Vision - National Eyecare Group
Transcription
Vision - National Eyecare Group
Vision Now A National Eyecare Group Publication FEBRUARY 2015 CET 18-20 APRIL 2015 BIRMINGHAM NEC T H E U K ’ S L E A D I N G E X H I B I T I O N A N D E D U C AT I O N A L C O N F E R E N C E D E D I C AT E D TO THE NEEDS OF THE OPTICAL PROFESSION SINCE 1978 R E G I S T R AT I O N N O W L I V E A N D E D U C AT I O N O P E N F O R B O O K I N G AT O P T R A FA I R . C O . U K Vision Now Comment Vision Now magazine is published by Peekay Publishing Ltd for The PK National Eyecare Group Ltd, the UK’s largest purchasing group for independent opticians. Welcome to the first issue of the year – and what a busy year it looks set to be. The optical trade fair calendar kicked off with a vengeance last month at Opti in Munich, where some 25,000 plus visitors placed orders worth more than 178 million euros. CONTENTS News 2 5 7 9 11 12 NEG members win at Club awards New solutions from Bausch + Lomb Optrafair unveils CET programme Edgy investment at Tant Labs New sun collections from Dunelm Developing thoughts Get motivated to be the best 17 BCLA bulletin Liverpool bound for #BCLA2015 18 Company profile: Thomsen Eyewear Contemporary Danish craftsmanship 21 Profile: Kevin Gutsell Taking the long view 23 Falmouth sightings History and heritage 24 A consultant’s eye view Who suffers from glaucoma? 26 Style spotlight Enticing eyewear accessories 28 Suppliers’ directory EDITOR Nicky Collinson BA (Hons) [email protected] EDITORIAL PA Sharon Hicks [email protected] FASHION EDITOR Joan Grady [email protected] BUSINESS EDITOR Philip Mullins FBDO [email protected] DESIGNER Rosslyn Argent PUBLISHER Michael C Wheeler BA (Hons) FCOptom DipCLP FSMC FAAO The PK National Eyecare Group Limited Managing Director: Michael Daunt Clermont House, Cranbrook, Kent, TN17 3DN Tel: 01580 713698 Fax: 01580 713450 P&P Litho Ltd Unit 4, Mount Road Ind. Estate, Mount Road, Feltham, Middlesex, TW13 6AR Tel: 020 8893 3900 E-mail: [email protected] 100% Optical in London this month looks to be carving a niche for itself in partnership with the Association of Optometrists, while the College of Optometrists prepares for its Optometry Tomorrow event in March in Brighton where for the first time, CET will be offered to dispensing opticians and contact lens opticians. Not long after that it’s headlong into Optrafair in Birmingham (18-20 April), where the new chief executive of the Federation of Manufacturing Opticians, Kevin Gutsell, will no doubt be hoping to consolidate the event’s position (see our Profile feature on page 21 ). May sees a move to Liverpool for the British Contact Lens Association’s clinical conference and exhibition, now scaled back to three days and taking place every two years (see BCLA Bulletin on page 17 ), while London plays host to the Vision UK conference in June bringing together stakeholders across the sight loss sector. The Association of British Dispensing Opticians is reverting to an autumn slot this year, with its conference taking place in Manchester on 20 and 21 September, while the AIO Conference returns to Oxford in October and the National Optical Conference to Birmingham in November. Of course, if you haven’t already done so, do mark 15 and 16 November in your diary as the dates for this year’s NEG Building for Success conference. And if all that wasn’t enough, there are local CET events up and down the country being offered by all the optical organisations as well as industry partners. So there’s absolutely no shortage of ways to learn, up-skill, network and gain all the CET points you need before the end of the current three-year cycle on 31 December. We hope you enjoy all our (belated) New Year issue has to offer and, as always, your feedback is most welcome. Finally, don’t forget to like us on Facebook and follow us on Twitter to keep up with the latest news and offers from the Group and its Preferred Suppliers. Yours, Nicky Collinson @eyestories Editor Vision Now The Editor welcomes letters, articles and other contributions for publication in the magazine and reserves the right to amend them. Any such contribution, whether it bears the author’s name, initials or pseudonym, is accepted on the understanding that its author is responsible for the opinions expressed in it and that its publication does not imply that such opinions are those of The PK National Eyecare Group Ltd. Articles submitted for publication should be original, unpublished work and are accepted on the basis that they will not be published in any other journal. Acceptance of material for publication is not a guarantee that it will be included in any particular issue. Copyright © 2015 for Peekay Publishing Ltd. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, including photocopying and recording, without the written permission of the publishers. Such written permission should also be obtained before any part of this publication is stored in a retrieval system of any nature. 2 NEWS NEWS 1 Rodenstock provides a comprehensive analysis of the health of the eye. Improved network stability and user account management are important upgrades to the system, believes the company. Windows 7 compatible, the upgrade comes with a comprehensive tutorial, highlighting access to information on the integrity of specific layers. 3 Orange Eyewear Orange Eyewear has added to its Contessa collection, designed especially for mature women and available exclusively to independent opticians. Among the new additions is CON144 (pictured ), featuring a petal design and available in rose and gold colourways. The petite frame, which has a flattering ‘squoval’, full-rim eye shape, fuses matt and polished metal finishes, with contrasting resin within the petal detailing for added effect. Rodenstock Club 2014 winners Congratulations to NEG member practices, the Barraclough & Stiles Group and DJ Bull Optometrists, Burnham-on-Sea, for scooping the Marketing Initiative and Wimbledon Sunglasses Frames awards respectively at the 2014 Rodenstock Club Awards held in London in December. Also to BBR Optometry, named as the leading Centre of Excellence. The Hereford practice, which came second last year, was presented with the award for overall best-performing practice. It also scooped an award for its success in dispensing Excellence lenses. More than 250 Rodenstock Club members attended the lunch and awards ceremony on 17 December at the Rosewood London Hotel, where practices competed in a number of product specific categories. All the winners will join Rodenstock in March on a trip to Rome. Speaking at the event, Rodenstock managing director, Niels Jensen, praised club members for sharing best practice: “As we have some of the best independent practices in the UK in this room today, it seems like an excellent idea that you exchange successful ideas and strategies to make yourselves even stronger as an independent group,” he said. 2 Heidelberg Engineering Faster image acquisition and more intuitive analysis are key features of the new Heidelberg Engineering Spectralis 6.00 OCT software. The free upgrade allows Spectralis users to interrogate and gain more information from both new and previously taken scans, providing full segmentation of the retinal layers and longitudinal section analysis for a top down view. Christopher Mody, Heidelberg Engineering clinical programme manager, explained: “For those with a retinal interest, the new software includes transverse section analysis and multi-layer segmentation. This multi-layer segmentation includes 10 different thickness maps – for all retinal layers. We believe this is the only commercially available means of segmenting GCL and IPL. This really demonstrates the benefit of investing in an upgradeable OCT platform.” Transverse section analysis provides the clinician with a bird’s eye view of the retinal layers. Both new and previously taken scans of the retina are segmented into individual retinal layers, which can then be viewed from top to bottom. This allows for visualisation of the extent of pathology across the retina, which when combined with OCT sections through the retina, Contessa: fashionable yet classic Hanna Nussbaum, managing director of Orange Eyewear, said: “The Contessa range is perfect for mature ladies who want to dip their toe into the fashion arena. The collection fuses together classic designs with a very wearable modern twist, boasting a beautiful pallet of soft colourways to complement wearers’ skin tones. All models are deep enough to accommodate a varifocal lens. The range is great value for money, meaning that it’s within the reach of most wearers. It also offers those with petite faces an alternative to large – and often bulky – frames.” 4 Shamir Shamir has taken its Shamir Attitude lens and developed two new lenses, one for sport and the other for fashion. The new Attitude III Sport & Fashion lenses have vision zones that are especially suited to any lifestyle or activity. The Attitude III SV provides “a One lens, two attitudes perfect solution for those requiring single vision prescription sunwear”. Other benefits include an extended range of base curve and face-form angles, Shamir’s Glacier Sun coating package with achromatic AR coating for the front surface and anti-UV reflection coating for the rear surface, impact resistant and high index materials, as well as a wide range of tints and filters. Attitude III Sport & Fashion lenses incorporate Shamir’s four most advanced technologies: Eye-Point Technology III, improving the viewing experience regardless of prescription or choice of frame; Natural Posture, minimising discomfort and allowing for a natural near viewing posture; IntelliCorridor, providing an optimal power profile specifically for sports and fashion; and As-Worn Quadro, ensuring complete viewing comfort for any frame shape. NEWS 5 Vision UK 2015 The seventh annual Vision UK conference will be held on 18 June at Central Hall Westminster in London. Titled ‘Working together to deliver the UK Vision Strategy’, Vision UK will feature a new format with delegates able to choose from one of five workshop streams, focused on delivering aspects of the UK Vision Strategy. Katherine Raven, UK Vision Strategy senior manager, said: “This year’s event will provide everyone working within the eye health, sight loss and related sectors with a tailored conference experience, with a full day of relevant and engaging content.” Early bird rates are available before 17 April. Visit www.visionuk.org.uk * Following the launch of the UK Vision Strategy’s Commissioning for Effectiveness and Efficiency (CEE) guidance in November 2014, eye health stakeholders are being invited to offer their feedback via a short online survey. The results will inform the evaluation of the CEE project outputs and inform future work to support effective planning and provision of local eyecare services in England. All survey respondents will have the opportunity to enter a prize draw to win a free place at Vision UK 2015. Visit https://www.surveymonkey.com/s/CEEGuidance 6 Norville Drivewear options extended NuPolar Gradient lenses are available in Dark Grey 85 per cent light absorption – Bottom: Light Grey 70 per cent light absorption; and Dark Brown 80 per cent light absorption – Bottom: Light Grey 70 per cent light absorption. * Transitions Trilogy DriveWear lenses are available now in plano or Rx in single vision and some digital progressive lens designs, suitable for rimless and supra mounts and 6 and 8 base frames. 