Spectacle Lens Update: Everything you need to know
Transcription
Spectacle Lens Update: Everything you need to know
7/15/2015 Spectacle Lens Update: Everything you need to know Michael C. Vitale, ABOM, LDO, NCLC Technical Director & Lens Division Liaison The Vision Council [email protected] Michael Vitale has no financial interests to disclose Impact of Good Vision Click to edit Master title style Average eyewear lifespan... > 28 months Eyewear will be used for... > > > > > over 30,000 miles of driving viewing 49 or more movies 2.2 weddings / graduations 26 family events & holidays 1 in 3 presbyopes will see a grandchild for the 1st time Spectacle Lens Update Header Goes Click to Example edit Master titlehere style Areas of Performance > Design > Surface > Filter > Substrate 1 7/15/2015 Spectacle Lens Update Single Vision Lens Design Historically > Spherical Lenses » Corrective Curve Design - Optical Aberrations - Magnification for plus power lenses - Field of view Issues > Steep curves » Difficulties fitting in todays flatter frame front designs Spectacle Lens Update Single Vision Lens Design Spherical lenses create peripheral distortion because light is unequally refracted across the lens surface... multiple points of focus ....... Spectacle Lens Update Single Vision Lens Design Historically > Asphericity » Reduces Optical Aberrations - Less magnification for plus power lenses - Less distortion - Increased field of view > Cosmetically Flattens » Allows for flatter, thinner lenses 2 7/15/2015 Spectacle Lens Update Single Vision Lens Design Aspheric/Atoric lenses use multiple curvatures to reduce peripheral defocus and aberration. single focal point Spectacle Lens Update Single Vision Lens Design What’s New Now! As Worn or Compensated Single Vision Lenses > The Rx is compensated to take into account the following » Pantoscopic Tilt » Face form (Wrap Angle) » Vertex Distance > Increases field of view > Less distortion Products Click to edit Master title style Questions? Comments? 3 7/15/2015 Spectacle Lens Update PAL Lens Design PALs Should Provide > Natural Reading Posture » greater comfort while reading > Optimized Zone Placement » ease of adaptation > Binocular Width » wider intermediate vision > Sharp Distance Vision » improved contrast at night > Specialized Design » task/wearer specific zone distribution Spectacle Lens Update PAL Lens Design Natural Reading Posture Shorter progressions provide more natural reading postures... Image courtesy of Essilor of America ...a natural reading posture relies primarily on head movements Spectacle Lens Update PAL Lens Design Optimized Zone Placement Distance Rx and ADD power determine optimal zone placement... HYPEROPE MYOPE ...true multi-design PALs optimize zones for ametrops, for easier adaptation 4 7/15/2015 Spectacle Lens Update PAL Lens Design Binocular Width The ability to maintain fusion is called "binocularity" Image courtesy of Essilor of America ...binocularity determines width- not the spherical area of the channel Spectacle Lens Update PAL Lens Design Binocular Width Patented Design Technology allows specific alignment of astigmatism... Image courtesy of Essilor of America ...this increases binocularity- and therefore intermediate width Spectacle Lens Update PAL Lens Design Sharper Distance Vision New Design Technology controls aberrations in the distance zone ...control of aberrations provides clinically proven gains in contrast 5 7/15/2015 Spectacle Lens Update PAL Lens Design Specialized Design Progressions can be designed specifically to a task FAR DISTRIBUTION STANDARD DISTRIBUTION NEAR DISTRIBUTION Spectacle Lens Update PAL Lens Design Specialized Design Progressions can be designed specifically to a frame type SHORT DISTRIBUTION STANDARD DISTRIBUTION Spectacle Lens Update PAL Lens Design Specialized Design Progressions can be designed specifically to an Rx STANDARD DISTRIBUTION OPTIMIZED ZONES 6 7/15/2015 Spectacle Lens Update PAL Lens Design Specialized Design Progressions can be designed specifically to a patient characteristic EYE MOVER STANDARD DISTRIBUTION HEAD MOVER Spectacle Lens Update Fitting & Dispensing Products > Traditional & Freeform » Thanks to the Lab Division of TVC > Freeform » Thanks to Vision Care Product News “Computer Glasses”? “Task Specific” > Helps the eye adjust to