
This case was among a series presented by Miranda Richardson FBDO, Assistant Director of Professional Examinations for the Association of British Dispensing Opticians, for peer discussion at the second Specsavers Dispensing Conference (SDC2) in August 2018.
Introduction
An essential part of our ongoing development as dispensing professionals is to take the opportunity to reflect upon what we do in practice and consider alternative approaches we could adopt in future to generate even better outcomes for our patients. This process is magnified in effectivity when conducted with fellow dispensers in a group session, and will benefit the knowledge and capability of the team overall. It is also very effective at identifying possible training needs.
In her SDC2 presentation, Miranda introduced a four-step process for prescription analysis. This kind of structured approach is vital, as often it can be too easy to default to finding solutions without adequately exploring the factors that may be contributing to the concern.
The four-step process involves consideration and discussion of the following:
- What is the prescription for?
- Are there any errors or any information missing?
- What could be a potential problem?
- How could you solve the problem?
Below is an example case for dispensers to discuss within their team, with conclusions and some possible solutions hidden at the bottom of the article to facilitate peer discussion.
Richard Couch
Head of Ophthalmic Lenses and Dispensing Advancement, Specsavers Australia & New Zealand
Case #1
Habitual Rx:
Right | Left | |||||||||
SPH | Cyl | AXIS | PRISM | BASE | SPH | Cyl | AXIS | PRISM | BASE | |
+12.50 | +2.00 | 180 | Distance | +13.50 | DS | |||||
Inter | ||||||||||
+3.00 | Near |
Prescriber’s comments:
- Patient would like PPLs (progressive power lenses / multifocals)
- Tested vertex distance is 15mm
Looking at the above prescription, consider the following discussion points with your dispensing team:
- How would you describe this patient?
- What does the prescription in the left eye indicate?
- How will this affect your lens selection in the left eye?
- What would you dispense in the right eye?
- Would you recommend any tints or coatings?
- What is the relevance of the vertex distance?
- What would you consider when selecting the frame?
Discussion
Looking for more dispensing professional development?
Registration is now open for the annual Specsavers Dispensing Conference, taking place from 4 to 9 August 2019 as a one-day roadshow-style event across Perth, Melbourne, Brisbane and Sydney.
Specsavers is currently offering 20 free conference entry passes valued at up to $380 + GST to non-Specsavers delegates – five for each city in which the conference is being held.
For your chance to win a free pass and to register for the event, contact Lucy Markus via +61 (0)429 003 379 or lucy.markus@specsavers.com