8 Bausch + Lomb Two new preservative-free options are now available from Bausch + Lomb. Available in single use vials or as a pump action 10ml bottle, both Biotrue Rewetting Drops and Vidisan single dose units are said to provide relief for a variety of symptoms for busy people on the go. “Vidisan is designed to provide gentle soothing relief for eyes of all ages that are irritated by wind, dust, pollution, swimming and pollen,” said Valerie Steiner, Bausch + Lomb OTC marketing manager. Catch errors before they occur Norville’s new Polarising Axis Verifier Gauge has been designed to facilitate the correct glazing of polarising lenses. The company said: “The ISO BSI Standard allows +5° as the glazing axis tolerance for polarising lenses, that is, the axis of polarisation rather than the glazed cylinder axis which sometimes can have a much wider allowance depending on its lens power. However, a more serious error that can occur when glazing polarising lenses is a complete 90° swing of the polarising axis, easier than you may think with spherical polarising powers. Technicians can neglect to recall there is an axis to a polarising spherical power. This little gadget will catch such errors before they get onto a patient’s face.” “The extract of Euphrasia gently calms irritation and, in hand with this, the solution contains Povidone, a polymer which enables a protective film to form on the eye’s surface.” Of Biotrue Rewetting Drops, Valerie said: “This can provide instant relief and natural hydration for dry and tired eyes, especially caused by prolonged computer use, air conditioning and flying. Based on Hyaluronic acid, which is found naturally in the eye and tear film, it provides comfort for long periods.” * In conjunction with Younger Optics USA, Norville has published a 12-page Polarising Lenses publication explaining the technical details behind NuPolar and Drivewear Polarising lenses. Call 01452 510321 or email [email protected] for a copy. 7 Younger Optics Younger Optics has launched NuPolar Gradient lenses allowing practitioners to offer the most fashionable gradient tints with 99 per cent polarisation efficiency without, says the company, the need for the “unreliable lens tinting process”. According to Julian Wiles, Younger Optics Europe’s UK representative: “This revolutionary new lens has no equivalents in today’s ophthalmic lens market.” NuPolar polarised gradient is made available in polycarbonate semi-finished lens blanks for all Younger Optics lab clients. New options for ocular relief 9 Johnson & Johnson Vision Care A new view’ is a new, free educational event from Johnson & Johnson Vision Care taking place in February and March in Manchester, Leeds and London. Attendees will earn nine interactive CET points just by attending and will spend the day learning about the new innovations which aim to improve patients’ lives and build practitioners’ businesses. Presenters include Dr Noel Brennan, Dr Trusit Dave and Damian Lake, and the day will include a peer review session as well as a case study based discussion lecture. Book at www.jnjvisioncare.co.uk 5 HAPPY NEW YEAR 2015 Wishing you a Happy New Year! Alcon® would like to take this opportunity to thank you for your business in 2014 and we look forward to working with you in 2015. Keep an eye out for exciting news ! Best wishes, wishes, Best TThe he Alcon® Alcon® UK and IIreland reland TTeam e eam C93002648Q012015-10790 © 2015 Novartis Novartis A AG. G. TOTA AL1 logo, logo, AIR OPTIX logo OLORS logo logo, Systane Systane The The DAILIES DAILIES logo logo,, DAILIES DAILIES TOTAL1 logo,, AIR OPTIX C COLORS logo,, OPTI-FREE logo, lcon logo ar e tr ademarks of No vartis A G. logo,, Alcon logo Alcon and the A Alcon are trademarks Novartis AG. NEWS 10 Optrafair classic individual parameters including pantoscopic angle, result in a compensated prescription giving consistent performance across the lens surface. Stage two Calculation of an optimised super-atoric inner surface design improves performance further. Stage three offers three lifestyle designs giving wearers the option to personalise the lens to their lifestyle preferences. The result is a high-resolution visual experience. Seiko INDISV is a truly individualised lens.” 12 Optrafair CET programme takes shape OCT in optometric practice, glaucoma care, paediatric optometry, contact lens practice, dispensing, managing dry eye, the anterior eye, and improving patient care and profitability are just some of the topics being offered at Optrafair in April. The British Contact Lens Association, Association of British Dispensing Opticians and College of Optometrists are all providing keynote speakers, including Professor Phil Morgan, Professor James Wolffsohn, Chris Hemmerdinger, Professor Kathryn Saunders, Professor Paolo Stanga and Sarah Farrant. Among the companies supporting the seminars are Topcon, Heidelberg Engineering, Carl Zeiss, Hoya and Bausch + Lomb. A Question Time style panel debate will see Dame Mary Perkins, founder of Specsavers, Jonathan Lawson, chief executive officer of Vision Express, and Ben Fletcher, managing director of Boots Opticians, talking about ‘The future of retail optics’. Representatives from the regional chains and independent sector will join them on stage, with the panel to be chaired by BBC Radio 4’s Peter White. To view the full timetable visit www.optrafair.co.uk 11 Seiko Optical Stepper Stepper Eyewear and Zeiss have signed a license agreement that allows Stepper the exclusive use of the Zeiss trademark for manufacturing and worldwide distribution of optical frames, sunglasses and accessories. “Zeiss enters into partnerships when they strengthen our market position – and this is the case with Stepper,” said Sven Hermann, Carl Zeiss Vision board member with international responsible for marketing. “All Zeiss models share a modern, international design, extremely high-quality materials such as titanium and feature outstanding comfort and fit,” commented Hans Stepper of Stepper Eyewear. With an established presence in the UK, led by managing director Richard Crook, Stepper will distribute premium Zeiss optical frames, sunglasses and accessories to more than 50 countries. The first Zeiss Collection of Titanium and TX5 frames was presented at Opti 2015 in Munich last month, and the UK launch is expected in June/July. Richard said: “This is an exciting collaboration between two great brands, and represents an exciting opportunity to enhance the premium eyewear range offering in the UK. We look forward to an early summer introduction to our UK customers.” 13 Silhouette Silhouette will exhibit at 100% Optical in London this month and at Optrafair in April – the first time the company has exhibited in the UK for six years. The Silhouette stand at both events will feature new collections from Silhouette and Adidas eyewear. David Chalmers, UK managing director, said: “It has been more than six years since Silhouette and Adidas eyewear were represented at a UK trade fair – it has been a long time in the planning. These high profile events are the perfect launch pad for our exciting new collections of handmade SPX+ full rims and revolutionary rimless eyewear.” * Andy Long has joined Silhouette UK as its UK sales manager. Andy brings to Silhouette a wealth of experience in the optical industry, most recently as a regional manager for Alcon Visioncare. Prior to this Andy was southern regional manager at CIBA Vision. David Chalmers said: “Silhouette is delighted to be welcoming Andy to the team. His addition takes the company one step closer to delivering its goal of becoming the benchmark brand and service offering for premium eyewear.” Andy Long 14 Individualised lens option in three stages Seiko INDI-SV is designed to provide optimum visual performance, natural comfort and unsurpassable aesthetics for all single vision wearers. The company explained: “Design and production of every single lens can be divided into three stages of development. Stage one Calculations, considering Hoya Back due to popular demand, the Hoya Paris prize draw is open to all independent practices with a Hoya account. Patients who purchase a pair of Hoyalux iD lenses before 31 March are eligible to receive a prize draw entry ticket. Additional tickets and point-of-sale can be ordered on Hoyanet or the VSE shop for free while stocks last. Tickets must be received by Hoya by 24 April and the winner will be drawn and announced on 1 May. 7 0151 426 3907 continental-eyewear.co.uk Continental Eyewear MODEL WEARS JAEGER SUN 1409 NEWS 15 Association of Optometrists The Association of Optometrists (AOP) has launched its national programme of CET and CPD events, offering more than 200 CET points during the year. The AOP’s series of peer review and legal roadshows will enable members to discuss topical issues and share best practice. Launching in February, the first peer review sessions will take place in Cardiff and Leeds, and the first legal roadshow in Sutton Coldfield in March. The AOP is also offering members of the Association of British Dispensing Opticians (ABDO) reduced rates for courses and free access to peer review and legal roadshows. Henrietta Alderman, AOP chief executive, said: “We have agreed a new partnership approach to our CET courses from 2015, with ABDO members able to attend AOP regional peer review and legal roadshows free of charge, plus all other courses at the member rate and vice versa. This joint approach will ensure that optometrists and dispensing opticians who work together get access to the best training and education in the market.” For the latest information on all AOP events and to book, visit www.aop.org.uk/events 16 Under the license, Contamac will begin to commercialise specialised contact lenses designed to reduce the rate of myopia progression in children by sub-licensing the Contamac designs to key strategic partners within its existing customer base throughout the world, commencing in May. The technology licensed by the BHVI includes numerous US and foreign patents. Currently, a myopia control indication for use submission to the US FDA is to be completed in early 2017 as part of