Leaders in Eye Health have a Common Vision

By Briar Sexton

Discovering

The Insight Leaders Council of British Columbia held its inaugural event on July 12. Remarkably, it was the first time that the opticians, optometrists and ophthalmologists of B.C. jointly organized and attended an event designed to facilitate inter-professional relationships and to promote excellence in eye care.

In the words of event coordinator Sheila Bissonnette, managing director of Summit Hill Strategies in Vancouver: “Why not Canada and why not B.C.? Why can’t we create a model of eye care that is recognized globally for its achievements?”

In addition to local eyecare professionals, the event attracted industry leaders from Alcon, Essilor and Vertical Bridge Corporate Consulting.

Held at the Vancouver Club, the evening featured a cocktail reception and two guest speakers. The first was Donovan Tildesley, three-time Paralympic medalist in swimming and the Canadian Paralympic flag bearer at the Beijing Paralympics. Blind since birth with Leber’s Congenital Amaurosis, Donovan delivered a strong message that you can achieve what you believe. He also provided a sobering reminder that even for a Paralympian who skis Black Diamond runs, one of his biggest achievements is full-time employment. Less than one-third of blind Canadians have adequate employment.

Melanie Ross, executive director of the British Columbia Society of Eye Physicians and Surgeons, said, “A glimpse at Donovan’s life is such a reminder that my eyesight is a wonderful gift. It is humbling that someone who is particularly accomplished should consider full-time employment such a great achievement. To a person who has overcome more barriers than most of us can imagine, we put up a yet greater barrier because of our inability to believe in them as a whole person with skills and the ability to do the job.”

The second speaker was Dr. Kevin Gregory-Evans, a UBC professor and the Julia Levy B.C. Leadership Chair in Macular Research. He informed the crowd of some of the cutting-edge work being done in B.C. and expressed great confidence that vision scientists will eventually cure blindness.

By the end of the evening some participants were asking when the next event would be held. Kim McEachern, program director for the Opticians Association of Canada, said, “It was an inspiring evening with so many eye health professionals coming together to get acquainted. I hope to see more opportunities moving forward.”

Sheila Bissonnette hopes that the next event reaches an even larger audience. “Our committee feels we made a great start,” she said. “There is clearly an appetite for professional collaboration amongst all disciplines of eye health and we welcome all stakeholders who want to make their voices heard.”

The success of the inaugural Insight Leaders Council event and the passion for eye care among its participants demonstrates that British Columbia is taking steps toward becoming a forward-thinking leader in eye care. Why not B.C., indeed.

The Optometric Assistant: Indispensable for the Dispensary

By Paddy Kamen

SpecialReport_Optometric_Assistant

Staffing can be an issue for any small business and with the busy optometric practice even more so, for a tremendous amount of specialized knowledge is required to adequately support doctors and their patients.

Thankfully, the Canadian Association of Optometrists (CAO) helps its members meet the need for comprehensively trained staff. The CAO’s optometric assistant program is a sure way to get the new staff person thoroughly educated in the multi-dimensional aspects of the optometric practice.

Offered in four modules, the online program covers everything from office administration to contact lens instruction for patients, to providing advice to patients on frame and lens selection. Students are also trained in preliminary vision testing, assisting with patient examinations and training in low vision devices.

A location-based workshop completes the training. Held annually in several cities across the country, the workshop is an integral component of the training and attendance is required in order for the student to write the final examination and obtain certification. Graduates are granted a certificate and the designation Canadian Certified Optometric Assistant (CCOA).

Diana Monea is an optometrist with two busy practices in Calgary and one in Regina. She has three optometric assistants (OAs) in each office to support two optometrists and three opticians.

When asked to compare the role of the OA with that of the optician, Monea says that OAs are more like secretaries with special expertise relating to the optometric office. “Opticians have more extensive training and are licensed professionals. They can sign off on prescriptions, whereas everything the OA does has to be supervised by the OD or the optician, as appropriate.”

Joanne Hankey is an optometrist at Complete Eyecare Optometry in Abbotsford, B.C., where they also have both OAs and opticians on staff. « Our optometric assistants book appointments, welcome patients and confirm their client information. They perform screening tests such as auto-keratometry and auto-refraction, as well as non-contact tonometry. Other diagnostic tests such as retinal photography, visual fields and OCT are all done by our OA’s. Our opticians support the optometrists by helping patients find solutions to their vision problems with contact lenses and/or glasses. They advise them of their options and make recommendations based on their own expertise and on the advice of the doctors. They adjust and repair glasses and counsel patients as they adapt to their new eyewear. Because our clinic is large, there is not a huge crossover in roles, though everyone has the same commitment to ensuring the patient receives best care throughout their visit to our clinic. »

Monea says that in order to save money, some optometrists will hire and supervise OAs, who are trained in dispensing, rather than having opticians on staff. “But I’m too busy for that and our doctors don’t have time to go over every prescription. We need the opticians to sign for the prescriptions.” She adds that, in her experience, OAs operate much like student opticians.

Continuing education (CE) is an important factor in job performance and satisfaction for everyone in the eyewear industry, and no less so for OAs. Monea says that optometric association meetings typically include continuing education sessions for OAs and that their employers pay them to attend. Hankey notes that in B.C., most of the CE opportunities for OAs are found at provincial optometric association seminars, on-line, or at occasional in-house sessions.

At least one optical laboratory in the country offers continuing education to OAs as a value-add for their customers. Yvan Bertrand, marketing and business development director for Benson-Edwards Optical, based in Kitchener and London, ON, has created 11 CE courses for OAs. Nine of the courses are accredited, with two pending accreditation. Bertrand also intends to submit the courses for accreditation to the Opticians Association of Canada.

Bertrand is a licensed optician with extensive marketing experience in the industry who loves teaching and enjoys making training fun for participants. He personally delivers CE to small groups at the convenience of the practice, after hours if necessary.

The continuing education delivered by Bertrand is highly practical. “In all our training, we apply the knowledge to the dispensing process,” he explains. “Optometrists see the training as a strong form of support for their practices. When new staff join the practice, when new technologies are introduced, or when staff are promoted or rotated, there is often a need for additional training. Everything we do is generic, pertinent and fun.”

With the cost of replacing staff much higher than the cost of retaining them, education and training is clearly the way to go, especially with positions as responsible and varied as those of optometric assistants. Education through the certification program combined with CE will make for better customer service and increased job satisfaction for employees. As Bertrand points out: “Consumer expectations about the level of service are very high and increased confidence on the part of staff goes a long way toward meeting them.”

For more information on optometric assistant training, please visit http://opto.ca/oa.

Planning Your Exit Strategy

By JoAnne Sommers

Your-Money

As a small business owner you’re probably so busy with the day-to-day demands of running your operation that you haven’t given much thought to planning for retirement. If so, you’ve got plenty of company.

A recent Scotiabank poll found that one-quarter of Canada’s small business owners haven’t thought about what they want to happen to their businesses when they retire, while only 19 per cent say they have formulated a succession plan.

Entrepreneurs delay retirement planning for various reasons. Some love their work so much that they never want to retire. Others decided to stay in business longer than they’d originally intended because of the economic uncertainty resulting from the 2008-09 recession.

