lNDlGENOUS EYE HEALTH
Transcription
lNDlGENOUS EYE HEALTH
P r in t P o s t A pp r o v ed P P 2 5 50 0 3 /0 7 8 9 0 THE OPHTHALMIC MAGAZINE Created by the ind ustry f or the ind u stry AUSTRALIA & NEW ZEALAND Sophie Koh The Singing Optometrist Latest Survey: Indigenous Eye Health Oakley Elite Launch: An Exclusive Invitation FORESIGHT [ ] the ability to see into the future and be alert to the signs ahead Never has it been more vital to test for age-related macular degeneration (AMD). AMD is now the leading cause of blindness in Australia.1,6 Lucentis offers real hope to those diagnosed with wet AMD. 2,3,5 Already helping thousands maintain independent lives, Lucentis is proven to help patients gain and sustain vision.2,3,4 Some patients treated report improvement as early as 7 days after treatment.2 Because early detection and treatment of AMD can significantly improve future outcomes, 1,2,3 your referral today could save your patient’s sight tomorrow. 2,3,5 PBS Dispensed Price: $1975.93. Please refer to the Product Information before prescribing. Product Information is available from Novartis Pharmaceuticals Australia Pty Limited or visit www.novartis.com.au. For further information please contact Medical Information & Communication on 1800 671 203. Indication: Treatment of neovascular (wet) age-related macular degeneration (AMD). 0.5 mg or 0.3 mg is recommended to be administered by intravitreal injection once a month. Dosage and administration: Recommended dose is 0.5 mg (0.05 mL) or 0.3 mg (0.03 mL) given monthly. Interval between doses should not be shorter than 1 month. Treatment might be reduced to one injection every 3 months after the first three injections but, compared to continued monthly doses, dosing every 3 months may lead to an approximate 5-letter (1-line) loss of visual acuity benefit, on average, over the following 9 months. Patients should be evaluated regularly. Must be administered by a qualified ophthalmologist using aseptic techniques. Broadspectrum topical microbicide and anaesthetic should be administered prior to injection. Patient should self-administer antimicrobial drops four times daily for 3 days before and after each injection. Not recommended in children and adolescents. Contraindications: Hypersensitivity to product components, active or suspected ocular or periocular infections, active intraocular inflammation. Precautions: Intravitreal injections have been associated with endophthalmitis, intraocular inflammation, rhegmatogenous retinal detachment, retinal tear and iatrogenic traumatic cataract. Proper aseptic injection techniques must be used. Monitor patients during the week following injection to permit early treatment if an infection occurs. Intraocular pressure and perfusion of the optic nerve head must be monitored and managed appropriately. Safety and efficacy of administration to both eyes concurrently have not been studied. There is a potential risk of arterial thromboembolic events following intravitreal use of VEGF inhibitors. A numerically higher stroke rate was observed in patients treated with ranibizumab 0.5mg compared to ranibizumab 0.3mg or control, however, the differences were not statistically significant. Patients with known risk factors for stroke, including history of prior stroke or transient ischaemic attack, should be carefully evaluated by their physicians as to whether Lucentis treatment is appropriate and the benefit outweighs the potential risk. As with all therapeutic proteins, there is a potential for immunogenicity with Lucentis. No formal interaction studies have been performed. Should not be used during pregnancy unless clearly needed; use of effective contraception recommended for women of childbearing potential; breastfeeding not recommended. Patients who experience temporary visual disturbances following treatment must not drive or use machines until these subside. Side effects: Very common: Conjunctival haemorrhage, eye pain, vitreous floaters, retinal haemorrhage, intraocular pressure increased, vitreous detachment, intraocular inflammation, eye irritation, cataract, foreign body sensation in eyes, lacrimation increased, visual disturbance, blepharitis, subretinal fibrosis, ocular hyperaemia, visual acuity blurred/decreased, dry eye, vitritis, eye pruritis, nasopharyngitis, headache, arthralgia. Common: Ocular discomfort, eyelid oedema, eyelid pain, conjunctival hyperaemia, posterior capsule opacification, punctate keratitis, corneal abrasion, anterior chamber flare, injection site haemorrhage, eye haemorrhage, retinal exudates, injection site reactions, conjunctivitis, conjunctivitis allergic, eye discharge, photopsia, photophobia, maculopathy, detachment of the retinal pigment epithelium retinal degeneration, retinal disorder, retinal detachment, retinal tear, retinal pigment epithelium tear, vitreous haemorrhage, vitreous disorder, uveitis, iritis, iridocyclitis, cataract subcapsular, influenza, anaemia, anxiety, stroke, cough, nausea, allergic reactions (rash, urticaria, pruritis, erythema). Uncommon: Keratopathy, iris adhesions, corneal deposits, dellen, corneal striae, injection site pain, injection site irritation, abnormal sensation in eye, hyphema, cataract nuclear, angle closure glaucoma, endophthalmitis, eyelid irritation, blindness, corneal oedema, hypopyon. Rare but serious adverse reactions related to intravitreal injections include endophthalmitis, rhegmatogenous retinal detachment, retinal tear and iatrogenic traumatic cataract. *Please note changes to Product Information in italics. 1. Bressler NM. J Am Board Fam Pract 2002;15:142-152. 2. Rosenfeld PJ, et al. N Engl J Med. 2006;355:1419-1431. 3. Brown DM, et al. N Engl J Med. 2006;355:1432-1444. 4. LUCENTIS Approved Product Information. 5. Chang TS, et al. Arch Ophthalmol. 2007;125:1460-1469. 6. Attebo K, et al. Ophthalmol. 1996, 103: 357-364. Novartis Pharmaceuticals Australia Pty Limited, ABN 18 004 244 160. 54 Waterloo Road, North Ryde NSW 2113. ® Novartis Pharmaceuticals Australia Pty Limited. NVO_LUC65_11/2008. Bluedesk LUC3C. PBS Information: Authority required. Refer to PBS schedule for full Authority Required Information. Contents 16 AUSTRALIA & NEW ZEALAND ISSUE 42 20 FEATU R ES 16mistory: The first national survey of indigenous eye health in more than 30 years has been released by Professor Hugh Taylor. It includes startling findings Prof. Taylor describes as a “national disgrace”. 24 SECTIONS 38milenses: Ordering RXable sunglasses is not straight forward. Once the patient selects the sunglasses they like, there are a couple of options the dispenser can choose. 38 20mifeatures: We feature the encouraging story of Layla, a remarkable girl who has low vision. We also catch up with optometrist and singing sensation Sophie Koh and Jo Humphries brings us a report from Sri Lanka. 52mibusiness: John Lees popular column this month gives us realistic advice on how to ‘take care of yourself’… in business and in all other pursuits. R EGU LA RS 04 minews 28 miophthalmology 58mievents: Our reporters have been busy covering the opening of Specsavers HQ in Melbourne; Hoya’s latest foray and a night at the movies with Sola Elan. 32 micolumn 34 mioptometry 56 miproducts 79 midiary 48mieyecare: As an eye and vision care specialist, you have the opportunity to be the patients’ hero by providing them with the best vision solutions throughout their lives 62mifashion: Direct from the OC – our exclusive preview of Oakley’s Elite eyewear. We also feature the perfect companion sell and bring you the latest from Silmo Paris as well as fashion news. 80 midirectory 82 miclassifieds 84 mitime mivision is a trademark of Toma Publishing Pty. Ltd. Managing Editor Mark Cushway (+61) 02 8336 8613 [email protected] | Sub Editor Yoan Massie [email protected] | Publishers Todd Tai and Mark Cushway | Senior Writer Norm Lipson | Contributors Sharon Smith, Jim Kokkinakis, Jacqui Attard, Laura Macfarlane, Glenn Marsh, Heather Machin, Greg Johnson, Geoff Squibb, Andrew McKinnon, Terri Smith, Tony Martella, Dr Gerard Sutton, Andre Karney | Design Red 5 Kathryn Gilbert, May Lam | Display Advertising (+61) 02 8336 8613 | Production Manager Leigh Cushway (+61) 02 8336 8619 [email protected] | Production Coordinator Nikki Byrne (+61) 02 8336 8616 [email protected] | Business Development Todd Tai (+61) 02 8336 8614 [email protected] | Website Development Coordinator Jannina Abshagen | Accounts/Classifieds Nikki Byrne (+61) 02 8336 8616 | Legal Advisor Leigh Cushway (+61) 02 8336 8619 [email protected] | Published by Toma Publishing Pty Ltd, 1627 Botany Road, Banksmeadow, NSW, 2019 Australia T 1300 668 201 F 02 9666 1274 | Circulation Average net distribution 7102 as at March 2009 (CAB) 45miequipment: By using equipment and consumables that are not only ecological, but economical as well, going green can represent saving money as well as the environment. Reproduction in whole or in part without written permission from Toma Publishing Pty Ltd is strictly prohibited. Opinions expressed are those of the individual contributors and not necessarily those of the Publisher. Information provided was believed correct at the time of publication. All reasonable efforts have been made to contact copyright holders. Editorial Welcome to the December issue of mivision. Hasn’t 2009 flown by? Here we are again with another Christmas upon us…a time of joy, giving and reflection. While most of us will be sharing dinner and presents with family and friends, there are many for whom Christmas is seen in an entirely different light…such as the thousands of blind and vision impaired children around Australia. Layla is one such child. This angelic fiveyear-old has a condition that has robbed her of most of her sight, but she, like all kids, is looking forward to Christmas. She is also the poster girl for Vision Australia’s Christmas Appeal aimed at raising urgently funds for its Child’s Play program to help children like Layla who are blind or have low vision reach their full potential. You will be touched by Layla’s story. In the category of the ‘shame file’, the first national survey of indigenous eye health in more than 30 years has been released by Professor Hugh Taylor who describes the results as “a national disgrace”. This survey makes some startling findings, including the fact that indigenous Australians suffer significantly higher rates of blindness and other eye related health problems than non-indigenous Australians. This is despite the fact that indigenous children begin their lives with better eyesight than their counterparts. This problem needs to be reversed. FEATU R ED CONTR IBUTORS In the world of sales, marketing and business practices there are no better coaches than John Lees, the author of 11 books on business development. In this issue, Mr. Lees lends his expertise in an article entitled “Don’t give to get – give to get better at giving”. The premise is simple, giving…“is in fact a realistic way of taking care of yourself… in business and in all other pursuits,” says Mr. Lees. This is a must read. And in another major coup, mivision was the only Australian representative invited by iconic eyewear brand Oakley to preview its latest Elite collection at its California headquarters. Read our exclusive report. This issue of mivision is jam packed with articles to read while you’re lazing around the pool on those long hot days of summer. As we head into the holiday season, we’d like to thank all our contributors, readers and advertisers for making mivision possible and for helping us continue our pursuit of excellence. mivision is the culmination of the eye care professions and associated industries contributions and is proof that the team approach to eyecare works. From the mivision team, we wish you a very merry Christmas, happy holidays and a healthy and prosperous New Year! Enjoy this issue. The mivision team. Organisation Contributors G O L D N A T I O N A L M E D I A S P O N S O R Advertising Partners AUSTRALIA 2 • mivision Dr. Joe Barr, OD, MS, FAAO is Vice President Global Clinical & Medical Affairs and Professional Services Vision Care Bausch & Lomb. Dr. Barr joined Bausch & Lomb in July 2007. Prior to this he was editor of Contact Lens Spectrum from 1987 to 2007, holding one of the longest editorial tenures in healthcare publishing. He also edited the Contact Lens Today weekly newsletter. As such Dr. Barr’s knowledge, insights, and opinions are widely known and respected worldwide in the ophthalmic industry. Jacque Katsieris is the Managing Director of ProOptics. She has worked in the optical industry for over 10 years and says she “absolutely loves her job” and that her “customers are divine.” She travelled to Paris for Silmo and reports on this stylish optical trade show for mivision. John Lees is a specialist in sales and marketing and the author of 11 books on business development. He is a professional speaker, trainer, consultant and business coach. He spoke at SRC 09 and at the Transitions ‘Live Your Vision, with Business Insights’ in May this year and writes for mivision on business and marketing. Andre Karney from Investec Experien has spent over 20 years working in banking and finance. Andre’s lengthy experience in the area of specialist lending in the healthcare sector ensures an indepth knowledge of the market and makes him well qualified to provide practice finance advice. He writes in this issue of mivision on Self-Managed Super Funds. Pr NE og W re S ss O iv LA e le ns An evolution in versatile progressive lenses. Introducing the latest generation of SOLA progressive lenses: SOLA Elan™ HDV. Building on the impressive performance and success of the award-winning SOLAOne®*, this unique lens offers wearers a new level of versatility. Your patients will appreciate the exclusive lens design that has been meticulously engineered to deliver superior performance and versatility across the widest range of visual tasks – perfect for whatever task at hand. Available with Teflon® EasyCare coating. Range availability MATERIAL COATING REfRACTIvE DIAMETER INDEX NORMAL Rx RANGE ADD CYL SOLA Elan HDv 1.67 Teflon 1.67 73mm -12.00* to +8.00 +0.75 to +3.50 Up to -4.00 SOLA Elan HDv 1.67 Transitions vI Grey Teflon 1.67 73mm -12.00* to +8.00 +0.75 to +3.50 Up to -4.00 SOLA Elan HDv 1.60 Ultra Tough 1.6 73mm -12.00* to +6.00 +0.75 to +3.50 Up to -4.00 SOLA Elan HDv 1.60 Transitions vI Grey Ultra Tough 1.6 73mm -12.00* to +6.00 +0.75 to +3.50 Up to -4.00 SOLA Elan HDv 1.60 Polarised Grey Ultra Tough 1.6 68/73mm -12.00* to +4.00 +0.75 to +3.50 Up to -4.00 SOLA Elan HDv Polylite Ultra Tough 1.59 75mm -9.00* to +6.00 +0.75 to +3.50 Up to -4.00 SOLA Elan HDv Polylite Transitions vI Grey Ultra Tough 1.59 72mm -9.00* to +6.00 +0.75 to +3.50 Up to -4.00 SOLA Elan HDv Hard Resin Ultra Tough 1.5 72mm -9.00* to +5.50 +0.75 to +3.50 Up to -4.00 SOLA Elan HDv Hard Resin Transitions vI Grey Ultra Tough 1.5 76mm -9.00* to +4.50 +0.75 to +3.50 Up to -4.00 SOLA Elan HDv Hard Resin Polarised Grey 1.5 70mm -9.00* to +4.50 +0.75 to +3.50 Up to -4.00 Ultra Tough * Maximum combined power SOLA, SOLAOne®, SOLA Elan™, Design by Prescription™, Physiologically-Mapped-Optics™ are registered trademarks of Carl Zeiss Vision. Teflon® is a registered trademark of E.I. du Pont de Nemours and Company used under licence by Carl Zeiss Vision International GmbH. Transitions® is a registered trademark of Transitions® Optical, Inc. Advanced technology that's simple to dispense... All you need to do is provide the fitting height & frame dimensions and HDV technology matches the ideal corridor length and viewing zones to these parameters. The ideal balance between reading utility and the size of the remaining zones of the design is therefore achieved for every wearer, down to a minimum fitting height of only 14mm. wdm21100 Small frame and fitting height Short corridor length, smaller zone sizes Medium frame and fitting height Medium corridor length, medium zone sizes For more information please contact Carl Zeiss Vision Customer Service or your Carl Zeiss Vision Territory Manager. Customer Service Centre Australia 1800 882 041 New Zealand 0508 765 271 Email [email protected] www.vision.zeiss.com Large frame and fitting height Long corridor length, larger zone sizes NEWS IN BRIEF Rhonda Wins Rhonda Brighton, Luxottica’s Senior Vice President of HR and Communication, Asia Pacific and Africa, has been awarded the prestigious 2009 Telstra NSW Business Woman of the Year. As Human Resources leader of the world’s largest eyewear company, Rhonda is responsible for developing the strategies which influence the working environment of 8,500 of the company’s regional employees. Ms. Holly Kramer, Group Managing Director, Telstra Product Management and Telstra Business Women’s Awards Ambassador said Rhonda demonstrated all the qualities of an astute leader. “The judges said Rhonda was incredibly personable, engaging, inspiring, and were impressed by her openness and honesty.” Rhonda will now progress to the national finals of the 2009 Telstra Business Women’s Awards. Sunglass Hut Rollout Luxottica has announced its entry into The Philippines and expansion in the Republic of South Africa, through two separate agreements that will introduce the Sunglass Hut retail concept nationally, in both markets. Specially designed Sunglass Hut store concepts will be introduced in each country. These will incorporate strong visual display, product merchandising as well as specialist staff training, managed by Luxottica’s Sunglass Hut division, out of Australia. These agreements follow the recent announcement in Australia for the rollout of 65 Sunglass Hut stores within the Myer Department store network. 4 • mivision World First: Revolutionary Treatment Could Halt AMD In a world first, researchers at the Centre for Eye Research Australia (CERA) will trial a new laser therapy aimed at stopping the progression of the sight threatening disease, age-related macular degeneration (AMD). are present in the retinal tissue of people with AMD,” she said. Head of Macular Research at CERA, Professor Robyn Guymer said the trial is particularly exciting because unlike existing AMD treatments, the laser therapy targets the disease in its early stages, before sight is lost. “If successful, the laser therapy will be a major breakthrough in AMD treatment and will potentially benefit millions of people world-wide”. “Currently, when a patient is diagnosed with early AMD, they’re told that nothing can be done until the disease reaches its late stages, by which time some patients have suffered irreversible vision loss,” Professor Guymer said. “In applying the laser therapy we hope to halt, or partially reverse, the progression of AMD before it threatens a patient’s sight”. Professor Guymer said the treatment involves a specially designed novel laser device that delivers a controlled nanosecond dose of laser energy into the eye. “Preliminary research suggests that the application of retinal regeneration laser therapy to the affected eye can eliminate the yellow deposits, known as ‘drusen,’ which “In eliminating the drusen from a patient’s retina, we hope to reverse the degenerative processes caused by the disease”. AMD is a progressive disease affecting the central area of the retina called the macula. Fifteen per cent of people over 50, or half a million Australians, live with the early stages of the disease. It is the leading cause of vision loss in Australia and is estimated to cost the community more than 2.6 billion dollars annually. The study, to be conducted at the Royal Victorian Eye and Ear Hospital, will involve 50 patients with early AMD. The trial is being conducted by CERA in partnership with Ellex Research & Development Pty Ltd. CERA incorporates the University of Melbourne’s Department of Ophthalmology. The Department of Innovation, Industry and Regional Development (DIIRD) recently awarded CERA just over half a million dollars under Victoria’s Science Agenda Investment Fund to conduct the clinical trial. Australia Leading World in MD awareness The last two years have seen a massive increase in the Australian public’s awareness of Macular Degeneration (MD), placing Australia as a world leader in the field, according to new research released by the MD Foundation (MDF). TV, radio and print campaign combined with unique projects. We were supported by outstanding partnerships and Government recognition of the importance of eye health,” Ms Heraghty explained. While only 47 per cent of people surveyed in a February 2007 National Galaxy Poll were aware of MD, this rose to 72 per cent in September 2009. The survey found that the overall population awareness figure for MD had increased by 53 per cent and that the population awareness figure for those aged over 50 had increased by 48 per cent. Although MD (sometimes known as age-related MD or AMD) is the leading cause of blindness and severe vision loss in Australia and affects 25 to 30 million people over 50 years of age in the Western world, awareness of the disease in Australia had been dangerously low. “The Foundation was alarmed at low awareness levels from polling results received in February 2007, especially considering Australia’s ageing population and the importance of early detection in saving sight,” said MDF Chief Executive Officer Julie Heraghty. “The MDF was determined to turn this around, and we embarked upon a significant Awareness that MD affects the eyes increased by 90 per cent and the number of people aged over 50 who had had their macula checked increased by 75 per cent. The research also found that more than 58 per cent of those 50 years and over have had their macula checked in the past two years, an increased of 75 per cent since February 2007. Ms. Heraghty said optometrists across Australia were reporting that the Foundation’s awareness campaign was driving those at risk of MD to not only have their eyes tested, but also to ask about their macula. Government Moves to Protect Franchisees Federal Small Business Minister Craig Emerson has upgraded protection of franchisees by toughening the Franchising Code and strengthening the “unconscionable conduct” regulations under the Trade Practices Act. But in a move that will disappoint many in the franchise sector, the Government will not introduce a ‘good faith’ provision into the Code, claiming that to do so would increase uncertainty in franchising. The reforms are designed to crackdown on perceived imbalances between franchisors and franchisees and any perceived bullying by franchisors. The Government will amend the Trade Practices Act to allow the Australian Competition and Consumer Commission (ACCC) to conduct random audits of franchisors to check for breaches of the Code and the ACCC will have the ability to publicly name and shame rouge franchisors by issuing public warnings. The Franchising Code will be changed to require franchisors to disclose to franchisees the processes that will apply in determining end-of-term arrangements, including whether or not there is some right of renewal beyond the term of the agreement. Franchisors will also be required to inform franchisees at least six months before the end of the franchise agreement of their decision either to renew or not to renew a franchise agreement and where breaches of the Code occur, the ACCC will be able to automatically apply for orders providing compensation for all franchisees, rather than the current circumstance where the ACCC needs to get every franchisee to become a party to legal action. Penalties of up to AUD$1.1 million for corporations and AUD$220,000 for individuals will apply to anyone engaging in unconscionable conduct or making false or misleading representations. However, there will not be pecuniary penalties for breaches of the Code. Mr. Emerson says in order to improve dispute resolution, the Government will amend the Franchising Code to include a list of behaviours expected under the Code that would improve the dispute resolution process, including attending and participating in meetings at reasonable times; making intentions clear at the outset of the mediation (that is, if the aim is to negotiate an exit arrangement, rather than a resolution to enable continued trading); observing confidentiality obligations; and not damaging the franchise brand during the dispute by tactics such as providing inferior goods, services and support. He says he will also establish an expert panel to examine the need to introduce further provisions into the Franchising Code to crackdown on specific behaviour that could be considered unconscionable. “We have determined from the Government’s report that they have put their faith in franchising and rejected calls for the introduction of an explicit ‘good faith negotiations’ clause in the Code,” chief executive of the Franchise Council, Steve Wright said in a statement. “This is a very good result. In my view, the overwhelming balance of the initiatives is positive. Only those attempting to sail too close to the wind need be worried.” But franchising advocate Frank Zumbo, an associate professor at the University of New South Wales, says the Government has missed a golden opportunity to completely crackdown on rogue franchisees. “The danger is that the rogues will exclude this implied duty of good faith - it should have been imbedded into the code,” Mr Zumbo says. He is also concerned about the idea that a list of specific examples of unconscionable conduct could be inserted into the Code. “The reality is that the ACCC has necessary power to investigate franchisors at the moment. What we really need is for the ACCC to use its existing powers in a better way.” According to Mark Overton, Managing Director of Ideology Consulting, who has worked with independent optometrists for more than 10 years (working as a business consultant with ProVision practices for eight years then with Eyecare Partners) he believes the changes to the Code are a “positive step” for franchisees. “Franchise decisions are complex,” he says. “There are many areas that could be developed in the Code to better protect franchisees but these changes are a positive step. Anything that adds clarity can only be of value. I would strongly advise anyone considering a franchise business opportunity that the best way to avoid risk, and cover all the issues, is to get expert legal advice from someone experienced in franchise agreements.” “The reforms are designed to crackdown on perceived imbalances between franchisors and franchisees and any perceived bullying by franchisors.” NEWS IN BRIEF Iris Recognition The eyes may be the mirror to the soul, but the iris reveals a person’s true identity – its intricate structure constitutes a powerful biometric. A new report by computer scientists at the U.S National Institute of Standards and Technology (NIST) demonstrates that iris recognition algorithms can maintain their accuracy and ability to work together with compact images, affirming their potential for largescale identity management applications such as the federal Personal Identity Verification program, cyber security and counterterrorism. After fingerprints, iris recognition has emerged in recent years as the second most widely supported biometric characteristic. This marketplace rests, in large part, on the ability of recognition algorithms to process standard images from the many cameras now available. This requires images to be captured in a standard format and prepared so that they are compact enough for a smart card and for transmission across global networks. The images also have to be identifiable by computer algorithms and interoperable with any iris-matcher product regardless of the manufacturer. The test result shows that forensic applications, where image quality is sometimes degraded, can benefit from slower but more powerful algorithms. NIST is developing Iris Exchange programmes to calibrate and evaluate the effectiveness and efficiency of iris image quality assessment algorithms. The studies will support a new international iris image quality standard by identifying specific iris image properties that are influential on recognition accuracy. mivision • 7 NEWS IN BRIEF Facebook Eyes Speak Ciba Vision has launched a new application on Facebook, the most widely used internet social network in the world. The application is called ‘say it with your eyes’ and Ciba Vision says Facebook members have been “enriched by this entertaining and original new tool that communicates your mood to friends in real time.” A spokesman for the company said: “The new application is based on the widespread use of Facebook for communicating your current mood and commenting on friends’ notes about it. “The ‘say it with your eyes’ application uses ‘pupils’: the eyes wearing its contact lenses express a wide variety of emotions. By using these cute eyes you can select one of the many expressions, match it with a comment and publish your mood in a personal profile. This application “expresses the importance of communicating with the eyes”. The ‘Say it with your eyes’ application on Facebook is part of Ciba Vision’s wider communication campaign to young people to convey how important eyes are in daily life. “Eyes speak and can communicate much more than words alone. The eyes can express complicity, friendship, seduction and contact lenses make them freer to communicate, even on Facebook!” By next year it is predicted that 96 per cent of Generation Y would have joined a social network site such as Facebook. The Battle to Restore the Cataract Surgery Rebate At the time of publishing this edition of mivision, the battle to restore the Medicare rebate for cataract surgery was still raging. The rebate had been cut by 45 per cent despite threats from Coalition and cross bench senators that they would block it in the Upper House. To that extent, the Senate will vote on, and more than likely block the plan to reduce the cataract rebate when it sits again. What happens from that point is still unknown at the time of publication, but there have been further developments in the rebate war. HCF Covers Members for Cataract Shortfall Australia’s largest not-for-profit health insurer has shamed the Federal Government by increasing benefits for cataract surgery. This follows the Rudd Government’s decision to slash the Medicare rebate originally by 50 per cent, but then by 45 per cent when the legislation hit a hurdle in the Senate. The fight to reinstate the full Medicare benefit is far from over with federal coalition teaming up with independent senators to disallow the lower rebate. This positive news follows an announcement by Australia’s largest health fund Medibank Private, which said it will no longer be able to provide any rebates to its members who have cataract surgery. Doctors have already warned that they will have to cancel operations because patients will not be able to afford the bill. “It’s not just the doctor’s fee. Health funds won’t be able to provide a refund for the implants, the theatre fees, the hospital bed fee and the anaesthetist,” ophthalmologist Dr. Russell Bach has told the media. HCF says its move means members won’t face any additional expenses following Labor’s decision to cut the standard government rebate from AUD$624 to AUD$340. The Opposition and all the minor parties in the Senate have moved to axe the rebate as part of a fight with the Rudd Government when Health Minister Nicola Roxon tried to circum vent their efforts by raising the rebate by a paltry AUD$28. “Without passing judgment on the government’s decision, HCF intends to cover, for a period of up to six months, any increase in out-of-pocket expense for our members caused by the Medicare decision, so that they are no worse off financially,” HCF chief medical officer Andrew Cottrill said in a statement. In the May Budget, Health Minister Nicola Roxon announced plans to slash the Medicare rebate for cataract surgery in half from AUD$623 to AUD$312, wrongly claiming that technological advances meant the surgery now took just 15 minutes to perform. The health fund will also increase benefits for angiograms. The Medicare rebate for those procedures has been cut by 18 per cent. HCF says boosting the two benefits will cost AUD$1.7 million a year. But it’s only promised to cover any shortfall until next April, when a new benefits schedule will kick in. “We will work constructively and in collaboration with relevant medical organisations to agree on a fair cost of providing cataract surgery and angiography, to be covered in our new medical benefit schedules,” Dr. Cottrill said. Health Minister Nicola Roxon claimed patients wouldn’t be left in the lurch with the new AUD$340 rebate if eye doctors simply lowered their fees. She argued that advances in technology means standard cataract surgery takes just 20 minutes, and doctors are raking in millions as a result of the excessively high Medicare payments. This has been denounced by ophthalmologists who say the surgery takes longer than the time 8 • mivision stated by the Minister. Doctors argue the move will hurt elderly patients and the indigenous community in particular. The Opposition and minor parties demanded the Government pass new legislation they have introduced to restore the rebate to AUD$623. The announcement came after two days of parliamentary manoeuvring, with Ms Roxon dismissing as “unconstitutional’” a move by the Liberals to reinstate the existing rebate with a private member’s bill. Continued on page 10... “The fight to reinstate the full Medicare benefit is far from over with federal coalition teaming up with independent senators to disallow the lower rebate.” 