Contamac’s commercialisation plan. “This is an important step in making effective myopia control technologies available to reduce the rate of progress of myopia and the risk of permanent vision impairment associated with high levels of myopia later in life,” commented Professor Brien Holden, BHVI CEO. 18 Tant Optical Laboratories Charmant The spring collection of frames from Esprit, available from Charmant, brings fresh trend influences to the latest frame profiles. Metallic and acetate forms feature graphic pattern inspirations with geometric prints and engravings subtly recreated on temples. This spring/summer’s hottest colour directions – from bold jades and electric blues to muted olives and cool greys – are in evidence alongside glimmering gradients, transparent tones and crisp contrasts. Model ET17465 for women (pictured ) provides an edgy, slightly flared profile with fashion-forward frontal colour gradients and an understated 3D motif on the temples. Made of Ultem material, the frame is designed to feel ultra-light and highly comfortable. Tant steps up its production capabilities Tant Laboratories, part of the Lenstec Optical Group, has invested a further £250k and installed a new MEI Bisphera-XDD with TBA Unit. The industrial edger is said to be the most productive machine on the market, providing a high level of precision every time. This combination with the TBA Unit allows an incredibly smooth production process through the laboratory and avoids blocking the lenses, explained the company. Fresh spring trends 17 Contamac Contamac and the Brien Holden Vision Institute (BHVI), Australia, have entered into a multi-year license agreement enabling Contamac to commercialise and distribute customised silicone hydrogel and GP contact lens products based on utilising Background Intellectual Property on myopia control from the BHVI. Martin Dalsing, Contamac’s director of global strategy and business development, said: “Making available these specialised custom lens parameters and designs to the eyecare professional through our laboratory network will be crucial for today’s modern specialty contact lens practice”. Professor Brien Holden TBA is a vision system able to orientate and load any kind of lenses in the edging chamber, according to the optical parameters. With this technology, Tant plans to further increase the accuracy of its jobs and speed up delivery to customers. Edo Tortolato, sales and marketing manager of MEI, said: “It’s fantastic to be working with the Tant Labs production team and seeing the increased quality and output since the installation.” Neil McFarlane, Tant Labs general manager, added: “We cannot believe the first-time accuracy and fantastic results this asset gives us and how much difference it makes to our production.” 19 College of Optometrists The College of Optometrists’ annual conference, Optometry Tomorrow at the Brighton Centre from 8-9 March, is promising up to 15 interactive CET points for delegates with a two-day ticket and, for the first time, CET points with dispensing optician and contact lens competencies. The DO competencies covered include professional conduct, optical appliances and low vision. These can be gained at sessions including Professor Dave Elliott’s lecture on the prevention of falls, seminars on rehabilitation strategies in visual impairment and off-axis performance of lenses, and a skills workshop on low vision. Contact lens competencies include communication, contact lenses and professional conduct. There is also a seminar on inflammation and allergy, and a discussion workshop on orthokeratology. Visit www.optometrytomorrow.org 9 grow LLet’s et’s grow together gether. to Our goals O ur ccommitment ommitment to to helping helping you you achieve achieve your your g oals has has never n ever been been stronger. stronger. That’s That’s why why CooperVision CooperVision offers offers widest tthe he w idest range range of of contact contact lenses. lenses. 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A Ask sk yyour our B Business usiness D Development evelopment M Manager anager aabout b o ut o our ur latest latest iinitiatives nitiatives tto o ssupport upport your your g growth. rowth. w www.coopervision.co.uk ww.coopervision.co.uk NEWS 20 General Optical Council The General Optical Council (GOC) has published its findings from the Call for Evidence as part of its strategic standards review. The consultation found that all respondents believed scopes of practice for optometrists and dispensing opticians would develop in the future, with a greater role in primary care provision owing to the expected ageing population and growing strains upon the NHS. Stakeholders responding to the Call for Evidence, which took place Alistair Bridge (courtesy of the BCLA ) between July and October 2014, also believed that the GOC should be mindful that the rate of change is likely to differ in each of the four nations of the UK. brochure spans a wide range of new styles, old favourites and the latest influences in sun spec design, with all styles glazed to prescription from Dunelm’s in-house lens laboratory. Director Peter Beaumont said: “The focus is on good craftsmanship and high quality materials, building on popular styles that sell year after year but also experimenting with contemporary features and colours to give the ranges an update. It’s set to be another busy sun season, so we’re offering opticians a special discounted rate if they place orders before March.” New sunglasses from Paul Costelloe GOC director of strategy, Alistair Bridge said: “The responses to our Call for Evidence were very insightful and helped us to identify the areas that we need to address in our standards review. We are delighted that such a wide spectrum of stakeholders responded to the consultation, giving us an upto-date picture of how the delivery of optical care is likely to change across the UK over the next 10 years”. The GOC will now consider the findings of the Call for Evidence before it launches its next consultation on new standards on ethics and performance. The GOC is due to launch the consultation in March. 21 No7 Contact Lenses SynergEyes has expanded its online resources with the release of eight video tutorials for Duette Progressive, its lens for astigmatic presbyopes available in the UK from No7 Contact Lenses. The videos, each only a few minutes in length, are available through the Video Tutorials link on the SynergEyes homepage at www.synergeyes.com. Providing information to assist dispensing and optimise the fit of the Duette Progressive lens, the step-by-step tutorials cover: lens design, lens calculator, fitting guide, lens dispensing, optimising fit, optimising near vision, optimising distance vision and optimising patient compliance. The videos address the vision optimisation made possible by the recent expansion of lens parameters to 0.1mm increments, which the company says facilitates even more precise alignment fitting, creating optimal centration and clear, stable vision at all distances for even more patients. 22 AMD Alliance International The AMD Alliance International led an event at the House of Commons last month to address the current issues the NHS is facing with diagnosing, treating and managing the growing number of people affected by agerelated macular degeneration (AMD). The event was hosted by Sir David Amess, MP for Southend West, and sponsored by Oraya Therapeutics. The group signed three key calls to action: work to increase government funding to enable a greater number of eye clinics to meet the recommended waiting times for initial treatment of wet AMD patients by January 2017; enable early diagnosis of serious eye conditions by placing eye health screening at the heart of the primary care agenda, from school age through to later life; and work to establish a national eye health registry to record all data from both primary and secondary care. Safilens Italian contact lens firm, Safilens, debuted its new daily lens for presbyopes based on Fusion technology at Opti in Munich last month. The company is heralding its Fusion 1day Presbyo contact lens as a ‘game-changer’ for the contact lens industry. Fusion technology incorporates a co-polymer made from Tamarind-Seed Polysaccharides (TSP) and hyaluronic acid (HA) into the contact lens. The lens is available with an 8.60mm base curve, 14.10mm diameter and powers ranging from +8.00D to -10.00D. 23 24 Dunelm Optical Dunelm Optical has launched more than 50 new frames in its annual sun brochure, featuring designers Paul Costelloe and Janet Reger, Celine Dion, Julian Beaumont, Retro, Sunset, Sunset+ and Whiz Kids. The new 80-page Working together for action on AMD The AMD Alliance also unveiled its Global Atlas, which identifies the costs and burden of macular degeneration across the world, as well as highlighting actions that can be taken to bring about cost-effective relief and treatments. Sir David Amess said: “This government is committed to providing care and treatment for those with the condition and I shall be raising some of the points made at today’s event with my colleagues as we work to tackle preventable blindness.” www.amdalliance.org 11 12 PRACTICE MATTERS Developing thoughts ●●●● Get motivated to BE THE BEST Phil Mullins BUY ONE, GET ONE FREE? DID YOU KNOW THAT YOU CAN BUY TWO PAIRS OF GLASSES FOR £69? OF COURSE YOU DID – AS DOES EVERYONE ELSE IN THE UK, UNLESS THEY LIVE IN A CAVE It’s a strange industry we work in; we spend thousands of pounds educating and training our optometrists and dispensing opticians to the highest standards in the world, we then spend even more money equipping modern practices, yet we allow the public to think that it’s all about the lowest price and that an ‘eye check’ is just to get a prescription for new glasses. Now I’m not sitting here saying it’s all your fault and you should do something about it; I’m just as much to blame as the next DO. In fact, recently a 43-year-old friend of mine proudly showed me their recent purchase – a £9.99 pair of ready readers. And what’s more, they were +2.50 and she hadn’t been anywhere near an opticians practice. So once I had stopped bouncing off the ceiling and telling her what a bad purchase she’d made, I gave her the telephone number of the nearest NEG member and suggested she book an appointment. So as you can see, if our friends aren’t getting the right message, how do we expect the general public to understand the importance of eye health, particularly when they are bombarded with advertising every day that’s all based around the lowest price. The internet is taking an ever larger slice of the market and the supermarkets are increasing their optical offering, so how do we in the independent sector hope to get a different message across to the public? The quick answer is: there is no one quick