But even if you have no plans to retire in the near future, you need an effective succession plan to help ensure that you can achieve your retirement objectives when the time comes.

Tina Di Vito, director of Business Succession withScotiabank in Toronto, recommends that you maximize the financial benefits of selling your business by creating a succession plan early. “A lot of planning can be done with an eye to minimizing taxes or maximizing the sale price but it must be done years in advance of retirement. If you wait until you’re ready to sell, you’ll miss out.”

The first step in planning your exit strategy is to create a proper buy-sell agreement, says Di Vito. This is especially important if you have a business partner.

“A buy-sell agreement spells out what happens with your ownership share, either on your death or when you exit the business for other reasons. If you don’t currently have such an agreement, you should put one in place immediately.”

Here are some additional succession planning tips:

• Have a Tax Strategy

There are many tax implications of a small business sale and it takes time to ensure that the company and its ownership are structured to maximize after-tax proceeds.

You need to determine if you’re eligible for Canada’s $800,000 lifetime capital gains tax exemption on proceeds resulting from the sale of shares.Also, discuss with your family whether they are interested in taking over the business when you leave. If so, it may be possible to structure the takeover in a tax-efficient manner. A professional tax practitioner can help you to structure the sale as advantageously as possible.

• Maximize the Value of your Business Before Transitioning

It’s important to maximize the value of your business to potential buyers by ensuring that it is a profitable, viable entity, says Di Vito.

“Many business owners who are planning to exit their businesses go into pre-retirement mode and start letting things go. It’s important to keep sales and revenues growing even if you’re planning to exit because that will add value to the business and boost the sale price.”

Structure Retirement Income to Meet Your Needs

Succession planning is more than selling your business, says Di Vito. Your succession plan is an integral part of your overall financial plan, which means you need to take both your personal and business finances into consideration.

“Think about how the two can work together to help you reach your retirement goals,” says Di Vito. “Consider how much income you will need your business to generate to fund your retirement. How will you generate it: through dividends, share redemption or an outright sale?”

• Revisit and Refresh

Conduct an annual financial review to make sure you’re on track with your retirement and succession plans. And discuss your plans with your financial advisor and other trusted professionals to determine your progress and make adjustments as needed.

Small business people frequently find it difficult to think about leaving the business they’ve created, says Di Vito. “They often feel that their business is their life. But once they understand the process and start planning for it, they discover that it relieves a great deal of stress.”

_____________________________________________________________________________________________________________________

The following tips can help ensure the best results from the sale of your small business: 

• Have a well-thought-out and clearly documented plan that integrates your personal financial situation, the business and ownership structures, both currently and in the future.

• Create contingency plans to deal with unplanned, catastrophic circumstances that could jeopardize your business and your family’s finances.

• Establish a target date to transfer ownership of your business and begin to prepare the business and yourself for that event.

• Know the current value of your business and establish a target value for the ultimate sale price.

• Consider your exit strategy. Will you be transferring your business to a family member or selling to a third party?

• Have a plan in place that will maximize the value of your transferrable assets and protect that value up to the planned transition date.

• Assemble a team of trusted experts to help with the various aspects of ownership transfer. It should include a small business advisor/business banker, a wealth advisor/personal finance advisor, a lawyer and an accountant.

(Source: Tina Di Vito, Scotiabank)

New Brain-Training Technology Improves Reading in Most Presbyopes

By Paddy Kamen

SpecialReport-Presbyopes

GlassesOff1 is well named for it does just that, allowing most people between 40 and 60 to leave their reading glasses behind, for many years!

Exciting new technology from an international team of neuroscientists improves vision by leaving the eyes alone, and instead stimulating the brain’s visual cortex. The game-like training is delivered via a smart phone application (for iOS and Android devices), available for approximately $15 a month. The program involves training for three, 12-minute sessions per week over approximately three months. Users are expected to be able to read without glasses or magnifiers after 10-15 hours of training.

Nature’s Scientific Reports published the results of a study2 conducted at the University of California, Berkley that showed the aging brain can overcome, or at least delay the effects of age-related deterioration of the eyes. In some cases, subjects over age 50 who had presbyopia showed improvements comparable to the vision in the younger, control group.

Without correction:

All users became able to read a font smaller than the standard newspaper size

90 per cent of subjects regained the ability to read for longer periods without adverse effects such as headache

The reading speed of small, font-size text improved considerably

Eye age was reduced by 8.6 years.

The study was the first to conclusively prove that improvements associated with this training originate in the brain and are not the result of improved performance of the eye as might be seen in accommodation, pupil size changes or depth of perception.

SpecialReport-UriPolatProf. Uri Polat is the co-founder and chief scientific officer of GlassesOff. He is also the director of the Visual and Clinical Neuroscience Laboratory at the Eye Research Institute of the Sheba Medical Center, Faculty of Medicine at Tel-Aviv University. In an interview with Envision: seeing beyond magazine, Professor Polat explained that there is still some debate about how the training works in the brain to improve vision. “With age, people lose the flexibility of the crystalline eye,” he said. “The images are fuzzy, or blurred. The brain’s task is to take the information and make it reliable. My conjecture is that even though the electrical information conveyed to the brain from the eye remains less reliable, the brain becomes more efficient and faster at interpreting that information.”

Blur discrimination is a function of contrast detection and so the GlassesOff training system uses contrast detection as a key aspect of its training. The app constantly monitors the contrast detection threshold and progressively increases levels of difficulty. Intervals between visual stimuli are shortened, thus training the brain to process images is faster.

The GlassesOff training is personalized for each user and begins with a vision assessment. “The vision evaluation is very sophisticated and accurate,” says Polat. “As we know, many factors can affect vision evaluation, including effort, fatigue, lighting, and the amount of time the user has to respond. So results are not always consistent from one optometrist to the next. Our test presents accurate images that look the same on any device, with images presented for limited duration. We get a very clear understanding of the user’s near-vision capability and the app will re-test from time to time as the user goes through the training.” Every session offers personalized feedback so that users can monitor their progress.

Adult amblyopia, previously thought to be untreatable, also yielded to the perceptual training developed by Prof. Polat before GlassesOff was established. In a study published in Proceedings of the National Academy of Sciences (PNAS)3, a two-fold improvement in contrast sensitivity and letter-recognition tasks was reported in patients between 9 and 55 years of age.

Prof. Polat says current applications for this technology are the ‘low hanging fruit’: “We’re not just improving vision performance, but also processing speed, decision making, reading speed and reaction times.” He expects this perceptual training to also be applied to athletic training and other tasks that depend on fast visual processing and reaction times.

1. www.glassesoff.com

2. http://www.uripolat.files.wordpress.com/2012/06/srep00278.pdf

3. http://uripolat.files.wordpress.com/2011/05/2004-polat-pnas-amblyopia.pdf

Protecting Online Healthcare Records: Is it Possible?

By Evra Taylor

LegalAngle

“They’re vacuuming up your data.” That’s how a cyber protection expert recently described the growing phenomenon of health records being stolen and patient charts being hacked from web sites and sold on the black market. While the Internet used to be viewed as an impenetrable fortress guarding health data and other private information, it has now become a gateway to cybercrime.