intermediate-distance objects such as computer screens » A modified lens power provides the consumer with a large field of view » Too many products to mention, reference the Progressive Lens Identifier > Powerboost “single vision” lenses for non-presbyopes » Zeiss, Hoya, Essilor, etc. > Over the counter products such as GUNNAR > Custom designed » Double FT/Rd seg » Inverted » Golf seg 7 7/15/2015 Spectacle Lens Update Fitting & Dispensing Proper fitting is crucial to the performance of ANY and ALL designs > Proper adjustment of the frame » Faceform » Pantoscopic Tilt » Vertex Distance > Proper placement of the optics » Monocular PD’s » Monocular Fitting Heights An improper fit will compromise the performance of ANY design Fitting increases in importance with design complexity Click to edit Master title style Questions? 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Spectacle Lens Update Lens Surfaces High Performance Surfaces Provide > Hardcoating – Thermal and UV » greater durability > Multi-layer Anti-Reflective Stack » sharper vision » increased night vision » better cosmetics > Hydrophobic & Conductive Layers » easier to clean » greater durability 8 7/15/2015 Spectacle Lens Update Lens Surfaces Thermally-cured Hardcoat The lifespan of a lens is determined by the durability of the surface SUBSTRATE Primer Silica-Resin Hardcoat ...surfaces are thermally bonded into the substrate Spectacle Lens Update Lens Surfaces Multi-Layer AR Stack Surfaces include a multi-layer AR for increased transmission SUBSTRATE Multi-Layer AR ...AR also reduces night-time reflections/glare and provides superior cosmetics Spectacle Lens Update Lens Surfaces Hydrophobic & Conductive Layers An AR incorporating a TCO (transparent conductive oxide) will repel dust and other particles SUBSTRATE Hydrophobic Layer ...a hydrophobic layer repels water & oilresulting easier and less frequent cleaning 9 7/15/2015 Spectacle Lens Update Lens Surfaces Hydrophobic & Conductive Layers Image courtesy of Essilor of America Hydrophobic durability is a function of coating density... ...higher densities lead to a longer effective hydrophobic lifespan Spectacle Lens Update Lens Surfaces Include high-performance surfaces on your lenses > Nearly all patients want: » Increased visual acuity » better night vision » increased durability » ease of cleaning » less noticeable eyewear 60% of all US eyewear consumers choose AR when informed of its benefits Click to edit Master title style Questions? Comments? 10 7/15/2015 Spectacle Lens Update Lens Filters Lens Filters > UV Filters > Photochromic’s » adjustable filtering » UV protection > Polarized » glare reduction » superior contrast » sport & vocational applications » UV protection > Fixed Tint » neutral & selective filters > Specialized Filters/AR Coatings » Selectively filters blue light and UV Spectacle Lens Update Lens Filters Ultraviolet Filters ozone > There are 3 types of UV » UVC < 285nm » UVB 286 – 320nm » UVA 320 – 380nm » HEV > 380nm Only 2 materials do not block UV » clear CR-39 » clear glass Spectacle Lens Update Lens Filters Ultraviolet Filters > On average, 80% of UV exposure will occur prior to age 20 100% UV protection is a standard-of-care requirement for all children > Polycarbonate or Trivex > brimmed hats > sunscreen 11 7/15/2015 Spectacle Lens Update Lens Filters Photochromic lenses provide > Comfortable vision in nearly all lighting conditions > Complete protection from UV Image courtesy of Transitions Spectacle Lens Update Lens Filters Polarized Filters provide > reduction of glare » reflections from flat surfaces are reduced or eliminated > increased contrast sensitivity » selective filtering of glare > sport & vocational applications » watersports » driving Spectacle Lens Update Lens Filters Reduction of glare Non-polarized light contains energy along all axes along its direction ...a polarizing filter polarizes light along a single axis 12 7/15/2015 Spectacle Lens Update Lens Filters Reduction of glare When light hits a smooth transparent surface, polarization occurs ...water causes horizontal polarization Spectacle Lens Update Lens Filters Increased contrast sensitivity Non-polarizing filters attenuate light nonselectively, reducing contrast Spectacle Lens Update Lens Filters Increased contrast sensitivity Polarizing filters preserve