answer. There is a combination of things that will change mindsets and will it take practices to work hard to get the message out to their local area. The more who achieve this, the larger the coverage and, with around 2,500 independents in the UK, there are enough practices to cover the country. So how do we get the message out there? Well if you asked 100 experts you would get 100 different answers, but for what it’s worth, here are my top six pointers as to what you might want to consider when devising your message for your town… and this includes X, Y and Z…” This then puts in the patient’s mind that there may be differences between opticians, particularly if their previous practice only spent 10 minutes with them. 3. You’re not alone; create partnerships with your suppliers, get them to help you to put your message together, be that point-of-sale material, images, website and so on. Look at working with people like SPECS Network, Practice Buddy or Eyeplan to see what they could offer your practice. Just remember: you’re an independent not a lone wolf. 4. Your patients have free will; they may be very loyal at the moment but that’s not to say they will always come back. They may move away, become ill or just feel like a change, so you have to make sure you can attract new patients. This means not putting potential patients off by having a practice that looks like it should be in a 1970s sitcom or, even worse, that needs a good clean. Keep on top of maintenance, make sure you regularly change the POS, have a plan of practice changes, so one year it’s new lights, the next it’s new frame bars followed by a new carpet. This will enable your practice to remain looking up-to-date without costing a fortune in one lump sum. 5. Step outside your practice. This can take many forms: it can be literal, i.e. visiting schools, linking with local sports clubs, giving a presentation at the WI; or it can be cloud based in that you have a great website, your Facebook and Twitter feeds are up-to-date and you are the person that the local newspaper approaches when they’re writing about vision and eyes. The aim is to build a reputation for being the local expert on eye health. 1. Dare to be different. Just because every other practice is offering twofor-one or half price doesn’t mean you have to. In fact, by being different you can be more noticed than trying to fit in with the rest. 6. Never be ashamed of the price. So often we almost apologise for charging what we do, which in turn makes the patient feel that they are being over charged. By being confident in what you are charging, and able to justify the charge, will make patients feel they are getting value for money rather than just ‘cheap’. We don’t all shop in Aldi, many people shop in M&S or Waitrose. Why? Because they like the experience and feel that what they get is worth spending the extra. So why wouldn’t those people want to come to your practice and experience a better service and higher quality goods? 2. Your staff are on the front line so make sure they are trained to the highest standard, and not just in spectacles. Make sure they know how to speak with patients to maximisie the message; so if someone telephones and asks for the price of a sight test, the answer isn’t just the price, it’s: “Our price for a 30-minute complete eye examination is £X These are just six short points that you might want to consider when reviewing your business. But at the beginning of a new year, with the economy improving and more people in work than ever before, make sure your business is the best it can be – and if it’s not, do something about it so you don’t become one of the failed independent practices. Six-point action plan IN THE RIGHT SPACE In less than 18 months, the team at Eyespace have accomplished what many said was impossible. Vision Now Editor, Nicky Collinson, recently sat down with joint Managing Directors, Jayne and Julie Abel, from “a blank piece of paper IT’S BEEN QUITE THE START. DO YOU FEEL YOU’VE BROUGHT YOUR DREAM BUSINESS TO LIFE? Jayne: Absolutely. It was never a consideration that Eyespace would ‘grow organically’, and with enormous levels of energy and determination across the company, I am proud to say we went to market and delivered an extremely ambitious plan - the scale of which has never been seen in the industry before: 420 frames across six collections; a 96-page glossy catalogue; a fully-integrated website with e-commerce functionality; and extremely effective marketing and sales strategies. Getting to this point has been no small feat and the list of people we have to thank for getting us here stretches far and wide across the optics industry. When we stop and think about it, we are astounded by what has been achieved in such a short time and by the positive feedback and results we continue to receive. We really are most grateful to everyone who has supported us. Images (from top): Julie Abel (L) and Jayne Abel (R) collect ‘Startups’ Award for Product Business of the Year 2014; new release to children’s American Rock Star %$##"%!$$"#" Cocoa Mint ladies fashion %$##"%!$%""$"# "Jensen " Julie: We were constantly reminded through the start-up process how important feedback is – we spoke to suppliers, practice owners, opticians and, most importantly, end consumers before creating the Eyespace ‘blueprint’. Their insight, coupled with looking carefully at gaps in the market, studying the world’s most iconic brands, and then - as professionals in the optics industry for the best part of 20 years each - deciding how, when and why we wanted do things differently, can all be attributed in part to the success we have experienced to date. To echo Jayne, it has been the most fabulous start - better than we could have ever dreamt. >>> DO YOU THINK STRONG RESEARCH HAS BEEN THE SECRET TO YOUR SUCCESS? Jayne: We sit in an extremely crowded part of the market and there is never going to be a moment where we can rest on our laurels. In the past you could just rely upon good product, but these days every aspect of your business offering has to stand on its own merit. Our research told us that independent opticians were crying out for ‘core product’ to have its next evolution – amazing designs, unparalleled quality, fast service, uncomplicated pricing, fabulous images, slick marketing, and an engaging website were just the tip of the iceberg. J ul e:iThere is of course much more we plan to deliver and we openly acknowledge how important the role of industry partnerships are, in meeting the needs and expectations of today’s modern independent practices. National Eyecare marketplace. We completely share their passion and approach to innovating the independent sector of the industry. needs so ensure it is a central consideration in all our activity. We ultimately want to make buying ‘the perfect frame’ easy for everyone, regardless of whether you’re the optician or the end consumer. From the commercial side, one of our greatest challenges came launched. In some ways, it was great problem to be faced with, and having that experience now means we are consistently 99% in-stock of all frames. JAYNE, AS ‘DIRECTOR OF PRODUCT AND MARKETING’ WHERE DO YOU FIND INSPIRATION? J ul e: I love great eyewear and to see people looking their absolute best. Like the right hairstyle, glasses have the ability to completely change someone’s appearance for the better; so for me, there is no greater motivation when designing than knowing our glasses are helping people feel good about themselves. WHAT’S BEEN YOUR GREATEST LEARNING SO FAR? Jayne: On a personal note, we are extremely conscious that creating a culture doesn’t just happen - it has to come from the top. We found the key to effectively developing the culture we wanted, was to surround ourselves with inspirational people. Staff are the lifeblood of any organisation, but starting with a blank piece of paper, an abundance of ambition and imagination, and sharing our ideas with the right people was critical to shaping the future we want. We have attracted such passionate, self-motivated, experienced and design-aware people; their enthusiasm is infectious and has shaped Eyespace in ways they will never know. In the early days, the excitement we received from people throughout the industry encouraged Jayne, myself and the other Company Directors to dig deeper when the tasks ahead felt mountainous. Design inspiration is with me 24/7 - there’s no ‘off’ switch. I follow future-trends in fashion avidly and carry a sketch book with me at all times so I can jot down ideas as they surface. ...It even lives on my bedside table for when inspiration strikes in the small hours! Anything and everything can spark a thought: architecture, a beautiful clasp on a shoe, colour combinations, shapes in art, and contemporary furniture - literally anything! Industry shows are also fantastic for discovering the latest technologies and materials, but we always prefer, without exception to design from scratch. ‘People watching’ when out and about is a vital part of our product design procedure too - noting what people wear, how they wear it, the colours that suit them, and their chosen brand-names. I am massively driven by shopping behaviours: for example, I might think a handbag is incredibly well designed, but when I see four people in a row pick it up and put it down again (and not because of the price) I ask myself ‘why?’. We bring this analysis ensure that when we present our latest collections to customers, comfortable, fashionable and, most importantly, saleable. Images (clockwise from top): recent men’s release BB6015 from Basebox, Eyespace’s high-fashion range for young adults: and a few of the Eyespace team celebrate at a recent awards ceremony; Cocoa Mint favourite CM9016. 2014 ENDED ON A HIGH! WHAT’S IN STORE FOR 2015? Jayne:&%$&#"! $&&!&&!"$!$& !"$ &&!" && J ul e:i&$&$"&$&$&!"&$&#"& $ &&""!"&& ‘Business Start-up and Entrepreneur of the Year’ and ‘Product Business exhibition debut, at Optrafair this April. It’s an important moment for of the Year’. Winning provided fresh injections of excitement into the the entire team, because the stand is Eyespace brought to life. It is also an opportunity for our Customer Service, business, especially at such a critical stage in our journey - they really are exceedingly important to us. We found ourselves against some very stiff competition, from high-calibre organisations, on both a regional and national level and the judging feedback took our breath away: to be so well regarded by both panels which included highly successful business people and entrepreneurs from the worlds and experienced people; and has shaped Eyespace in Marketing, Product Development and Sales teams to take time out to meet with customers and discover more about what is important to them in our partnerships. We have been fastidious in our stand’s development to ensure it represents the progressive, visual and amazingly fresh nature of our company; &$$&! & &# &!