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Thread: -12.00 First Rx for small child- dispensing opinions?

  1. #1
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    Wave -12.00 First Rx for small child- dispensing opinions?

    I'm a student optician working with a preschool aged child who just had their first eye exam and their Rx is -12.00 with a -3.00 cyl!
    I've dispensed for similar prescriptions before, but always adults (who usually opt for some combo of CL and spec correction, and have been wearing a high Rx for years).
    So I was hoping for opinions on what you would do.
    Some specific questions... At what point do you consider a minus lenticular?
    For a full field lens, would you soft polish the edges to reduce concentric circles or would the reflections this produces be too distracting for a child?
    Do you have a preferred lens design for high single vision wearers?
    Is there anything else you would consider to make adaptation easier and these specs more comfortable for this little one?

    And before you ask- yes, they have been referred to an OMD

    Thank you!!

  2. #2
    One eye sees, the other feels OptiBoard Silver Supporter
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    Quote Originally Posted by threeblindmice View Post
    I'm a student optician working with a preschool aged child who just had their first eye exam and their Rx is -12.00 with a -3.00 cyl!
    I've dispensed for similar prescriptions before, but always adults (who usually opt for some combo of CL and spec correction, and have been wearing a high Rx for years).
    So I was hoping for opinions on what you would do.
    Some specific questions... At what point do you consider a minus lenticular?
    For a full field lens, would you soft polish the edges to reduce concentric circles or would the reflections this produces be too distracting for a child?
    Do you have a preferred lens design for high single vision wearers?
    Is there anything else you would consider to make adaptation easier and these specs more comfortable for this little one?

    And before you ask- yes, they have been referred to an OMD

    Thank you!!
    We'll rarely need lenticulation at this age because of the small eye size. Semi-finished Trivex should be considered for the best safety and low chromatic aberration. The -3.00 cyl kicks it out of range for Shamir's Autograph. Use semi-finished, coated, zyl frame with pads, and make sure the temples close without rolling the edge, but do use a heavy pin/safety bevel.

    Hope this helps,

    Robert Martellaro
    Science is a way of trying not to fool yourself. - Richard P. Feynman

    Experience is the hardest teacher. She gives the test before the lesson.



  3. #3
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    "Is there anything else you would consider to make adaptation easier and these specs more comfortable for this little one?

    You might consider cable temples.

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