20 NO 9 S W TO OP RE EN S ! OPTOMETRISTS, DISPENSERS, RETAILERS… YOUR COMMUNITY NEEDS YOU! …TO BE A SPECSAVERS PARTNER . Lillian Wong, Dispensing Partner and co-owner, Chadstone Shopping Centre, VIC. • Customer demand for Specsavers high quality products and services is growing at an exponential rate in all parts of Australia • So we are opening more stores every week in communities all over the country • …and we need people just like you to co-own these stores HOW IT WORKS • In each store we take on two ‘partners’ who share in ownership of the store – an Optom partner and a Retail/Dispensing partner • Each of you receives a guaranteed salary, probably more than you are currently earning • On top of that you’ll share in the profits from your store - finally you get the rewards of your own hard work! • Specsavers supports you with everything from Marketing, Training, Product and Recruitment to Accounts, Tax and Payroll – in fact all the business admin and just about everything else besides… • Leaving you to focus on what you do best - providing the ultimate patient and customer-service experience ST OWN ORE OPPO ERSHIP RT AVAI UNITIES RIGH LABLE T NO W! DO WE REALLY MEAN YOU? ought of yourself as an • Yes we do! You may not have thought entrepreneur or business hotshot – but with a Specsavers partner store you don’t need to be! Because Specsavers back-up and support services coupled with your patient and customer service skills is an unbeatable combination. • Yes we do! Our whole business model is based around you and your fellow partner sharing in the profits of your own practice as well as your salary. HOW CAN I GET THINGS STARTED? • Confidentiality Assured! We treat all enquiries with absolute discretion. If you would like a no obligation chat to see if Specsavers could be right for you then call now. • You can contact us on our Partnership Hotline on 1300 773 272 to see why we really do believe you are ready for a stake in a Specsavers store – alternatively, you can register your interest on our website at www.specsavers.com.au/opportunities Brand new stores are opening every week - so you could be a co-owner of your own store within months. State Development Directors NSW/ACT: Russell Johnston – 0420 984 919 Charles Nightingale – 0424 509 531 QLD/NT: Mike Protopsaltis – 0416 923 297 WA: Paul Hobson – 0420 984 915 SA: Michael Gleeson – 0404 886 293 VIC/TAS: Jeff Antcliff – 0450 902 739 Partner Recruitment Manager National: Raj Sundarjee – 0424 135 485 Professional Services Director National: Dr Harrison Weisinger – 0418 244 277 For employment opportunities call Specsavers Recruitment Services on 1300 889 350. Alternatively, call us on our Partnership Enquiries Hotline 1300 773 272 or email your interest to [email protected] www.specsavers.com.au/opportunities NEWS Melbourne Meeting a Huge Success IN BRIEF More than 70 international delegates recently attended the International Agency for the Prevention of Blindness (IAPB) Council of Members and Board of Trustee meetings in Melbourne, hosted by Vision 2020 Australia. A Day at the Circus A group of blind and vision impaired children have joined the circus… thanks to Guide Dogs NSW/ACT. The organisation has held its first circus-skills workshop in Homebush for children aged between six and 11, giving them the thrill of attempting activities such as swinging on a flying trapeze, tightrope walking and hula hooping. The meeting was held from 28 September to 2 October at the InterContinental Rialto Towers with attendees coming from the U.S., Europe, Asia, the Middle East and South America. Organisations included CBM International, Helen Keller International, the International Centre for Eyecare Education, International Council of Ophthalmology, Orbis International, Sightsavers International, The Fred Hollows Foundation, World Blind Union, World Council of Optometry and World Health Organisation. Guide Dogs Orientation and Mobility Instructor Anne Keep organised the free workshop with Circus Arts Sydney. The event provided an opportunity for the IAPB to convene committees including the Annual General Meeting, Board of Trustees and Council of Members. “While the workshop offered plenty of fun, it was also designed to expose kids with impaired vision to adventurous, new activities that boost their confidence and body awareness,” said Ms Keep. The Hon Bob McMullan, Parliamentary Secretary for International Development Assistance, addressed the Council of Members “The train trip to and from Homebush also helped to improve their travel skills because we always encourage them to learn to navigate public transport while providing guidance,” she added. Guide Dogs NSW/ACT provides free services to more than 600 children and youth in NSW and the ACT each year. Ms. Keep said: “Children with impaired vision often have posture and balance issues. This can be because they either don’t have the opportunity to observe other people, or they don’t develop the necessary gross motor skills. “In addition to this, children with impaired vision can sometimes lack the confidence to explore their surroundings, so they need a lot of positive encouragement to conquer their fears so they can continue to develop and undertake new physical activities”. 10 • mivision and reaffirmed his personal commitment to placing blindness prevention and the rights of people with disabilities at the centre of Australia’s aid program. As a demonstration of this commitment, Mr. McMullan went on to announce that the Australian Government will fund a Manila-based WHO Regional Blindness Prevention Coordinator position for the next two years. Hon Dr Barry Jones AO, Chair of Vision 2020 Australia, hosted a dinner at the Melbourne Museum on 30 September. On arrival guests were treated to a traditional indigenous performance by Descendance Aboriginal and Torres Strait Islander Dance Theatre Company. The dinner celebrated the coming together of Australian and internationally esteemed professionals from the eye health and vision care sector. The Hon Daniel Andrews MP, Victorian Minister for Health delivered the keynote address. Guests also heard from Professor Hugh Taylor, Vice-President of the IAPB and Co-Deputy Chair of Vision 2020 Australia and Mr. Christian Garms, President of IAPB. The Battle to Restore the Cataract Surgery Rebate Continued from page 8... The Clerk of the Senate, Harry Evans, rejected Ms Roxon’s claim. “I cannot imagine what the basis of it is,” he said in an opinion for the Opposition. But Ms Roxon said there had been a longstanding conflict between Mr. Evans and Federal Government lawyers on the issue. Veterans Affected An experienced Sydney ophthalmologist and former President of the Royal Australian and New Zealand College of Ophthalmologists (RANZCO), Dr. John Milverton, is another person who has concerns regarding the actions of the Health Minister in halving the rebate. He is concerned about the fate of Australia’s war veterans, particularly after perusing the website of the Department of Veterans’ Affairs. “What appeared about a week ago (early November) when we looked up the website for Department of Veterans’ Affairs in the new schedule, they had halved the fees for cataract surgery (item 42702) for out-of-hospital surgery. That means day surgery where most cataract operations are done,” said Dr. Milverton. “It means that veterans would have to go into the public system or into a private hospital. Why would the government do that for such a small number of people in Australia – it doesn’t make any sense to me? It also upset me because the Minister had told RANZCO that there wouldn’t be any tampering with the veterans.” Dr. Milverton said he was so concerned for the veterans that he called the Returned Services League to let them know. “What’s happened since I did that is that they (Veterans’ Affairs) have put up another statement on their website saying that the fee schedules are no longer available. They’ve taken it off. There is now no scheduled fee displayed. “We don’t know what’s happening with veterans. What they’re saying is that if a doctor submits a form to Veterans’ Affairs to get paid, this wonderful statement says “you will be paid the correct amount”. What the correct amount is, no one knows”. Dr. Milverton added that Minister Roxon was wrong when she described ophthalmologists as greedy and that cataract surgery now only takes 15 minutes due to technology. He pointed out that the overheads for ophthalmologists in private practice, with equipment, staff and rental of premises is anywhere from 50 to 75 per cent of the fee and that the average cataract operation takes about 30 minutes with some taking up to an hour. Gear up, tax down Experien Take advantage of the 50% Investment Allowance with up to 100% equipment and vehicle finance. Take a tax break. You could be eligible for the 50% tax break offered by the Government. You’ll have to move fast though as the offer closes on the 31st of December 2009. At Investec Experien, we understand your financial needs and those of your practice. We specialise in financing practice assets - such as equipment and vehicles - for healthcare professionals. With the Government’s support, there has never been a better time to make an asset purchase. It won’t last forever so for more information contact us on 1300 131 141 Australia wide or visit www.investec.com.au/professionalfinance Experien is a subsidiary of Investec Bank Asset Finance • Commercial Property Finance • Deposit Facilities • Goodwill & Practice Purchase Loans • Home Loans • Income Protection & Life Insurance • Professional Overdraft Investec Experien Pty Limited ABN 94 110 704 464 (Experien). Investec Bank (Australia) Limited ABN 55 071 292 594 (Investec Bank). The material contained here is general commentary only and is based on information that we believe to be reliable. None of the material is, or should be, regarded as advice. Accordingly, no person should rely on the contents without first obtaining specific advice from their own accounting or tax adviser. All finance is subject to our credit assessment criteria. Terms and conditions, fees and charges apply. A CAREER WITH SPECSAVERS... WHY WOULDN’T YOU? At Specsavers, we believe that the highest standard of patient care is a fundamental right, so we have built a store team environment that supports you in delivering just that! In return, we offer: • Excellent salaries / daily rates • State of the art equipment • Career development and flexibility • Positions available now – Australia wide To find out why so many people are joining the Specsavers optical revolution, contact Specsavers Recruitment Services now - and see how you can take your career forward. Simply call 1300 889 350 or email us on [email protected] to get the conversation started! NEWS Safilo Recapitalisation On and Then Off IN BRIEF Despite an earlier announcement that a plan to recapitalise Safilo, it now seems the announcement may have been premature. Drug Giant Gets Bigger In October, the Italian Stock Exchange said it had approved a recapitalisation plan for the Safilo Group to be executed in connection with a binding investment agreement underwritten by HAL Holding N.V (HAL). As a result, Safilo’s CEO Roberto Vedovotto, in comments to the financial markets, said: “The chance that the tender will not be successful cannot be neglected. In such event, the overall recapitalisation plan might not take place and the company would again be in a highly leveraged situation and will, in all likelihood, default under its banking facilities by year-end.” But just a few weeks later, the Safilo Group said it has been informed by HAL Holding N.V. that only 1.03 percent of the senior notes due 2013 have been tendered at the early bird date in addition to the 38.76 percent already committed by existing note-holders upon the tender offer and recapitalisation plan announced on 19 October between the two companies. A statement also issued by HAL reiterates that if the minimum of 60 percent of the notes is not reached by the 18 November deadline, the deal will not happen. “Would the tender offer not be successful, the anticipated transaction consisting of a capital increase of Safilo and the sale of the non-USA retail chains to HAL which, in total, will provide Safilo with 283 million euros cash, will not materialise.” U.S drug giant Pfizer Inc has announced that it has combined operations with Wyeth following the closing of the acquisition recently. In a statement, the company said: “Pfizer is now a more diversified health care company, with product offerings in human, animal, and consumer health, including vaccines, biologics, small molecules and nutrition across the developed and emerging markets. It has medicines in numerous growing therapeutic areas, a robust pipeline, premier scientific and manufacturing capabilities and a leading global presence”. The company said as a result of the acquisition, it now has a broad and diversified global product portfolio, with leadership in virtually all key high-growth therapeutic areas. In its statement, the company went on to say: “The combined company has a robust and growing pipeline of biopharmaceutical development projects to help patients in critical areas, including Alzheimer’s disease, oncology, pain, neuroscience, diabetes and inflammation. The combination of top scientists from both companies, as well as leading scientific and manufacturing capabilities, and a global network of proof-of-concept clinical development centres, has greatly enhanced the company’s ability to innovate. “Pfizer will now operate through its patient-centric business units in human health as well as through its animal health, consumer and nutrition businesses that match the speed and agility of small, focused enterprises with the benefits of a global organisation’s scale and resources”. 12 • mivision How Humans See in Bright or Low Light Vision scientists at Washington University School of Medicine in St. Louis, U.S.A, have identified an intricate process that allows the human eye to adapt to darkness very quickly.The discovery could contribute to better understanding of human diseases that affect the retina, including age-related macular degeneration (AMD) as the disease and the pathway the researchers have identified both involve cone cells. “AMD may be modulated, perhaps, through this pathway we’ve identified in the retina. Deficiencies in this pathway affect cone cells, and so does AMD, so it’s possible that if we could enhance activity in this pathway, we could prevent or reverse some of that damage to cone cells,” says principal investigator Dr Vladimir J. Kefalov. The retina’s main light-sensing cells, rods and cones, both use similar mechanisms to convert light into vision, but they function differently. Rods are highly sensitive and work well in dim light, but they can quickly become saturated with light and stop responding. They don’t sense colour either, which is why we rarely see colours in dim light. Cones, on the other hand, allow us to see colours and can adapt quickly to stark changes in light intensity. The researchers discovered that cone cells rely on light-sensing molecules that bind together to make up visual pigments. The pigments get destroyed when they absorb light and must be rebuilt, or recycled, for the cone cells to continue sensing light. After exposure to light, key components of pigments called chromophores can leave the cells and travel to the nearby pigment epithelium near the retina. There the chromophore is restored and returned to the photoreceptor cells. Dr. Kefalov says exposure to bright light destroyed visual pigments in rods, and those cells could not recycle chromophores. Pigments in cones, by contrast, quickly regenerated and continued to detect light even without the pigment epithelium, so it was clear a second pathway was involved. In the new study, Dr. Kefalov did the same experiments in cells from mice, primates and humans with the same result. To learn how cones were able to recycle pigments without pigment epithelium, Kefalov’s team has focused on the Müller cells in the retina which support and interact with rods and cones. The researchers “blocked the function of Müller cells (in mice)” and discovered “the retinal visual pathway could not function because cones ran out of photopigment and could not adapt to dark,” Kefalov says. The new paper, published in the journal Current Biology, suggests Müller cells are key to this pathway in mammals, including humans. “The discovery could contribute to better understanding of human diseases that affect the retina...” New Technology for Eye Cancer Detection NEWS Doctors currently rely on biopsy analysis to determine the progression of eye cancer, but that is likely to change soon. IN BRIEF Researchers in China now believe that a new technology, bioluminescence imaging (BLI), will allow doctors to detect tumours earlier and quickly choose a method of treatment that doesn’t necessarily involve eye surgery. researchers, led by Dr Qian Huang, of the First People’s Hospital in Shanghai, China, were able to effectively create human eye tumours in mice using particular genes to label eye cancer. BLI was then performed on the mice using the NightOwl LB 981 Molecular Imaging System to monitor the growth and succession of these created tumours. BLI is a new technology that uses the making and giving off of light by an organism to map diseases in a non-invasive way. Scientists have harnessed this technology to delicately detect and monitor various diseases, including eye cancer. “BLI allowed sensitive and quantitative localisation and monitoring of intraocular and metastatic tumour growth in vivo and thus might be a useful tool to study cancer biology as well as anti-cancer therapies,” said Dr Huang. Researchers say BLI has several advantages over biopsy analysis, including in vivo monitoring, higher sensitivity, easier use and an overall more accurate correlation between cell numbers detected and tumour growth. Eye cancer is the most common and aggressive form of cancer found in children under the age of five. As with most cancers, locating the tumors during the early stages of the disease is key. “Eye removal is usually performed for larger tumours. Small tumours are treated using therapeutic approaches such as chemotherapy. Because of the fast progression, early detection is important for preservation of vision, eye retention and even survival,” said Huang. A study detailed in the Association for Research in Vision and Ophthalmology’s peer-reviewed Investigative Ophthalmology & Visual Science (“Non-invasive visualization of retinoblastoma growth and metastasis via bioluminescence imaging”) shows how the Alcon Winners Alcon would like to congratulate the winners of the OPTI-FREE RepleniSH MPDS ‘Improved Wettability, Show us what it means to you!’ competition: Stephen McCowage (Colin and Margaret Silk, Mt Druitt), Ms Christine Hiew (Dr Yen Lee Yap Optom., Glen Waverly), Lauren Neilsen (Kent Neilson Optical, Toowoomba) Lorraine Ng (iContact, Box Hill), Maggie To (Eyeopener Optometrists, Sydney) Robyn Main (Booragoon), Ian Williams (Dandenong), Melissa Moore (Innisfail), Eyecareplus Toowoomba, Krystle Biffin (Leeming), Edmund Mann (Landsdale) and Ang (Mudgeeraba). Each winner with an Apple iPod loaded with educational material. INDEPENDENT PRACTITIONERS – TIME TO THINK AGAIN? 2 NO09 S W TO OP R ENES ! LIMITED OPPORTUNITIES STILL EXIST TO CONVERT TO SPECSAVERS... Since February 2008, more than 190 Specsavers stores have opened their doors for business right across Australia. And until they made the switch, more than 70 of those were operating as independent practices. Here’s how one, optometrist Brendan Myers from Sunbury Vic has fared. Brendan’s Sunbury practice had been successful for 10 years before he converted to Specsavers in March 2008 – and then his business exploded. ‘…average weekly sales are up from $6,700 to $30,575.’ Brendan Myers, Sunbury, VIC. L CAL US ! NOW “We already had an outstanding reputation for professional, clinical eye care and our patients trusted us - but we knew our retail offer could To have a frank discussion about converting your practice over to Specsavers call our practice conversion specialist - John Scott on 0414 874 210, visit www.specsavers.com.au/opportunities co or email your interest to [email protected] o have been better. But since I changed to Specsavers, the practice has flourished with an increase of 150% in customer foot traffic. “We’ve also seen an incredible 206% increase in revenue in the last twelve months and since day one in March 2008, average weekly sales are up from $6,700 to $30,575, close to five times higher than before the conversion to Specsavers. “And there is no doubt we’ve been able to offer our customers better value since we joined Specsavers and feedback on our new offer and look has been excellent. People have said that they have been crying out for something like this in Sunbury.” “It has been a great journey for us so far. We are seeing more people, with a quality offering, better equipment and an unbeatable range. I believe we are doing an even better job of looking after the people of Sunbury’s eyes.” NEWS Mission Accomplished for Varilux Progressives IN BRIEF Essilor says “mission accomplished” in its quest earlier this year to have a Varilux Progressive Lens for everyone: For every patient and every practice, no matter what the prescription, budget or frame choice of the individual. J&J Appoint Luke Cahill Johnson & Johnson Vision Care has announced the appointment of Luke Cahill as Professional & Regulatory Affairs Manager-Australia & New Zealand. Luke was previously employed as National Professional Services Manager with Luxottica. Luke is an optometrist with over 25 years experience in various practices across Australia. In addition, he has served on the OAA WA council & the Optometrists Registration Board in WA for over 10 years. Luke says he is “a strong believer in contact lenses as a key driver of building patient loyalty in optometric practices” and he is keen to share his experience with optometrists to grow their contact lens expertise & businesses. “In my previous national role I developed strong working relationships with the OAA, NZAO & the four schools of optometry in Australia and New Zealand. I am looking forward to strengthening these relationships and being the voice of the profession at Johnson & Johnson Vision Care,” he said. Correction In mivision Nov 09 Issue 41, we published an article entitled “Prevention, Early Detection and Treatment Message Needed”. The article describes recent findings from a study into eye health services in Brisbane completed by the Queensland Vision Initiative Inc (QVI). The statistics quoted on the incidence of eye health in Australia are not part of this study, but come from the CERA/Access Economics report Clear Insight – The Economic Impact and Cost of Vision Loss in Australia, 2004. 