$&$$!$"!"& Eyespace or you visit to place your monthly order, we want you to leave inspired by who of banking, national journalism, retail we are and all we offer. and technology - has been a dream come true, and their acknowledgements told us that our initial research into &&& &&$&$&"!"$&!"&&!&&$!$&$&& today’s market needs was absolutely worth the effort. More importantly, service’, so you can expect to see yet more ambition and evolution. &$&$"!!"&&&"$$$"$&& "&#""! & Exciting new products, fresh imagery, more engaging social media, comprehensive and high quality launch collections (which have since continued excellent service and the next phase of our website are already "& !"!#" &$$$"&$!"&$! &" !$& !"& on the agenda, as well as bespoke projects with a range of different for optics and plans for expansion” has provided masses of motivation to independent practices. The next steps on our journey are looking bright exceed expectations again this coming year. and very bold, and we can’t wait to see what the coming months bring. FOR MORE INFORMATION: eyespace-eyewear.co.uk | 01562 701111 WIN 24 FRAMES OF YOUR CHOICE! For your chance to win, complete your details below and bring with you when you visit our stand at Optrafair Stand Q40, Optrafair, 18 - 20 April 2015 Practice Name: Contact Name: Telephone: Email Address: eyespace #lovewhatwesee #"! !! ! ! ! !""! ! " Mod. LM1019 C1 @eyespace_1 /eyespace eyespace-eyewear.co.uk BCLA BULLETIN LIVERPOOL BOUND FOR #BCLA2015 WITH NO CONFERENCE NEXT YEAR, THE BCLA IS URGING PRACTITIONERS NOT TO MISS ITS 2015 EVENT IN LIVERPOOL THIS MAY Liverpool to be host city of #BCLA2015 The 39th British Contact Lens Association (BCLA) clinical conference and exhibition, to be held at the ACC Liverpool, from 29-31 May, is expected to signify a new chapter for the Association and its members. With booking channels now open via the Association’s newly refreshed website, BCLA members are being invited to make the most of the Association’s Member Loyalty Scheme to obtain the best discounts on delegate packages by the early bird deadline of 31 March. NEG members can also save via a special offer to claim a £50 discount on the price of a delegate package by simply downloading the BCLA’s new mobile app from the Google Play Store (for Android) or Apple Store (for IOS devices) and creating a profile (just search on ‘BCLA’ to find the app). A member of the BCLA team will then get in contact to provide a discount code to use when making a booking. For the first time this year, there are also group booking discounts with 20 per cent off the full delegate packages available for groups of 10 or more delegates from the same company. New three-day programme Commenting on this year’s event, BCLA president, Susan Bowers, said: “Kicking off with a dedicated myopia management day on Friday 29 May, #BCLA2015 in the heart of cosmopolitan Liverpool will mark the start of our new biennial clinical conference schedule. As such, we are working closely with our industry partners and academic and business consultants to ensure that our new three-day programme appeals to as wide an audience as possible. “A fantastic, Beatles-inspired social programme – the highlight of which will be the BCLA dinner and Industry Awards in the magnificent Liverpool Anglican Cathedral – free CET workshops and a roll call of the most eminent speakers from the global contact lens community, will ensure #BCLA2015 marks the beginning of a new chapter in the Association’s history. And don’t forget – there will be no BCLA clinical conference and exhibition in 2016 so don’t miss out on this world-renowned event dedicated to the world of contact lenses and the anterior eye,” Susan added. Confirmed speakers and presentations so far include: • • • • • • • • • • Convenient, accessible location in vibrant Liverpool city centre Fantastic NEW venue for the BCLA at the ACC Liverpool Dedicated Myopia Management Day on 29 May Free CET workshops Networking opportunities Three-day, three-tracked streamlined event Dedicated business session World-renowned free industry exhibition Beatles-themed dinner in Liverpool Anglican Cathedral 2015 BCLA Industry Awards • Eminent keynote speakers: Professor James Wolffsohn (UK) and Dr Loretta Szczotka-Flynn (USA) • Award winners: Professor Fiona Stapleton (BCLA Medallist, Australia), Dr Michael Read (Irving Fatt Memorial Lecturer, UK), Dr Nicole Carnt (Dallos Award, Australia) Delegates will be able to build their own attendance schedule prior to the three-day event using the brand Keynote speaker, new BCLA mobile app, which will also contain key Dr Loretta Szczotkainformation about the exhibition and exhibitors, the Flynn of the USA venue and the social programme with links to social media channels. A programme of workshops can be downloaded from the BCLA website, www.bcla.org.uk, and a complete online programme was due to be launched by the end of January. Those who are not BCLA members are able to join the Association prior to booking on 31 March to save almost 25 per cent on the delegate rate. Membership rates, plus terms and conditions, can be found on the Association’s website. Optical assistants course returns Sarah Morgan to run OA courses The BCLA is once again teaming up with optometrist and staff development consultant, Sarah Morgan, to launch a new series of oneday courses for optical assistants. Kicking off on Thursday 19 March at the Ambassadors Bloomsbury Hotel in London, ‘Contact lenses – the ins and outs’, is designed for staff wanting to increase their confidence with contact lenses. Key approaches and tips for teaching the new wearer, and promoting patient retention will also be central to the day. Sarah said: “This course is for you if you’re helping, or thinking about helping, to teach new wearers how to wear and care for their contact lenses, and feel like you need to know a bit more about things such as lens types, solutions, compliance, lens application and removal, aftercare and customer service. The aim is to get you supporting your optometrist or contact lens optician with confidence and professionalism. It will be a friendly and fun day – and I promise you’ll return to your practice enthusiastic and invigorated about contact lenses and patient care.” The course costs £160 for BCLA members, and £240 for non-members who book on behalf of their staff, with lunch and refreshments included. A special rate for hotel accommodation is also available. Places are limited to 24, so book now by emailing [email protected] or by downloading the booking form from the Events section of the BCLA website, www.bcla.org.uk 17 18 COMPANY PROFILE THOMSEN EYEWEAR CONTEMPORARY DANISH CRAFTSMANSHIP Craftsmanship and detail elegantly expressed by Thomsen Eyewear VISION NOW FASHION EDITOR, JOAN GRADY, DISCOVERS MORE ABOUT THIS EXCITING DANISH DESIGN HOUSE The seafaring nation of Denmark has a long and illustrious history. In the area of design, the country is recognised internationally for its functionalistic aesthetics and purity. Influenced by the German Bauhaus School, uncluttered simplicity, beauty, comfort, lightness and strength are all part of the Danish design characteristics. It is with these principles in mind that Morten Thomsen, Danish designer and founder of Thomsen Eyewear, set off on his quest to create classic, comfortable and quality eyewear in beautiful colours. “When I design, I am inspired by everyday life,” says Thomsen, “and I see frames everywhere – I look all the time. I cannot help wanting to adjust or change a frame whenever I see one. “That said, many Danish designers, plus a few German, French and Italian creators within our industry inspire me, but I’m also inspired by designers outside our industry, especially in fashion and interiors. For example, I greatly admire the trend of using different materials like wood and textiles, plus colours. This I try to incorporate into my collection.” Thomsen says that he used to prefer designing Morten Thomsen, founder particularly in titanium. “Then I ‘discovered’ stainless and designer of Thomsen steel, and recently I gave in and had to admit that Eyewear Denmark acetate too can be quite fantastic,” he explains. “So today, I like to think that I try to use different materials to their maximum potential. Each material has a set of unique qualities which makes it different.” Eyewear journey Thomsen has worked in the optical world for more than 20 years, having first founded an optical shop in Copenhagen and then the Danish company, OptikCompaniet. However, he was especially interested in design, and the possibility to create frames with roots in the Danish and Scandinavian design tradition. He was inspired by shape, simplicity and classic styles with contemporary interpretations, in colours to create a unique expression. Thomsen recalls: “I have always loved colours, even as a child, so it must be in my nature. But in order to continuously attain a fresh look at things, I draw heavily on my team around me. Without them to keep challenging me, I am sure I would not have the same diversity in the collection. I think the collective brain can do so much better than the individual brain.” The colour combinations in the collection are truly stunning – chic and original. Being located on the sea has obviously had a powerful effect on Thomsen, in addition to his innate love of colour. Many of the frames are in colours with sea reflections, dawn and dusk tones, plus the natural hues of the sky, beaches and watery surroundings. Teal blue harmonises with chocolate, two-tone green is fresh with a springtime air, orange and black is dynamic, and russet and sand provides an exotic touch. There are numerous combinations of gorgeous colours, plus solid tones that are very classy. Thomsen’s childhood fascination with colour is beautifully expressed in the collections – from earth tones to bright and powerful splashes of colour. Building and diversifying Thomsen is emphatic that the company never compromises on quality. The design, functionality, materials and colours must always meet the company’s high standards. Opticians recognise this, and Thomsen Eyewear is now sold and marketed globally. “As a Danish company, we started by establishing ourselves on the Danish market,” Thomsen explains, “and then we moved into the other Scandinavian countries. Now we are beginning to move into the northern European countries, the UK, Canada and New Zealand. So gradually we are increasing our presence in more and more markets.” Another factor that has enabled Thomsen to move into international markets is that the frames are recognised for their comfort and fit. The company focuses on using strong materials in combination