possible tint course - comments please

[jarralad2]

The optical professions have little training in tints and filters - which I believe requires change. I therefore am proposing writing a course (level can be as complex as required) and I have around 600 videos to help understand some of the more difficult concepts. Is this course wanted - if so is the proposed syllabus about right - suggestions would be appreciated. Comments would be gratefully received

Proposed tint and filter course

Syllabus

Recognition of when a tint is required
Medical
Cognitive
Optometric
Sporting
Disability
Neurological
Pathways anatomy and physiology which are relevant to color prescribing
Retina to brain and connections
Colour spread
Structural effects of tints
Color space(s) and color theory
Different types of colour vision
The need for colour space
Types of colour space
Simple mathematics
Types of tints and their differences
Broad spectrum, notch, band, photochromic, construction methods
Signs and symptoms
Physical signs
Symptoms
Non verbal patients
Anomalous signs
Assessment techniques
Simple screening to expert
Prescribing methods
Understanding the difference between specification and prescribing
How to take into account task and environment
Lighting and metamerism
Basic lighting and illuminant effects
Understanding the relationship between tints and lighting
Tolerances
Physical tolerances – and physiological tolerances
Effects of tints and methods of assessing improvement
Measurements, observations, cross sensory effects etc
Optometric conditions that are best addressed with tints
Conditions that can ONLY be addressed with tints
Cognition
Making sense of the image – metamorphosis, timing, mapping…….
Effects of incorrectly prescribed tints
Effects of non prescribing / inappropriate prescribing
Provoking effects
Evidence base
What is the evidence?
When evidence base is inappropriate – why expert knowledge is necessary
Instrumentation and protocols

[Chris Ryser]

Very nice and impressive.............what are you qualifications for such a large job ?

[Barry Santini]

Very nice and impressive.............what are you qualifications for such a large job ?

If you knew Ian Chris, you wouldn't ask this question.

im all in, Ian.

barry

[jarralad2]

Very nice and impressive.............what are you qualifications for such a large job ?

no specific one - there isn't one - but have been involved in tint development, lighting, filters, instrumentation, and the effects of tints etc for around 25 years
conferences - hundreds
books 6
dvd with uk uni
+ trials

[mervinek]

Very interesting!

[Craig]

We like to learn and will help in anyway make this happen. Let me know.
We do some migraine tints and have seen miracles for kids with dyslexia that are fit with Chromagen filters. This is they type of information that we need to be a professional going forward and this needs to be mandatory study for schools and continuing Education.
Love it!

Craig

[Uncle Fester]

Can this be broken down and grouped into 30 minute or hour long presentations?

Will there be a cost?

Will OD's and MD's consider this prescribing? Or as it is unregulated is it an optical wild west?

I'm blocked from youtube so here's a video in a thread for those who missed it from Jarralad2

http://www.optiboard.com/forums/show...light=dyslexia

[EyeManDan]

I would be very interested. Seen tints do some amazing stuff.

[tmorse]

I certainly am interested. PM me when available in print.

[Caroline]

Sign me up!

[jarralad2]

How it is to be set up is open for debate - I thought you tube + possible book + if wanted - workshops. My thoughts - basic level - you tube free - more advanced in conjunction with online book - cost of book - say $30. Workshops would be more expensive, inevitably.
I suspect that ODs and MDs might want to take over tint supply - but this would also mean taking over sunspec sales, mean they would have to develop a whole new skill set and require much more knowledge for them - would they really want to take it on. I suspect they would like to pass it on - to become an expert requires an immense level of knowledge - and to get a course set up. As the training is so basic at present - who is to train the trainers?

[King.Matthew]

Sound interesting, I'm game!!

[Jubilee]

I was talking about this to my OD the other day. Certainly piqued an interest in us both.

[bulldoug]

About time . Tints can be a very valuable tool.

[MrOptician]

Hello,

This is really great (Tinting Knowledge)

I am sure Book and Video is great.

I hope you upload them as soon as possible.

I will order them.

Go on!

Thank you.

[mervinek]

How it is to be set up is open for debate - I thought you tube + possible book + if wanted - workshops. My thoughts - basic level - you tube free - more advanced in conjunction with online book - cost of book - say $30.

The book along with video sounds great! Very interested. Let me know when you are ready to take orders! Hopefully this will be sooner rather than later. I know this stuff takes time!

[jarralad2]

Next year would be realistic - there is a lot of work

[Dr. Bill Stacy]

[QUOTE=Uncle Fester;510941]

Will OD's and MD's consider this prescribing? Or as it is unregulated is it an optical wild west?

Off the top of my head, I can't see optometry or medicine considering tints, filters and coatings to be a part of a prescription.
However, if unsubstantiated claims of curative powers of these things are advertised, the state boards might consider that to be unprofessional conduct and could discipline their licencees.

[MakeOptics]

[QUOTE=Dr. Bill Stacy;511290]

Will OD's and MD's consider this prescribing? Or as it is unregulated is it an optical wild west?

Off the top of my head, I can't see optometry or medicine considering tints, filters and coatings to be a part of a prescription.
However, if unsubstantiated claims of curative powers of these things are advertised, the state boards might consider that to be unprofessional conduct and could discipline their licencees.

Overseas I think that prescribing tints is Ok as opticians in many countries hold degrees that would allow. In the US, prescribed is a function of doctors. The current state of opticians allows tints as a fashion accessory, if tints are to be used in a therapeutic sense, then yes boards should be involved and "prescribing" should include diagnostic testing and written scripts. Of course diagnostic testing and prescribing fall outside of an opticians scope.