14 • mivision In February, the Varilux 360º Series was launched, offering a clear portfolio of digitally surfaced progressive lenses. Essilor says a Varilux lens earns the name 360° by using two separate areas of Essilor Technology: proven progressive designs and Essilor’s Advanced Digital Surfacing Technology, incorporating unique optical calculation algorithms, software and specific manufacturing tools and processes. “The progressive design is critical regardless of how the lens is surfaced,” says Tim Thurn, Director of Professional Services at Essilor Australia. On this basis, the Varilux Comfort and Varilux Ellipse were enhanced with Essilor’s Advanced Digital Surfacing Technology, to create Varilux Comfort 360°, Varilux Ellipse 360° and Varilux Physio Short 360°, introduced in February. According to Anne Guethoff, Marketing Manager at Essilor Australia: “Combining the benefits of a trusted design with the latest in digital surfacing, has proven to be very popular with practices that were looking for a digitally surfaced progressive lens offer in the medium price segment.” The Varilux 360º Series was extended again in July this year, with the launch of Varilux Physio f-360°, a customised elite design that takes into account individual wearing parameters; and Varilux Physio Azio 360°, a progressive lens customised to the Asian ergonomics, facial and eye anatomy. “Now, there is a Varilux 360º design for everyone, no matter what the need or expectation of the practitioner and patient is!” says Ms Guethoff. Varilux is the best selling progressive lens in the world and in fact, there is a new Varilux wearer every four seconds. Study Highlights Lazy Eye Impact Wearing a patch to treat a lazy eye significantly lowers children’s fine motor skills and their perception of how well they are accepted by their peers, a new study by Queensland University of Technology has found. be victims of physical or verbal bullying. Our study indicates that, while wearing glasses does not contribute to reduced social acceptance in amblyopic children, treatment with an eye patch may,” she said. Dr. Ann Webber, from Queensland University of Technology’s School of Optometry and the Institute of Health and Biomedical Innovation, recently completed her PhD study looking at how amblyopia (more commonly known as a lazy eye) affects a child’s fine motor skills and self-esteem. “This emphasises the importance of exploring alternative treatments with the hope that patching – with its potential negative psychosocial effects – may be minimised or avoided altogether.” “Many children with amblyopia have poor depth perception in addition to poor vision in one eye,” Dr. Webber said. Dr. Webber found that “children with amblyopia have poorer fine motor skills and lower perception of social acceptance … in addition to treating a child’s eye condition, eye care practitioners may be able to advise parents of potential functional consequences. “The study showed a lower social acceptance score in amblyopic children particularly in those children who had strabismus (eye-turn) and that a child’s sense of acceptance by their peers may be negatively influenced by treatment that includes eye patching.” Dr. Webber said about three in every 100 children were affected by a lazy eye, and, of those, about 35 per cent were likely to Dr. Webber said the study also showed that “the deficits in motor performance were greatest on manual dexterity tasks requiring speed and accuracy. Awareness of the potential for reduced fine motor skills in children with strabismic amblyopia is important, so that clinicians can refer early for evaluation of these skills and early remediation if appropriate.” Dr. Webber, who is also a practising optometrist, said clinicians were faced with the challenge of designing treatment regimens that were effective in restoring vision but with minimal psychosocial side-effects. She said if children could be detected and treated by patching before they entered school they may be less likely to feel self-conscious or ashamed about their patching. She said eye tests for amblyopia could be carried out on children before they start pre-school. mistor y Tracking Indigenous Eye Health The National Indigenous Eye Health Survey – the first national survey of indigenous eye health in over 30 years – prompted the release of a national report on indigenous eye health. This report had some startling findings, one of which that adult indigenous Australians suffer significantly higher rates of blindness and other eye related health problems than non-indigenous Australians. Norm Lipson 16 • mivision Aboriginal children begin life with better eyesight than other Australians, however by the time they reach adulthood, they are six times more likely to be blind. This distressing information came from the first comprehensive survey of indigenous eye health in three decades. The survey was conducted by a team from Melbourne University and headed up by Professor Hugh Taylor who leads the Indigenous Eye Health Unit. It was developed through data collected from across the country – from Tasmania and the Tiwi Islands, to the Gold Coast and the Pilbara – giving an accurate picture of the extent and causes of vision loss amongst Aboriginal and Torres Strait Islander people. “I think it is scandalous that in 2009, in a rich, developed country now in the G-20, that we have third world conditions that many of our Australian people live in,” Professor Taylor said. The data provided an evidence base to develop new Government policies to finally deliver sustainable eye care services to indigenous communities. Survey Results The recently published report came from a comprehensive assessment of more than 2,800 Aborigines and Torres Strait Islanders from 30 communities last year and found that 1.9 per cent of the adult population was blind – six times the rate among non-indigenous Australians. In launching the survey, GovernorGeneral Quentin Bryce hailed it as a “milestone in indigenous health which highlights the severity and prevalence of ocular conditions”. The leading causes of the vision loss in indigenous people were cataracts, optic atrophy, refractive error, diabetic eye disease and trachoma – a painful infectious disease that was eliminated from mainstream Australia 100 years ago, but still exists in remote indigenous communities. Professor Hugh Taylor said the fact that those indigenous children were born with better eyesight than their non-indigenous peers but ended up worse off during their adult years was unacceptable. “It is a national disgrace that more than 94 per cent of the vision loss associated with these eye diseases is preventable and treatable…” “It is a national disgrace that more than 94 per cent of the vision loss associated with these eye diseases is preventable and treatable,” he said. Professor Taylor said that a lack of early intervention and treatment was often causing deterioration. He added that eye care services were urgently required, along with facilities to provide reading and distance glasses. ‘’This survey represents the first step in ‘Closing the Gap’ in vision. The next step will be to review the availability and effectiveness of the current eye health services, to deliver a report within the next six months. “We will then make recommendations to Government on the best way to develop adequate eye care services for Aboriginal and Torres Strait Islander people,” he said. The fact is that indigenous children are born with better eyesight than other Australians. This, Professor Taylor said, is largely due to the fact that the gene responsible for myopia, or shortsightedness, is far less frequently found in the indigenous population. Indigenous Health: the Facts The survey also showed that blindness from cataracts was 12 times more common among indigenous adults and only 65 per cent of those needing surgery for a cataract had been operated on. The results indicated that while the situation had improved in some respects over the past 30 years, the levels of blindness from diabetes had increased substantially. “The survey puts into sharp focus the frighteningly high level of avoidable vision loss and the unacceptable deficiencies in indigenous eye health.” “We knew there was a problem but the extent of it, and the sad fact that much of it could have been prevented, has shocked us.” “There is still a large gap between what should be and what the situation is; what is different now is that almost all the blindness is preventable or treatable,” he said. Professor Taylor lauded the Rudd Government for having committed AUD$58.3 million over three years to tackle chronic eye and ear diseases affecting indigenous communities, including AUD$16m targeted at eliminating trachoma in the indigenous population. In a media release headed ‘Looking Into Indigenous Eye Health’, the Minister for Problems with Vision •3 5% of adults have never had an eye exam •1 9% of children reported having had a problem with their vision •5 8% of these children had seen someone about this ...but 40% were still not satisfied with their vision. •7 9% of adults reported a problem with their vision •1 7% of adults who had an eye problem had never had an eye exam • Most adults (83%) had sought care ...but still two thirds (64%) were not satisfied with their vision. mivision • 17 Causes of Vision Impairment Overall, 94% of vision loss in Indigenous Australians is preventable or treatable. •O ne child was blind from refractive error and two from unknown causes Blindness from trachoma is not seen in other Australians For Indigenous adults: For Indigenous children: •5 6% of low vision is due to refractive error Overall rates of blindness in Indigenous adults are: • 12 times higher from cataract • 14 times higher from diabetes • 40% unknown causes • 5 times higher from refractive error • 4% congenital Nystagmus …than in other Australians Vision Impairment in Indigenous Adults AMD 2% Glaucoma 1% Cataract 27% Indigenous Health, Rural and Regional Health and Regional Services Delivery, Warren Snowdon, welcomed the report. What the Minister found particularly disturbing was: “The survey found that 94 per cent of vision loss is preventable or treatable, but 35 per cent of indigenous adults have never had an eye examination. “The report however also made positive findings for indigenous children, as vision loss in indigenous children was found to be five times less common than nonindigenous children.” Finding Solutions Earlier this year the Federal Government pledged almost AUD$60 million in an effort to address indigenous health issues. Diabetic Retinopathy 12% Refractive Error 54% Trachoma 2% Optic Atrophy 1% Unknown 1% Corneal scarring 1% Retinitis Pigmentosa 1% Vision Impairment in Non-Indigenous Adults Refractive Error 62% AMD 10% Glaucoma 3% Cataract 14% Diabetic Retinopathy 2% Other Retinal 3% Neuro-ophthalmic 2% Other 4% Blindness in Indigenous Adults Refractive Error 14% Cataract 32% Unknown 13% Optic Atrophy 14% Diabetic Retinopathy 9% Trauma 4% Trachoma 9% Retinal detachment 4% Blindness in Non-Indigenous Adults Refractive Error 4% Others 8% Neuro-ophthalmic 3% Retinitis Pigmentosa 1.5% Diabetes and other Retinal 10% AMD 48% In 2009 to 2010, the Department will work with experts in the fields of eye and hearing health, and other key stakeholders to develop and implement strategies to ensure eye and ear health problems are effectively treated. This will include a major increase in services to address trachoma, an expansion of the Visiting Optometrist Scheme, increased training of health workers in hearing health, investments in medical equipment for hearing screening, improved access to eye and ear surgery, and activities to increase awareness of ear disease and treatment. “It is unacceptable that indigenous people continue to suffer treatable vision loss at such rates. As we work with indigenous Australians to close the gap in education and employment, we must also address this terrible and preventable health burden,” Mr. Snowdon added. The new measure includes: Cataract 12% Glaucoma 14% 18 • mivision The ‘Improving Eye and Ear Health Services for Indigenous Australians for Better Education and Employment Outcomes’ initiative will expand eye and hearing health services for Indigenous Australians. Reducing preventable vision and hearing loss will assist to improve education and employment outcome for Aboriginal and Torres Strait Islander people. •M ore than AUD$16 million for a major increase in services to address trachoma Key Findings Adults “In 2009 to 2010, • Blindness rates in Indigenous adults (1.9%) are 6.2 times the rate in mainstream the Department will • Low vision rates in Indigenous adults (9.4%) are 2.8 times the rate of mainstream work with experts in the fields of eye and hearing health, and other key stakeholders to develop and implement strategies to ensure eye and ear health problems are effectively treated.” •M ajor causes of blindness in Indigenous adults are cataract (32%), optic atrophy (14%), refractive error (14%), diabetic eye disease (9%) and trachoma (9%) • T here are about 15,015 Indigenous people with low vision and 3,300 who are blind Children • Indigenous children especially in remote areas have better vision than their mainstream peers • Overall, low vision occurs in 1.4% of Indigenous children (age standardised) •V ision loss in Indigenous children is 5 times less common than in mainstream children Cataract • Overall, 3.1% of Indigenous adults suffer vision loss from cataract • Blinding cataract is 12 times more common in Indigenous adults • Only 65% of those needing cataract surgery have been operated on • Regular cataract surgery services with adequate capacity are required Diabetes in indigenous communities in the Northern Territory, Western Australia, South Australia and other states if trachoma is identified. • Additional funding of nearly AUD$6.5 million to expand the Visiting Optometrist Scheme to better target primary eye care for indigenous Australians in remote and very remote communities. • Additional eye surgery where there is a high need for these services, particularly in Central Australia. Following the launch of the survey, Governor-General Quentin Bryce said she hoped it would send a strong message to our health leaders. • Diabetic eye disease is the equal third cause of blindness • Of Indigenous people with diabetes: • 36% have diabetic eye disease • Only 20% have had a recent eye examination • Only 37% have received the laser surgery they need • Regular screening and accessible laser facilities are required Refractive Error • Half of vision loss in both adults and children is due to Refractive Error • 39% of adults cannot see normal print •S ervices to provide distance and reading glasses are needed in every Indigenous community Trachoma • Trachoma still occurs in Indigenous people across Australia and still causes blindness “I look forward to seeing what will unfold in its wake,” she said. • 60% of very remote communities have endemic trachoma (defined as a prevalence of active trachoma in 5 – 9 year olds greater than 5%, the highest prevalence was 28%) The National Indigenous Eye Health Survey Minum Barreng (Tracking Eyes) Full Report (12 October 2009) was undertaken by the Population Health Unit at the Centre for Eye Research Australia (CERA) and produced by the University of Melbourne’s Centre for Eye Research and supported by the Vision CRC, Centre for Eye Research Australia, International Centre for Eyecare Education (ICEE), RANZCO Eye Foundation and the Department of Health and Ageing. • Adults with scarring and in-turned eyelashes from trachoma were found across Australia • Overall trachoma affects 7% of children (5 – 15 years) in very remote regions • T he Australian Government has in 2009 committed to use the SAFE strategy to eliminate trachoma Overall, 94% of vision loss is preventable or treatable, but 35% of adults have never had an eye exam. mivision • 19 mifeature Harmony The Beautiful of Songwriting & Eye care Sophie Koh is a contradiction. Not only is she a qualified and dedicated optometrist who has worked with remote communities but she’s a rising recording star. She has won a clutch of music awards, but she remains passionate about the profession and now intends helping those needing the gift of sight by using her talent and celebrity to highlight the cause. Here, mivision speaks to Sophie and gets a glimpse into the life of the singing optometrist! Yoan Massie She was born in New Zealand of Malaysian parents, spent her early life in Singapore before moving to Australia where she lives in Melbourne. Her name is Sophie Koh and she is “the next big thing” on the Australian music scene. She is also a qualified optometrist who, although a full time muso, still has a passion for eye care and those who need it. Explaining how she got into the optometric profession Sophie says: “I wanted to do optometry since I was about 15, and I wanted to work in Third World, underprivileged environments. I got into the course and my first job out of Uni was going up to Darwin and actually working with indigenous communities. For Sophie, song writing and optometry share an unlikely symmetry. “I worked in a practice in the metropolitan area as well, but every six weeks or so I would fly in a small plane or drive in a fourwheel drive with the local eye specialists and actually get out to the communities. “I was always very scientifically minded and maths-minded, and that’s probably why I like music as well as optometry, because I think it’s quite mathematical,” she says. “It’s really quite interesting because I never really thought I would end up doing that work... it was always more of a childhood ideal!” Ideals Becoming Reality 20 • mivision The Romance in Optometry Sophie feels that she found a natural connection to optometry, and also sees it as a “romantic” profession, compared to other careers in health care. Whilst a lot of optometrists ‘accidentally fall’ into optometry when they originally wanted to be dentists or doctors, this wasn’t the case for Sophie. “No I never ticked those boxes. Not at all,” she says. “Because I had bad eyes since I was very young, I was very short-sighted so I’ve been in and out of optometrists since I was about seven. I wanted to be in healthcare and I sort of knew that looking years-old, one of her hobbies was to learn different instruments. She ended up singing and playing guitar, harmonica, keyboards, viola and accordion on the album. “I remember the first time ‘Easily Broken’ came on the radio, I was driving my car and had some friends with me. I tried to turn off my CD player, thinking that I had left my demo CD in there, but, of course, I couldn’t. The song was on the radio, it was unreal.” Sophie speaks about how she has always wanted to be a musician since she was a young child. “I’ve always juggled the two since school, even at Uni, I did a music degree while I was doing an optometry degree and I had to drop out of the music one. I had to run from one side of the campus to the other because no one else is doing music and optometry and my lectures used to clash.” Giving Sight Along with juggling two careers, she is also an ambassador for the international charity, Optometry Giving Sight. She describes what it’s like to be one of the public faces of the organisation. into people’s eyes was a bit more romantic than looking at people’s teeth… so that appealed to me too. “Plus you give people good news rather than bad news!” Music to Her Ears However, a career in optometry wasn’t her only pursuit after completing university. Sophie headed north after finishing Uni. “I just wanted to get away,” she says. Her musical talents were publicly recognised in 2003, when she won Triple J’s Unearthed competition in Darwin. It gave her the confidence to pursue a career in music. Sophie remembers wanting to play everything on her debut album. Having played the classical piano since she was five- “I was very privileged and happy to be involved when I was asked, and it’s kind of interesting because I’ve never had the two, music and optometry marry before, and Optometry Giving Sight sort of brought the two together, in a very sort of ideal way. I’ve always wanted to support the work that Optometry Giving Sight does, and now I can use my music and public profile to help them. “More and more so in the music industry, people know about me being an optometrist now.. and I was recently on this show called ‘Spicks and Specks’ on the ABC and I didn’t even tell them that I was an optometrist and they ended up bombarding me with questions on camera about me being an optometrist, and asking me all these questions about eyes. More and more I think it’s clashing.. .in a good way, and this organisation can only benefit that.” difference. Sophie sheds light on this subject, and tells of how providing eye health can change a person’s life: “I wouldn’t be an optometrist if I didn’t think that I could make a difference. I think of all the senses, the eyes are the most important. I think that it gives you mobility, it gives you a livelihood and it gives you independence. “I’ve always thought, if worse comes to worst, and I had to choose between all the other senses, the eyes would be the only one I would – if I could choose – I’d choose the eyes. It gives you a chance for education and learning as well… and work. “A lot of people in Australia have the opportunity to have an eye test. We are very fortunate. It’s funded by the Government and eye care is easily accessible. That’s sort of motivated me to look at other areas as far as the indigenous communities and overseas with Third World and developing countries. As a student in the final year of her course, Sophie had a chance to go overseas to the clinics. She ended up going to East Timor with ICEE twice – once as a volunteer and once as a student – and was taken aback by the lack of eye care. She described her experiences over there: “East Timor was a population where they don’t have optometrists and they don’t have anybody looking at people’s eyes. They employ eye specialists that come into the capitol city once in awhile, so for such a big population and not having eye care, it’s just amazing. “One time, we had shut the clinic for the day, we were seeing about 900 people a day and we had been there for a week - we were just tired by the end of it. Making a Difference “At the end of clinic day, we stayed just beside the clinic and late one night, we get a knock on the door and it was this elderly man who just walked hours from a remote village because he heard that we were in town.. and he had one eye nucleated - it was actually taken out due to injury and he only had one eye left. Whilst it is quite obvious for general practitioners, or surgeons – optometrists sometimes forget that they do make a “I was a student at the time and the supervising optometrist said ‘Oh, I’m really tired, you can deal with it?’ mivision • 21 Helping you retain your independence . . . True Independence Co-operative marketing Shared group profits At Optipro you get all the advantages of a buying and marketing co-operative, without the restrictions of being tied to a preferred suppliers list. Ownership in Optipro If you are looking to maintain your independence call Optipro today on 02 9748 8830. Australia owned and operated Business training Contact Margaret or George on ph: 02 97488830 fax: 02 97488330 Email [email protected] www.optipro.com.au First in Certified Prescription Safety Glasses Certified and compliant optical laboratory’s available for fitting prescription safety lenses Cummings Optical safety glasses have been independently tested and are certified to the new Australian Standard for prescription safety glasses (AS/NZS 1337.6 - low and medium impact). Cummings Optical looks forward to assisting you with your optical and safety eyewear needs. all models feature our patented side shield lock – patent no. 200510015 Cummings Optical Pty Ltd, PO Box 13, Brighton SA 5048, T: 08 8186 0841, E: [email protected] Visit: www.cummingsoptical.com.au “…for someone to put on their glasses for the first time and just snap. Many optometrists often forget that... they often forget those lifechanging moments.” “I felt a bit nervous seeing as I was by myself and it turned out that he was about a -3, -4, that’s moderately short sighted. He had a big cataract in that eye, and he only had one eye so when he got these glasses, we had some ready-made glasses and he put them on and he totally just hugged us!” That kind of impact and wow-factor is unbelievable. Sophie points out that it’s not something you get in dentistry or as a general practitioner, but for someone to put on their glasses for the first time and just snap. Many optometrists often forget that.. they often forget those life-changing moments. Sophie feels that we have a great system for anyone with vision impairments in Australia, which is why she likes to do a lot of her work in Third World countries or indigenous Australia. For her, being an ambassador for Optometry Giving Sight is all about delivering care to these people that can’t access it. A Change of Perspective These days, Sophie travels the country performing and recording mostly her own compositions. “I like to imagine pictures in my head when I write songs,” says Sophie, “the songs I write are not just about me. They’re not all autobiographical.” It all started for her when Sophie left university and headed north to Darwin. “I just wanted to get away,” she says. Returning to Melbourne, she launched her debut album ‘All The Pretty Boys’ in 2005. Since then, Sophie has regularly been asked to play high profile events in Melbourne and around Australia. Last year she released her second album ‘All Shook Up’. Up til recently, not many of her fans knew that Sophie Koh is also a qualified optometrist, and an ambassador for charity, Optometry Giving Sight. Sophie has now been out of university for seven years and when asked if her perspective on the industry has changed since the time she was studying, she says: “I was lucky when I graduated from Uni that I went into a job that was not just in a shopping centre or in a retail environment… I sort of mixed and matched a little bit of that and my passion to do this sort of work. So I feel as a musician, I’m incredibly lucky to have optometry as something that I enjoy. I actually enjoy it a lot more because I get to do music sometimes and I can go back to work with a smile on my face. “I just love the contrast of it, and I think seven years out of Uni, I still really love it but I have a few classmates that are dropping out and doing other degrees. But they’re the ones that worked full-time from the very start, and in one place. “They felt burnt out and they feel like the job doesn’t give them any variety. But a lot of optometrists aren’t aware that there is other work and it’s kind of disappointing. “I think that with this program, being an ambassador, I should let people know that there is other work out there, just to motivate you as professional… to show you that there’s other ways to actually apply your skills and make them see that optometrists can really make a difference.” Sophie Koh’s album All Shook Up is available at all good music stores or online at www.sophiekoh.com Facts About Sophie Just last month Sophie Koh and band performed her popular song ‘Anywhere’ on Channel 10’s Neighbours, to be screened in 2010. Sophie’s version of the Split Enz hit ‘Charlie’ sold over 75,000 copies as part of the ‘She Will Have Her Way’ CD compilation. Last year, Sophie took home the coveted Best Female Artist Award in the 2008 The Age Music Awards (beating Kylie Minogue and Gabriella Cilmi). Sophie’s appearance on Spicks and Specks this year, co-hosting with Adam Hills, was the most watched ABC television show of the year to date (1.6 million viewers). Sophie has supported acts such as The Eels, The Go-Betweens, Paul Kelly, Betchadupa, Pete Murray, Alex Lloyd, Paul Dempsey, Howie Day and Mick Thomas. Reviews of Sophie’s second album ‘All Shook Up’ have been rapturous: “Intensely mesmerising.” 4 1/2 stars – Eleven Magazine “A major talent arriving fully realised.” – Inpress “Sweet... seductive... Koh is an excellent storyteller.” - MAG (JB HIFI) “Sublimely beautiful, well-crafted and instantly likeable.” - The Daily Telegraph mivision • 23 mifeature How Layla Sees Christmas To hundreds of millions of children around the world, Christmas is a time of joy, excitement and anticipation. It’s a time of family gatherings and interactions and should also be a time of good deeds and giving. For many kids around Australia, Christmas is still a time of excitement and joy, but it’s a concept that they can only imagine… because they are either blind or have low vision. This Christmas, Vision Australia has made its mission to enhance the lives of those kids who have lost the sense of sight that most of us take for granted. Norm Lipson 24 • mivision Five-year-old Layla Bodnar doesn’t think she’s any different to any other kid her age. She has a loving mum and dad, a cheeky little brother Vaughn and is so looking forward to the arrival of Santa Claus in her household. Layla is the face of this year’s Christmas appeal by Vision Australia in its attempt to raise AUD$1.1 million to provide playbased therapy that encourages children to explore and build awareness, confidence and ultimately independence. Layla’s angelic, smiling face is on thousands of letters sent out to the public asking for donations and explaining her situation, the same as so many other Australian children. Next year, Layla begins school and she is as prepared as she could be thanks to her devoted parents Max and Konji and the dedication and help of Vision Australia. The letter explains how for Max and Konji, their first child was a “dream baby” who slept well. “I thought it was fabulous that Layla barely opened her eyes,” says Konji. “Then at six weeks it all went downhill fast.” While changing her nappy, Konji noticed Layla’s right eye looked unusual. “With the light shining on it I could see it was very cloudy, but I thought that with eye drops it would be fine.” Unfortunately, Layla’s eye condition was infinitely more serious than her parents ever imagined. “The ophthalmologist looked at her eyes and instantly turned grey,” Konji recalls. “He said it was extremely likely that Layla was blind in one eye, possibly both.” Layla was diagnosed with Familial Exudative Vitreoretinopathy (FEVR), a condition that causes abnormal blood vessels to grow causing scar tissue, retinal detachment and ultimately blindness. The condition left Layla blind in one eye and affected detailed vision in the other. “We were told there was nothing that could help her vision. It was devastating,” says Max. Learning to Cope The couple went home with heavy hearts. How would Layla learn about the world, take her first steps or play safely? “We didn’t know what her life would be like or where she’d be. We had no experience of blindness,” says Konji. Max and Konji found that the guidance and reassurance offered by Vision Australia was of immense comfort as they struggled to come to terms with the lifechanging diagnosis. Like any parents, they didn’t want their child to miss out on any of life’s joys or future opportunities such as study and employment, which continue to be huge obstacles for many Australians who are blind or have low vision. The day after Layla was diagnosed, Vision Australia contacted her parents, who were relieved to discover there were answers to their questions and a range of specialists to support them in their time of need. Among them was Libby, an Early Childhood Educator who regularly visited “Layla has no idea she is different so nothing she does is different. She gives everything a go…” “Layla has no idea she is different so nothing she does is different. She gives everything a go,” says Max. the family’s Melbourne home to teach Max and Konji how to develop Layla’s awareness of the world and encourage movement. “In that first year Libby was our backbone,” says Konji. “She taught us there are other ways Layla could learn and connect. Vision Australia continually provided toys to use and suggested activities and exercises. “Even at eight weeks I’d tell her about the colour of the sky, the shape of the trees and cars. I described everything in detail so she could create a picture in her mind. “That first year was scary and wonderful at the same time. At times it was dark, but I want other parents in the same situation to know that life does become normal. “Layla sat, crawled and walked a little later than most kids, but she did it,” Konji recalls. “With Vision Australia’s help, the milestones we never thought would happen, happened. “They continually provided toys to use and suggested activities to encourage play. We devoted all our time, resources and efforts to Layla. It was tough on her and us, but we never gave up hope.” Research While Konji was devoting her days to encouraging Layla to play and explore, Max began researching his daughter’s eye condition and investigated every possible way to assist Layla. For the first year, Layla was anaesthetised every three months so doctors could monitor her eyes for change. For the second year, the examinations were carried out every four months. Now they are every six months. “I don’t know what we would have done without Vision Australia,” says Max. “They help in any way they can, not because they have to but because they want to.” Layla’s condition remains stable for now, but her parents remain guarded as FEVR can become active again and cause the little sight she has now to deteriorate further. Today Layla enjoys swimming, gymnastics and ballet, just like so many other five-year-old girls. She has also begun using a magnifier to help her read and look at pictures and she has even managed to draw her vision of Christmas (see accompanying picture). It’s been a tough journey for Layla and her family and there will no doubt be further challenges ahead. “Vision Australia gave us, and continues to give us, the necessary tools and advice and we used them,” says Max. “Now our daughter leads a far more active and fulfilled life than we ever thought possible.” As the brochure says: “At Vision Australia, we don’t want any child to miss out on the learning and play opportunities enjoyed by their sighted peers. “But we need your help to ensure more children like Layla are equipped to lead active and independent lives. “A high level of expertise and intensive one on-one support from a range of specialists, including Early Childhood Educators, Orientation and Mobility Instructors, Physiotherapists, Occupational Therapists and Librarians, is needed to help kids who are vision impaired to achieve their potential. Providing the life-changing Child’s Play Program requires significant funds, which is why we need your support. “Your gift today will enable children who are blind or have low vision to experience all the happiness and joys in life”. Footnote: The annual Carols by Candlelight will be the highlight of this year’s Christmas appeal by Vision Australia. It will be held at Melbourne’s Sidney Myer Music Bowl in the gardens of King’s Domain Park on Christmas Eve. Tickets are now available via Vision Australia’s website. Go to: www.visionaustralia.org/carols mivision • 25 mifeature Halfway Along THE Road to 2020 Next year marks the half way point in the global Vision 2020 campaign to eliminate avoidable blindness by the year 2020. 