Electronic health records (EHRs) may contain a range of administrative and personal health information, such as names, provincial health card numbers, diagnostic codes, diagnoses and test results. And from 2006 to 2012, medical and health care providers in the U.S. experienced 767 security breaches resulting in the compromised confidential health information of more than 23 million patients.

In December 2013, the St. Joseph Health System in Texas confirmed a security breach affecting the records of up to 405,000 past and current patients, employees and their beneficiaries. The attackers may have gained access to records including names, Social Security numbers and possibly addresses, along with patients’ medical information and employees’ bank account data.
One of the most egregious examples of cyberhacking occurred in 2013 when a laptop containing the personal health information of 650,000 Albertans was stolen.
Pros and Cons for Canadians

In a document drafted in 2012, entitled Protecting Privacy in an Era of Electronic Health Records, Ann Cavoukian, Ph.D., Information and Privacy Commissioner of Ontario, contrasted the promise and perils of EHRs. It included the following:

On the positive side, EHRs:

• Can facilitate the provision of more efficient and effective health care and improve the quality of care provided.

• Require less space and fewer administrative resources to maintain than hard copies.

• Can be designed to enhance privacy through access controls, audit logs, strong encryption and authentication.

• May be more complete and readily accessible by all healthcare providers involved in the health care of a patient, regardless of location.

On the negative side:

• If privacy is not embedded in the design of EHRs, they pose unique risks to privacy and the security of personal health information.

• They allow for massive amounts of personal health information from diverse sources to be collected, used and disclosed.

• Unauthorized uses attract hackers and others with malicious intent, including authorized healthcare providers who access the information for purposes other than providing health care.
Moving from bad to worse, the FBI’s Cyber Division is issuing warnings about patient charts being hacked from websites or stolen from computers and sold on the black market. Patient health information has more value to hackers on the black market than credit card numbers because it may contain prescription information for controlled substances. In addition, it potentially contains details that can be used to access bank accounts.
Looking for Answers

Regarding the Alberta breach, IT World Canada reported that according to Tony Busseri, CEO of the Toronto-based security and ID management company Route 1 Inc., the incident could have been avoided if the parties concerned had been following proper privacy and data protection policies.
Busseri cited a lack of safeguards by the Ministry of Health around its sharing of health records with other organizations such as private health centres. He also said that Medicentres, the Edmonton health clinics involved in the 2012 breach, should have a policy that prevents employees and contractors from carrying sensitive information and patient data on their electronic devices.

As often occurs, the remedies to the problem seem obvious after the fact. But until the security of electronic health records is buttressed, Canadians and Americans have reason to be concerned about sharing their personal health information.

Scleral Contact Lenses: What Was Old is New Again

By Shirley Ha, HBSc., O.D.

ScleralLens

Since they debuted as glass-blown “shells” in 1887, scleral lenses have been in and out of favour. Most recently, they have made a comeback on the contact lens scene. The success of the vault-fitting principle in rehabilitating and correcting distorted and compromised anterior surfaces is undeniable but the expanded scope of use for scleral lenses to include normal eyes is fairly recent. Today, virtually every contact lens patient is a prospective scleral lens candidate, thanks to technological advances in lens designs, higher Dk materials, better manufacturing processes and unprecedented customization.

In general, sclerals are large-diameter rigid gas permeable lenses. The Scleral Lens Education Society (www.sclerallens.org) divides the lens into three categories based on size and bearing zone: Corneal (8.0-12.5 mm), Corneoscleral (12.5-15.0 mm) and Full Scleral (15.0-25.0 mm). They can be made in a range of shapes to suit any corneal profile, from very flat corneas to complex topographies.

The basic fitting philosophy and counseling for sclerals have not changed. They are not as intimidating to fit or any more time consuming than other specialty fits. However, having diagnostic trial scleral fitting sets with different base curves, diameters and peripheral curves is crucial. Depending on the lens designs, many are available on loan from the laboratory for trial fitting purposes.

In its simplest form, there are three parts to a scleral lens: the rise, the run and the diameter. The rise is the apical radius of curvature of the lens and depends on the most important metric, the sagittal height (SAG) or the anterior chamber depth of the eye. The run is the peripheral curve or how steep (oblate) or flat (prolate) the periphery is, relative to the base curve. The diameter is directly related to the SAG and can be increased or decreased to elevate the lens off the eye or lower the lens closer to the eye.

For the best fitting relationship, the central base curve of the scleral lens must completely vault over the cornea with good clearance over the limbus to protect the area from inflammation, in-growth and neovascularization. The peripheral curves should land uniformly or parallel to the scleral profile and not have uncomfortable edge lift or conjunctival vessel impingement.

The lens should move minimally, if at all. The apical tear clearance should be adequately exchanged via capillary attraction and not exceed 200 µm for a maximum 250 µm centre thickness lens. There should not be any lens flexure that can cause conjunctival blanching from the negative pressure effect produced in blinking. If fitted properly, scleral lenses are as comfortable as soft toric lenses. If there is initial discomfort, one or more of the lens parameters should be changed.

The purpose of the pre-corneal tear reservoir or chamber is two-fold: it takes the corneal refractive power out of the picture and enhances vision by creating a new spherical refracting plane, and it supports and protects the corneal physiology and surface integrity.

Due to the minimum lens translation, scleral lenses are the ideal choice for healthy eyes with high irregular astigmatism, especially prescriptions that are outside the available parameters or cannot be fitted properly with standard RGPs. Any over-refracted astigmatism not caused by flexure can be surfaced with front, back or quadrant-specific toricity in the optic zone of the lens. If warranted, a toric flange can be ordered for scleral toricity to better align the peripheral curves onto the sclera.

For oblate corneas with steeper peripheral curves than central curves, as in post-refractive laser surgery patients, reverse geometry corneoscleral lenses work well in correcting the modified corneal surface while alleviating the often comorbid dry eyes.

For presbyopes who drop out because their current contact lenses are no longer effective at near, multifocal scleral lens options are now available. Because the lenses are immobile, most laboratories use simultaneous image designs with near centre optics.

For the novice scleral lens fitter, A Guide to Scleral Lens Fitting by Eef van der Worp is a great place to start. Online communities such as the GP Lens Institution and the Scleral Lens Education Society provide forums, educational webinars, instructional tutorials, workshops and curricula to help professionals learn more about this specialty lens modality, including fitting guides for the different proprietary lens designs and materials, lens handling and care products. Through these online communities, scleral lens experts around the world review clinical cases and help troubleshoot fitting or complication challenges, such as decentrations, air bubbles, surface/reservoir deposits, non-wetting and corneal hypoxia.

Additionally, don’t forget to work with the clinical consultants at laboratories – they have a wealth of information about scleral lenses and are more than happy to impart their knowledge and experience to you. It is a journey that both you and your patients will find rewarding.

Oliver Goldsmith: Designer to Royalty and the Stars

By Paddy Kamen

Portraitofadesigner-OliverGoldSmith

Family businesses that prosper for three and four generations are rare indeed, but the current Oliver Goldsmith, head designer of the eponymous London-based company, isn’t resting on his laurels.

