From consulting room to collection - how to reduce PAL non-tolerance


Richard Edwards Bsc MCOptom: 3 interactive CET Points

The session has been co created by Andy Sanders, Andy Hepworth and Richard Edwards for use by the Federation of Manufacturing Opticians (FMO) to educate and engage clinicians to drive up standards in progressive addition lens (PAL) dispensing.

The catalyst to creating the session is the fact that the largest issue handled by the OCCS in recent years relates to PAL/varifocal non tolerance (OCCS Annual reports 2014/15 2015/16 2016/17) and that often, on investigation, a contributory factor is inaccurate dispensing and/or low awareness of the increasing requirements for accuracy in measurements in the dispensing of modern progressive addition lenses.

With insights from OCCCS annual reviews and case studies we have created an action oriented peer group discussion session to improve awareness, standards and consistency in modern PAL dispensing. We have condensed key elements of the original lecture to create time for delegates to review and discuss current practise and to critique how they currently perform across three critical elements of the process: in the consulting room, dispensing measurements and collection and expectation management.

Each section has specific input from the presenter focussed on that element of the journey and every delegate will have to complete an action plan for improvement at each stage. This will form the basis of an engagement session with colleagues & peers when they return to practice to implement changes to working practices.

Learning Objectives

  • To prevent non adaptation through the following: To be able to communicate effectively to identify the causes of non adaptation from a technical perspective. To be able to communicate effectively with patients to establish their requirements. Ability to articulate how this can be achieved and how to use modern PAL design lenses.
  • To understand how to minimise non tolerance by frame adjustment and an understanding of progressive lens design. How to resolve to the patients satisfaction.
  • To be able to identify the causes of non adaptation from an advanced technical perspective. To be able to understand how all elements of a dispensing consultation and eye examination can be taken in to consideration to minimise non adaptation. To be able to understand how complex underlying designs and technological features can be different between progressive addition lenses.
This piece of CET is approved for Optometrists and Dispensing Opticians