2010 will be an important milestone for all those involved in giving sight, whether on the ground in a remote community or making a financial contribution to the cause. Jo Humphries The support of the optometry community – both profession and industry - will be more important than ever if Optometry Giving Sight is to significantly contribute to the goal of eliminating avoidable blindness due to uncorrected refractive error and low vision by the year 2020. The last few years have been a time of growth and support for Optometry Giving 26 • mivision Sight. In Australia, thanks to the support of publications like mivision, there are few optometrists in Australia who haven’t heard of optometry’s “international charity of choice”. An increasing number of individuals and practices have made the decision to join their colleagues around the world and make a regular financial contribution and participate in one of our campaigns. Despite the global economic crisis, those optometrists and optical companies have remained committed to the cause. For much of the year we heard experts around the world talk about the economic downturn, job cuts, companies completely failing, recession and even depression. Yet in the face of frightening statistics, you remembered the stories of those who were in a worse position and who without your help would not receive the vision correction they so desperately needed. Committee made up of optometrists and industry professionals. They directed some of the funds raised in Australia to programs in East Timor, Indigenous communities in Western Australia and the Northern Territory and to Equal Health in Western Australia to support an Optical Program to be undertaken in Tamil Nadu and West Bengal. As the year comes to a close Optometry Giving Sight can confirm that US$3 million has been distributed through our partners since inception to help screen and provide basic eye care services to more than 3.5 million people, train 1550 mid-level eye care personnel and create 100 vision centres/optical workshops. That’s a huge impact. National Support Ariyarathna’s Story So what part have Australians played in the lives of others like Ariyarathna? Earlier this year I travelled to Sri Lanka where I met B.P. Ariyarathna. He owns a small electrical repair shop in a remote village in the Kegalle District. The shop was cluttered with old dusty radios, fans, lamps, wires, plugs and what looked like an assortment of other electrical artifacts. I felt like I had been transported, not only to another country, but to another era. Without the financial support of so many optometrists and their colleagues, Ariyarathna lives in a two bedroom house with his wife and two teenage daughters. It’s a ten minute walk from the dirt road through thick vegetation and past padi fields, a walk I found hard even with my good vision. They have occasional electricity at their house, although they can never guarantee when it will come on or for how long. Life is hard and Ariyarathna’s wife cooks over an open fire and collects water from a small well in the garden. For the last couple of years Ariyarathna has used a magnifying glass when welding wires and doing other close work. At 52 his vision was deteriorating and he was worried that he would be unable to continue working and supporting his family. Optometry Giving Sight has been one of the major funding partners for the ‘ICEE Giving Sight in Sri Lanka Project’ since 2004. While I was in Sri Lanka, three Vision Centres opened in areas that previously had no permanent, affordable optometry services. Ariyarathna was one of the first patients to have his eyes examined by a recently qualified local Vision Technician. His new glasses, which were made in the Optical Workshop by a newly trained Spectacle Technician, will enable him to continue working and providing for his family for many years to come. In addition to Sri Lanka, funds raised from all the Optometry Giving Sight entities around the world have been channeled into projects in South Africa, Zambia, Malawi, Mozambique, Peru, Nicaragua, Mexico, and Papua New Guinea. Optometry Giving Sight in Australia is governed by a National joined the other States in including the ‘Tick Yes to OGS’ option on their membership renewal notice. At the beginning of 2009, the Seeing Eye to Eye program was launched and optometrists were invited to make a product related donation based on the sale of a specified product. “We make a AUD$2 donation for every pair of frames we sell”, said Sue Strachan in Melbourne. “It’s an easy way for us to raise funds and our patients think it’s great that we are giving to a cause that they can relate to.” It wasn’t just within practices that optometrists supported Optometry Giving Sight. Players, at both the Yarra Yarra (Vic) and Moss Vale (NSW) Golf Days, commented that spending a day on the course was a very enjoyable way to raise over AUD$10,000. For some, a round of golf wasn’t quite energetic enough and NSW optometrist, Peter Ramshaw and others, joined the 74,000 people in running the 14km Sydney City to Surf, raising AUD$2,000. The support afforded to Optometry Giving Sight throughout 2009 by our corporate sponsors has been instrumental in the development of this year’s fundraising campaigns. Thanks to the commitment of these companies, we can guarantee that 85 per cent of donations from optometrists, their staff and patients; students and the staff of the companies themselves go directly to programs. We believe that the customers of optical companies, value their suppliers supporting Optometry Giving Sight. “Despite the global economic crisis, those optometrists and optical companies have remained committed to the cause.” Optometry Giving Sight would not be able to fund life transforming vision correction – in the form of an eye exam and glasses. The Optometrist Association Australia, both nationally and by State, continue to lend their support. While the Victorian OAA has always encouraged their members to support Optometry Giving Sight, 2009 was the first year that they Thousands of optometrists, their staff, patients, optical companies and their staff and optometry students took part the World Sight Day Challenge in October. Ninety Eyecare Plus practices participated, encouraged to know that their donations would again be matched by the company up to AUD$10,000. ProVision also showed their support by providing World Sight Day Challenge T-shirts for all their practices. Today, as our thoughts turn to Christmas and time with our family and friends, I would like to say a heartfelt thanks to everyone who has supported Optometry Giving Sight this year. If it wasn’t for your continued support, there are millions of people like Ariyarathna who may not be able to support their own families, learn at school or care for themselves. Thank you. Jo Humphries is the Communications Manager for Optometry Giving Sight. Jo has seven years experience working with eye care charitable organisations and is passionate about eye health in third world countries. mivision • 27 miophthalmology event Eye on WGC Global Findings, Local Insights An Australian perspective from the World Glaucoma Congress The World Glaucoma Association brought together over 75 national and supra-national glaucoma societies for the biennial World Glaucoma Congress (WGC). This year, more than 2500 delegates convened in the city of Boston, U.S. making the third WGC the largest glaucoma meeting held to date. In line with its support for continuing medical education, Pfizer Ophthalmics invited four Australian ophthalmologists to report the latest developments from this intensive scientific congress. The following article contains selected excerpts from the team’s reports, covering a range of topics from basic science to clinical glaucoma care. Dr. Guy D’Mellow, Clinical Associate Professor Ivan Goldberg, Dr. Paul Healey and Dr. Tim Roberts 28 • mivision Glaucoma Epidemiology and Screening There are a number of different types of screening. Universal screening targets everyone in the population in a particular age or risk group, but there are problems getting people who screen positive into medical care. Fifty per cent will come in for definitive testing and treatment, another 25 per cent will come if coaxed and 25 per cent will never come. It is therefore important to carefully choose which group to screen, such as those over 65 years or with a family history of glaucoma. The other type of screening, which occurs at an ophthalmologist’s or optometrist’s office, is called opportunistic screening. It only seeks to screen people who are already presenting for another reason. This approach is usually cheaper and easier, although it targets fewer people. The type and focus of the tests used to screen for glaucoma were also discussed. While diagnostic tests often focus on high sensitivity, which correctly diagnoses those who have glaucoma, screening tests need to focus on high specificity to correctly identify those who are normal. While this may not sound logical, the main problem with screening for a rare disease is the large number of normal people who Dr. Guy D’Mellow and Dr. Tim Roberts Dr. Paul Healey are unnecessarily referred for diagnostic testing. The other important focus is on the stages of glaucoma where the risk of blindness is higher, include moderate to advanced disease and glaucoma with higher intraocular pressure (IOP). The second part of the session saw a discussion of two particular types of glaucoma that may be more suitable targets for screening, angle-closure glaucoma (ACG) and pseudoexfoliation glaucoma. ACG causes more blindness than open-angle glaucoma, much of it in the developing world. Like angle closure, rates of glaucoma are high in pseudoexfoliation syndrome and the disease is more likely to cause blindness. The Thessaloniki Eye Study found a glaucoma prevalence of 12 per cent in participants with pseudoexfoliation syndrome. In populations with a high prevalence of pseudoexfoliation syndrome, the annual incidence of pseudoexfoliation glaucoma is over 2 per cent. This higher rate of glaucoma and its more aggressive nature may make pseudoexfoliation glaucoma a suitable screening target. Glaucoma and Myopia: Exploring the Intimate Link Myopic subjects have a two to three-fold increased risk of developing glaucoma compared with non-myopic counterparts, independent of other glaucoma risk factors including IOP. Assessing the status of the optic nerve and visual field is frequently more complicated in these eyes making clinical management more difficult and filtration surgery more complicated. Various studies have demonstrated a strain gradient on susceptible retinal ganglion cell axons that stabilises during the young adult years once the eye has grown. Clinical changes are seen during the ‘growth’ phase but are non-progressive once the myopic eye matures. Retinal nerve fibre layer (RNFL) thickness, measured with optical coherence tomography (OCT), is inversely related to the refractive status with eyes of –16D having a significantly thinner RNFL than those of –1D. The presence or absence of laminar dots in the nerve head is a useful clinical sign identifying areas of damage. The absence of retinal pigment epithelium can thwart OCT imaging and render the statistical analysis unreliable due to the lack of myopic discs in the normative database. However serial scans can be helpful to monitor for progression if the initial scan is used as an individualised baseline. Dr. Singh reported results from a series of young myopic Chinese students with optic disc and visual field features ‘diagnostic’ of glaucoma. The disease course was nonprogressive and the authors postulated that damage was due to mechanical stress during adolescence and the early twenties that subsequently ceased. As young myopic eyes are at an increased risk of hypotony following filtration surgery it was recommended that these eyes be followed carefully before deciding on surgery, as their natural history appears to be more benign. Progression in Glaucoma Dr. Michael Kass opened this thoughtprovoking session by posing the question: “Why was the Ocular Hypertension Treatment Study (OHTS) conducted?”. As earlier studies had provided no clear evidence of the protective role of IOP reduction, the OHTS was set up to answer this question, to assess the safety and efficacy of topical anti-glaucoma medications and to determine the demographic and clinical details that might indicate increased risk for the onset of glaucoma damage. The goal was an IOP reduction of ≥20 per cent.1 Of 156 patients who were established to have a diagnosis of glaucoma, 12 did so with simultaneous disc and visual field changes, mivision • 29 “Like angle closure, rates of glaucoma are high in pseudoexfoliation syndrome and the disease is more likely to cause blindness.” while 144 had one primary end point (84 with disc changes; 60 with visual field changes). These 144 patients then received ocular hypotensive therapy. Thirty three (39 per cent) of the 84 with primary disc changes subsequently demonstrated visual field changes while 30 (50 per cent) of the 60 with primary field changes later showed disc changes. On average, those reaching this secondary end point had higher IOP levels of about 3 mmHg and thinner corneas. tests over a longer period of time. Both event and trend analyses are necessary for the clinician to use in practice. According to Dr. David Greenfield, independent risk factors for progressive damage include increasing age, higher IOP, thinner central corneal thickness, observed disc haemorrhage and pseudoexfoliation syndrome. It appears that scanning laser polarimetry and optical coherence tomography imaging technologies predict progression in glaucoma suspects as thinner retinal nerve fibre layers at baseline have been shown to portend future visual field loss.2 Dr. Francisco Goni reviewed various studies that compared treatment vs. no treatment; medication vs. laser; medication vs. surgery; and medication vs. laser vs. surgery. The development of prostaglandin analogues and other new medications makes it difficult to compare laser with medication as earlier randomised controlled trials such as the Glaucoma Laser Trial predated these medications. These earlier studies suggested laser trabeculoplasty as being slightly better than medication for up to approximately two years after treatment.3 Notably, four trials that have compared medication with surgery have been heterogeneous and difficult to compare, particularly since most were conducted in the pre-prostaglandin era.4 Dr. Linda Zangwill addressed the same issue with the Heidelberg retinal tomograph (HRT) – both for detection of damage and for prediction of progression. The HRT offers both event and trendbased assessments of disc structure, providing both topographic change analysis and quantification of various stereometric parameters such as neural rim area. Baseline measurements predict future structural and functional changes. However, Dr. Zangwill pointed out that there were very limited data to support the use of structural change rate as a predictive indicator of functional loss. In attempting to identify progressive damage, an event analysis detects a change from baseline that exceeds a pre-determined threshold; hence fewer tests are necessary over a shorter period of time. In contrast, a trend analysis quantifies the rate of any progression and is clinically more useful as it helps to identify those patients at particular risk of visual disability but requires more Initial Treatment for Glaucoma The initial treatment paradigm of medical therapy followed by laser then incisional surgery in open-angle glaucoma seems well established. However each has potential benefits and pitfalls that make periodic reassessment of the paradigm sensible. In defending medication as the first choice of treatment in glaucoma, Dr. Daniel Grigera highlighted that initial treatment needs to be applicable to all, effective in the long term, cost-effective and have tolerable side effects. He asserted that modern medication achieves all these criteria. The argument for laser therapy as primary treatment was presented by Dr. Tony Realini, who cited compliance, side effects and cost in favour of laser. Dr. Greg Skuta proposed surgery as the initial treatment for glaucoma, quoting the Moorfields Primary Treatment Trial that showed lower IOP and less visual field loss in the surgical arm compared with medicallytreated subjects. This comprehensive coverage of the topic clearly outlined two points; firstly, there is an obvious need for data that compares newer medications with newer laser techniques. Secondly, a more effective patient and surgeon-friendly laser technique is needed. The importance of individualising therapy in glaucoma cannot be overemphasised, based on severity of disease, rate of progression, projected lifespan, tolerance to therapy, and patients’ wishes amongst other factors. Each of the three approaches may be appropriate for initial therapy in an individual circumstance. Currently, medication will remain the initial choice for most patients. Dr. Guy D’Mellow is an ophthalmologist from the Terrace Eye Centre, Brisbane, QLD; Clinical Associate Professor Ivan Goldberg is an ophthalmologist from the Sydney Eye Hospital, Sydney, NSW; Dr. Paul Healey is an ophthalmologist from the Western Sydney Eye Hospital, Sydney, NSW and Dr. Tim Roberts is an ophthalmologist from the Royal North Shore Hospital, Sydney, NSW. Note: This article contains selected reports from data presented at the WGC 2009. To obtain complete reports or for information on how to receive reports from Eye on WGC, please send your request to: [email protected]. Disclaimer: This material is provided for educational purposes. It contains reports from data presented at an international meeting. Accordingly, some reported uses of Xalatan, Xalacom and other named products may not be registered or representative of the approved Australian Product Information (PI). Please refer to the published approved PI before prescribing any product mentioned in this report. Although the opinions expressed herein do not necessarily reflect those of the sponsor or publisher, both parties have made every effort to ensure that the authors’ opinions are accurate, fair, balanced and consistent with the general body of information. References: 1. K ass MA, Heuer DK, Higginbotham EJ et al. The Ocular Hypertension Treatment Study: A randomised trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open-angle glaucoma. Arch Ophthalmol 2002; 120: 701–713 2. L alezary M, Medeiros F, Weinreb R et al. Baseline optical coherence tomography predicts the development of glaucomatous change in glaucoma suspects. Am J Ophthalmol 2006: 142: 576–582 3. D e Moura R, Paranhos A Jr, Wormald R. Cochrane Database Syst Rev 2007; 4: CD003919 4. Burr J, Azuara-Blanco A, Avenell A. Cochrane Database Syst Rev 2005; 2: CD004399 mivision • 31 micolumn As I See It: A view of the A Time To Celebrate world from optometrist, and former Australian The month of December in Australia not only brings the calendar year to a conclusion but brings expectations, memories and events to look forward to. cricketer and former coach of the Pakistan cricket team, Geoff Lawson, OAM. Summer is in full swing, the beaches and the coast start to fill with students who have completed the year’s study, the tourists stream in and the ‘bushies’ pack the dusty bags and head for the cooler shores when the harvest is done. For most Australians December is also a time to hit the shops and prepare for the Christian festival of Christmas. The 25th of December is a day when all of the country regardless of their God or their faith takes time out for family, sharing and giving. Different Cultures Australia is a secular country, and that simple fact contributes strongly to our sense of tolerance and our sense of togetherness, despite the vast landmass on which a mere 20 million souls inhabit. The multicultural face of Australia sometimes is used as a point of difference, a reason to remain discrete and insular when really it is a point of familiarity. Different cultures are to be celebrated, and Australians find this easier to take on board than most, after all we already have our intrinsic polarity of Australian Rules, Rugby League, Rugby Union and Soccer. It doesn’t matter whether you are Greek, Italian, Polynesian or Irish; football divides the country more than a hundred deities! Thankfully grand final season is behind us in the twelfth month (A League Soccer excepted) and bragging rights distributed until next October (the Cats and the Storm will holiday more relaxed than most). Fortunately cricket is a summer game embraced by all those who have various football gods. December in the cricket 32 • mivision world means the Boxing Day Test. The Melbourne Cricket Ground swells to bursting on the 26th as we settle in front of the telly for a day of recovery and sloth. We are a ‘new’ country, just a couple of hundred years old - without a long and rich history but also without much of the baggage of Europe or the established cultures of Asia. The newness of Australia provides an environment for a melting pot of societies to live together, sharing their various foods, beliefs and histories. Thai, Chinese, Vietnamese, Malay and other cuisines can be found in just about every suburb, and our palates are better off for the migration. What were originally Anglo-Saxon recreations like tennis and golf and cricket and the footy codes, are now played by the Katichs and the Chee Quees and the Stosurs and Vidukas and Ioanes… it goes on. Our nation is enriched by the participation of all our varieties in all of our varieties. “For most Australians December is also a time to hit the shops and prepare for the Christian festival of Christmas.” Flip Side of Christmas Having spent Christmas in Pakistan I have seen another side of the holiday which I have always taken for granted. Pakistan is 97 per cent Muslim, 2 per cent Hindu and the rest is made up of Buddhists. It is enshrined in the Pakistan constitution (a sectarian one in which religion and state are bound together) that all religions are to be treated equally, i.e. everyone gets a holiday on 25 December! I reckon Pakistan has more public holidays than Australia, so we certainly have that in common with the Islamic republic! Pakistanis know what Christmas is about, not many Australians would know what Eid (there’s two Eids, confirming my previous point about holidays.) December: cricket on the radio, the beach, harvest, the holidays, a variegation of people enjoying the fruits of the year just gone and of our very lucky country. As for Christmas shopping, go for something hassle-free this season, and buy your friends, family and colleagues a Gift of Vision. Simply go online: www. givingsight.org/giftofvision and order. For AUD$30 your Christmas gift will give twice - the person you give it to will know you have thought of them and five people in a developing community could receive an eye exam and pair of glasses. Everyone have some wonderful holidays. I’ll see you on the radio. Tune into the ABC for the iconic coverage of our summer sport… Even if you aren’t a big cricket fan, the broadcast is something worth savouring, something very Australian, no matter what your ancestry. “I’ll see you on the radio. Tune into the ABC for the iconic coverage of our summer sport… Even if you aren’t a big cricket fan, the broadcast is something worth savouring, something very Australian, no matter what your ancestry.” IntuitiveColorimeter Using colour to relieve visual stress in neurological conditions: s$YSLEXIA s0HOTOSENSITIVEMIGRAINE s!UTISMOTHERS “only instrument whose resulting lenses are validated by evidence based research” $/.4-)33 #OLORIMETRYin Clinical Vision Science & Education 2 day International Conference 4HE2OYAL3OCIETY #ENTRAL,ONDON5+ n-ARCH 2EGISTRATION CET Points applied for. Registrations taken before 18th December 2009 will benefit from a discounted rate. E: [email protected] T: +44 (0)20 7424 3312 For full programme and register online, visit: WWWCOLORIMETRYCONFERENCECOUK #ERIUM/PTICAL!UST0TY,TD 27 Drayton Street | Bowden SA 5007 t: +61 8 8346 1366 | f: +61 8 8340 9711 | m: 0403 945 562 | e-mail: [email protected] 068_CERIUM_MIVISION HALF PG AD_AW.indd 1 20/10/09 10:04:25 OAR mioptometr y Optometry Association Reports Happenings and events from the optometry divisions in Australia and NZ OAA Vic We get to speak with members practicing optometry in all sorts of ways: clinical, academic, corporate, independent, rural and metro. It’s important that we can help members answer questions that arise in day to day practice, but the interaction is not all one way, and we do spend time going to visit members directly, to find out a bit more about what is going on. In September, the Association hosted a dinner in Bendigo, and invited local optometrists to meet the President and a locally-practicing Board member. It turned out to be a lively and frank discussion, with plenty of food for thought. in other areas of the State. These issues have since been raised with our Board and the national Board of Optometrists Association Australia. We’re interested in our younger members too, and have organised a focus group for a group of optometrists who have graduated in the past five years. The focus group will include optometrists practicing in corporate and independent practice, research and academia, and public health settings. Over dinner, we hope that these members can give our Board some feedback on the ways in which the Association can meet their needs, as well as those of more established practices or “Top of the list was the curly question of finding and retaining good staff prepared to work in the country.” Terri Smith Following this, I arranged some visits with members in rural and regional Victoria, to get a bit more insight into some of the main issues facing rural practitioners. Top of the list was the curly question of finding and retaining good staff prepared to work in the country. Some practices are thriving and have great strategies for managing this perennial problem which, it must be said, is not limited to optometry. But we understand that this is a dilemma which all country optometrists have to work at. Another matter raised fairly consistently was the need to develop an approach to Medicare funding which recognises that in rural and regional areas, optometry really is delivering primary eye care, absorbing many of the functions that might be able to be carried out in general practice or by ophthalmology services 34 • mivision members. We want to know what members want from the Association and how they want to receive it. From our recent research project on how communications technologies might help meet the CPD needs of nonmetropolitan members, through to student and member sessions on how Medicare works, and our major annual event SRC, we hope we’ve been able to make at least some contact with as many of our 1,070 members as possible in 2009. As activities wind down for 2009, we are already planning for a number of events into 2010. Find out more about what we’re up to on our new website: www.optometrists.asn.au/victoria. Board News We have a new Victorian President in Melissa Downing. We also welcome Kirily Bowen as our new Vice President and Stephen Jones as Treasurer. Paula Monaco has left the board after an amazing 13 years including three terms as President. We thank her for her considerable work to promote and support the optometry profession over those years. Terri Smith OAA NSW Employment contracts concern me – some more than others. I had one come to me for comment recently that reinforced why it is so important that prospective employees take advice before they sign. The ‘agreement’ as it was called was a document in five parts. Problem number one: the first part, the ‘agreement’, said that it was the entirety of the agreement between the parties. It didn’t refer to the other four parts, so what purpose did they serve? The ‘agreement’ posed a number of problems. For example, it refers to legislation which no longer exists for some of its terms and conditions. In other places “Do not sign anything unless you have taken advice beforehand. The Association should be your first port of call.” Andrew McKinnon it refers to non-existent legislation which even if it did exist would have been the wrong law to govern the circumstance. The ‘agreement’ set out the agreed hours and days of employment – which were then contradicted by one of the other four documents. And even worse, seeing is believing premium polarised lenses The World’s Best Polarising Technology just got better. powered by yet another of the documents contradicted both of the others! Then there was the bonus arrangement – not mentioned at all in the ‘agreement’ but detailed in one of the supporting documents. First question then, is the bonus scheme valid or not? The other problem is that the basis of it looks to be illegal. Apart from the very important technicalities, the document was well written, professionally presented and quite voluminous. It would be very easy for a prospective employee to look at it, conclude that such a professionally prepared document must be okay and sign. With potentially disastrous consequences. And so back to my mantra for anyone looking to enter into any sort of agreement, be it for employment, partnership, franchise or whatever. Do not sign anything unless