It’s hard to start at the beginning with the story of designer Oliver Goldsmith (b. 1942), because there are so many possibilities. There’s the 1926 beginning, when his grandfather, Philip Oliver Goldsmith, opened his London workshop and hired craftspeople to fashion frames out of tortoise shell. There’s the 1936 beginning, wherein Charles Goldsmith, son of the original Oliver, joined the family firm. That Goldsmith forged the design dynasty, that reigns to this day. Then there’s the, shall we say, humble, beginning of the presently reigning Oliver Goldsmith in his early days under his father, Charles.

Charles Goldsmith kept the business afloat during the Second World War, creating eyewear by day and monitoring the bombing in central London by night. It was after the war, however, that the real design genius of the Goldsmith family began. Charles (who changed his name to Oliver after his father’s death) wanted to attract attention to the Goldsmith brand and turned his design talents to the creation of striking and unusual designs that tapped into the 1950s post-war consumer desire for extravagance and originality. Vogue and other leading fashion magazines loved his frames and celebrities devoured them. The ‘new Oliver’, became eyewear wardrobe consultant to Princess Grace of Monaco, who owned 47 pairs of eyeglasses. The Duke of Windsor was also a customer, as was British bombshell actress Diana Dors.

Charles’ son, Andrew Oliver, originally wanted to be an architect, but his math was so poor that he was denied admission to the university program. “I was encouraged to design on a smaller scale, as they figured that any buildings I designed would fall down,” he chuckles. But when Andrew Oliver asked his father for a job designing eyewear he didn’t know he would have to serve a five-year apprenticeship learning every aspect of the business. “At age 17 I showed up for work and asked my father where the design studio was. He told me that I had to gain the respect of his craftsmen before I could give them orders so I swept the floors, made tea and learned to pack frames so that they wouldn’t break during shipping. After that I went on the road as a salesperson. I joined the firm in 1959 and didn’t do any designing until 1964.”

London in mid-1960s was an exciting place, with innovative fashion and music bringing youthful vitality to the world. Andrew Oliver’s eyewear designs fit into the zeitgeist beautifully. “My very first design, called RIP, was worn by Lord Snowdon, the husband of Princess Margaret. I also designed spectacles and sunglasses for actors: Michael Caine, Peter Sellers and Audrey Hepburn wore my frames and John Lennon wore the Oliver Oval Pro, a special metal design that did not require conventional nose pads. Princess Diana was also a customer.”

As he moved into design stardom and business maturity, Charles insisted that he Andrew Oliver (known previously as Andrew) henceforth be known as ‘Oliver’, in keeping with the company’s brand. “I said, but your name is Oliver,” he recounts. “What will you be called?” To which his father replied, I will be called ‘the old man’.”

And so the third-generation ‘Oliver’ has continued the business tradition started by his grandfather and the design tradition begun by his father. He remains the sole designer at the two licensed companies that carry his name: one in Britain and the other in Japan. Most fortunately, the retro trend of the past several years has been well served by the fact that Oliver Goldsmith kept samples of every frame he ever designed. “I never imagined in the 1960s that my frames would again become high fashion 50 years later.”

In June of this year, Oliver introduced a new collection called OGxOLIVERGOLDSMITH . These designs were created in Japan under his supervision, and he expects to launch the collection at Vision Expo West this fall.

Oliver Goldsmith will launch a new line known as the PHOTOGRAPH in spring 2015. The collection, which will be distributed in North America by Prisme Optical Group, will feature Goldsmith’s designs from the 1980s, plus some new designs that he created whilst on a Baltic cruise last year. « I’m happy to be designing again. We will test the new styles in Japan and then tweak them as necessary for the North American market. Everything is falling into place and I am very happy! »

Oliver Goldsmith is just beginning a new phase after 50+ years in the business. Clearly there is more to come from this renowned designer. He is doing his forebears proud, while also grooming his daughter, Alex (an artistic presence in her own right with a thriving photography business in London) to take over one day. Not any day soon, however, as he still has plenty to do!

Portraitofadesigner-glasses

MIGS: A New Frontier in the Treatment of Glaucoma

By Netan Choudhry, M.D, FRCS, Manjool Shah, M.D., and Jennifer George

EyeOnHealth

Affecting nearly 65 million people worldwide, glaucoma is now one of the leading causes of blindness. The disease often results in irreversible damage even before the onset of any symptoms and though it has been identifiable for centuries, the cause, in most cases, is still unknown. Over the last few decades, however, several new and exciting options have emerged in the treatment of glaucoma. MIGS or Microinvasive Glaucoma Surgery has proven to be a safer alternative for patients leading to shorter recovery times than the traditional glaucoma surgeries such as trabeculectomy.

There are several varieties of glaucoma, each with a unique treatment approach. In primary open-angle glaucoma, eyecare providers prescribe eye drops that aim to reduce the production of fluid in the eye, while simultaneously assisting its natural drainage channels to improve outflow. The ultimate goal is to lower pressure within the eye, thereby preventing the progression of glaucomatous injury and irreversible vision loss. Ophthalmologists may also turn to laser surgery to combat glaucoma. Lasers can be used to stimulate cellular changes in the trabecular meshwork that can improve outflow. Until now, the last resort for glaucoma patients was surgery, such as trabeculectomy, or implantation of a glaucoma drainage device. In both options, a bypass for alternative drainage of fluid from within the anterior chamber of the eye is created.

While effective, surgical procedures such as trabeculectomy are invasive. Non-MIGS procedures (ie: trabeculectomy and tube shunts) involve substantial conjunctival dissection, a prolonged recovery period and a relatively higher rate of vision loss compared with MIGS procedures. Furthermore, these surgeries have a relatively high failure rate, thereby leading to re-operations. By contrast, MIGS procedures require less dissection and are prone to less serious side effects with faster recovery.

MIGS devices, while still under development, target different parts of the aqueous outflow pathway. Targets for MIGS devices include direct bypass of the trabecular meshwork into Schlemm’s canal, the suprachoroidal space, and under the conjunctiva. There are theoretical advantages and disadvantages to all three approaches and research is being carried out to determine how these outflow pathways can be modified to help in achieving lowered intraocular pressure.

The most commonly used MIGS device, the iStent®, shunts fluid directly from the anterior chamber, past the trabecular meshwork and into the aqueous outflow system via Schlemm’s canal. Glaukos®, maker of the iStent, has several additional versions of its trabecular bypass device under review. The HydrusTM Microstent by Ivantis also targets the canal of Schlemm, like the iStent. The CyPass® microstent bypasses the traditional outflow pathway, instead of shunting fluid into the suprachoroidal space underneath the sclera. This pathway is increasingly being recognized as an important component of the outflow system. Another device under active investigation is the XEN Gel Stent by AqueSys. Like a trabeculectomy or glaucoma drainage device, this minimally invasive stent shunts fluid into the subconjunctival space but without the need for extensive conjunctival dissection.

Often, MIGS procedures can be combined with cataract surgery to achieve additional intraocular pressure lowering and improved visual function. Numerous studies have demonstrated the intraocular pressure lowering effect of cataract surgery alone in a variety of glaucoma subtypes, and the addition of MIGS procedures may increase this effect. It is important to note that since these procedures do not, in general, result in excessive scarring of the conjunctiva, the door for traditional glaucoma surgery in the future is not closed.