contrast by selectively filtering glare 13 7/15/2015 Spectacle Lens Update Lens Filters Polarized applications - driving Polarized lenses increase contrast perception & decrease reaction times Spectacle Lens Update Lens Filters Polarized applications - driving Polarized lenses increase contrast perception & decreases reaction times 20/10 20/15 20/20 1.0 20/25 10.0 100.0 Snellen VA 20/32 20/40 20/50 Tinted AR 20/63 Polarized AR 20/80 20/100 Contrast Neutral & Selective Filters Neutral (grey) filters attenuate light evenly across the spectrum- selective filters may improve contrast 14 7/15/2015 Spectacle Lens Update Lens Filters Objective of Filters Filter out harmful / distracting light • UV and/or IR • reflected glare Transmit useful light • preserve contrast • manipulate color perception – preserve color perception (neutral grey) – alter color perception (all other colors) Spectacle Lens Update Lens Filters ALL filters (except UV and AR) reduce light transmission (including "contrast enhancing" night driving lenses) Spectacle Lens Update Lens Filters Specialty Filters / AR Coatings Filter HEV “Blue” Light UV and/or Blue Light Reflected glare Transmits 97.5% light Reduces eye fatigue when using computers, iPads/Tablets and mobile devices ZEISS DuraVision BlueProtect 15 7/15/2015 Click to edit Master title style Questions? 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Spectacle Lens Update Substrates (Lens Materials) Premium Substrates Provide > Safety » Impact Resistance » UV Protection > Structural Durability » High Tensile Strength (drill mounts) > Superior Cosmetics » Thin Profile » Optical Clarity > Superior Comfort » Light Weight Spectacle Lens Update Substrates (Lens Materials) Safety > Polycarbonate is the only material that retains a constant level of impact resistance in all forms > Polycarbonate resists extreme impact level with any surface UNCOATED HC SURFACE AR SURFACE 16 7/15/2015 Spectacle Lens Update Substrates (Lens Materials) Safety > All materials MUST pass the FDA drop-ball test » (Federal Law) > Hard coating and AR coating will greatly reduce impact resistance UNCOATED HC SURFACE AR SURFACE Spectacle Lens Update Substrates (Lens Materials) Structural Durability > Tensile strength is a measure of a materials ability to resist “tearing” » This equates into resistance to splitting in drill mounts Tensile Strength By Material » 80.5 kg/f = 1.60 (MR8) » 70 kg/f = 1.67 (MR10)-Approx. » 67.3 kg/f = 1.67 (MR7) » 61.2 kg/f = Trivex » 52.9 kg/f = 1.70 » 44.9 kg/f = polycarbonate » 15.6 kg/f = CR-39 80kg Spectacle Lens Update Substrates (Lens Materials) Superior Cosmetics > High Index Lenses Reduce Thickness 1.50 1.60 1.74 17 7/15/2015 Spectacle Lens Update Substrates (Lens Materials) Superior Cosmetics > Optical Clarity Is A Function Of » Transmittance - Perception of white target » Color Rendering - Perception of chromatic target » Contrast - Ability to perceive contrast near and far > Abbe is not a major function of clarity » The eye has approximately 1.00D of linear chromatic aberration (which does not impair vision) - (-10.00D poly lens viewed at 30° produces <0.50D of linear chromatic aberration) Spectacle Lens Update Dispensing Recommending Substrates > Polycarbonate for Safety » Children (Trivex is also a good option) » Monocular patients » Most safety applications > Tensile strength for drill mounts » 1.60, 1.67 » Trivex » Polycarbonate > Higher Index for Thinness » 1.60, 1.67, 1.70, 1.74 > Low Specific Gravity for Lightness » Polycarbonate » Trivex Spectacle Lens Update Dispensing Summary > Design » Binocularity = Width » Reduced aberration = Contrast sensitivity » Customization = Potential for greater performance > Coatings » Thermal cure = permanent adhesion » AR Coating = Better Vision and Greatly Improved Cosmetics - Conductive Layer = anti-static - Dissymmetric = hydrophobic 18 7/15/2015 Spectacle Lens Update Dispensing Summary > Filters » UV » Photochromic's » Polarized » Fixed Tints > Substrates » Polycarbonate for Safety (Trivex) » High Index - Great for Drill Mounts Click to edit Master title style Questions? Comments? Special thanks to Michael C. Vitale, ABOM, LDO, NCLC Technical Director & Lens Division Liaison The Vision Council [email protected] Special Thanks to Pete Hanlin, Technical Director Essilor of America, Inc. 19