with binocular measurements (and with zero oc ht measurements) that are not adequate in most ECP's opinions.
How's this for a sales promotion? Firmoo: Only the exquisitely beautiful can successfully wear our glasses!

[Barry Santini]

People:
It was only *after* the introduction of progessives that mono PDs became the norm. Is it really so awful that online eyewear might only rise to a standard in optical fitting that was taken as gold only 30+ years ago?

[Judy Canty]

If ever there was a time for all three "O's" to work together, this is it.

I tried to start the conversation in VA and was met with massive indifference, even though both the Opticians Assoc of VA and the VA Optometric Assoc were meeting within a few miles of each other last fall. Sad, really.

[Barry Santini]

The O's fight, for the most part, over the Rx and control.
Let the damn Rx be free!
If all the O's loosen their death grip on control, maybe...just maybe...we'll finally see the path allowing us to reconcile this and the related issues.
B

[Johns]

go to my profile page...I'm giving out FREE pd's!

[finefocus]

go to my profile page...I'm giving out FREE pd's!

I'd like to stock some of the 62's, and a few 30/29's please.

[Laurie]

It doesn't make sense to me to legally require a PD on an Rx...Most doctors do not measure PD's prior to the refraction part of the exam, they simply dial the opening until they can see the patients eyes in the middle.


And, opticians do not measure PD's until we sit down at the dispensing table to do the final selection of frames and take the appropriate measurements.

How would such a law be enforced? Force the docs to take PD's (will they keep a pupilometer in the room)? And, the patient does not see the optician until they purchase eyewear, so the optician would essentially be out of the equation, as we do not 'write prescriptions'.

It seems reasonable to me that who ever is making the eyewear sale is responsible for measuring the PD. If the patient wants to be a 'do-it-yourself-er' then so be it. I would not be inclined to do it for them, no matter how much bullying occurs via these conversations and online petitions.

Craig, you've got the right idea. Your business model gives me fond memories of the old Lugene Optician days. Excellence in optics is a blast, and it does not always have to mean extra-expensive...it is a mindset.

: )

Laurie

[Johns]

I'd like to stock some of the 62's, and a few 30/29's please.

Those must be popular, as they are all backordered! We've got a bunch of 75's that not many have used, and there's not much difference if you want to try those.