MIGS devices and surgical approaches may be less invasive, but also may not provide the same degree of pressure lowering as traditional glaucoma surgeries. Proponents of MIGS procedures suggest that the role of MIGS would be to provide earlier surgical options for patients with mild or moderate glaucoma, in order to help them get off eye drops or delay a more aggressive surgical approach for a few years. The proliferation of MIGS technologies represents a potential paradigm shift in the approach to glaucoma disease management.

While traditional glaucoma surgeries could remain in the armamentarium of the glaucoma surgeon for patients in advanced stages of the disease, these new technologies may offer another option for many patients before it reaches that point. A great deal of research is taking place in this exciting area of ophthalmology and time will tell if a new era in glaucoma management is upon us.

Ownership and Opportunity: Who’s squeezing who in optical retail?

By Paddy Kamen

 

Many players are vying for a piece of optical retail as the ownership and opportunity landscape continues to change.

In the past 20 years Canadians have seen huge changes in the overall retail landscape. Department stores that were once institutions, like Eaton’s, have disappeared, and The Bay (a.k.a. The Hudson’s Bay Company) with its iconographic Canadian symbols, is now U.S.-owned. Walmart dominates most communities of any size, while independent hardware, drug and bookstores are becoming a thing of the past. Chain stores dominate most sectors. Then there’s Internet shopping, with Amazon doing so well that they’re looking into creating drones to deliver parcels more efficiently than mail and courier services. It’s a brave new world, indeed.

Optical retail has not escaped these changes, although it is perhaps behind the trends rather than leading them. This article analyzes the current optical retail landscape and muses about the future. We ask: what types of ownership and partnership structures currently exist? Where is the growth? Are independents on their way out? How do consolidation and vertical integration affect other players? How will Internet retail shake out? And what does all this structural change mean for eyecare professionals, especially new graduates from opticianry and optometry programs?

Dossier-Table

Incumbents and New Players Vie for Market Share

What is driving the changes in optical retail? Margaret Osborne, acting chair of the School of Marketing and Advertising at Toronto’s Seneca College, says that two fundamental and opposing forces are occurring simultaneously. “Internally, ownership of the industry has consolidated considerably over the last 20 years. Vertically integrated incumbents with enormous market power now dominate the industry. The other major development is that new, external entrants are advancing. Here I include grocery retailers and mass merchandisers, as well as private equity firms who are attracted by the healthy profit margins (58 per cent, according to Statistics Canada) combined with the reality of an aging population. Today, only 65 per cent of eyewear sales originate in traditional optical goods stores and how long that will last is anyone’s guess.”

Incumbents Integrate and Consolidate

Vertical integration, whereby companies buy their suppliers or distributors, is very active within the industry. Luxottica and Essilor have been integrating for years. A newer entrant, FYidoctors, an optometrist-controlled chain, has its own lab and distribution and develops house brand frames.

Dossier-AlanIntegration is not necessarily apparent to the consumer, but the fact that Luxottica owns

LensCrafters, Pearl Vision andSunglass Hut, or that Essilor controls a majority of the optical labs in Canada may constrain opportunities for the traditional eyecare professional (ECP) owner-operated shop.

In 2013, the top four players (not necessarily retailers) accounted for approximately 44 per cent of total market share. The growth of the giants shows no sign of stopping anytime soon, and ongoing acquisitions and competitive activity will lead to increased concentration. According to an IBISWorld Industry report, the top four companies in the Canadian industry by market share are: Luxottica (20.4%), Sàfilo (17.3%), New Look Eyewear Inc. (4.6%), and Laurier Optical (1.5%)1.

However in optical retail alone, Alan Ulsifer, CEO of FYidoctors estimates that his company has approximately 12 per cent market share and that Iris2 has 10 percent. Ulsifer says that FYidoctors is second only to Luxottica and that, “We expect to be the leader soon.”

Consolidation refers to companies buying their competitors. For example, New Look recently purchased Vogue Optical and Greiche & Scaff, while FYidoctors purchased Vision Source in 2013.

Grocery retailers are one example of external entrants advancing steadily into the optical sector. “Beginning with market share of two per cent in 2008, largely based on over-the-counter readers, they now hold 8.5 per cent and can be expected to achieve double digits in 2015,” notes Osborne.

Smaller Players Find Ways to Thrive

Smaller players are responding to industry integration and consolidation in various ways. One response is to band together; another is to fill a niche that still holds value for the owner and the public.

The banding together approach is exemplified by FYidoctors, a Calgary-based company that launched in 2007 with 13 optometrist-owned stores and now has 115 locations nation-wide.

Alan Ulsifer, CEO of FYidoctors, says there were two main drivers for the creation of the company: “We didn’t have the strength to compete with the larger chains in terms of our buying power. We also realized that the industry in the U.K. and U.S. was moving from an independent, medically driven model to a corporate box-store mentality. We saw an opportunity to bring together likeminded people and create a brand that pays attention to what the customer wants, while focusing on medical care and diagnostics. Consolidation in any industry is an opportunity to build value and create a strong brand and that was attractive to us, too.”

FYidoctors offers owners either a franchise option under the Vision Source banner or full membership under the FYidoctors brand. Under that brand, the company is buying up existing optometrist-owned retail locations at the rate of about two per month. Those who join the company may choose to acquire shares that give them a direct say in company decisions. There are opportunities for shareholders to participate through advisory committees and the board of directors. “No single person controls the company,” says Ulsifer. “No decision can be made to sell without two-thirds of shareholder approval.” Although FYidoctors is like a chain in many ways, the ownership model is more akin to a cooperative, according to Ulsifer.

The Vision Source arrangement is strictly a franchise wherein the owner pays a fee for services but remains independent. Vision Source retailers have access to FYi’s exclusive brands, as well as practice management solutions and access to group pricing discounts. “This gives us another model to appeal to more optometrists,” notes Ulsifer.

Dossier-ChristineBretonA different approach is seen in Opto-Réseau, a banner organization operating in Quebec since 1996. Executive Director Christine Breton (no relation to Envision magazine publisher Martine Breton) says the banner helps independent practitioners compete: “The industry has changed so much and everyone who wants to thrive needs the specialized services and structure that our group provides. Storeowners have to be up to date in terms of management, store design, business technology, optical equipment and consumer product. Owners need to know where they are going and how to get there. That’s where we come in.”

Those who join the group retain store ownership and may also become shareholders in Opto-Réseau. The original store name remains on the signage, with the Opto-Réseau logo beside it. “We make it easy for them to succeed by providing the infrastructure, right down to a monthly newsletter they can send out to their clients. And our buying power means they have more competitive pricing than they could achieve on their own,” says Breton. Banner members can participate on the administrative council and various committees. Opto-Réseau differs from a chain in that individual storeowners personalize their policies and procedures.

“We help them to grow in a strategic way and the profit stays with them. They pay us a monthly fee and this is probably the lowest fee in the market,” says Breton.

Another option for those who prefer to be completely independent is to join the Opto-Réseau buying group to take advantage of group pricing. Currently there are 95 stores in the buying group, including 69 Opto-Réseau banner stores.