with the right shape, so that the customer can be assured of lightness, comfort, plus durability. “Our customers are certainly people who appreciate good style and quality,” notes Thomsen, “and this is quality not only in the sense of good materials and craftsmanship, but also in the sense of fine comfort and style. But I am often puzzled by how little attention many people pay to their frame fashion – even those holding high positions. Even if they wear fashionable clothing styles, they neglect their frame style. “Thus if I can design frames which are comfortable to wear, with high quality and the right look, at reasonable prices, maybe I can get these people to try a pair of my frames, and help them begin to appreciate good quality. The problem is, if people have never experienced fine quality, how can they tell?” Looking ahead to the future, Thomsen says: “My guess is that the overall trend will still move towards the more refined light and slim look – and away from the heavier designs. Also, the blending of colours will be interesting to watch. Fashion wise, we will see a blend of the 1970s mixed with the high-tech of today.” This year marks Thomsen’s 10th anniversary designing frames that embody the four core dimensions that every frame designed by Morten must satisfy: high quality, comfort, a blend of lightness and strength, and colour character. COMPANY PROFILE METICULOUS ATTENTION TO DETAIL IS APPLIED IN EVERY THOMSEN EYEWEAR DESIGN Thomsen Eyewear is available in the UK exclusively through NEG. View the collection online at www.thomseneyewear.dk or arrange a viewing by contacting Lee at Academy Eyewear on 01761 414808. Academy will send you a preview set of 24 frames, 12 styles in two colours. You may purchase at least 12 pieces, or return the frames free of charge within 14 days. If you’re not sure which styles to put in your preview pack, please speak to Academy Eyewear to optimise your selection. NB: There are no management fees for any Academy Eyewear purchases. 19 PROFILE TAKING THE LONG VIEW FMO chief executive, Kevin Gutsell A PASSION FOR OPTICS AND COMMITMENT TO QUALITY ARE WHAT DRIVE THE NEW FMO CHIEF EXECUTIVE, KEVIN GUTSELL Now celebrating his 31st year in UK optics, Kevin is no stranger to the Federation of Manufacturing Opticians (FMO). In his role at Nikon Optical, he was an FMO board member between 2006 and 2011, and chairman of the Federation’s Lens Focus Group within that time. He understands the internal workings of the Paddington offices and its highly valued network of optical expertise. “The pinnacle of my career is certainly my new role at the FMO – almost as if everything has been in preparation for this position,” says Kevin. Building on his excellent network, encouraging further interaction amongst all FMO members and prospective members is high on Kevin’s list of priorities for the FMO’s five-year business plan. “Our membership embraces large multinational companies and small privately-owned businesses; each group looks to us for different reasons and we are keen to fulfil our trusted role with as many benefits and as much advice as possible,” explains Kevin. “For many, picking up the phone and gaining free legal, tax and business advice is invaluable. For others, the familiar FMO stamp of being a part of UK Optics plc on their letterhead is what they are looking at currently.” Regional FMO meetings around the country are an essential part of the FMO ethos, when twice each year the lens, frame and equipment focus groups visit a different area of the UK to discuss market conditions, threats, opportunities, the best way forward and anything ‘optical based’. “It is an opportunity to talk about staff training, up-skilling practice teams and best practice with technology,” says Kevin. “Interaction and communication is vital for members to gain more from their trade body in terms of benefits and networking. We are keen to hear what our members expect from us too – it is an organisation where feedback is the lifeblood.” “As we approach the FMO centenary in 2017, it is timely to reflect on how we have evolved to meet the needs of the market,” he continues. “I can see a place for us to provide something above the standard CE marking on a pair of spectacles. I believe the profession would welcome such a move and the FMO is in a good position to provide just this.” Quality branding of excellence in eyewear could also carry a message about the importance of regular eye examinations – an opportunity which is not currently utilised fully, believes Kevin. His time at the Association of British Dispensing Opticians, as vice president, and experience in many facets of the optical business were an important consideration for the FMO board when appointing Kevin. The depth of his understanding of what seems a bewilderingly complex and political optical landscape for an outsider, in such a small industry, was key. Kevin studied at City and East London College from 1984 to 1987, working for Melson Wingate in its Surrey, Sussex and Kent practices – particularly Tonbridge, Tunbridge Wells, Haywards Heath and East Grinstead. He later returned, part-time, to his alma mater to teach the next generation of dispensing opticians. “I seem to have covered so much of the sector, not just from practice and through ABDO and City and Islington College tutoring – but also retail, education, training, standards, sales and marketing, plus product development,” Kevin expands. “I am keen to bring all of these elements together and for all FMO members to gain the very best from each other. The wonderful thing about the FMO is that it embraces literally everything within the practice from the IT systems to the diagnostic and dispensing technology, to frames, lenses and finance providers. What I like so much about this job is there is nothing hypothetical about the FMO – it is all about the here and now and bringing products and services to market.” Education and branding A key factor also on Kevin’s mind is the not insignificant number of calls that the FMO receives from the general public about spectacle queries, as he explains: “We know our website is often visited by the public and this is an area that we need to consider as an opportunity to further educate them about the importance of good vision correction and eyecare. Sadly, the public only seem to call us when things go wrong.” This aspect of FMO business has surprised Kevin and has led him to consider developing further the significance of the FMO brand. As Kevin’s five year plan takes shape he is reflecting on this broad view of UK Optics plc and is keen to explore the pathways for all industry members to access training. “As an example, at each Optrafair we see a terrific array of new technology – most of it brought to market by our own members. Sometimes those at the base of the optical pyramid need to be given a greater chance for training. Our focus is now very much on Optrafair – we are delighted to have the experienced hand of Malcolm Polley guiding the show onwards and already we are looking at tremendous support from our members for the Birmingham show in April,” he concludes. 21 DO YOU HAVE CLOUDED VISION? CAN HELP by EYEMAGINATIONS ECHO is a single, cloud-based platform that allows you to communicate and engage with your patients, wherever they are thinking about their health: before an appointment, in the waiting area, the consulting room or after the appointment, setting your practice apart from the competition. We call these areas patient touch points and with ECHO you can communicate across all the touch points, by sending visual presentations from one platform, which is flexible enough to work from any PC, tablet or smartphone. ECHO integrates with emails, Twitter, Facebook and other leading media. Before an appointment Waiting area Available in the UK from PK National Eyecare Group Ltd Consulting room Post visit www.nationaleyecare.co.uk 01580 713698 FALMOUTH SIGHTINGS HISTORY and heritage We know NEG’s incentive holiday apartments in Falmouth and Tenerife are popular so our new series, Falmouth Sightings, will explore some interesting people and places for members planning to visit this fascinating coastal town A beautiful base to explore from Falmouth celebrated its 350th anniversary in 2011, and it’s clear that the wonderful harbour has played a large part in its rich history. But to start at the beginning: in 1540, in order to defend the Carrick Roads, Henry VIII built Pendennis Castle which, together with St Mawes Castle to the east, meant that the estuary entrance was well guarded. It wasn’t until 1646 that Pendennis Castle became the last fortress to surrender during the English Civil War. St Anthony’s Lighthouse Sir John Killigrew (of Arwenack Manor) created the town of Falmouth shortly after 1613, which received a charter from Charles II in 1661. In 1688, the Royal Mail Packet Station was introduced, carrying diplomatic mail, bullion, precious cargo and passengers. Falmouth was the first place on the way back from America where large ships could dock, and the mail was then taken by coach to London, which was quicker than sailing. In 1805, the news of Britain’s victory (and Admiral Nelson’s death) at Trafalgar was landed here at the steps of Fish Strand Quay from the schooner HMS Pickle and taken to London. Thriving industries Sadly the age of steam rendered the Packet Ship service no longer economically viable, and it eventually ceased in 1851. Falmouth suffered badly, but the development of Falmouth Docks in 1858 revived the town, and the Docks soon became one the country’s leading ship repairers. The arrival of the railway in 1863 brought tourism and prosperity to the town, and three railway stations – Falmouth Docks, Falmouth Town and Penmere. The Greenback Hotel was built, followed by the Falmouth Hotel, and many others still in business now, with their unique vantage points overlooking the water. Falmouth was the launching point for Operation Chariot in WWII, the famous Commando raid on the heavily defended docks of St Nazaire in France, which led directly to the sinking of the Bismarck by depriving her of a repair port. Today Falmouth is a thriving town, renowned for its ship repair facilities not only in the Docks but also Pendennis Shipyard, famous worldwide for building and restoring classic super yachts. Being the third deepest natural harbour in the world ensures that Falmouth is a popular port for visiting cruise ships. During the 19 years I’ve lived here, I’ve witnessed Ellen MacArthur break the record for the fastest nonstop solo round the world trip in 2007, and Robin Knox-Johnston, Clare Francis and many others have also contributed to Falmouth’s rich seafaring history. I’ve attended three Tall Ship festivals, and interviewed MJ Long, the architect responsible for the National Maritime Museum