you have taken advice beforehand. The Association should be your first port of call. If the matter is beyond our scope of expertise we will refer you to the appropriate person. Remember that great maxim “decide in haste, repent at leisure”. It’s true! Andrew McKinnon OAA Qld Council has identified six areas of interest to the profession and will shortly embark on a survey of members to gather their views. The areas are: • Enabling Optometrists to sign WorkCover forms – We are keen to find out how many WorkCover patients are seen by optometrists for trauma, foreign body or other work related issues and which other practitioners execute the forms. We are also keen to identify if members think such an initiative would be of benefit to patients. • Working with the Queensland Government to ensure that all public eye patients are required to consult private optometrists in the first instance – We are interested to find out how many optometrists have public hospital patients referred to them and for what sorts of treatments/issues. We are also interested to learn if optometrists think such referrals could make a positive contribution to waiting list reduction in public hospitals. • Working with the RACGP and General Practice Queensland to encourage all patients out of GP clinics and into optometry practices – The issue here is to establish the extent of networks between optometrists and GP’s and the extent of referrals between the two groups. • School screening by private optometrists – Some optometrists undertake school screenings and we are interested to find out the incidence of this practice and whether members would support a government initiative under which local optometrists were relied upon to screen children in all government schools. • Funding the Queensland Vision Inc to facilitate an ongoing Statewide eye health awareness campaign – We are seeking feedback from members as to whether they think the community has a sound understanding of eye disease and conditions and preventative measures to maintain good eye health and the worth of a State Government initiative to undertake an information campaign. • Mandatory optometric examination for all drivers – Council seeks input from members as to whether or not they would support an initiative under which it was compulsory for all drivers to have an eye examination before a driver’s licence was issued/reissued. Holiday tidings to our Queensland and NT members and mivision readers everywhere and best wishes from President Shannon Pugh and Council for a peaceful and safe Christmas/New Year period. Greg Johnson OAA Tas “Holiday tidings to our Queensland and NT members and mivision readers everywhere…” Greg Johnson 36 • mivision National Registration and Accreditation Scheme Optometrists Association (Tas Division) has examined and endorses the approach set out in the Health Practitioner Regulation National Law (Tasmania) Bill 2009 and the Health Practitioner Regulation National Law (Tasmania) (Consequential Amendments) Bill 2009. Scheduled Medicines The Optometry Board of Australia (OBA) has released a Consultation Paper which “At the moment, in Tasmania, all registered optometrists may use diagnostic medicines.” Geoff Squibb details its proposed advice to Health Ministers on the endorsement of registered optometrists to use and prescribe scheduled medicines. Under the National Law, the OBA will decide which registered optometrists are qualified to use scheduled medicines and endorse their registrations accordingly while the power to decide what optometrists who are so endorsed may actually use and prescribe will remain with States and Territory Governments. At the moment, in Tasmania, all registered optometrists may use diagnostic medicines. Optical Appliance Supply At S 122 the Health Practitioner Regulation National Law Bill 2009 limits who will be able to prescribe optical appliances. It does not however make a prescription a condition of supply of appliances. S 122 is intended to help protect against such vision loss but by itself is ineffective. Tasmania currently requires prescriptions before optical appliances may be supplied. As such Tasmania is one of only two jurisdictions which afford the public this protection. Optometrists Association has commended the Tasmania Government approach as a model for other States and Territories to follow. Unfortunately repeal of the Optometrists Registration Act 1994 as proposed will remove this requirement unless action is taken to retain S 62–65 elsewhere. We are advised by the Department that they propose to retain the current arrangements most likely by amendment of the Public Health Act 1997. We suggest also the protection provided by the current S 62 be extended to cosmetic contact lenses by adding to that section the definition of optical appliances used in S 122 (2). We support the national scheme and are keen to assist in its early and consistent adoption around the country. Geoff Squibb OAA WA WAVE 2009 Held at the Esplanade Hotel, Fremantle in late August, WAVE 2009 proved yet again, to be very successful! Being the leading optometric conference of its type in Western Australia, WAVE combines practical hands on education and training via its clinical workshop program for delegates, as well as enlisting the services of leading eye health professionals in optometry and ophthalmology as presenters. The event provides an ideal networking opportunity for Western Australian optometrists. We have recently adopted the new Association Rules for 2009, replacing the 1991 constitution. The new rules have officially been approved – taking us into the future with a much more modernised vision. Finally, I would like to say a big thankyou to all supporters and sponsors for another great year! Merry Christmas to all mivision readers, I look forward to coming back and seeing you in the New Year. Tony Martella NZAO Clinical Placement Network for Practitioners I received great feedback about our speakers and presentations. There was a great response to the education programme which was quite varied and With the support of several ophthalmology colleagues, the NZAO is developing a semiformal network for clinical placements at the rooms of participating ophthalmologists (nominal half days). “We were very pleased Existing ocular pathology CPD for the most part is didactic teaching of large or small groups. The idea of the Clinical Placement Network is to provide practitioners with opportunities to sit in with a colleague and learn/observe/ interact one on one in a clinical setting. to see that this year’s trade exhibition was up in numbers along with interstate participation” Tony Martella Scratches don’t stand a chance! Some practitioners are doing this already with the surgeons to whom they refer; the Clinical Network is a more formal extension of that informal system. The Clinical Placement Network is supported by the NZAO Education and Research Fund and is a development for the benefit of NZAO members. NZAO Conference 2009 different this year. The issues spoken about ranged from straight clinical programmes, to the confronting issue of suspecting child abuse. We were very pleased to see that this year’s trade exhibition was up in numbers along with interstate participation. Next year’s WAVE will be held on 6 to 8 August, 2010, with the programme already being developed now. The planning for WAVE 2010 is well underway, and we are currently looking at various speakers to cover a wide array of topics. I look forward to seeing you all next year, as the event will not be one to miss! Annual General Meeting This year saw the inception of a new President: Darrell Baker, a partner with the Abernethy Owens Group. He will be replacing Geoff Smith. Thanks to Geoff for his time and efforts as President. Christchurch Convention Centre was this year’s venue for another great NZAO conference. Keynote speakers Professor Susan Cotter and Dr. Lou Lipschultz spoke on clinically orientated topics relating to children’s vision and low vision. They were both very well received by delegates with plenty pearls to take home. Professor Maurice Yap presented the Alan Bott Memorial Lecture on ‘The control of myopia progression’ and the programme included a line-up of nine other local speakers presenting a wide range of interesting research and clinical practise. Thanks to this years sponsors: Transitions; Alcon; Hoya; Essilor; Corneal Lens Corporation; Carl Zeiss and Ciba Vision. SFT MULTICOAT Highest Scratch Resistance Stays Cleaner for Longer Superior Anti-Reflection Next year’s conference will be in Paihia, Bay of Islands. The New Zealand Association of Optometrists Premium Optical Lenses milenses RXable Sunglasses: More Than Meets the Eye Ordering RXable sunglasses is not as straight forward as you might think. Once the patient selects the sunglasses they like, there are a couple of options the dispenser can choose in order to fulfill the patients Rxable lens needs. The question is: what is the right product for the right patient? Martin Kocbek and Grant Hannaford The dispenser can choose to order the sunglasses from the manufacturer with the prescription applied to the original lenses. Alternately, they can choose to ‘pop’ out the original lenses and have a lab make up a new RXable sun lens for the frame. There are pros and cons to both these options. The Original Branded Lenses In essence, the dispenser may choose to order the RXable sunglass from the 38 • mivision original manufacturer. This is the only way the patient can ensure that they are receiving the genuine article. The manufacturer will make up a pair of sunglasses with the RX applied to the original lenses. In the case of sunglasses like Bolle, Spotters, Maui Jim, etc., the lens specifications are of the highest standard. Applying the RX to the original lens means that the patient will receive a high standard original product. There are many benefits of ‘branded lenses’ including: • Cosmetic – matches the patients expectation of product as it will more closely match that found on the shelf so what they order is based upon that expectation • Proprietary technologies are maintained such as tints or laminates. Most sunglass companies develop tint or frame technologies as there is less need to refine the optical performance of a plano lens • Many suppliers are more closely integrating with laboratories in order to deliver these technologies • Brand recognition is maintained, a patient that has seen a given product will be able to have the features of this item applied directly to their own particular prescription requirements • Advertising and marketing campaigns drive traffic to your store • Limits the ability of the dispenser to deliver the most effective lens for the patient so care must be taken to dispenser does not instruct the lab to fit polarised lenses then the sunglasses would almost be useless in the activity of fishing. “There are many things you need to consider when making a choice between a sunglass branded product and an after market lens solution.” The benefits of ‘after market’ lenses are: • More choice of lens materials • Many of the branded lenses are bound to specific material which can result in limitations to the available lens parameters, thus giving lesser results than would be available in other materials • Fewer limitations to tints as these are applied in a more individualised fashion • Design limitations are overcome, especially in progressive wear - many branded lenses are linked to one specific progressive design which may result in adaptation difficulties. This is often as a result of the difficulties of applying the various proprietary technologies to lenses and therefore it is simply not cost effective to have a range of progressive designs in the brand • T here is more attention paid to the optical performance of the prescription lens from the leading manufacturers of lenses such as Essilor, Carl Zeiss Vision, Hoya, Younger, etc. who all provide high performance RXable sun lenses. Deciding on the Right Product There are many things you need to consider when making a choice between a sunglass branded product and an after market lens solution. As the majority of sunglass frames today posses at least some degree of curve it is vital to consider this in the lens selection process. balance the patient’s needs with their expectations of a branded product. After Market Lenses The dispenser may choose to send the sunglasses to another lab which provides an after market lens solution. In this instance, the original lenses will be removed and replaced with an RXable lens provided by the lab. It depends on what the patient needs and it’s important the dispenser understand this before ordering. The patient may like the look of certain brand of sunglasses because they intend to use it fishing and the lenses are polarised. Also, they may have also chosen the model because of the specific lens tint. Unless the dispenser specifically instructs the lab to fit lenses that exactly match the specifications of the branded lens, then the performance of the lens will be different to the patient’s expectation. The lens performance could be better, the same or worse. For instance, if the A larger degree of curve, say greater than base 4, will require the front curve to be factored into the lens design process thus limiting the ability of the lens designer to obtain the best match between front and back surfaces, form overtaking function, if you will. Many dispensers will have seen the person with a moderate minus prescription go into a base 8 frame and develop truly heroic edge thicknesses on the lens as a result. Conversely, the plus prescription can often result in a massive centre thickness. So what’s the point? Well, the primary consideration should always be, are we allowing the patients desire to have a particular product overcome their primary reason for attending the practice, that is, a pair of sunglasses that they can see through? This seems like a fairly obvious question but it is one that is often ignored. To avoid this quagmire a balance must be struck, or rather, a compromise. In the instance where the branded product is going to result in an unsatisfactory optical or cosmetic appearance the patient should certainly be included in the process. Will they be satisfied with a lens that satisfies the cosmetic requirements but fails the performance test? More often than not the patient will be able to see the benefits of moving into a different product which will deliver more effective optical results. This will sometimes be available within a given product range offered by a company or may (as is often the case in higher prescriptions) require a little bit of leg work to find the best product. A point to note here is that the patients with the most need to get a prescription pair of sunglasses are the ones with quite high powers, so often we find that the selection process is limited by the very lens powers themselves. In this instance it can be argued that the unsatisfactory performance of the product would hurt the products image and brand, more than help it. In the same way, what is to be gained by not offering a branded lens and placing a patient into a generic product if both will be successful? This then moves into a situation where the expectation of the patient will be a larger factor than the performance (given that one will be much the same as the other). As always the crux is to identify what the patient wants and what the patient needs. A large array of products can often be quite bewildering and the effectiveness of a promotional campaign can muddy the waters of expectation. This is where dispensers need to function as ‘guides’ for the patient in order to provide them with the best results. While some of the comments above may seem to be biased in one direction or another, try to remember, it does no individual supplier any good to have their product poorly or inappropriately dispensed as it reduces the market goodwill of both the product and supplier. Ultimately, what we need to end up with is the right product for the right patient. Meet this need and you end up with a more than satisfied patient. Martin Kocbek has worked in the optical industry for over 20 years. He is an optical dispenser and Director on the committee of the Australasian Dispensing Opticians Association (ADOA) and currently Eurostyle Eyewear Sales Manager. Grant Hannaford is an optical dispenser, practice owner and Vice-President of ADOA. mivision • 39 MYVISION! Gift of Vision™ The thought of C h ristmas shopping getting you down? ...give a Gift of Vision Birthdays, graduations, weddings, holiday season, in memory and all other occasions Gift example Gifts from $30 Image by Peter Carrette Provide school screenings in a developing country www.givingsight.org/giftofvision T: 1 300 88 10 73 E: [email protected] Ju Equipment Catalogue 30 Day st HUR 30 RY da ! ys lef t Count Down Make your business purchases before 31 December 2009 and take advantage of the Federal Government’s extended 50% investment allowance. What does your practice need? With only 30 days left to place your order, mivision’s Equipment Catalogue is here to give you ideas on what to buy before the 31 December deadline. This is by no means a comprehensive list of equipment that is eligible under the rebate, as most equipment for your practice will be eligible under the rebate. Contact each of the suppliers listed in this catalogue for a full list of the products they have available. Choose the right finance with Investec Experien To qualify for the investment allowance, a financing arrangement must be entered into by the 31 December deadline as well. Investec Experien provides financial solutions specifically created for healthcare professionals. Through international bank expertise and select niche market focus, Investec Experien delivers innovative thinking and breakthrough ideas that give you a distinctive range of specialist banking products and services. An initiative produced by mivision magazine and Investec Experien. Claim your 50% Tax Break 1300 131 141 Australia Wide www.investec.com.au/professionalfinance Experien ! Don’t miss this opportunity Hurry! Just 30 days left to buy new equipment! Zeiss Relaxed Vision Terminal The RVT is a centration system that makes highly precise measurements of where each lens should be positioned in a patient’s selected frame to achieve the best level of visual performance. Together with customised lens technology, the data measured by the RVT will also enable eye care professionals to offer personalised to the needs of individual wearers. ECP’s can use the RVT to demonstrate “frame try on” using a full colour digital image of patients in selected frames as well as a visual demonstration of a range of lens treatments – including tinted lenses and AR coating. Carl Zeiss Vision | (AUS) 1800 882 041 | www.vision.zeiss.com Optovue RTVue 3D OCT Leading Fourier Domain OCT provides comprehensive Retinal, Glaucoma & Anterior Segment functionality. Ultra-proficient 3D scanning generates finest image clarity for visualization of retinal pathology. Largest ethnic grouped normative database with deviation and significance. Segmented retinal analysis, elevation maps, symmetry, serial registration & progression reports. Powerful Glaucoma functionality & assessment includes exclusive Ganglion Cell Complex analysis, Peripapillary RNFL mapping, Cup/Disc Analysis, significance & progression analysis. Cornea Anterior Module provides 5µ resolution scanning of cornea & anterior segment, AC angle measurement, Epithelium & Flap measurements, Pachymetry & Keratoconus analysis. BOC Ophthalmic Instruments | (AUS) 02 9643 7888 | www.bocinstruments.com.au Rodenstock Combi Chair and Stands Replace your worn out refraction chair with one of the quality models from the Rodenstock Instruments range. Available in right and left handed versions to suit your consultation room’s configuration. Rodenstock has also given either a two or three instrument table option with their range. The Combi 200 & state of the art Combi 400, allow 2 instruments to be fitted, while the Combi 300 allows extra flexibility for 3 instruments. Electrically operated patient’s chair, give patient comfort, flexibility in position and height. Swivel armrests & a flip-up foot rest allow for patients or all sizes to comfortably be seated. For long lasting performance that looks professional – Rodenstock Combi Refraction Units. Briot-Weco Australia | (AUS) 02 9790 3119 | www.briot-weco.com.au Kowa nonmyd Alpha D-III Kowa introduces the new definition of accuracy for non-mydriatic Fundus cameras. • the most natural, accurate colour rendition available, • the most even illumination across the whole field, so you don’t miss a thing. The Kowa nonmyd Alpha D-III is quickly establishing an enviable reputation for the quality of its retinal images. Combining outstanding natural colour with an unmatched consistency in illumination, accurate diagnosis has never been easier. Call Designs For Vision to learn more. Designs For Vision | (AUS) 1800 225 307 | www.dfv.com.au Experien Distinctive solutions Experien 50 En % T ds a x 31 Bre De ak c0 9 Essilor Visioffice Visioffice is a fully integrated vision system which has been developed jointly from research conducted by the Essilor group and the expertise of the Activisu® software. The all-in-one dispensing unit combines a quick and accurate measurement system to obtain all individual patient parameters required for elite lens designs, assistance in selecting a frame as well as information on different lens designs and value-added features. Visioffice simplifies the sales process and allows you to build your business further. It established your practice at the cutting-edge of technology, enhancing your professionalism and high end positioning. Contact your Essilor Account Manager or local laboratory today. Essilor Australia | (AUS) 1800 806 759 | www.essilor.com.au M730 Focus Automated Perimeter Medmont has now released the new M730 Focus Automated Perimeter – a compact central visual field instrument which does not require strictly controlled ambient lighting conditions. Offering similar diagnostic functions to the larger M700 instrument, including flicker test and regression analysis, the M730 Focus provides a 30 degree field capability, with the ability to be linked to PC networks and integrated into practice management systems. New features include patented software monitoring of visual field fixation, a screening test requiring less than one minute for completion and the ability to overlay visual field and retinal images. Employing the same proven LED technology as the M700, the M730 Focus requires no regular maintenance and offers exceptional reliability. Medmont International Pty Ltd | (AUS) 03 9874 1388 | www.medmont.com.au MPOD Optometrists can now screen patients for macula pigment deficiency and supply patients with a solution only available from eyecare practitioners. The Macular Pigment Optical Densitrometer (MPOD) uses heterochromic flicker photometry to assess the risk of macular degeneration by directly measuring macula pigment density in a simple and painless test. Patients at risk can then be supplied with Viteyes supplements which are based on the trusted AREDS formula recommendations. Viteyes supplements are exclusively available from optometrists and ophthalmologists, improving patients retention and ensuring improvement in macular pigment density can be monitored using the MPOD. The unique scientific method of caring for your patient’s macula has arrived. Optical Manufacturers | (AUS) 1800 226 890 | www.omf.com.au Heine Omega 500 Unplugged BIO The New Dimension in Freedom and Comfort. Heine’s Omega 500 Unplugged has rapidly become the state-of-theart instrument in binocular indirect ophthalmoscopy world-wide. The brightest and sharpest optics are complimented by a completely re-engineered articulating head band to produce the most comfortable and usable BIO ever. The light-weight integrated Lithium battery with charge indicator means no more power loss nor restrictions by cables or heavy transformers. Other smart technology includes true colour halogen light source, sure-grip lockable filters and rheostat-control located at the temple, with easy-lift optics allowing you to talk to your patients without removing or having to readjust the BIO. Experience the ultimate with the Omega 500 Unplugged! Optical Manufacturers | (AUS) 1800 226 890 | www.omf.com.au Asset finance • Cash management • Commercial property finance Goodwill & practice purchase loans • Home loans Income protection & life insurance • Professional overdraft Experien Investec Experien Pty Limited (Investec Experien) ABN 94 110 704 464. Investec Bank (Australia) Limited (Investec Bank) ABN 55 071 292 594. Deposit products are issued by Investec Bank. Before making any decision to invest in these products, please contact Investec Experien, a division of Investec Bank, for a copy of the Product Disclosure Statement and consider whether these products suit your personal financial and investment objectives and circumstances. All finance is subject to our credit assessment criteria. Terms and conditions, fees and charges apply. We reserve the right to cease offering these products at any time without notice. Income Protection/Life Insurance is distributed by Experien Insurance Services Pty Ltd (Experien Insurance Services) which is an authorised representative of Financial Wisdom Limited AFSL 231138 (AR No.320626). Experien Insurance Services is part owned by Investec Experien Pty Ltd. Don’t miss this opportunity The Bill to implement the Tax Break has recently received Royal Assent and is now law. The material contained in this document is general commentary only and is based on information we believe to be reliable. None of the material is, or should be regarded as advice. Accordingly, no person should rely on any of the contents of this document without first obtaining specific advice from their own tax adviser. To the maximum extent permitted by law, Investec Experien and mivision, its principles, employees and agents accept no responsibility to any person who acts or relies in any way on any of the material contained in this document. Hurry! Just 30 days left to buy new equipment! 50 En % T ds a x 31 Bre De ak c0 9 Topcon 3D OCT-2000 The world’s first 3D OCT with integrated spectrometer, high-resolution non-mydriatic fundus photography and LCD touch screen, affording unsurpassed retinal assessment capabilities. Topcon’s unique pinpoint registration allows precise point-and-click on the retina to zoom in, slice and peel back the layers in your choice of 2D or 3D. Normative database comparisons of optic nerve and RNFL and powerful progression software ensure accurate monitoring and effective tools for patient explanation. Visualise the cornea and anterior chamber via the anterior segment scanning facility of the 3D OCT-2000 to simplify assessment of the angle, corneal thickness and more via the calliper function. Incorporate the gold standard of care into your practice! Optical Manufacturers | (AUS) 1800 226 890 | www.omf.com.au F.I.S.O. Consultation Room Furniture Want style, comfort and quality in your consultation room furniture and equipment? Our range of chairs, stands and tables from Milan-based Italian manufacturer F.I.S.O. has expanded with some practical and stylish new developments. Beautifully engineered and crafted from solid steel and wood these units will provide years of reliable operation whilst being a pleasure to use. We even offer factory custom built chairs and stands to suit individual space and colour requirements. Combined with diagnostic instruments from Takagi, Canon, Neitz, Accutome, Medicel, Optopol and a complete range of refraction accessories Optimed can supply everything you need to make your practice perfect! Optimed | (AUS) 1300 657 720 | www.optimed.com.au Optimed Digital Imaging Equipment The popular Canon CR-1 non-mydriatic digital retinal camera combines state-of-the-art optics with the renowned Canon EOS digital SLR system to deliver industry-leading image quality and efficiency. Super-low flash intensity is patient friendly and fast pupil recovery reduces the photography time to seconds. Respected Japanese manufacturer Takagi supply a range of slit-lamp microscopes compatible with Canon’s EOS digital SLR cameras. Superb optics and illumination with high resolution still photo and video capture. 3D Spectral Domain OCT’s from Optopol. 6 micron or new 3 micron axial scan machines available. Normative data for macula and disc, and anterior segment modules available. Optimed | (AUS) 1300 657 720 | www.optimed.com.au Rodenstock ImpressionIST Unit Rodenstock’s ImpressionIST Unit is a 4 in 1 individual Services Terminal. The ImpressionIST Unit combines the following core functions: Interactive information terminal, Comprehensive frame consultation & presentation, Persuasive lens presentations and a patented 3-D video centering system. The 3-D video centering system permits a fast and simultaneous precise measurement of all centering data, as well as pupillary distance (PD), corneal vertex distance (CVD), face form angle and pantoscopic tilt. High precision in measurement is ensured. Even unintentional head movements during the measuring process are automatically corrected. Rodentstock’s ImpressionIST terminal will provide a unique experience for all patients whilst ensuring the highest accuracy. Rodenstock Australia | (AUS) 02 9748 0988 | www.rodenstock.com Financial solutions for healthcare professionals 1300 131 141 Australia Wide www.investec.com.au/professionalfinance Experien miequipment Eco-Friendly Green Machines When you use equipment and consumables that are not only ecological, but economical as well, going green can represent saving money as well as the environment. Mark Cushway and John Sailer We all know that reducing waste and conserving water and energy are necessary for the health of our planet and its inhabitants, but eye care professionals who operate in-house labs should also be aware that following these practices could also directly translate into saving money. 