[MrOptician]

[QUOTE=Dr. Bill Stacy;511290]

Will OD's and MD's consider this prescribing? Or as it is unregulated is it an optical wild west?

Off the top of my head, I can't see optometry or medicine considering tints, filters and coatings to be a part of a prescription.
However, if unsubstantiated claims of curative powers of these things are advertised, the state boards might consider that to be unprofessional conduct and could discipline their licencees.

It is expected answer from OD's and MD's.

[jarralad2]

My own position - tints are often as important / more important than refractive errors for a sub group of patients, and they are both inter- related in optimum vision. Assuming this is the case it is essential that the optical professions know how to recognize when they may be required, know how to assess and prescribe and modify for various lighting conditions and tasks. They need to understand tolerances, when the tint needs to be modified (like changing Rx for BVD) what can be measured, what is anecdotal and what results can be expected. We are already working with a UK university medical school and have completed the first set of clinical trials - results impressive. Second trials currently underway and more planned (although it is unbelievably slow - getting trials through ethics is a lesson in perseverence). Some effects of tints have been known for over a hundred years - yet the optical professions rarely have any idea of their relevance - we measure effects every day. So, either we are deluding ourselves or there are some physical effects. If so - then it is up to the optical professions to take charge and take clinical tint prescribing and dispensing to a proper level - or lose them them to other professions. They are already circling!!!

[Dr. Bill Stacy]

My own position - tints are often as important / more important than refractive errors for a sub group of patients, and they are both inter- related in optimum vision. Assuming this is the case it is essential that the optical professions know how to recognize when they may be required, know how to assess and prescribe and modify for various lighting conditions and tasks. They need to understand tolerances, when the tint needs to be modified (like changing Rx for BVD) what can be measured, what is anecdotal and what results can be expected. We are already working with a UK university medical school and have completed the first set of clinical trials - results impressive. Second trials currently underway and more planned (although it is unbelievably slow - getting trials through ethics is a lesson in perseverence). Some effects of tints have been known for over a hundred years - yet the optical professions rarely have any idea of their relevance - we measure effects every day. So, either we are deluding ourselves or there are some physical effects. If so - then it is up to the optical professions to take charge and take clinical tint prescribing and dispensing to a proper level - or lose them them to other professions. They are already circling!!!

As to your first sentence above, you are correct, although in my long career I'd say it is a pretty small subset of the general population. I'm thinking those with less than + or - 0.75 with negligible astigmatism who have occupational, vocational or other need for tints. But take a common Rx like -1.50, which takes a young student who is otherwise symptom free from best corrected 20/100 to better than 20/20 without any tint at all, lens tinting seems far less important than the refractive error. That said, I think deep blue, violet and UV protection is important for a growing subset, especially for heavy users of hand held video devices. And indeed, this protection may well turn out to be more important than correction of 20/100 unaided (except maybe when he/she learns to drive any kind of vehicle).

When will you be releasing the first trial results? And if I may ask, how many subjects were involved?

[jarralad2]

I completely disagree with numbers - my figures would be approx 1% profound effects, 5% significant effects, 10% enough of an effect to consider, 20% small effects. When we talk about timing - how do you estimate numbers when you have not undertaken assessments? When I undertake demonstrations at lectures I can ALWAYS effect a significant proportion of the audience - its easy to check if you know how. You should see the effects on strabismus when the timings are desynchronised - visual fields, convergence / accommodation, salience etc. But that is just a start of effects.

As for initial trial - it was longitudinal approx 200 patients for a year. This might interest you http://www2.le.ac.uk/offices/press/p...science-museum - can't say too much at moment though. It's not a paper - but it should start you thinking

[Dr. Bill Stacy]

So from that reference it sounds like your first trial was of 200 individuals with tinnitus, and 40% had subjective improvement? I presume the numbers above offer a rough breakdown of that 40%? Of the remaining 60% did all experience no effect, or were any negative effects reported/recorded?

As to strabismus, I understand the science and terminology pretty well, but am unfamiliar with your use of "when the timings are desynchronised" in connection with strabismus. I also understand visual fields and accommodation/convergence as they relate to strabisumus, but "salience", what is meant by that term in the realm of strabismus?

[Paul Smith LDO]

My own position - tints are often as important / more important than refractive errors for a sub group of patients, and they are both inter- related in optimum vision. Assuming this is the case it is essential that the optical professions know how to recognize when they may be required, know how to assess and prescribe and modify for various lighting conditions and tasks. They need to understand tolerances, when the tint needs to be modified (like changing Rx for BVD) what can be measured, what is anecdotal and what results can be expected. We are already working with a UK university medical school and have completed the first set of clinical trials - results impressive. Second trials currently underway and more planned (although it is unbelievably slow - getting trials through ethics is a lesson in perseverence). Some effects of tints have been known for over a hundred years - yet the optical professions rarely have any idea of their relevance - we measure effects every day. So, either we are deluding ourselves or there are some physical effects. If so - then it is up to the optical professions to take charge and take clinical tint prescribing and dispensing to a proper level - or lose them them to other professions. They are already circling!!!

Your research is really quite intriguing, obviously somewhat controversial to some, but for those of us who have patients that have confounded us with complaints of debilitating migraines and moderate to mildly severe learning issues, this is an area worthy of more consideration. Anyone wanting to provide their patients and clients with alternatives would be interested to learn more about your approach. Please continue to keep those of us interested in mind.

Thank You,
Paul