of Cornwall, which opened in 2003. Since then the Museum has become a popular venue for many events, including the Antiques Roadshow and Flog It (15 January 2015). Festival atmosphere Falmouth’s growth is also due in part to the students attending the famous Falmouth College of Art, which has now become a university, with one campus in Falmouth and the other in Penryn. I was introduced to Falmouth nearly 20 years ago by my late husband, who lived aboard an oyster fishing boat moored at nearby Restronguet, by the Pandora Inn – a pub that is well worth a visit, whether by boat, by car or on foot. The sailing calendar includes Classics in June and Falmouth Regatta Week in August. The Tall Ships have visited five times and each time the turnout is more spectacular; we even had a sail on a Tall Ship. For those keen on water sports, there are numerous venues providing canoes, kayaks, surfing, boat hire and fishing. Falmouth is well known for its beautiful beaches and safe swimming. A wide variety of festivals have sprung up such as the International Sea Shanty Sailing off the coast of Falmouth festival in summer, the Oyster Festival in October, the Real Ale Festival in autumn, as well as many arts, music and walking festivals all year round. Falmouth’s award winning Art Gallery houses paintings by well known local artist Henry Scott Tuke’s, amongst others, and there are two cinemas. Princess Pavilions has a bigger stage and a wide range of music and plays as well as a bandstand, beautiful gardens and a restaurant. For those wanting to visit the Lizard, Truro, Land’s End or Penzance, Falmouth is a good base from which to explore. The Fal River network provides interconnecting boats and ferries to take you to Trelissick Gardens, the Roselan or Helford by boat. There is also a good bus, coach and rail service, and Newquay airport is a 40minute drive. Add in an excellent golf course, prize-winning gardens, and one of the warmest climates in Britain, and you’ll find that Falmouth will welcome, surprise and delight you, whatever your interests. Sue Kittow is a writer and resident of Falmouth. Visit her website at www.suekittow.co.uk As a thank you to members for their loyalty and business, NEG offers a unique incentive – the use of one of its holiday apartments in Tenerife and Falmouth based on individual members’ purchasing level within the group. For terms and conditions, visit the members’ area of the NEG website, www.nationaleyecare.co.uk, and log in to the supplier section. 23 24 A CONSULTANT’S EYE VIEW WHO SUFFERS FROM GLAUCOMA? Graham Kyle discusses the politics of glaucoma diagnosis and how OOs can best serve their patients I must start by wishing all readers a Happy New Year, even though we are now in February. As is customary at this time, I am reflecting on what has gone on in the past year and what might happen in the one ahead. This time last year the main anticipation (or anxiety) was about how the Scottish Referendum would turn out, but that matter has now been resolved. I doubt 2015 holds anything quite as exciting (apart from the general election of course), however, those in the know may well be waiting for the publication of the Scottish Intercollegiate Guideline Network (SIGN) advice on referral of patients suspected of having glaucoma. As these guidelines have been so long in the incubator, hopefully they will be helpful and decisive when they finally arrive. It’s unclear if the result of the Referendum will affect the content of the SIGN guidance, in that a democratic decision to remain part of the UK may encourage less disparity in the diagnostic criteria for glaucoma north and south of the border than is currently the case. The simple question in the title was not made any easier by the differing advice across Hadrian’s Wall as to how high the intraocular pressure (IOP) level should be to initiate consideration of a diagnosis of glaucoma. Guidelines across the borders The National Institute for Health and Care Excellence (NICE) states that glaucoma should be considered as a diagnosis with IOPs consistently greater than 21mmHg as measured by Goldmann tonometry. However, it should be stressed that this advice was given as part of a clinical picture for diagnosis per se, and not as a level mandating referral to hospital, as it has been misinterpreted. NICE guidelines do not apply to Scotland and the direction from NHS Scotland, as advised by the Centre for Change and Innovation, was that in the absence of any other indicators of glaucoma (i.e. ocular hypertension), a pressure of 30mmHg or over should trigger a referral to the hospital eye service (HES) for further investigation and management. The apparent divergence of diagnostic criteria was complicated by the political constructions surrounding them. Certain professional groups advised optometrists practising in areas covered by NICE that patients with pressures of 22mmHg or more must be referred to the HES. It may seem strange that a group formed to protect the interests of optometrists should issue advice which, in effect, reduces their professionalism by implying that they are unable to use clinical judgement to interpret a raised IOP in its clinical context, taking account of visual fields and optic disc appearances, and make suitable follow-up arrangements. It may have been the case that there was a genuine fear of litigation arising in the situation where an optometrist had used his or her clinical judgement and decided that although the pressure was 26mmHg, say, the fields were full and the disc appeared perfectly healthy and, therefore, this was either a falsely high reading with puff tonometry and/or very mild ocular hypertension and, therefore, no treatment was indicated and no referral was necessary. The fear would be that the patient would go on, many years later, to develop glaucoma and try to claim that the outcome would have been different if they had been referred to the HES at the outset. Some cynics might argue that it was, perhaps, an attempt to obtain funds from the government to allow either repeat measurements, or the purchase of pachymeters, or whatever. Whatever the reason, this advice resulted in a sudden and dramatic increase in the number of patients with ocular hypertension being referred to the HES, overwhelming glaucoma assessment clinics. The number of ‘false negative’ referrals also increased dramatically, in percentage terms. The HES, not surprisingly, complained about this sudden increase in workload, with one of the main bases for complaint being that these referrals were not, in fact, following NICE guidelines, in that patients rarely had had their IOPs measured using applanation, and that pneumo-tonometry was well recognised as tending to give falsely high readings. Advice differs across Hadrian’s Wall on how high IOP levels should be to diagnose glaucoma There would no doubt be some satisfaction in political circles in seeing the two professions at loggerheads. It would fit in well with their divide and rule policy, which has been in use for many years. It would offer the double opportunity of criticising the HES for not seeing patients within the prescribed time frame (with no cognisance being given to any increased referral numbers) and also to witness an erosion of optometrists’ clinical skills and independence, which will make them more malleable in the future (or at least that is my assessment of how the political mind works). Such a ‘divide and conquer’ policy may also be aided by the reaction to the A CONSULTANT’S EYE VIEW sudden increase in referrals to eye departments, with the development of ‘referral refinement’, where one optometrist has the job of assessing the quality of referrals of several others. I have not yet seen an advertisement claiming that one company has such a ‘specialised optometrist’ on site as a means of diverting potential patients from its rival(s), but I’m sure it won’t be too long. regard to the differing Scottish referral levels. The particular concern was the prospect of facing a General Optical Council Fitness to Practise panel hearing where, it might be alleged that a Scottish optometrist following Scottish guidelines was guilty of professional misconduct by a panel sitting in London, aware that the majority of optometrists in the UK were ‘following’ NICE guidelines. Shunting patients about As usual, of course, it is the patient who suffers in the long-term. Faced with this sudden and dramatic increase in new referrals, and with politically imposed targets to meet, hospital managers cancelled review appointments in order to make way for new referrals. In other words, patients who were known to have a progressive site-threatening disease, glaucoma, who were under regular review at hospital clinics were effectively shunted out of the system often for periods of a year or more, during which they quietly continued to lose their vision, simply to make way for an influx of referrals of patients who did not have anything wrong with them. What is more, the person who initiated the referral, the optometrist, was probably well aware that the patient almost certainly had nothing seriously wrong with them. They may, at worst, have had ocular hypertension, but so what? On the other hand, there is good evidence that some patients who had their reviews repeatedly cancelled have suffered significant visual loss as a result. I suspect they got a slight shock from that opinion in that, if considering an action for negligence, the Scottish courts would expect an optometrist to have used his or her clinical judgement, and to be judged by whether such judgement was reasonable, rather than slavishly following guidelines as such. In other words, there was scope for an optometrist to act as a healthcare professional, rather than just an IOP measurer. How refreshing! It is, of course vital that optometrists continue to use their clinical judgement, as there are many circumstances when glaucomatous disc changes can be picked up in the presence of ‘normal’ IOP. The sad thing is that despite all this breast beating about IOP levels, the actual IOP level is neither here nor there in terms of diagnosis or (more particularly management) of glaucoma. John Cairns, the eminent Cambridge ophthalmic surgeon and the inventor of trabeculectomy, is reputed to have said that the best way to run a glaucoma clinic was to: “Throw away your tonometer”. In other words, slavish attention to the IOP level was likely to lead to both over-treatment of those who didn’t need it and, more seriously, uncharted visual deterioration in those who required a different therapeutic approach, but whose carers are falsely reassured by a ‘normal’ IOP. Of those who have glaucoma, about one fifth will have ‘normal’ IOPs, so called normal tension glaucoma (NTG), and so finding that their pressures remain ‘normal’ at each review clinic appointment on treatment is no great surprise, so a tonometer will not help. What such patients emphasise, however, is that there is a variation between eyes of the IOP level, which will cause ischaemic damage to the optic disc, leading to cupping and field loss. Time for clarity on referral guidelines Even this attempt to create enough ‘capacity’ to assess these extra referrals was insufficient, with the result that many ‘so-called glaucoma’ referrals were ‘squeezed’ into already bursting eye casualty clinics. This meant that patients, many of whom had nothing wrong with them (or if, perchance they did, there was absolutely no rush to deal with them), were diverting time and attention from patients with acute sight-threatening conditions. Perhaps the most irritating referral of someone who had a ‘high-pressure’ was the patient who had a thick cornea, and when appropriate compensation for this was made, had a very normal IOP (I speak from a fairly recent experience as acting as an eye casualty doctor in my semi-retirement). In some hospitals where the pathway is king, even more resources were wasted in that patients had a full assessment including automated visual field, which is often ‘abnormal’ simply because it was the first assessment that the patient had undertaken, and in some cases disc OCT to boot. If, at the end of the day, all that was amiss was a thick cornea… Quite apart from the adverse effect on clinical outcomes, and the costs to the NHS (and every unnecessary referral takes money from some other aspect of health care), anxiety about their suffering from a potentially blinding disease will be considerable in many patients. All well and good if they have the condition, but if there’s nothing wrong with their eyes then patients are being unnecessarily harmed. Other significant factors Getting back to the Scottish question, the group that gave the advice about referrals of patients with any elevation of IOP had sought a QC’s opinion with The perfusion of the optic nerve head is likely to be the critical factor in the development of glaucomatous disc damage, and the blood flow is likely to be a significant contributor to this (not the only factor, however, as tissue changes in the blood vessels and/or neurones themselves could make a significant contribution). The intravascular blood pressure could be reasonably assumed to affect such flow and perfusion. This blood pressure is not static, and can be reduced by anti-hypertensive treatment (which may help the rate of stroke and/or renal disease in the population, but may not aid retention of field in any particular glaucoma sufferer); or, in some cases by a nocturnal drop in blood pressure (BP) in certain individuals. I have been preaching about these nocturnal drops in BP in this and other contexts for years, but only fairly recently, when talking to a cardiologist, learnt that such ‘nocturnal dippers’ were now the hot topic in cardiology circles. They can be identified by 24-hour ambulatory BP monitoring, so perhaps the phenomenon, and its importance, will become more widely recognised. So if you have a patient showing continuing deterioration of field and/or disc changes, who does not have NTG, and consistently ‘normal’ pressures, the question: “I wonder if she or he is a nocturnal dipper?”, would be a good one. Graham Kyle is a recently retired consultant ophthalmologist medico-legal practitioner. His special interests are medical law, ethics, humanities and semantics – and he is currently studying for the Society of Apothecaries Diploma in the History of Medicine. All comments on ‘A consultant’s eye view’ are welcome. Email the editor – [email protected] 25 26 STYLE SPOTLIGHT Enticing eyewear accessories BY JOAN GRADY, FASHION EDITOR Animal print cases by Dunelm When the word ‘eyewear’ comes to mind, the first thought is usually optical or sunglass frames Nowadays, with so many exciting and beautiful frames from which to select, glasses offer limitless choice in design, colour and materials. Another dimension of the frames market is gathering important significance – cases, chains and cleaning cloths. All the fashion, fun and creativity are not for frames alone. There is a growing demand for trendy items to help protect, clean and keep frames safe. Designers and independent suppliers from Europe and America are combining creativity, cultural and artistic dimensions to highlight designs. In celebration of British trends, Dunelm Optical has a collection of handmade cases that reflect fashion directions, including boudoir lace, safari prints, and retro designs. Classic concepts are mixed with more contemporary coverings, Dunelm celebrates British cars including campervans, retro cars, gothic skulls, florals and animal illustrations for children. The cases are exclusively produced in-house at Dunelm’s factory in Leeds, and they provide a specialist service that allows opticians to personalise items with their own style. Angela Beaumont, manager of Dunlem’s accessories operation, says: “The cases are always selected with fashionconscious consumers in mind. The fact they reflect a taste of true Britannia is really resonating well with our export markets too. All our handmade cases, whether hard-bodied or soft slip-ins, are carefully crafted and made to last. A quality case to accompany a new pair of frames really adds value.” Chinese Vase with Flowers, Shells and Insects, by Balthasar Van Der Ast in the Thyssen-Borzemisza Museum in Madrid, is the inspiration for the carved acetate magnifying glass by Flippan Look “It was just an idea,” continues Nogales, “but we began to research materials and started designing. With luck we found a factory in Madrid to work with us and teach us how to work with acetate.” The company launched its collection first in Spain, which was an immediate success, and now they sell globally. Each item is custom made, and the team also works in conjunction with the Thyssen-Borzemisza Museum in Mardid. Art and design unify in a beautiful design extracted from the painting Chinese Vase With Flowers, Shells and Insects by Balthasar Van Der Ast. The butterfly was chosen as the inspirational element for the design of the medallion lens, which Flippan Look carved into the acetate. History, art and eyewear A conversation about monocles and antique Quevedos – the name given to the pinze-nez worn by the Spanish nobleman and poet because of his severe myopia – was the foundation for the creation of Flippan Look. Sonia Nogales, the co-founder of the Madrid accessory company, recalls: “We had this discussion about how gentlemen in high society and the most elegant ladies always had beautiful magnifying glasses. So we asked ourselves if this was practical, comfortable and chic for the 21st century? Butterfly magnifying glass by Flippan Look STYLE SPOTLIGHT American style Necessity is the mother of invention, and this certainly proved to be the case for American designer, Elizabeth Faraut. She was looking for a way to keep glasses handy, and it needed to combine both function and fashion, and La Loop was born. For more than 15 years, Faraut has travelled to many distant and exotic lands to find jewels, stones and pearls that can be elegantly transformed into beautiful chains for glasses. The latest collection includes fresh water pearls, and designs with enamel and leather cording. For 35 years, l.a.eyeworks in California has been creating original frames, cases and accessories. As they question: “Who said that cleaning your lenses has to be such a mundane task?” The company commissions innovators – artists, illustrators, graphic designers – to explore the lens cleaning cloth as a blank canvas for art. Since 2009, the programme has featured works by worldrenowned figures from the visual arts, including Jim Isermann, Susan Stilton, Kori Newkirk, Barbara Kruger, and Remy Charlip amongst others. Elegant fresh water pearls by La Loop Colour is always keynote at l.a.eyeworks – Gai Gherardi and Barbara McReynolds were among the first to introduce bold, bright tones to eyewear. The same spirit is captured in the colourful cases that mix unexpected tones. Glasses in colourful l.a.eyeworks cases are always easy to spot. forever. They are great and never change colour which can happen to silver sometimes.” Moore’s latest designs feature mauve frosted beads and graceful pearls. Mondelliani Eyewear is based in Rome with a unique family history. More than 40 years ago, the company opened a boutique in Rome, and has now expanded into designing frames and on a fun note – creating cleaning cloths that are collectors’ items. The latest collections, designed for Mondelliani by graphic artist Felipe Colasanti, include Superman, Batman and Zorro, plus beautiful interpretations of the Four Seasons. Rome is also the location for Pollipo, who handcraft genuine Italian Tuscan leather into superb eyeglass cases. Pollipo likes to explore creative concepts that include cases with gemstone and pearl accents. Paola Constantini at Pollipo says: “We are always experimenting with new conversations between eyewear and extraordinary accessories of fine jewellery. We also like to keep evolving our craftsmanship for dressing faces and…glasses!” Zorro cleaning cloth by Felipe Colasanti for Mondelliani Rome Like many designers, Constantini incorporates a diversity of materials and jewels into the Winter from the Four Seasons cleaning cloth by collections. Pearls, Arizona Felipe Colasanti for Mondelliani Rome turquoise gemstones, and rhodium-plated sterling silver are among the beautiful materials that are used for the accessories. Chic little details include handmade knots in leather. Colourful cases by l.a.eyeworks and fun cleaning cloth by Jeffrey Valence European influences For independent opticians, stocking creative eyewear accessories offers many advantages. Nowadays, the designs are innovative and unique; they do not take up a lot of space and fashion savvy clients will continue to seek unusual eyewear accessories. Mona Moore is a jewellery designer based in Vienna, and she proudly notes that the city is “the home of Jugendstil – meaning Art Deco and Art Nouveau – which I love. However, I never consciously copy any styles, but I love elegant, ornamental and geometrical patterns. So I guess there is a subconscious inspiration coming from the turn of the last century.” Shimmering frosted beads in a graceful chain design by Mona Moore Moore says: “I have a passion for frosted beads, and some of the silver beads I use in my eyewear chain designs are metal, and I’ve had them Luxurious craftsmanship by Pollipo Rome 27 Vision Now PREFERRED SUPPLIERS’ DIRECTORY Preferred Suppliers are suppliers who, by prior arrangement, offer members of the PK National Eyecare Group preferential terms. 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