7E HLP Edging System edging system developed in the United States by National Optronics. Their dry-cut technology is inherently environmental because it requires no water or filtration system. “Large labs can save thousands of gallons a year with our system,” according to the company. The majority of the machines and supplies below can do all of the above and are available overseas with a few available locally. Some equipment simply by its design is environmental. This is the case with the Another edger from the States, Super System Optical’s Fastgrind, designed for the small to medium size practice, does use tap water but doesn’t use any slurries or lead or wax, so there are no environmental concerns and no hazardous materials to go down the drain or be filtered out before they do. Image 2 (top middle): Gerber Coburn E2G Blocking System. Consists of a blocker, newly designed surface blocks, a de-blocker, and an environmentally safe medium called Onyx-Bond. Image 3 (top right): PSI 952A Recycling and Filtration System. Continuously removes abrasive solids and plastic particles from the water and recycles it through the cylinder machines. Naturally Green Image 1 (top left): AIT Industries AIR Mini Purifier: Specifically designed to remove grinding odors and dust that occur while edging hi-index, polycarbonate, Trivex, and CR-39 materials. mivision • 45 Water Conservation For equipment that uses water, along with hazardous materials, there are devices that can filter and recycle the water. A company from the United States, Practical Systems Inc. (PSI), a manufacturer and distributor of optical machinery, supplies and services for wholesale optical laboratories and retail optical dispensers for the last 30 years, offers several options for recycling, filtering, and maintaining water, polish, and coolant in retail labs. All of their options filter contaminants from the liquids so they can be used over again, saving money on consumables and water as well as reducing the amount of liquids going back into the sewage system. When connected to a chiller, these devices will enable labs to maintain consistent temperatures across all areas of processing, reducing lens reworks and damage. Where to Find It Local Australia and New Zealand Distributors Briot-Weco Australia P: (AUS) 1300 667754 or W: briot-weco.com.au Gerber Coburn P: (AUS) 1800 888 266 or (AUS) 08 8382 1699 W: www.gerbercoburn.com.au Overseas Distributors AIT Industries W: www.aitindustries.com National Optronics W: www.nationaloptronics.com Practical Systems Inc. (PSI) W: www.looktopsi.com Santinelli International Inc. W: www.santinelli.com Super Systems Optical W: www.superoptical.com Universal Photonics W: www.universalphotonics.com If your cylinder machine is hooked up to fresh water, you’re sending a minimum of four litres of water through the machine every minute. That’s 1,920 litres for one machine in an eight-hour day. Instead of running water through the machine and down the drain, a recycling and filtration system like the one from PSI (model 952a) can be hooked up to the drain line of a generator or edger so it can filter and recycle the water (or coolant) back through the system, saving tens of thousands of litres of water a month. Another filtration system available locally, Gerber Coburn’s Euro Aquasave, constantly filters out solids to allow for the recirculation of water or coolant. For further recycling and subsequent savings, the filtration media are washable and reusable. Also from Gerber Coburn, the Euro Kleenchill Polish System’s filtration and refrigeration technology can extend polish life up to 12 months, according to the company. The filtration system removes waste matter and debris and reduces polish waste disposal from once a week to once a year. Universal Photonics, with labs and distribution facilities throughout the United States, Europe and the Far East, has been a world-leader in surfacing and polishing technology for 75 years. The company has an environment policy that drives its research and development to conservation, preservation and recycling. The company has a complete line of water treatment systems to help keep you as green as possible. The Edgemate coolant filtration system from Universal Photonics eliminates harmful contaminants from recirculating edging fluids by removing all suspended solids and allows the edger coolant to be recycled for six months or longer. This reduces progressive and AR coated lens rejects. For complete wastewater treatment, Universal Photonics has an ‘evaporator’. The company says the (rather aptly named) Megavap Liquid Elimination system is “specifically designed to handle wastewater too concentrated for traditional evaporators” and it can reduce waste disposal costs up to 90 per cent in typical situations. Green Consumables The transfer fluids, dyes, and solvents used in conjunction with dyeing units all have the potential to be hazardous waste, which is not only unhealthy but also expensive to discard. Brain Power, Inc.’s (BPI) dry, on-demand, infrared-heated Turbo Tinters system distributed by Gerber Coburn locally, cleverly uses direct infrared heat in ceramic heating chambers instead of heat transfer fluid. The Turbo Tinters’ energysaving digital controls provide the precise temperature regulation needed for today’s modern lens materials. PSI’s Cad-Con 1000 is a treatment for cadmium and lead disposal for labs using alloy blocking. Cad-Con 1000 treats alloy reclaim tank water and polish wastewater for non-hazardous disposal. It separates lead and cadmium from wastewater and settles it so that the water can be poured down the drain. It provides a sealant on the cadmium and lead particles that makes them inactive and safe for solid disposal. Environmentally friendly consumables from Gerber Coburn include Freebond, LC CleanerPlus, Sonic Cleaner, and Freeblock, which are all biodegradable. Freebond is a blocking medium for surface blocking, Freeblock is a blocking medium Image 4 (above left): Briot-Weco ‘ECO-CLEAN’ Filtration System. Designed to meet requirements of water authorities and lengthen the life of your edging unit. 46 • mivision for finish blocking, LC CleanerPlus is a lens cleaner for use prior to hardcoating, and Sonic Cleaner is a cleaning device for anything from frames to lenses. Gerber Coburn has also released an eco friendly surface blocking system. The E2G uses onyx-bond which is reusable, biodegradable, alloy and wax-free. Clearing the Air To make your in-house lab as environmentally friendly as possible, it’s necessary to clean the air as well. In the U.S., edging technology company, AIT Industries’ ‘AIR Mini’ features an air filtration system that eliminates the obnoxious smell that emanates from highindex edging. In addition to freshening the air this filtration system also reduces the overall level of dust in the lab. Another product from the U.S. is Santinelli International Inc.’s LED-200 (which stands for lens edger deodoriser). This machine connects to any edger and features a built- in vacuum and activated charcoal filter to remove odours and small particles. From a local perspective, Briot-Weco Australia produce edgers that are environmental in a number of ways. They catch the swarf through a filter to eliminate drainage into the sewer system, shut the wheels off between cuts to reduce energy use, offer re-circulating water as an option to reduce water usage, and offer three water-delivery systems into the edger chamber to eliminate fumes and odours. John Sailer is Senior Editor of Vision Care Product News. This article has been adapted by mivision magazine for reproduction in Australia and New Zealand and published with kind permission. It originally appeared under the heading ‘Eco-Friendly Green Machines’ in Vision Care Product News, the flagship publication of First Vision Media Group U.S.A. Vision Care Product News is published monthly (except December) and reaches over 37,000 vision care professionals. Key Points Important to conserve energy and water; reduce waste. When used in conjunction with BriotWeco’s Eco Clean filtration system, both solid waste and slurry gets double filtered before entering a settlement tank, making for easy cleaning of the reticulation water system. Environmentally-aware practices lead to saving money. Look out for: •D esign: the design of equipment that is good for the environment. Cleaning the air, filtering and recycling the water, and using biodegradable consumables all contribute not only to the health of the planet but to your bottom line. • F iltration systems: for recycling water and to clean the air. •C onsumables: that are environmentally friendly. NeW tO AUStrALIA! Get your orders in before the government’s 50% tAx breAk ends! Visslo edging equipment If you are after the latest technology, quality finish, reliability, low maintenance, self calibrating system.... ...Visslo’s edging options have the answers to your needs. Cerium Optical Australia Pty Ltd 27 DRAYTON STREET, BOWDEN, SA, 5007 Ph. (08) 8346 1366 Fax. (08) 8340 9711 email: [email protected] www.ceriumoptical.com mieyecare The Opportunit y to be the Patients’ Hero Our patients want and need to see the best they can, especially in this visually demanding world, and that’s why they come to your practice. As an eye and vision care specialist, you have the opportunity to be the patients’ hero by providing the very best vision and best vision solutions throughout their lives. Contact lenses are the obvious choice of vision correction for not only many sports activities but normal and active daily lifestyles. Dr. Joe Barr 48 • mivision Some of today’s contact lens optical designs have the best advanced aspheric optics for spherical aberration correction and even high definition vision in some cases. This can be especially effective for patients with normal amounts of spherical aberration of the eye, a larger pupil or in low-light situations. Too many spherical contact lens wearers are trying to cope with -0.75 diopter of uncorrected cylinder that as eye care professionals we would never let go uncorrected with spectacles. If these patients are left with their cylinder uncorrected, they will not only suffer blur but possibly eye strain and even discomfort. Today’s toric lenses are nearly as easy to fit as spheres, so there is no reason to let them go uncorrected. The Astigmatism Opportunity Recently, we discovered an opportunity for your patients and your practice that may surprise you. In the survey conducted by Decision Analyst1 it was revealed that more than 40 per cent of astigmats believe that their astigmatism is the reason they cannot wear contact lenses. The survey also revealed that 66 per cent of astigmats who have never worn contact lenses and nearly half of those who have worn contact lenses in the past would be highly motivated to wear lenses if they were available to correct astigmatism. A total of 993 vision-corrected astigmatic consumers between the ages of 18 and 49 completed this online survey. 150 respondents had never worn contact lenses and 178 had worn contact lenses in the past. The survey also found that 7 out of 10 of those who have never worn lenses would be highly motivated to wear contact lenses if they were available, and if their eye care practitioners made the recommendation. Half of previous lens wearers would be motivated to try contact lenses again if they were available. There is ample opportunity with the right toric design to fit even more patients who desire the benefits of contact lenses but do not realise that toric soft lenses are available for their visual needs and lifestyle. Additionally, great optics and lens stability are two key attributes of soft toric contact lenses that lead to successful contact lens wear and great vision. But, when a soft toric lens is rotated or moved off axis during normal daily activities like lens insertion or rubbing of the eyes, rapid rotational recovery to the lens resting position is a critical element in reducing the potential for variable vision or loss of visual quality that could lead to patient dissatisfaction, up to and including dropping out of lens wear. Some astigmatic lenses also feature advanced aspheric optics in monthly hydrogel, silicone-hydrogel and daily disposable modalities as well. The Presbyopic Opportunity We are rapidly approaching a worldwide population of 1.5 billion presbyopes2. The Presbyopic population is growing faster than the population as a whole. A 2008 Gallup Organisation study projected that the number of prospective contact lens wearers in the U.S. was expected to increase to almost 34 million over the next decade – a percentage increase (9.2 per cent) greater than the overall projected national population growth rate (8.4 per cent). In less than 10 years the 50 and older age group will represent 16 million of the current 34 million contact lens wearers that are now 13 years of age and older. Clearly, as an increasing number of our patients live longer and have more active lives, growth in this patient segment will remain robust for years ahead. Patient interest in multi-focal contact lens correction will substantially increase in most of our practices as a result of consumer advertising, word of mouth, and trade advertising of new technology. We need to be ready to help our patients and our practices reap the benefits of new and emerging contact lens technologies for presbyopic correction. great for first-time wearers, part-time wears and full-time wearers; great for children and teens; great for allergy sufferers; great for heavy depositors; ideal for occasional wear for sports or vacations and, in fact, they are great for nearly all your contact lens wearers. Only one in 10 of the vision corrected population age 50-64 wears contact lenses. Our market research shows that one-third of monovision wearers and one-third of regular contact lens wearers would be willing to wear multifocal contact lenses. In the U.S. growth of single use lenses increased 20 per cent in 2008 compared to the year before. Obviously, patients and eye care professionals alike agree this is an excellent modality. I’ve always said that refitting a current early presbyope contact lens wearer into a multi-focal contact lens is a slam dunk. Those in their 40’s do great with multifocal contact lenses. Start them early and they can progress easily in to a higher add as they enter their 50’s. This will also keep these patients from dropping out, and endear them to you and your practice. There is growth in prescribing of daily disposable lenses throughout the world. Recommending daily disposable lenses can build your practice through a high level of patient satisfaction. Annual lens supply purchases, along with the best modality for lens replacement compliance at 88 per cent, can lead to improved patient retention rates which is beneficial to your patients as well as your practice. Daily disposable lenses can be as affordable as two week lenses when “Some of today’s contact lens optical designs have the best advanced aspheric optics for spherical aberration correction and even high definition vision in some cases.” Young, energetic, high-tech, emerging presbyopes want to stay in contact lenses or try contact lenses for the first time. You can again be the hero by easily satisfying their gradual onset of near vision challenges from the first symptoms to full presbyopia with exceptional vision at all distances while maintaining better depth perception with multifocal contact lenses over monovision. As I learned a long time ago when fitting and treating presbyopes, a happy presbyopic multi-focal contact lens wearer is a loyal patient who is willing to refer other presbyopes for the opportunity to see well at distance and near with contact lenses. The Daily Disposables Opportunity I personally choose daily disposable lenses when I wear contact lenses for sports. I truly believe daily disposable lenses are one of the healthiest ways to wear contact lenses and of course, the most convenient. The benefits for patients are clear. They are easy to handle with advanced packaging; a sterile lens every day of use; no lens care; pricing is right and rebates are available and utilised. Daily disposable lenses are valuable to your patients, so keep this modality top of mind when making a recommendation. Conclusion As so many of you are becoming experts in disease treatment, and are increasingly focused on treatment of dry eye and seeking the most comfortable contact lens options, remember that most of your patients seek your services because you are the vision expert. Take the opportunity to provide the best vision and vision solutions for your patients throughout their lives. Dr. Joe Barr, OD, MS, FAAO is Vice President Global Clinical & Medical Affairs and Professional Services Vision Care Bausch & Lomb. Dr. Barr joined Bausch & Lomb in July 2007. Prior to this he was editor of Contact Lens Spectrum from 1987 to 2007, holding one of the longest editorial tenures in healthcare publishing. He also edited the Contact Lens Today weekly newsletter. References 1. D ecision Analyst is an independent research firm from Arlington, Texas, USA. The survey was sponsored by Bausch & Lomb. 2. Holden et al., Archives of Ophthalmology, 2008 mivision • 49 O pticare is an Australian owned and operated company supporting independent practitioners in the Australian optical industry. We provide a comprehensive range of lenses and frames to cater for all markets, from basic to high end premium products. We offer instruments, hand tools and equipment for all your consulting and workshop requirements and display units for your dispensing and sales areas. In fact, Opticare can set up and fit out a complete practice for you plus provide simple easy to use software to trace and transfer your work and/or manage your practice. Opticare is truly your complete partner in optics. $20 Frame and Lenses Package Smart and fashionable, Opticare’s Instyle range is the affordable, cost effective solution back surface progressives The ClearPro progressive series guarantees the highest optical performance back surface progressives Smartpro 100% back surface progressive lenses to suit the precise needs of every individual back surface FreeForm progressive The Delta Premium Freeform back Surface Progressive guarantees the highest optical performance with outstanding cosmetics. Platinum EP - Anti Reflection Coating Platinum EP coating uses the latest technology to produce an extremely hydrophobic and slippery surface Premium Frames & Sunglasses Premium eyewear brands include Sama, Badgley Mischkha, Loree Rodkin, Sover & Zimmermann Ocelot Practice Management System Ocelot, Opticare’s very own practice management system is available at a fraction of the cost of other systems Opticare is truely your partner in Optics. NSW 02 9748 8777 • VIC 03 9558 7315 • QLD 07 3630 2366 • www.opticare.com.au Product In Focus $20 Frame & Lenses Package Smart and fashionable, Opticare’s Instyle range is the affordable, cost effective solution Complete from $20 (plus GST) Includes frame fitting and CR 39 Lenses This unbeatable package has been designed to give you ease of ordering, a widechoice of options from basic to premium ranges, and all packed with fantastic value. Call Toll Free - 1800 251 852 mibusiness Don’t Give to Get Better at Giving Please don’t take the headline as being moralistic; it is in fact a realistic way of ‘taking care of yourself’… in business and in all other pursuits. John Lees Great Expectations The often used saying ‘give and you will get’ is highly misleading, because while it is obvious that givers will usually get more…in many cases they don’t, or at least they don’t get what they wanted or deserved as a reward for their labours. Many people in business have found that when they gave their best not a soul said thank you, let alone offered some form of reward for their efforts in giving. This is the point: if you ‘give to get’ you will be constantly disappointed at how little you get back…and then you might give less or stop giving all together! 52 • mivision Do this and you will become an enemy to yourself. There is of course nothing wrong in wanting to get a return for what you gave, even if it is just a pat on the back. But there is something wrong in giving with a dependence on getting something back. The purpose of giving one’s best is a mental equivalent of physical exercise; it is done to satisfy yourself first and others second. And if physical exercise is going to pay dividends it must be a consistent and perhaps growing effort, and the same principle applies to the efforts we make at work. Some people just don’t understand “‘giving your b es t’ dema that you n ds look bey o n d your job desc ription ro le becau let’s fac se, e facts, n o t all job descripti ons are ‘succes prescrip s tions’.” this; for example you hear people saying things like ‘I’ve given so much to this company, God knows I’ve given; I’ve given more than I was ever asked to do, and what have I got to show for it? Nothing! So I’m not giving any more, that’ll teach them!’ Will it? I don’t think so; this attitude simply penalises the giver! Give Encouragement I remember a great educator telling people years ago that they should be ‘encouragers’ in society, not just with their children but also with staff, colleagues and customers. Then he told me that sooner or later he’d hear people say: ‘Encouraging doesn’t work; I tried to encourage so and so and he wouldn’t listen.’ He then explained… ‘They missed the point: I didn’t mean that they should encourage others so that others would be encouraged; I meant that they should encourage others so that they themselves could be encouraged.’ So when people continue to give their best, no matter what return they get…they are in effect getting better at giving their best. And if such people consistently go unrecognised by those they work for, they can of course take their growing capacity to give their best to a company that does recognise and reward active givers. It should also be said that ‘giving’ at high levels must be delivered in addition to what is expected of us at work, via job descriptions, etc. Giving Your Best In other words if you can’t get the basic job done then your ‘giving more’ efforts will be unwelcome to say the least. Having said that, ‘giving your best’ demands that you look beyond your job description role because, let’s face facts, not all job descriptions are ‘success prescriptions’. Parents understand that giving your best to kids is the least that needs to be done, and yet it often turns out that children don’t respond to what is given, by word or deed. Does this mean that parents should give up? Don’t answer that! I remember asking my eldest son when he was 14 to read a single, moving page from the book ‘The Diary of Anne Frank’, the incredible, inspiring story of a 13 year old Jewish girl who braved the Nazis and lent a searing voice to the fight for human dignity…and died in the process. It took me ten minutes to convince him to read the page and I hoped, like any parent, that the words would affect him deeply. My son read the page and then turned to speak, at which point I was hoping he would say ‘this has changed my life’. What he actually said was this: ‘didn’t do her much good did it?’ John Lees is a sales & marketing specialist engaged in speaking, training, consulting, business coaching…and he is the author of 11 books on business development. Contact John Lees via email: [email protected] and visit his website: www.johnlees.com.au mivision • 53 mibusiness SMSF Property Purchase In the past, Self-Managed Superannuation Funds (SMSFs) were generally not permitted to borrow against when seeking to acquire an asset such as a property. This rule was changed in September 20071 to allow, in certain circumstances, borrowing to acquire an asset. Andre Karney Buying a property by borrowing against your self managed super fund (SMSF) can be done, for example, with an instalment warrant under strict conditions, such as: • T he borrowed funds must be used to acquire an asset that the SMSF is permitted to hold under the SIS Act; • T he asset must be held on trust with a separate legal custodian maintaining ownership and the SMSF receiving only a beneficial interest until the loan is repaid; • The SMSF must have the right but not the obligation to acquire legal ownership of the asset by making one or more payments; • The rights of the lender to the SMSF under the loan must be limited to the SMSFs interest in the asset purchased with the borrowed funds (i.e. no rights in other assets). Also, a SMSF may not put an existing asset of the fund into an instalment warrant arrangement. Before entering into such a transaction, trustees should ensure that the SMSF trust deed permits this form of borrowing. Also, the documentation 54 • mivision required for such a structure can be complex and should be completed by specialists in this area to avoid breaching SIS Act. Some of the rules in the SIS Act include that the interest rate payable is at arm’s length and that the SMSF is not borrowing to fund the acquisition costs, such as stamp duty. It is advisable that clients speak to their accountant and solicitor to ensure all capital gains tax, GST and stamp duty issues are appropriately dealt with. The Australian Taxation Office has expressed concern over whether a personal guarantee compromises an arrangement, but a formal view on this issue has not been released. You should also seek appropriate legal and accounting advice on this issue. Should I Allow my Super Fund to Borrow? Before proceeding with any borrowing to purchase an investment asset, it is important to ask whether the asset is one that the trustee would want to own, and whether it makes financial sense. If the answer to both questions is yes, the trustee would then need to consider the structure for owning the asset and how to best fund the purchase. To be a worthwhile purchase, the asset should generate a combined level of income and capital growth that exceeds the after-tax cost of borrowing. Shares and property are most commonly used in gearing strategies as they generally provide both income and capital growth over time. Also, shares and property have historically provided significantly higher long-term returns than cash or fixed interest investments. However, gearing poses its own set of risks, including: • R isk of capital loss: gearing magnifies the gains where the returns are positive but also magnifies the losses where returns are negative. • R isk of short-term volatility gearing should be viewed as a long-term wealth creation strategy of at least ten years, and investors should be aware that short-term volatility of returns may be experienced in pursuit of higher longer-term returns. • Risk of an increase in interest rates borrowers should ensure they can repay interest and principal if interest rates increase. Loans should also be flexible to enable borrowers to change between fixed and variable interest rates, or use a combination. • R isk of increase in loan to value ratio: if the assets secured against the loan fall in value, the loan-to-value ratio increases, increasing the likelihood that additional capital will be required. “To be a worthwhile purchase, the asset should generate a combined level of income and capital growth that exceeds the after-tax cost of borrowing.” It is also possible to lose more than the initial equity investment if the value of the overall geared portfolio falls by more than the initial investment. For example, assume a AUD$100 investment is made up of AUD$30 in equity and AUD$70 by way of loan. It can be seen in Figure 1 that should a portfolio fall in value by 50 per cent, additional capital would be required to repay the loan amount. Typically, lenders will not lend as much for a property purchased under a SMSF loan agreement because the security in such an agreement may be limited to the property only. Andre Karney from Investec Experien has spent over 20 years working in banking and finance. Andre’s lengthy experience in the area of specialist lending in the healthcare sector ensures an in-depth knowledge of the market and a strong ability to fulfil client needs. Call 1300 131 141 Australia Wide to speak to one of Investec Experien’s specialised Finance Consultants. Reference 1. Superannuation Industry (Supervision) Act 1993 (SIS Act). Important Notice: The material contained in this editorial is general commentary only and is based on information we believe to be reliable. None of the material is, or should be regarded as advice. Accordingly, no person should rely on any of the contents of this editorial without first obtaining specific advice from their own tax adviser, accountant and lawyer. To the maximum extent permitted by law, Investec Experien, its related bodies corporate, principals, employees and agents accept no responsibility to any person who acts or relies in any way on any of the material contained in this editorial. Examples are used for illustrative purposes only. All finance is subject to our credit assessment criteria. Terms and conditions, fees and charges apply. Figure 1. If the investment moves by: -10% -30% -50% +10% +30% +50% Total invested $100 $100 $100 $100 $100 $100 Change in value -$10 -$30 -$50 $10 $30 $50 Total investment value $90 $70 $50 $110 $130 $150 Loan repayment -$70 -$70 -$70 -$70 -$70 -$70 Net equity $20 $0 -$20 $40 $60 $80 Return on equity invested -33% -100% -167% 33% 100% 167% mivision • 55 miproducts Carl Zeiss Visante omni Carl Zeiss Vision says “the Visante omni is the first system to combine OCT and Placido disk technologies, providing comprehensive anterior and posterior topography for improved patient selection and care. “In addition, the Visante omni Holladay report allows physicians to access patient-specific data sets in a simple, one page printout to maximise workflow and practice efficiencies.” Carl Zeiss Meditec AG is one of the world’s leading medical technology suppliers. Further information: www.zeiss.com.au Linking two of Zeiss’ most trusted platforms (the Atlas corneal topographer with Visante OCT), the new Visante omni allows the refractive surgeon to identify pre-existing corneal abnormalities, such as keratoconus, in their earliest stages. “Combining OCT pachymetry with Placido disk technology may provide the most precise information possible about the back surface of the cornea,” said Jack Holladay, MD, of Holladay Lasik Institute in Houston, TX. McCann Optical Parts MCRx The MCRx sunglass range from McCann Optical Parts, has quickly grown into one of the