Dossier-opto-reseau
Niche Strategy for Independents

Those who choose to start up as owner-operated independents, or who want to remain so, face considerable challenges. Margaret Osborne says that a differentiated strategy is essential to keep profit levels stable or, ideally, rising. High-end, artisanal frames may be a sound approach in this day of integration, consolidation and Internet marketing. Expenses for optical retail are increasing by an average of 7.2 per cent annually3, so while high-end niche independents may continue to do well, discount bricks-and-mortar shops are in a vulnerable position because the Internet channel is growing.

Internet Retail

Internet retail presents both an opportunity and a threat to ECPs, according to the results of Breton Communications 2012 survey of the three Os. When asked to identify the greatest threat to their business, 68.7 per cent of respondents chose the Internet.

Question100 At the same time, the Internet was the most popular choice among those who specified where they think future opportunities in the industry will arise.

Internet retail sales still account for only a tiny portion of eyewear sales in Canada. The first year for which there are stats on this channel, 2008, shows a market share of 0.3 per cent, a figure that rose to 1.2 per cent in 2013 . Nevertheless Internet shopping is a growing trend4.

One of the most intriguing consolidation developments of 2014 was the purchase of Coastal Contacts by Essilor. Coastal had international sales of $196-million in fiscal 2012 5.

Dossier-MarcTersigniIn an interview with Envision magazine, Essilor Canada President Marc Tersigni explained that the company is implementing changes in the way Coastal interacts with consumers. “Our goal is to have Coastal become more educative. The millennial shopper is the biggest wave coming, as boomers are retiring and spending less. This shopper is educated via the Internet, and Coastal will now be part of that, with a clear recommendation that consumers have their eyes and vision checked by professionals. The last thing on our mind is to devalue bricks-and-mortar. The Internet is a viable way to attract people to bricks-and-mortar and educate them. We see possibilities to create a stronger industry for all.”

Tersigni envisions bricks-and-mortar locations using an Internet shopping channel to serve customers for whom the store-based product offerings are not sufficient. “I can see the first pair (being) purchased in the store, with the Internet channel used for the second or third pair and for sunwear,” he explains.

Tersigni has taken the step of introducing leaders in optometry and opticianry to Coastal’s management in order to create understanding and  defuse potential points of conflict. He is also creating an advisory panel to help determine a path forward.

FYidoctors has also ventured into the Internet space with strategically branded product at competitive prices. They require active validation of the customer’s Rx, an approach which Ulsifer says addresses the concerns of professionals. “We won’t provide eyewear for children under 10 and we won’t do eyeglasses with prism. When a person places an order we will have an optician do PD and segment height virtually with specially developed software. Any complex prescription submitted will be followed up with a phone call.”

Will this Internet service be competing with FYidoctors stores?  No, says Ulsifer: “The Internet service is more of an outlet concept, so the product on the site is very different than what is available in the stores.”

Opportunities for Eyecare Professionals?

As consolidation, integration and Internet sales channels continue to roll out, eyecare professionals of all kinds will be affected. Will there be fewer opportunities for them?

Dossier-MargaretOsborneAt the extreme end, Margaret Osborne sees few well-paid, full-time positions for opticians, as chains and independents alike focus on labour costs. “Market saturation could lead to some opticians being paid by the piece, while those with the best sales, service and skills will be employed across multiple channels.  Sixty per cent of opticians are now working in traditional optical retail stores. We should be prepared for the landscape to be very different in 10 years.”

Osborne notes that the rate of new opticianry grads may contribute to the loss of viable full-time jobs because retailers look to labour costs as one place to eke out savings.

Alan Ulsifer likewise posits that there are too many optometry grads coming into the market. “The University of Waterloo created a bridging program to help grads from other countries upgrade, which is bringing in more than 40 extra grads a year. At the same time there are more qualified optometrists coming to Canada from the U.S. and it’s becoming easier to obtain a license to practice here. On top of that, older professionals are not retiring at the same rate.”

Optical retail is indeed a graying industry. Breton Communications 2012 survey found that 67.2 per cent of respondents were aged 40 or older and just 31.7 per cent were younger than 39. This reality makes many traditional ECP-owned optical shops potentially available to companies hungry to expand their market share.

“Increasingly frantic” is how Margaret Osborne describes the current cycle of acquisition and innovation by both incumbents and new players in the optical industry. “The dynamic and provocative nature of the tactics of the power players is creating pressure points for everyone. I contend that an industry shakeout is imminent. A new landscape will emerge in the next few years.”

  1. TURK, S. “IBISWorld Industry Report 44613 CA Eye Glasses & Contact Lens Stores in Canada.” IBISWorld Canada. IBISWorld Inc. December 2013. Web. 6 August 2014.
  1. Iris executives were unfortunately unavailable to be interviewed for this story to the sad and untimely passing of their founder Francis Jean.
  1. Optical Goods Stores (NAICS 44613): Retail Revenues and Expenses.” Industry Canada. Government of Canada. 15 July 2014. Web. 6 August 2014.
  1. « Eyewear in Canada. » Euromonitor International. December 2013. n.p. Passport GMID. Web. 6 August 2014.
  1. SHAW, H. “Online Retailers Turn Back to Bricks and Mortar to Boost Sales.” Financial Post. National Post, 11 March 2013. Web. 6 August 2014.

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Types of Optical Retailers

Let’s be clear about what each term means as we analyze optical retail trends.

Chains: A group of more than four retail outlets owned by one firm/individual typically operating under the same name. Chain stores usually have similar interior design, operating policies and products. E.g. Hakim Optical, Iris, New Look Eyewear. Many department stores are chains.

Banners: This can be a confusing term. ‘Banner’ refers to a type of branding with a specific name, appearance and policies. For example, Loblaws owns several banners, or brands, including Superstore and Zehrs. Luxottica operates under different banners (LensCrafters, Pearl Vision) with LensCrafters corporately owned and Pearl Vision operating as franchises. However, the term is also sometimes used to mean an independently owned practice that is affiliated with a chain or central office. The owner pays fees for the right to use the banner (brand) and to participate in centralized buying, marketing, professional programs, etc. Owner autonomy varies greatly depending on the banner. E.g. Opto-Réseau.

Franchises: A franchise is a business where the owner (franchisor) sells the rights to the business’ name, logo and model to a third party operator (franchisee). Franchise agreements can differ, but often the franchisee has limited control over product selection, suppliers, store design, layout, location etc. E.g. Iris (some stores), Pearl Vision.

Cooperatives: Employee (or provider) owned corporations that act like a chain but are owned by many versus one individual. These companies have more complicated governance structures to ensure all shareholders have a voice. E.g. FYidoctors

Independents: Practices that are owner-operated by an eyecare professional. According to Statistics Canada, independents operate three or fewer stores, while more than three constitute a chain.

Mass Retailers and Department Stores: These stores sell a variety of goods and may have an optical department within the store. E.g. Costco and Walmart.

Supermarkets: Increasingly, large supermarkets are diversifying beyond food and beverage products into clothing, appliances, housewares, electronics and optical goods.

Optical Lenses: Quality Control Can Trip You Up

By Paddy Kamen

Dossier

When a client walks out of a retail optical store wearing his new glasses, and trips and sprains his ankle, is anyone to blame? This is not a Zen koan but rather a question designed to get you thinking about quality control in a new way.