leading Rx-able ranges on the market. The range has a mixture of modern, classic and retro styles, available in both metals and acetate to suit your clients’ needs and budget. As an added benefit to customers McCann is now offering a lens fitting service for all of their frames, which includes single vision tinted lenses and Multi-coated Polarised lenses. This is backed by McCann’s 12 month warranty. For more information, or to arrange a visit from your representative, contact McCann Optical Parts on: (AUS) 1800 787 448. Arc Optical Widevue Lens Widevue lens is precision crafted using in-house German developed, intuitive calculation software that creates a lens design uniquely for the wearer, based on their prescription. The technology is called Freefocal. Widevue lenses mimics natural vision incorporating Lifestyle assignment; Thickness optimisation (weight reduction); Fitting the field of vision to the selected frame; Workplace related power assignment; Frame related decentration in X and Y (adjustment to inter-pupillary distance and frame shapes); Special fitting needs for spectacles with a large horizontal inclination angle (sports eyewear); Ease of wear for beginners and 56 • mivision Aesthetic optimisation for strong minus lenses (lenti). Widevue lenses come in corridor lengths of 7mm, 9mm, 11mm and 13mm to fit any frame size. For further information about Widevue lens contact Arc Optical on: (AUS) 1800 308 275 European Eyewear MonoMouse Electronic magnification enables patients to do what they are unable do with optical magnification – experience high magnification, binocularly, with a wide field. For example, the Bierley MonoMouse used in conjunction with a 20 inch TV screen, enables the patient to experience 24x magnification over 16 characters of N8 (newsprint). The computer version of MonoMouse also greatly adds to its appeal, as all age groups are now regular computer users. For the patient, MonoMouse could not be simpler to use. The mouse’ design has been fitted a video camera and illumination. MonoMouse uses recent advances in complimentary metal oxide semiconductors technology to produce a device with low power consumption and excellent image quality. MonoMouse is the ideal introduction of electronic magnification into optometric practices. It offers high quality magnification plus a wide field at low cost to the patient. Call European Eyewear: (AUS)1800 818 221 Centrostyle Modular Spare Parts System Modern, practical and professional modular system that will save you time and money when repairing frames. Colour coded trays to place spare parts on. When re-ordering the product on the colour coded tray, you will know where everything is. Boxes clip together and ergonomically designed for easy removal of parts. Red:Spring Hinge Repairs with plier kit Orange: Specialty Repairs Green: Rimless Blue: Standard Kit contains 1616 pieces of best selling screws, temple tips, nose pads and the new spring hinge plier kit. The cube can be wall mounted. Extra empty cubes and trays are available for you to custom design your workshop needs. Call Mann Optics: (AUS) 1800 805 405 or (AUS) 07 3279 4766 Essilor Xperio Polarised Lenses Experience the great outdoors like never before with Essilor’s Xperio Polarised Lenses.Essilor’s new polarising brand Xperio combines a wide portfolio of polarising products with a strong brand experience and communication for the patient. Xperio polarised lenses allow patients to experience both a safe and beautiful great outdoors by delivering UV protection plus glare reduction. Clinical studies also show that Xperio polarised lenses improve contrast sensitivity and visual acuity, allowing wearers to see with exceptional clarity of vision versus ordinary tints when outdoors or driving. Xperio grey lenses allow for natural colour enhancement and the ability to see true colours outdoors. Practitioners now have access to strong and contemporary patient communication materials, explaining and promoting the wear of polarised lenses, just in time for the summer season. For more information on, please contact your Essilor account manager or visit: www.essilor.com.au mivision • 57 mievent Specsavers Asia-Pacific HQ Opens in Melbourne Specsavers opened its new multi-million dollar head office in Port Melbourne with the announcement that they plan to create 1,000 jobs across its rapidly growing Australian retail network. The Specsavers team and more than 100 guests from across the optical industry came together to hear Specsavers founder Mr. Doug Perkins remark on the success of “the fastest rollout the company has seen in its 25-year history”. In his address Mr. Perkins stated that “the company is on track to beat its initial financial year forecast of AUD$200 million in revenue by more than AUD$50 million.” The privately owned optical franchise has opened close to 200 stores across the country since February last year, with a further 30 scheduled to open before Christmas. 58 • mivision “The retail expansion will generate at least 800 jobs in the coming 12 months, with an additional 200 new jobs being created at the 13,000 square metre manufacturing and operational facility in Melbourne – more than 1000 jobs in total,” said Perkins. Big Plans At the opening, attended by The Hon. Lindsay Tanner MP, Federal Minister for Finance and Deregulation and The Hon. Martin Pakula MP, Victorian Minister for Industry and Trade, Mr. Perkins revealed big plans to “invest in training and career development in Australia to assist in beating the skills shortage.” He said “the investment in the new headquarters underlines a phenomenal first 20 months of trading operations for Specsavers in Australia.” “Within the multi-purpose facility our new Specsavers Training Academy now offers a full range of skills and career development opportunities to a new generation of optical professionals, to deliver an exceptional standard of customer service in eye care within Australia. The new facility gives us the platform we need for the next stages of growth in both our Australian and New Zealand markets.” Focus on Training The head office houses three specially equipped training centres for interactive online and daily face-to-face training sessions for the network of stores, plus a fully functioning Specsavers store for hands-on store training. N.Z. and Statebased Academies are also in the process of being set up, together with local mockstores for store training. Specsavers’ Australian MD Peter Larsen gave further insight into the need to invest in training, commenting that: “due to our fast growth the issue we face, like all others in our industry, is a shortage of trained staff. That’s why we have taken the step, within this building, to invest in the formation of the Specsavers Training Academy. This will bring together a full range of training at all levels from optical assistants starting their first jobs straight out of school, to continuing professional education courses for optometrist and optical dispensers. “To do our part to address the skills shortage itself, we will ‘find, recruit and train’ the very best – with the aim of providing skills and career development for the next generation of eye care professionals in Australia and New Zealand.” Development and Growth Mr. Larsen also reported on local manufacturing growth, pointing to 27,500 pairs of spectacles being produced “…due to our fast growth the issue we face, like all others in our industry, is a shortage of trained staff.” each week in the on-site laboratory. The company predicts the total volume will grow to 37,000 per week by February 2010. On behalf of the Federal Government, Lindsay Tanner welcomed the opening of Specsavers’ Regional Headquarters for the Asia-Pacific region in Melbourne, saying: “Specsavers’ entry in the Australian market during some of the most challenging global financial conditions seen in recent years is a great success story both in terms of business growth and local employment opportunities. “Today’s announcement is great news for Specsavers and great news for the Australian economy, with increased competition and investment in the Australian market resulting in increased productivity and thousands of new jobs across the nation. “I also commend Specsavers’ commitment to not only creating new jobs, but investing in them for the future with the Specsavers Training Academy focusing on career development for local employees.” Victorian Industry Minister Martin Pakula commented: “The new HQ complex sets the stage for the company’s development and growth for employment in Australia, and a prosperous future for job opportunities within Victoria.” mivision • 59 HOYA launches NuPolar HOYA Lens Australia launched HOYA NuPolar at a gala event on 20th October at the stylish Argyle Hotel in the Rocks in Sydney, to kick off a series of roadshows in all Australian mainland capital cities, as well as Auckland, New Zealand. HOYA NuPolar is a result of partnership with Younger Optics. The two companies coming together to combine NuPolar polarising technology with HOYA’s digital surfacing and coating technology resulting in a new range of polarised prescription lenses. One of the highlights of the roadshows was a presentation on NuPolar technology and the business opportunities HOYA will offer customers. HOYA NuPolar is available in single-vision 1.5 index material and comes in G15 green, brown and grey tints. It is also available in 1.67 index in brown and grey. They are double-sided ‘Super-Hard Coated’ as standard with 85 per cent tint density. The polarised lenses new to HOYA block out 100 percent of UVA and UVB rays, along with intense glare which means less eye fatigue and improved visual acuity. Mr Craig Johnston, HOYA’s Retail Business Development Manager stated 60 • mivision that “there is room for an increase in the number of polarised prescriptions, as at the moment, only 1 percent of prescriptions in Australia are for polarised lenses”. To support the launch of NuPolar, HOYA said it will offer customers Local Area Marketing Support, which includes personalized Direct Mail materials, posters, transparencies, window displays, lenticular cards, and DVD loop just to name a few. “These tools are designed to aid businesses and practices in the marketplace and to help them promote HOYA NuPolar to patients,” said HOYA’s Sales and Marketing Director, Mr. Brad Bairstow. The launch of HOYA NuPolar also gave HOYA the opportunity to introduce newcomers to the company, Tony Schultz (National Field Sales Manager), Paul Milchem (National Customer Service Manager) and Mihajlo Starcevic (National Fitting Manager). Overall the roadshows and the new partnership were an enormous success for HOYA and Younger Optics, receiving over 1,000 attendees at all six events. Images: left to right 1. Craig Johnston (Retail Business Development Manager, Brad Bairstow (Sales & Marketing Director) and Tony Schultz (National Field Sales Manager // 2. Neil MacKinnon (Managing Director from HOYA) and Warren Reid (Eyecatchers Optical // 3. Manica Cortezano (Marketing & Sales Coordinator) and Kate Gibbs (SA Customer Service)with Francis Braile and Fabiano from the Optical Superstore Ingle Farm. // 4. Lisa Carroll (Product Marketing Executive) and Marija Sindjelic (Marketing Communications Executive) // 5. Paula Farrar (Highbury Optometrists) and Mihajilo Starcevic (National Fitting Manager // 6. Gary Jones (VIC Sales Consultant), Ethan Ong (Eyecare I-Wear) and Tony Schultz (National Field Sales Manager). // 7. Paul Milchem (National Customer Service Manager) and Isla Hills (Victoria Street Optometrists). SOLA Elan HDV launched at the movies Over 30 launch events held around Australia and New Zealand gave eye care professionals an opportunity to hear about the benefits of SOLA Elan HDV and to enjoy Vince Vaughn’s new comedy ‘Couples Retreat’. Mark Thyssen – Carl Zeiss Vision’s Sales and Marketing Director introduced a brilliant video presentation to attendees before the film. This presentation clearly explained the benefits of SOLA Elan Over the last couple of months Carl Zeiss Vision treated guests to a night out at the movies to celebrate the launch of the new SOLA progressive lens – SOLA Elan HDV. HDV through the eyes of two Carl Zeiss lens designers who, along with Managing Director Tony Gray, spoke about the development of the lens. The presentation on the latest Sola progressive lens design highlighted that “Sola Elan High Definition Optics has an easy to dispense variable fitting height and is available in a wide range of materials and prescriptions at an affordable price.” mivision • 61 mifashion news News mifashion Gucci Goes Cyber In the age of social networking, Gucci is up to speed. In a bid to promote their new eyewear line, the Italian fashion house is also introducing a new photo-inspired social networking micro site. G ucci Eyeweb is a new party photo destination where users can create their own photo art ‘reflectively’ in the lenses of the ‘eyeweb’ sunglasses and can then share the results with friends. Like a social networking site, users can leave comments on their photos. Photos can be added to a timeline as well as change which virtual city you’re in, which also alters the language and background music of the page. Taking a pioneering approach, Gucci Eyeweb combines highend quality with strong iconic styles that are destined for a younger audience both in terms of design and price. Next Big Thing: Barracudas Although a bit less wearable than Kanye’s shutter shades, the new Barracuda studded sunglasses from A-Morir have that same celebrity OTT feel, already generating a good amount of hype. Crafted by hand, the Kerin Rose-created shades feature a fully studded exterior with comfortable visibility, worn by Rihanna in the recent ‘Run This Town’ music video with Jay-Z. The Barracuda is available in three colours: black, silver, and gold. 62 • mivision The new glasses, designed by Gucci’s creative director Frida Giannini (who makes a cameo in one of the shots in the Milan section of the site), are inspired by all things digital and are all marked with the signature green and red stripes used on the website. They come in two models - male and female, distinguished by a single G hallmark for the boys, and a GG for the girls - and six colours, with three new models set to be introduced in Spring 2010. channel, hotel and restaurant tips, as well as playlists and a turntable for mixing tracks by music producer Mark Ronson.” The launch arrives in conjunction with the debut of Gucci’s first ever mobile application, which offers “a 24-hour music To have a look around and see the great graphics for yourself, check out: www.guccieyeweb.com “I designed these sunglasses and the accompanying social networking site with today’s digital generation in mind. I hope that they will both enjoy wearing them and reflecting and connecting their own creativity with their friends around the world,” says Frida. Latest Eyewear Trends Retro Chic / Rocker Chic / Futuristic / Soft Shapes / Oversized Frames / Coloured Plastics / Cutout Details / Aviator Frames / Lennon-Inspired / Wide Arms Maui Jim Says Goodbye to Luxottica M aui Jim recently announced: “the company has concluded its distribution agreement with all Luxottica-owned retail stores worldwide, effective immediately.” “This is an amicable decision,” said Chris Abbruzzese, Maui Jim’s Vice President of Marketing. “In recent months, given Luxottica’s long term strategy of vertical integration, it became increasingly clear that the continuation of our relationship was no longer in the best interest of the Maui Jim brand or ultimately, our consumer.” In a statement released by Maui Jim and in letters to its customers, the company said that it: “will continue to offer consumers its extensive, 200-SKU line through more than 15,000 chain and independent retail outlets.” “We are relying on our trade partners, who include the world’s most innovative and successful retailers, to represent Maui Jim and to continue to build awareness for our products and service.For our part, Maui Jim will continue to offer superior support to our retail trade partners and provide them - and consumers - with our full line of men’s and women’s sunglasses,” continued Abbruzzese. A Luxottica spokesperson commented: “Maui Jim has been a long-time partner of Luxottica. We acknowledge this development and at this time we have no further comment.” John Galliano Introduces Eyewear Fashion designer John Galliano has launched a sunglasses range, produced by Marcolin. For women, Galliano goes back to his Spanish heritage to create ‘Les Biches’: an oversized dark wrap shade, inspired by the hand fan used by flamenco dancers. For men the ‘Beau Regard’ combines house motifs with cinematic style in a chunky plastic upper set against a fine metal lower frame, with contrasted colours. The Icon Collection is now available exclusively at John Galliano boutique in Paris and a few selected shops worldwide. Olsens Launch Eyewear Line Celebrity twins Mary-Kate and Ashley Olsen, who already run a successful fashion label, have designed four vintage-inspired styles of eyewear. The designs are being launched in collaboration with top eyewear maker Linda Farrow and will be sold through their luxury label The Row. The line described as ‘sleek and sassy’ - will hit the shelves in Spring 2010. The much anticipated collection will feature a classic aviator, 1960s inspired round glasses, an oversized square frame and vintage inspired brow-line shades. The 23-year-old twins, who have made oversized shades a signature part of their style, plan to see how the designs sell before expanding the range next year. Ashley said: “We’re testing the market first and obviously these are four very different silhouettes, so we’re seeing what people are responding to and we’ll open up a couple more silhouettes for autumn.” The collection comes after the duo were praised by the Council of Fashion Designers (CFDA) earlier this year for their contribution to the U.S. fashion industry. Versace To Lay Off 350 Staff T he house of Versace has announced plans to lay off 350 staff, in a frank admission that major cost cuts will be needed to return the fashion business to profitability. Calling the move part of a “comprehensive corporate reorganisation,” the house said in a press release that the radical downsizing was “designed to increase efficiency, return the group to profitability in 2011 and ensure its future growth prospects. Trading conditions in the wake of the global financial crisis have been severe and the Company expects to make a loss in 2009,” CEO Gian Giacomo Ferraris said in the release. As a result, Versace plans to rationalise production facilities and review its extensive store network. The house quietly shut the doors of four boutiques in Japan in September and ccording to the house’s website has 93 boutiques in its global network, including 10 in North America, 26 in China, eight in Italy and five in Russia. mivision • 63 mifashion event Silmo 2009 In an uncertain economic climate, it is important for companies to gain first hand experience of their markets, meet with clients and prospective clients and take up the opportunity to explore the widest product ranges available. Being the international exhibition for the entire optics and eyewear sector, Silmo provides a unique business platform, a chance to discover new brands, to exhibit new trends and innovations; a showcase for talent and skill of all kinds. Jacque Katsieris I arrived in Paris with eyewear foremost in my mind and as I wandered the streets to my hotel I couldn’t help but notice the names so recognisable on the international fashion eyewear front popping up on optician signs along the fashionable streets of Paris. Pinton, Lafont, Mikli to name a few… I felt as though Silmo was rising up to greet me before even setting foot in the vast halls of the exhibition centre. Purple Haze The next thing I noticed upon my arrival was the colour purple – clothes, tights, flowers, ads, shop windows – everything was purple. It seems purple is the new black. I sat with a well known optical star from Sydney on the plane and was ready and completely versed on what I should look at and where I should go whilst at the fair which gave me a leaping start. With my press hat on I noticed the fair in a different light to my normal “business first – look around later” attitude. My aim was to immerse myself as quickly as possible into the attitude of the fair – to drink in the energy of the designers and ride on the excitement of the new and unseen. Village Visit The village was my first stop – I knew from previous shows this was where I was going to be most inspired and it did not disappoint me. The purple haze I had felt since arriving in Paris was vibrant 64 • mivision and in full swing as I walked through the entrance of the halls to the village. My first rendezvous in the village was with some fellow Aussies running around with the Silmo catalogue in hand looking to purchase new frames to set themselves and their practices apart from the norm back here in Australia. It was comforting to see that with all the talk of the GFC, they were still spending time and money bettering their businesses and venturing abroad to one of the most expensive cities in the world. I was to ask the question for the first of many times over the next few days: “What is the most exciting thing you have seen so far?” This answer was to be the same whether I asked optometrists, wholesalers or designers: “Not one thing is standing out but technology and colour is playing a huge part in what’s going on in eyewear”. Stand Up I started with familiar stands… ic! berlin was my first stop – even from a distance you couldn’t help but notice the old Mercedes parked in the middle of the stand with a toaster on the boot and tables sprawled everywhere with sales people and customers hanging from them. I was quickly ushered into a photo booth with ic! berlin designer extraordinaire Ralph Anderl blowing in my ear for a crazy set of photos and then to disappear back into his buzzing booth. Vicky Strojek, press manager then took me through the new developments of this iconic brand – everyone is a designer she says – the glasses of this latest collection are from the bowels of the company – Hubert the sales rep, Tom the technical department and Olivia the trainee, to name a few. There are stories for each of where the inspiration came from to design their frame and how they can turn metal into something courageous, brave and with a strong story to tell. Next on my list was Prodesign – another big name in Optics worldwide and always a brand to be reckoned with. This year they had a frame nominated for a Silmo design award. It didn’t take home the prize but is well worth a look when this new Silmo collection reaches our shores. Onto a personal favourite, Vera Wang – this range has gone from strength to strength from a small catwalk launch originally, it is now a collection not to be missed when looking for that stylish, well designed women’s frame. The collection is synonymous with exquisite acetates and this new Silmo release surpasses all expectations. Onto some homegrown talent with Jono Hennessy and Colab sharing some space in the Village and showing Europe and the rest of the world what the Australian contingency can do. The Hennessy range of Sunglasses and Optical was looking as cool as ever with Jono’s love of acetate and vintage a big influence on his 2009 Silmo collections. The next stand I spent some time with was William Morris London – a fabulous English range newly launched into “…even from a distance you couldn’t help but notice the old Mercedes parked in the middle of the stand with a toaster on the boot and tables sprawled everywhere with sales people and customers hanging from them.” Australia. The vibe was hot here and with the champagne flowing heavily I took some time to relax and talk to designer Brian McGinn who has just returned to London following a very successful design stint in Australian eyewear. Brian took me for a walk through the village to show me what he had found to be most interesting and inspiring at the fair and this is where I met the infamous Jacques Durand. Speaking with the help of an interpreter I found out all there was to know about the man who for the past 30 years has worked alongside Alain Mikli and was the product manager of the Phillipe Stark range. mivision • 65 “My aim was to immerse myself as quickly as possible into the attitude of the fair – to drink in the energy of the designers and ride on the excitement of the new and unseen.” “I am not a designer I am a conceptor – I hold the hands of the designer.” He went on to explain when asked what his design style was like. His concept is simple – nurture artists and help them create eyewear…stay tuned for his name on the international eyewear stage…. “I couldn’t help but notice the party atmosphere at the Orgreen stand. Orgreen continues to be one of the leading brands in Europe and it was obvious that the Orgreen design continues to inspire many other designers in the Village section. What I like about Orgreen is the identity of their unique and inimitable product. People wearing an Orgreen can be immediately recognised,” says Jim Kareh of Matrix Eyewear Australia. I have to mention Francoir Pinton, not only was their stand looking as fabulous as always with our very own Wallace of Wel Eyewear in residence but every second person at the show and on the streets was wearing a Pinton frame. Gorgeous acetates rich in colour, looking both luxurious and trendy at the same time. Down on Numbers As was the case with Odmafair this year I couldn’t help but notice the empty space surrounding the booths and the wide empty hallways at Silmo. The threat of flu, smaller travel budgets and confusion over the changed dates may have played a part in the drop in visitor numbers to 32,000. Figures were quoted at a 20 per cent downturn in attendees this year which was being blamed mainly on the GFC. Eyewear giant Safilo was absent, whilst Luxottica was only represented with a small stand for its Persol brand. However, that said, the low profile maintained by the conglomerates allowed smaller brands to shine. The Europeans as a whole bring so much style and grace to these trade shows, it makes it easy to become envious of the opticians and their amazing scope of eyewear they can purchase and sell in their boutiques. I am off now to buy a François Pinton frame – preferably in purple if there is such a model. Jacque Katsieris is the Managing Director of ProOptics. She has worked in the optical industry for over 10 years and says she “absolutely loves her job” and that her “customers are divine.” Winners of the 16th Silmo d’Or Lenses: Serengeti, ‘Polar PhD’ | Frame Technological Innovation: Rolf, ‘Imperator’ | Children’s Frame: Julbo, ‘Tango’ | Teen’s Frame: IDC, ‘Kumi’ | Sport Eyewear: Demetz, ‘Translation’ | Low Vision: Essilor, ‘After’ | Optic Frame (style, design): Morel, ‘Seville’ | Sunglass: Rodenstock, ‘P8481 Porsche Design’ | Village – Optic Frame (style, design): Derome Brenner, ‘Harlem’ | Village – Sunglass: Face à Face. ‘Miami’ | Workshop Tool and Equipment: Essilor, ‘Mr Blue’ | Eye Test Exam: Nidek, ‘Ark-560 A’ | Luxury: Exalto, ‘Atom’ | Product Environment: BOZ, ‘Kit PLV’ | Accessory: Alain Milki, ‘Delfina’ | Optical Instrument: Bushnell, ‘BackTrack’ | Contact Lens: Johnson & Johnson, ‘1 Day Acuvue TruEyes’ The Latest Evolution From mifashion ™ EYE W E A R With Matching Memory Metal Optical Frame Two Frames One Price Australia | NZ 0800.348.683 | www.fitovers.com | www.dualityeyewear.com 67 1.800.068.828 mivision • mivision • 67 mifashion Exclusive: Oakley Elite Launch “Take a problem, find a solution, then wrap that solution in art” mivision received an exclusive invitation to Oakley’s Californian Headquarters to preview its latest Elite collection. And, guess what?