In this very real example, the gentleman sued both the dispenser and the laboratory that finished the lenses. Ralph Chou, Professor Emeritus at the School of Optometry and Vision Science, University of Waterloo, acted as an expert witness for one of the defendants in the lawsuit. “This was an incredible case of bad luck, combined with poor quality control,” says Chou. “The dispenser had accurately read and interpreted the prescription. The job went to the lab and at that level, they entered the cylinder axis wrong. The lens went through the production process and was made perfectly in accordance with the wrongly keyed-in information, and the dispenser did not verify the finished lenses. I pointed out to both defendants that each was at fault: one for the transcription error and the other for not verifying.”

Errors in lens manufacture, surfacing and dispensing are potentially serious and could result in injury, bodily discomfort (e.g. headache or neck problems) or poor performance at work – potentially affecting a wider circle of people.

How can optical professionals, who have a responsibility for the integrity of the end product, minimize errors? Quality control (QC) is the answer. But is it happening where you work?

At the retail level, quality control begins with a standard against which you measure the lenses that come into the store. The standard indicates an acceptable margin of error in filling the prescription. If you don’t use an agreed upon and well-established standard, you won’t know what the range of acceptable deviation from the Rx is. Are your professional staff checking every lens (even plano – more about that later) using established standards? If so, what standards are you using?

Common practice in Canada is to use the American National Standards Institute (ANSI) standards. Chou says this practice developed because most eyecare professionals (ECPs) learned about ANSI standards from American-published textbooks. The relevant ANSI standards for dress ophthalmics are ANSI Z80.1 (for lenses) and ANSI Z80.5 (for frames).

Why don’t Canadian ECPs use a Canadian national standard for dress ophthalmics?  It isn’t for lack of trying; two internationally respected Canadian professionals have devoted a collective 50 years of their volunteer time to trying to correct this situation.

Ralph Chou is chair of the Canadian Advisory Committee (CAC) for Technical Committee (TC) 94 SC6 of the International Standards Organization (ISO). This committee develops standards related to eye and face protection. He also chairs the Canadian Standards Association (CSA) Technical Committee on Industrial Eye and Face Protection, which has published standards for industrial eye and face protectors. Chou has been involved with standards for vision products for over 20 years.

Toronto-based optometrist Josh Josephson chairs the CAC for ISO’s Technical Committee 172 SC7. This committee develops standards for ophthalmic optics (contact lenses and lens care products, spectacle lenses and frames, intraocular lenses and ophthalmic instruments). Josephson is Canada’s appointed expert at the ISO meetings held internationally. He was originally appointed to this committee in 1984. Chou also sits as an appointed expert on this committee.

Both Chou and Josephson would like to see the ISO standards for dress ophthalmics adopted by all ECPs in Canada. Why do they prefer the ISO standards to the ANSI standards? There are four main reasons:

  1. Canadians are represented on ISO technical committees so this is in the interests of Canadian ECPs and consumers.
  2. The rest of the world is going the ISO way, including Europe, which adopts ISO standards as they become available and makes them legally binding.
  3. The optics industry is international, with most of the manufacturing done outside of North America. International standards are better suited to this global marketplace. Further, if a manufacturer wishes to export their product to an ISO member country, their product is only acceptable if it meets the ISO standards. All ISO standards have been approved by all ISO “P” member countries, which includes almost every country in the world.
  4. Having one uniform standard would help to avoid errors in the case where a lab uses one standard and the ECP uses another.

Josephson has been using the ISO standards in his six Toronto-area stores since they were created. When finished lenses arrive from the lab they are checked by the in-house lab manager before cutting, edging and mounting them into the frame. The lab technician then rechecks the lenses. When the finished product is delivered to one of the Josephson stores the lenses are checked again by a licensed optician. “Checking should consist of verifying the prescription and the optical centration at the very least,” says Josephson.

There are serious client and business risks associated with inadequate or incorrect quality control. Aside from a lawsuit, which could devastate your business, there is also the matter of negative word of mouth when dissatisfied customers complain to friends, family, colleagues and neighbours. “The ECP is the final line of defense to make sure patient gets the right lens,” says Chou.

Chou strongly recommends checking on even plano lenses, based on an experience he had in 2005. He and a colleague in Australia ordered a large quantity of plano lenses from various manufacturers for a research project. When doing his due diligence by confirming that the lenses received were what he had ordered, he found that while the thinner lenses were generally fine, the thicker ones had a high error rate; many were not plano at all. He published an article on this in the professional journal Clinical and Experimental Optometry.

Tony Civello, president of Toronto-based C&C Optical Laboratories says that the quality of lenses he receives from manufacturers has improved dramatically since the time of Chou’s research in 2005. “It’s like night and day in the last ten years. Now when I do my final inspection for quality control I seldom find errors.” Civello attributes this to the superior technology used in lens manufacture today.

An important point for ECPs is the level of training achieved by the staff doing the quality control. Civello says that the better trained the staff is, the better your quality control will be. He feels strongly that optometrists, working together with an optician and the optometric assistant comprise the ideal practice team; even then, additional laboratory training is highly recommended. “This kind of exacting work requires highly trained individuals who will ensure that the eyewear prescribed by the ECP is the eyewear the patient gets,” he explains.

Josephson says that only licensed opticians or optometrists should quality control any product prior to dispensing and that the standards must be used consistently and observed exactly.

Chou agrees and he wonders how many optical retailers actually verify the parameters of lenses they receive. “That’s how I was trained and I know we teach it, but how many actually do it? I don’t know, but I’ve seen a couple of instances over the course of a few years in which there was no quality control and that tells me I’m looking at the tip of an iceberg. When it comes to liability for inappropriately made lens prescriptions, adhering to a standard and having the documentation that confirms you did it is your first line of defence. But you have to use it consistently in order to have credibility should someone sue you.”

Tips for Optical Retailers

  1. Hire qualified people to do your in-house quality control and make sure they are well trained. Make sure everyone knows about it, and use it on every lens that comes into and leaves your place of business.
  2. Keep accurate records of your quality control process on each lens.
  3. Ask your professional association to require a specific standard (preferably ISO) for your profession, if they don’t already.
  4. Make sure those doing quality control have their own vision appropriately corrected. Josh Josephson had an experienced and reliable LAB person begin making QC errors. Upon investigation, Josephson realized that the chap needed to update his own prescription. How ironic!

What’s New in Lens Designs and Technology?

Smoother transitions in progressives and improved peripheral vision are two of the key features to watch for in new ophthalmic lens designs. Let’s have a look at what’s new from our leading lens manufacturers along with some sunwear manufacturers who create proprietary lens materials.

Dossier_HoyaHoya has three new lens categories on offer. The iD LifeStyle 2 is a freeform progressive. The vertical and horizontal components are split between the front and backside of the lens. There are two styles: the Clarity is best for a newer progressive wearer and the Harmony offers greater precision in the near-portion for the mature client. With even distribution of power changes, the lens provides smooth interaction between far and near vision when multi-tasking.

The Hoyalux ARRAY is an affordable and versatile freeform design in a full backside progressive design and anti-reflective (AR) technology. Available in a wide range of materials, including a polarized option, the ARRAY provides the best visual acuity, optimized for every patient.

The Recharge EX3 is an enhanced-contrast lens that reduces blue light by 10 per cent compared to conventionally treated AR lenses. This lens helps to reduce symptoms of digital eyestrain, while also being oil-repellent for easy cleaning. 

With the recent introduction of the Stylistic™, Essilor becomes a company knownDossier_Essilor for sun lenses. Stylistic is designed for large and wrap frames, in single vision and Varilux progressive designs.

“Before the Stylistic it wasn’t possible to have perfect corrective vision in the really large frames, because there wasn’t the diameter capability,” says Julie Cornish, senior brand manager, sunwear. Stylistic benefits from Essilor’s W.A.V.E Technology2™, which manages higher order aberrations for great contrast and image sharpness.

Stylistic is available in clear, Transitions or sun lenses in a wide range of base curves, and is further enhanced when combined with Crizal® for maximum UV protection.

In another innovative move, Essilor has partnered with Transitions Optical to develop the new Transitions® SignatureTM VII lenses in a graphite green colour. This lens echoes the 1950s when green was applied to sunglasses worn by U.S. Navy pilots to help them track objects against a variety of outdoor backgrounds.

Providing the truest colour representation for more natural vision and enhanced contrast, graphite green is the result of Essilor’s research. Combined with Transitions Chromea7™, this new lens is a winner indeed, and available exclusively via the Essilor network. This tint will appeal to the young urban adults who adore retro fashions.

Dossier_BolleBushnell brings the Genus from Serengeti to the sunwear market with a lens that is 75 per cent lighter than glass and 10 per cent lighter than polycarbonate. Made from Trivex material, built with NXT technology, this lens is also photochromic and polarized.

Bushnell also supports cyclists with a wide field of vision on the Bollé® 6th Sense and Breakaway. The shape of the lens on the 6th Sense is designed to adjust to the cyclist’s position by extending the vision area vertically, while also extending protection to the eye. Both models hold the promise of no-fog on the lens, ever. This hydrophobic, oleophobic and photochromic lens can be produced for prescription wearers while being lightweight for all-day wear.

Transitions Optical employed its Life360™ product development model to create Dossier_Transitionsthe Signature VII lens to be highly responsive in a number of real-life lighting situations, including extreme temperatures. An exclusive dye – Chromea7 – allows the lenses to be more reactive to indirect and reflected sunlight. They become even darker on hot days, combining outdoor performance with indoor clarity. Transitions tested the new technology and found that eight out of 10 clear lens wearers rated the Signature VII lenses as better than their regular clear lenses. The improved colours of these lenses are also an asset: the grey tint provides true-to-life colour and the brown is the best contrast-enhancing lens Transitions has ever offered.

And don’t forget that clients want to be kept up-to-date on the latest technologies from Transitions: 62 per cent of consumers agree that knowing about technology improvements would make them more likely to purchase Transitions lenses. With the improved benefits and features of Transitions Signature VII lenses, the time is now to let clients know how their visual experience can be improved with Transitions.

Dossier_KaenonKaenon has created its own proprietary SR-91® lens material, which is polarized with their proprietary Glare 86® film. This lens is guaranteed for life against the cracking or splitting of the lens at drill-mounts, or the delamination of the inner polarizing film and the lens material.

The Kaenon SR-91 lens comes standard in all frames and is available in Rx. Kaenon’s unique tints – grey, copper, brown or yellow – maximize light transmission levels and improve visibility in any weather conditions or at any time of day.

And new from Kaenon is the Black Label collection, which features their darkest grey G12 lens.

Kodak Precise™ PB progressives control the surface power at virtually every pointDossier_Kodak on the lens. This fixed-corridor, backside lens gives a smooth power increase, with all viewing areas coordinating for a wearing experience that is closest to having perfect vision without glasses. Peripheral distortion is a thing of the past. This lens is also available in a short corridor design for small fashion frames.

Kodak Unique™ is a variable corridor, backside digital progressive that provides greater peripheral clarity and improved image quality in the principle viewing areas. The patient’s frame shape, monocular PD and fitting height are all used as data points for selecting the best corridor length. The Unique is available in more than 50 lens materials, for virtually any lifestyle or occupation.

Kodak lenses are available through Centennial Optical and Riverside Opticalab Group.

Dossier_SmithSmith Optics recently introduced the new ChromaPop™ Polar Blue Mirror and ChromaPop Polar Bronze Mirror lens tints to their collection of scientifically advanced polarized lenses. ChromaPoplens technology helps the brain recognize true colour, faster, regardless of lens tint. Both the fashion and sport needs of clients are addressed in different frame styles with plano or prescription lenses available. ChromaPop is especially designed for people playing and working on and around the water, giving them unmatched visual clarity.

Nikon’s Presio Master FP and SeeMax Master AP lens designs push the Dossier_Nikonboundaries of ophthalmic lens technology, resulting in a lens that virtually eliminates distortion in the area that typically generates the greatest discomfort: the periphery. Patients love having a wider usable lens area and noticeably sharper fields of vision.

Moving into the dedicated sun lens market, Nikon brings Radiance FP to the market. This dynamic lens offers the protection and comfort of polarization for almost any prescription and frame. Fashion and function combine with both grey and brown lenses available in single vision or progressive designs.

Dossier_Seiko‘Ultra-personalized’ describes the Seiko Superior lens from Plastic Plus, where company president Paul Fabish says, “I’m wearing the Superior and it definitely has the ‘wow’ factor.”

The three designs are: Superior B – a balanced, blended design; Superior N, with near-zone priority; and Superior F, with far-zone priority. The Superior is 25 per cent flatter in profile than other free-form designs. “I wear the Superior B and the majority of dispensers will use this design exclusively.  But the N is perfect for a draftsman and the F is great for landscapers or drivers.”

Maui Jim introduces the PureAir™ sunglasses collection, featuring MauiPure® lensDossier_MauiJim technology, for sunwear so light it feels like air. Billed as the world’s clearest non-glass lens, PureAir are the lightest lens in any Maui Jim sunglass, with patented PolarizedPlus2® elements to virtually eliminate glare and protect the eyes from all UV rays. Pure, vibrant colour is on view through the PureAir lens, as a result of the lens composition, which includes three rare earth elements, along with other proprietary treatments. Waterproof and oleophobic coatings add to the clarity of the lenses. Available in plano only.

Dossier_ShamirShamir presents the Shamir Duo™, a revolutionary new bifocal design that completely eliminates the distinctive line that previously defined bifocal lenses. « By introducing a Freeform® design, we are able to improve the optics and the cosmetic features, allowing for a variety of materials and treatments, » said Martin Bell, vice president of sales and marketing. « This makes the Duo superior to standard bifocals. »

A natural, distortion-free visual path is realized in the Duo. No longer do bifocal wearers have to give away their age with the look of their lenses.

Also from Shamir, the Attitude III® is a highly functional lens available in two progressive versions – Sport or Fashion – as well as single vision. The Sport design helps the wearer see the ground clearly several steps in front of them, in the intermediate zone (great for runners). Full near vision is also present. The Fashion design was created for large fashion frames, with an intermediate zone that enhances the viewing of tablets and smartphones, along with fully functioning near and distance zones. All Attitude III lenses are available in base curves up to +10,00 with fully corrected optics.