… We accepted! Sharon Smith provides this exclusive report on the Elite revolution from Orange County California. The invitation we received to preview Oakley’s latest collection at Oakley HQ was akin to getting one of the few gold tickets to Willy Wonka’s Chocolate Factory. mivision was the only representative from the Australian media invited as part of an exclusive worldwide preview of the new Elite collection to leading fashion, design and optical journalists from around the world. When I arrived in California our trip started in the conspicuous Oakley manner – with a convoy of four black Hummers to take the international media scrum of fashion editors to Oakley Headquarters in Orange County. Oakley HQ looks like an enormous futuristic military ‘bunker’ perched at the top of a hill, with a fully functioning Russian tank with Oakley badging in the foreground. Oakley is proud of their ‘design bunker’. From here the company has churned out 540 worldwide patents across multiple 68 • mivision categories including eyewear, time-pieces, apparel, etc. On our tour of Oakley’s Metropolis style headquarters we were taken through the fully automated Rx lens assembly plant which was built using automotive industry technology. We also saw Oakley’s ballistics and puncture testing and a special custom graphics room featuring 4D resin prototype copiers. California is a hub of manufacturing. There are 131 manufacturers of products based here however Oakley is one of the only company’s in California to do most of its manufacturing onsite. Oakley HQ is the architectural brainchild of Oakley President Colin Baden. It includes an NBA basketball court (which has recently been acquired by the fashion design department, Oakley’s fastest growth category), a 400 seat amphitheatre and one of their best performing Oakley stores in the U.S., with warranties and repairs done on site. Here, the concept of ‘boys and their toys’ is a way of life. At HQ, there’s also a bike ‘pump’ track, electric remote control cars, a helicopter pad and, of course, the tank! Athletic Appeal Deep in the bunker’s catacombs are research labs with equipment and facilities not unlike Q’s headquarters from James Bond. Products in development here are all top secret from eyewear, timepieces, apparel, luggage and specialty items for U.S. Special Forces, NASCAR and others. Oakley has endorsed 1500 athletes worldwide and 50 ex-sponsored athletes are now Oakley sports managers. These retired athletes work as sport talent scouts after they receive Oakley product knowledge and management skill training. Most areas were off-limits to photography, specifically their manufacturing, research labs and design floor. Aside from those who work in these areas, other Oakley employees don’t have access to “where the magic happens”. Whilst their passion lies with the more rebellious sports, such as X games, these managers understand the need to attract trend influencers from the mainstream sports such as golf and tennis to influence and appeal to the mainstream. Left: CSix Carbonfiber | Right: Pit Boss Matte Black Titanium Black Iridium Polarized Elite Driven by Design Ultimate Protection New Collection, New Icon Their latest top-secret limited-edition collection, Elite, is the culmination of Oakley’s ‘best of the best’ in design and cutting edge technology. What separates Oakley from the competition “is not a matter of opinion, but of science.” Colin Baden was incredibly passionate and hands-on during our tour. He personally demonstrated many of their eyewear tests for the media: The Oakley ‘O’ icon has undergone numerous transformations over its history and now, at the Elite release, Oakley also unveiled their newly faceted ‘O’ which will be the marque on all their premium products. Oakley is both design and personality driven. The founder, Jim Jannard was an amazing visionary who literally founded the performance eyewear category back in the 1980s. The current president, Colin Baden began his career with Oakley when his architectural designs were commissioned for Jannard’s dream home. Since then he has risen through the ranks from Director of Design to VP of Design within a year, then to President in 1999 before taking on the role of CEO in August this year. With a designer at the helm, Oakley will continue to lead in its creativity rather than purely focusing on the commercial implications of their research. Colin calls himself the “head mad scientist” and doesn’t believe in mission statements. Instead he has created several brand pillars which he claims “change every second week” but these guide Oakley to “wrap invention in art”. • Refractive Power Test: tests how lenses change the shape of images - where he put various competitor frames on a refractive chart to compare visual clarity. • Prism Test: which demonstrated how if this is not done correctly, you get prism headaches from making the eyes work hard at correcting the data to brain. • Mass Impact Test: which tests a heavy material with a slow impact - testing the frame’s ability to remain intact, whereby the lens doesn’t break and stays in place. • High Velocity Impact Test: taking a small mass where they used a lead pellet with a fast impact, such as gravel flying up from the road when cycling. Oakley considers their eyewear as ‘sunscreen for the eye’ – their protection is inherent in the glass instead of coatings that can be scratched. They rely on a nine base curve for maximum protection for peripheral vision. About three and half years in the making, the Elite collection is the final legacy of Jannard’s manic pursuit of excellence and for pushing scientific boundaries. The collection’s separate categories of shoes, watches and three sunglasses share a common theme through the use of atypical materials, specifically carbon fibre. In-house competitiveness between Oakley’s design teams has pushed the design envelope to produce Elite. In the past something like what they created here may not have made it to production stage. The Elite collection represents Oakley’s entire philosophy to date – bridging the gap between their ideas and what isn’t yet available in the market. mivision • 69 Elite Eyewear Pit Boss The Elite eyewear collection started as a design concept from founder Jim’s vision. It has been four years in the making and represents his desire for something aesthetically aggressive and sculpturally organic. To create Pit Boss, Oakley used forged titanium plate chiselled then bolted to the frame using the same technology from Time Bomb II ‘Reloaded’. The design team developed a frame design which used ultra lightweight titanium plates created with 200 tons of pressure which was fused to pure O Matter frame material. The High Definition polarised lens technology eliminates haze and distortion, with an iridium mirrored coating, AR coating on back, and added hydrophobic coating which provided antistatic, smudge, sweat and easy cleaning properties. C Six Carbon Fibre Oakley Elite C Six is considered the ‘pinnacle’ of the Elite collection. During the development of this frame, Oakley’s engineers worked with a company which uses carbon fibre material in making F1 cars. The Elite C Six utilises pure carbon fibre, a material thinner than human hair yet stronger than high tensile steel. This breakthrough material was an innovation from the aerospace industry. The difference between Oakley and competitors in using carbon fibre, is that they have machined carbon fibre into structures more than 40 layers thick, and mounted it to the spine, so each piece flexes and moves, whereas usually it is a material used decoratively instead of structurally. The engineers in the eyewear design team worked with carbon fibre for its lightness, durability and inherent beauty. The team had to create special rotary cam integrated hinges using ‘Unitreks L’ polimer composite which is also used by NASA. The ‘spine’ is made of beta titanium for its memory metal properties and strength. The biggest challenge was using the stiff carbon fibre, however they created an armadillo type technology so the spine sections slightly overlap using a patent pending multi point fit system for the ultimate fit. The cross-section of the carbon fibre when carved is like a topographic map with 80 layers so no two frames are identical. Oakley used five-axis computer numeric controlled machining which carved and shaped the composite which required more than 24 hours of continuous milling using probe telemetry with micro-precision. The machining process required 90100 man hours per frame to make. Lance Armstrong used this frame during the last leg into Paris of the Tour De France during his comeback, which they will auction them for charity. They are bringing to market a total of 250 pairs worldwide. C Six Aluminum Using the technology originally developed for the manufacturing of their timepieces, the aluminium was sculpted in custom-engineered tooling processes including precise 20,000rpm cutting by computer numeric controlled robotics. The aluminium is then anodised with electricity then combined with carbon fibre components and a flexible titanium spine. This labour intensive process includes hand assembly, followed by hand finishing and hand polishing. Images | Sunglasses: Pit Boss Tungsten Iridium Polarized | Watch: TB2 White Watch | Top: Oakley HQ | Middle: Tank at Oakley HQ | Bottom: Inside the Oakley HQ 70 • mivision Matching Frames & Sunglasses to a Face The ODMA board is committed to the ongoing education and training of optical dispensers. With hundreds of frames in all shapes, sizes and colours to choose from, selecting the most flattering eyewear for a customer’s face can be confusing. We’ve brought you this simple guide from the ODMA Optical Retail Guide to help narrow it down. Square Face: Oval, Round, Cat’s Eyes Oblong Face: Round, Square Matching Frames and Sunglasses to a Face has been reproduced with kind permission from ODMA. This article appeared in the ODMA Optical Retail Guide, in the Education and Training section, under the heading > Selling Sunglasses • Matching Frames & Faces. Independent practitioners, who would like to receive a copy of the ODMA Optical Retail Guide, should contact E: [email protected]. Triangle Face: Frames Straight Top Line, Cat’s Eyes Reduce the angles with soft, curvy styles that will give definition. Cat’s eye styles and classic ovals work well. Widen and shorten the face with styles that do not extend beyond the widest part of the face. Round or square shapes will look great. Decorative or contrasting temples add width to the face. Oval Face: Any Frame Shape Round Face: Wider Frames, Rectangular, Angular Diamond Face: Oval, Square, Rimless Almost any style works for an oval face, experiment with the latest looks, such as shields, square-shaped frames, higher temples. Frame should make the face appear longer and thinner. Look for frames equal to or slightly wider than the broadest part of the face. Soft angular, rectangle or double brow styles work well. Oval sunglasses will soften the contour of the face. Make sure the styles are no wider than the top of the cheekbones. Soften the lower portion of the face by accenting the eye area. Cat’s eye styles should angle outward at the top corner, metal frames with rimless bottom also work well. mifashion 72 • mivision The Obvious Companion Sale In recent years, Overspecs, Sunclips and Rxable clip-ins have experienced a steady rise in popularity. This section of the eyewear market has carved out a solid niche for itself mainly due to its attractive price point and convenience. Yoan Massie Cost, fit and convenience are what drive this category, and the demand for this companion sale to corrective eyewear, has never been higher. The growth of this sector is largely due to the fact that Australians are living longer than ever before, and as our population ages, there will be even greater need, and demand, for these products. For customers who work or play outdoors, having adequate UV and glare protection is paramount so it’s important we discuss the following products with them: • Overspec Sunglasses • Normal and Magnetic Sun Clips • Clip-in Rx-able Lenses The need for very large numbers of consumers to wear corrective eyewear also creates an opportunity to support their wider eyewear needs. The very real risks associated with UV damage to the eyes have been proven to pose an even greater risk to people who wear spectacles. Due to the large amount of people who are exposed to this risk, it is important that you offer customers effective and affordable solutions. Overspecs This category provides a convenient alternative to purchasing two prescription frames – one for outdoors and the other for inside. Overspecs are rather like sunglasses that can be worn over your normal spectacles. They have optical quality lenses which absorb all harmful ultraviolet rays, protection at the top and wide side-shields to eliminate rays from all directions. Particularly beneficial to those over the age of 50 and low vision patients, overspecs also offer comfort to anyone who experiences glare problems. Duality Eyewear Within the overspecs market, Duality offers high quality memory metal optical frames with a matching pair of Fitovers Eyewear i.e. overspecs. Fitovers Eyewear product snaps perfectly into place, giving the wearer the appearance of wearing a pair of designer sunglasses. Duality Eyewear has made it simple for the eye care professional to offer their patients a progressive friendly memory metal optical frame, and a Fitovers Eyewear product for one price. It is estimated that 85 to 90 per cent of patients that purchase prescription eyewear leave without adequate sun wear protection. Duality Eyewear provides the patient with a frame with Dualflex temples and Reflex Memory Metal bridge. The matching Fitovers feature polarised side lenses that reflect away glare while maintaining peripheral vision, as well as an integrated brow bar that blocks light from entering from above. The Duality Eyewear target market is men and women aged 47 to 75. The memory mivision • 73 development of a new patented flipup sun clip design. Unlike traditional flip-up designs, the SideKick features wrap around lenses that offer the wearer additional protection from both the peripheral line of sight and from light that enters from above. The majority of light is now filtered through the UV absorptive filters or blocked by the brow bar. The result has been superior protection and reduced eyestrain. The simple to use concept of flip-ups will immediately communicate convenience and ease of use to low vision patients. SideKick is available in three sizes to fit 99.8 per cent of prescription eyewear frames and features scratch resistant Polaré absorptive filters. (Distributor: Aviva Optical (AUS) 08 9354 4499) Domani The Domani design team strive to create the most attractive primary frame, designing their sun clip to follow the contours of the prescription frame, transforming a prescription frame into the latest, coolest, polarised sunglasses. “Sun clip frames have a highly flexible brow bar, allowing them to fit a variety of similar frame sizes and shapes.” metal optical frames are progressive friendly and combined with the matching Fitovers, are ideal for driving and any other outdoor summer activity. (Distributor: Jonathan Paul Eyewear (AUS) 02 4353 0933) OverSpex Trademarking the name ‘OverSpex’ for their overspecs product, this company provides a stylish range of high-quality sunglasses for all applications. OverSpex are designed to fit snugly over-the-top of optical eyewear. The fusion between design and technology has also resulted in the use of TR90, a highly innovative nylon based fibre which when applied to OverSpex results in a sunglass frame that is extremely lightweight, highly durable, chemical resistant and ensures long-term colour endurance. OverSpex are fitted with premium OsVUE Polarised Lenses, providing clarity, 100 per cent UV protection and scratch resistance. Designed to relax the eyes, OsVUE Lenses are fully polarised to ensure maximum glare reduction. The range of Os-VUE Lens tints provide wearers with 74 • mivision the option to choose the most appropriate lens for their lifestyle or outdoor pursuits. (Distributor: Optica (NZ) 03 982 98 98) Sun Clips Sun clips are metal sun glasses with without temples. Rather, these clip-on sunglasses have cushioned tabs which are designed to clip on to the front of your existing eye glasses. Sun clip frames have a highly flexible brow bar, allowing them to fit a variety of similar frame sizes and shapes. These professional quality clips have eye wires that open, allowing wearers to remove and replace the lenses if they wish. Cocoons SideKick Cocoons patented frames are based on proven OverRx design principles that ensure a comfortable fit when worn over a wide range of prescription eyewear shapes and sizes. These sun clips offer 360˚ of UV protection, giving the wearer unsurpassed protection from the harshest outdoor elements. The need for a product that could perform similarly to their full frame Cocoons Low Vision UV absorptive filters, but at a more affordable retail price led to the Outside the car, the prescription frame glazed with transition lenses will function as expected, however, once inside the car, a higher degree of comfort can be achieve by attaching the polarised sun clip. Through extensive research and development, using both magnetic and mechanical forces, domain achieved equilibrium between the sun clip’s secure hold and ease of removal. (Distributor: Domani Eyewear (AUS) 02 9997 1910) Silhouette Silhouette sun clips are made from a polarised polycarbonate material, with the bridge pieces made from Silhouette’s patented SPX – a durable, ultralight and hypoallergenic material. Comfort is a large factor when using these easily attached sun clips. They weigh less than one gram, so wearers barley realise they’re even wearing them. The lenses are composed of 12 hydrophobic, anti-reflex, anti-scratch, synthetic layers – with 100 per cent UV protection and filtering out at least 85 per cent blue light (brown lenses filter 97 per cent). There are five layers of anti-reflective coating on the inside of the lenses to minimise glare, in addition to a waterrepellent coating. There are more than 300 sun clip options available and Silhouette recommends using the ‘Clip-on Guide’, a readyreckoner that allows optical practitioners to effortlessly choose which sun clips correspond to particular eyewear models. Overspex has been designed and developed to cater for the previously overlooked and undervalued over-the-top eyewear market. The fashionable Overspex collection features a wide range of styles and colours to meet the needs of your most discerning customers. In the end overspex provides exceptional quality and value for money making the collection your first choice in over the top eyewear. TM TM Email [email protected] for a comprehensive buyers guide. DESIGNED TO BE WORN OVER PRESCRIPTION GLASSES All six sizes of Cocoons are now available in a fashionable burgundy or sensible slate finish. Each frame colour is available with amber, grey, copper or yellow polarised lenses. All Cocoons include a custom neoprene case, large lens cloth and limited lifetime warranty. P O L A R I S E D U V 4 0 0 · S C R AT C H R E S I S TA N T · F L E X 2 F I T ® T E M P L E S · 3 6 0 ° O F P R O T E C T I O N CALL NOW FOR SPECIAL RANGING OFFERS! 1300 850 882 P.O. Box 308 · Cloverdale WA · 6985 PH 1300 850 882 · FAX 1300 850 886 · WEB www.avivaoptical.com.au Silhouette’s Pro-Clip is a sophisticated hinge design that eliminates the need to repeatedly attach and remove the clip. They can simple be flipped up or down as needed with only two fingers. (Distributor: Mimo (AUS) 02 9970 1800) Rx-able Clip-in Lenses These are paired with specially designed frame sockets that allows the prescription lenses to be fitted in, giving the wearer extra convenience and comfort. These lenses are suitable for sporting events, and can also cater for prescription lenses including myopia, hyperopia, astigmatism and presbyopia. 1 Zero RH+ This breakthrough technology marks the invention of the first alternative contact lens/clip on glasses (where you mount ophthalmic lenses into the glasses). The Zero RH+ prescription and sport eyewear range has been created for fashionable sportspeople who want to make a statement while demanding advanced technology and performance from their eyewear. Zero RH+ sports ranges incorporates See Safe photochromatic lenses, scientifically formulated for flexibility and strength. 2 Redline Zero RH+ products are made specifically with sports in mind and use the highest technology available to meet the tough demands of the sportsperson’s world with glasses suited specifically to cycling, mountaineering, sailing, golf and other areas. Made in a Grilamid-Titanium frame, it comes with an anatomical removable non slip sports grip end bit. The lenses are See Safe photochromatic and use NXT-Soft technology lenses which are unbreakable and scratch resistant, light, clear and resistant to solvent. This lightweight frame also has an adjustable nose piece. (Distributor: Modstyle (AUS) 03 9387 9411) 3 Images: 1. Cocoons Sidekick, Aviva (AUS) 1300 850 882 2. Cocoons Slim Line, Aviva (AUS) 1300 850 882 3. Convertibles, Optique Line (AUS) 03 9853 0796 4. Duality, Jonathan Paul (AUS) 02 4353 0933 5. Silhouette Clip-On 2, mimo (AUS) 02 9970 1800 6. Silhouette Clip-On, mimo (AUS) 02 9970 1800 7. Rodenstock (AUS) 02 9748 0988 8. Zero RH+, Modstyle (AUS) 03 9387 9411 9. Sola Shield, Mann Optics (AUS) 07 3279 4766 10.Eusta, Rudy Project (AUS) 02 9318 5300 11.Overspex, Optica (AUS) 0430 512 989 12.Prestige, Domani (AUS) 02 9997 1910 76 • mivision 4 5 9 6 10 7 11 8 12 mivision • 77 Resort Beach DIsCOVer of TH E WO N D ER S Fraser If you’ve always wanted to see Fraser Island then there’s never been a better time than now. It’s the perfect time of year to discover the lakes, rainforests and beaches of World Heritage Fraser. Perfect for a relaxing break, a romantic getaway or a fun, family holiday. Our Fraser Island Adventure package is $448 * per person twin share, including resort hotel accommodation, return Hervey Bay Fraser Island. ☎ 1800 072 555 or book online www.kingfisherbay.com *Conditions Apply. Valid until 31 March 2010. CP-KBRV795 airport and marine transfers, buffet breakfast and a 4WD tour of midiary 2009 December 4 – 19, ONA Network, Volunteer Tanzania Eye Camp. Info: www.onanetwork.org.au November 21 – 23, World ROP Congress 2009, International Conference on Retinopathy of Prematurity, Hotel Le Meridien, New Dehli, India. Info: worlddrop@ gmail.com or www.worlddrop2009.org November 24 – 29, BCLA speaker at 35th Optometrists Annual Conference, Majestic Hotel, Harrogate. Info: [email protected] November 25 – 27, Ophthalmologica Belgia 2009, Brussels, Belgium. Info: www.ophthalmologia.be November 25 – 28, The Philippine Academy of Ophthalmology, SMX Convention Centre, SM Mall of Asia, Manilla, Philippines. Info: www.pao.org.ph/events.php November 26, BCLA Pioneers Conference, Royal Society of Medicine, London U.K. Info: www.bcla.org.uk November 28 – 29, ACBO Vision Therapists Conference, Victorian OAA Office, Melbourne VIC. Info: Paula Peachey (AUS) 02 6024 1177, E: [email protected] December 3 – 6, 8th International Symposium on Ocular Pharmacology and Therapeutics, Rome, Italy. Info: www.isopt2009.com December 24, Vision Australia’s Carols by Candlelight, Sidney Myer Music Bowl. Info: www.visionaustralia.org 2010 January 6 – 8, Save Sight Institute – Sydney Eye Hospital Registrars’ Conference. Info: www.eye.usyd.edu.au January 15 – 17, Opti Munich, New Munich Trade Fair Centre. Info: www.opti-munich.com January 17 – 22, Hawaiian Eye 2010, Grand Hyatt Kauai Resort and Spa, Kauai, Hawaii Info: www.osnhawaiianeye.com January 17 – 22, Retina 2010 (held in conjunction with Hawaiian Eye 2010), Grand Hyatt Kauai Resort and Spa, Kauai, Hawaii Info: www.retinameeting.com January 17 – 24, Ski Japan Eyecare Conference, Rusutsu Ski Resort, Hokkaido Japan. Info: (AUS) 0414 624 466, www.skiconf.com January 21 – 24, AIO2010/AACO, Science City, Kolkata, India. Info: www.aios.org January 28 – 31, 2010 Global Speciality Lens Symposium, Bally’s Hotel and Casino in Las Vegas, Nevada Info: www.healthcareconferencegroup.com/ conferences February 4 – 7, 24th International Congress of Hellenic Society of Intraocular Implant and Refractive Surgery at Hilton Hotel Athens, Greece. Info: www.hsioirs.org February 11 – 15, ASCRS, Fairmont Mayakoba, Playa Del Carmen, Riveria Maya, Mexico. Info: www.WinterUpdate.org February 18 – 21, 5th International Conference on Ocular Infections, Breakers Resort, Palm Beach, U.S. Info: www.ocularinfections.com February 19 – 20, ANZGIG Scientific Meeting 2010, InterContinental, Wellington, New Zealand. Info: www.anzgig.org.au/meetings E: [email protected] February 25 – 27, the 10th China (Shanghai). Everbright Convention and Exhibition Centre, China. Info: www.siof.cn March 2 – 6, ARVO 2010 Annual Meeting at Fort Lauderdale, Florida USA. Info: www.arvo.org March 4 – 5, Cornea and Eye Bank Meeting at the Grand Hyatt Melbourne. Info: Ms Monica Mauer, Centre for Eye Research Australia. Ph: 61 3 9929 8652, E: [email protected] March 4 – 7, The World Congress on Controversies in Ophthalmology, (COPHy) Prague, Czech Republic. Info: www.comtecmed.com/cophy/2010 March 7 – 13, World Glaucoma Week. Info: www.glaucoma.org.au March 5 – 6, Australian and New Zealand Strabismus Society, The Children’s Hospital, Westmead, Sydney, NSW. Info: Dr. Craig Donaldson, E: [email protected] March 5 – 7, 40th MIDO, International Optics, Optometry and Ophthalmology Exhibition, Fiera Milano (East Gate entrance), Milan, Italy. Info: www.mido.it March 6 – 12, North American NeuroOphthalmology Society (NANOS), Starr Pass, Marriott, Tucson, Arizona, U.S. Info: www.nanosweb.org/meeting March 19 – 21, Vision Expo East, Jacob Javits Convention Centre, New York, NY. Info: www.visionexpoeast.com April 6 – 11, 6th International Conference of Behavioural Optometry, Info: www.acbo.org.au April 7 – 9, VI World Cornea Congress, Boston, MA, USA. Info: www.corneasociety.org/wcc April 9 – 11, Queensland Vision 2010, Gold Coast Convention and Exhibition Centre. Info: Marika MacKenzie on (AUS) 07 3839 4411 May 2 – 6, ARVO Annual Meeting 2010, Fort Lauderdale, USA. Info: www.arvo.org May 27 – 30, 34th Clinical Conference and Exhibition, Hilton Birmingham Metropole Hotel, National Exhibition Centre, Birmingham U.K. Info: www.bcla.org.uk June 5 – 9, World Ophthalmology Congress, Berlin, Germany. Info: www.woc2010.org July 1 – 4, AUSCRS and APACRS Combined Meeting, Cairns QLD. Info: www.auscrs.org.au October 9 – 11, the CCLSA 13th International Contact Lens Congress, Sydney. Info: www.cclsa.org.au October 16 – 19, 2010 Annual Meeting of the American Academy of Ophthalmology, Chicago. Info: www.aao.org November 20 - 24, RANZCO Annual General Meeting and Scientifice Congress, Adelaide Convention Centre, Adelaide, South Australia. 2011 March 21 – 24, 26th Asia Pacific Academy of Ophthalmology Congress and The Royal Australian and New Zealand College of Ophthalmologists (RANZCO) Annual Meeting, Sydney NSW. Info: www.apaosydney2011.com April 9 – 11, Optrafair 2011, One Vision, One Show, the NEC Birmingham. July 8 – 11, Odmafair 2011, Sydney Convention and Exhibition Centre, Darling Harbour, Sydney. Info: www.odmafair.com.au To be included in midiary email details to: [email protected] PLEASE NOTE: All dates were right at time of publication however, as the best laid plans can sometimes go pear shaped, we suggest you contact the event organisers before you book your airfares and accommodation. mivision • 79 midirector y ACCESSORIES Allso Eyewear* 02 9789 6666 Aviva Optical 1300 850 882 Eyres Australia* 08 9325 2444 Frames Etcetera* 08 9248 1882 Gerber Coburn* 08 8382 1699 Good Optical 03 9820 9222 Hampton Park 03 9702 8033 McCann Optical Parts1800 787 448 Mr Specs 03 9580 4743 Optique Line 03 9853 0796 Servicing Optics 03 9546 1084 Bino, Telescopes Aviva Optical 1300 850 882 Carl Zeiss/Beretta Aust*03 9799 4999 DAW Optical 1800 635 222 CASES Allso Eyewear* 02 9789 6666 Aviva Optical 1300 850 882 Eyres Australia 08 9325 2444 Gerber Coburn* 08 8382 1699 Healy Optical Group* 02 9420 3200 KE Optical Group 03 9387 7088 Mann Optics 07 3279 4766 McCann Optical Parts1800 787 448 CLEANING SOLUTIONS Aviva Optical 1300 850 882 Eyres Australia 08 9325 2444 Gerber Coburn* 08 8382 1699 KE Optical Group 03 9387 7088 Mann Optics 07 3279 4766 CLOTHS Aviva Optical 1300 850 882 Eyres Australia 08 9325 2444 Gerber Coburn* 08 8382 1699 Healy Optical Group* 02 9420 3200 KE Optical Group 03 9387 7088 Mann Optics 07 3279 4766 McCann Optical Parts1800 787 448 Optiwipe 08 8341 2032 Components Aviva Optical 1300 850 882 Gerber Coburn* 08 8382 1699 Mann Optics 07 3279 4766 McCann Optical Parts1800 787 448 Mr Specs 03 9580 4743 Servicing Optics 03 9546 1084 Computer Systems Briot-Weco* 02 9790 3119 Designs for Vision* 02 9550 6966 Gerber Coburn* 08 8382 1699 I-Optic Computing 1800 635 222 IOC Technologies 08 6278 3801 Monkey Software 03 9393 2055 Opticare* 1800 251 852 Servicing Optics 03 9546 1084 Sunix Consultants* 02 9988 4862 Contact Lenses AMO* 1800 266 111 Alcon Laboratories* 1800 025 032 Aust Contact Lenses*1800 335 559 Bausch & Lomb* 02 9887 1444 Capricornia 1300 650 994 CIBA Vision* 1800 224 153 Contact Lens Centre*03 9543 1811 CooperVision 1800 655 480 Gelflex Laboratories 08 9443 4944 Johnson & Johnson* 1800 125 024 Menicon Australia 1800 639 879 80 • mivision * see midirectory adverts for more information about this company Contact Lens Solutions AMO* 1800 266 111 Alcon Laboratories* 1800 025 032 Bausch & Lomb* 02 9887 1444 CIBA Vision* 1800 224 153 CooperVision 1800 655 480 Gelflex Laboratories 03 9443 4944 Menicon Australia 1800 639 879 Display and Point of Sale Aviva Optical 1300 850 882 Chadwick Plastics* 03 9584 3613 Fairsight Optical 02 9586 1129 Gerber Coburn* 08 8382 1699 Maxim Optical 02 9542 7844 Opticare* 1800 789 110 Preston Displays 03 9706 8862 Sceats Optical Group*02 9519 0022 Finance Investec Experien* 1300 131 141 Frames Adidas 02 9970 1800 Allso Eyewear* 02 9789 6666 Apollo Optical 02 9821 4111 Aviva Optical 1300 850 882 Barz Optics 07 5534 7500 Bollé* 1300 138 098 Blur Optix 1300 bluroptix C&C Eyewear 03 9585 8016 City Optical 02 8707 8122 Dakim Optical 08 9276 7312 Damar Optical 02 8335 0802 DAW Optical 1800 635 222 Dixon Optical 02 4739 4148 Domani Eyewear* 02 9997 1910 Engelhardt Eyewear 1800 888 840 European Eyewear* 1800 818 221 Europtica Designs 07 3878 5616 Eurostyle Eyewear 1300 787 394 Eurospecs 02 9541 0404 Eyecraft 1800 023 831 Eyemakers* 02 9960 7766 Eyres Australia* 08 9325 2444 Eyes Right Optical* 1800 637 654 Fairsight Optical 02 9586 1129 Flair Australia 1300 787 394 Frames Etcetera* 08 9248 1882 General Optical* 1800 251 025 Gerber Coburn* 08 8382 1699 Gibson Importing* 1800 331 021 Good Optical 03 9820 9222 Hagemeyer 1300 652 525 Healy Optical Group* 02 9420 3200 Hello Kitty 03 9864 1400 Hoya Lens Australia* 1800 500 971 Inta Optical 02 9734 9999 Jonathon Paul 1800 068 828 Jono Hennessy* 02 9362 4941 KE Optical Group 03 9387 7088 L’Amy* 02 9428 1500 Luxottica* 1300 655 612 LVMH - Tag Heuer 03 8614 4300 Mackeson & Co 1800 656 121 Mann Optics 07 3279 4766 Matrix Eyewear 02 9557 3122 Mikado Vision* 07 5571 1898 Mimo* 02 9970 1800 McCann Optical Parts1800 787 448 MMK International 1800 450 001 Modstyle 1800 338 812 Mondottica Australia*1800 251 467 Mr Specs 03 9580 4743 MSRx 02 4343 1334 My Optics 03 9527 1336 Noo Eyewear 03 9532 7888 Oakley South Pacific* 1800 034 217 Op’s Optical Products02 9894 1000 Optex Eyewear 02 6882 1799 Opticare* 1800 251 852 Optiproject 1300 306 678 Optique Line 03 9853 0796 Oracle Eyewear 1300 558 138 Orient Trader 02 8786 1959 PD Distributors 03 9855 8633 Phoenix Eyewear 02 9899 1866 Piranha Eyewear* 02 4284 7888 Polaris Aust 07 3271 1934 Rimoptics 1800 335 391 Rodenstock* 1800 257 175 Rudy Project Australia 02 9318 5300 Safilo Australia 1800 252 016 Sceats Eyewear* 02 9519 0022 Shaan Eyeworks* 1800 777 560 Simon Optical 02 9649 5518 Seabreeze Oz 02 6639 5555 Spectacular Specs 1800 630 660 Style Optics 1800 338 232 Sunshades Eyewear 02 8303 7300 Suntrak Enterprises 1800 888 316 Tigervision 02 9557 2988 Tower Optics 02 9519 0022 Unisol Optical 1800 224 342 Van Staveren 1300 794 007 VMD Australia 07 5594 9854 Industry Associations Contact Lens Council 02 9415 1151 Optical Distributors & Manufactures Assoc. 02 8249 4380 Instruments and Equipment AMO* 1800 266 111 Aviva Optical 1300 850 882 Bausch & Lomb* 02 9887 1444 BOC Ophthalmic* 1800 804 331 Briot-Weco* 02 9790 3119 Carl Zeiss* 1300 365 470 DAW Optical 1800 635 222 Designs for Vision* 1800 225 307 Device Technologies 1800 804 006 European Eyewear* 1800 818 221 Gerber Coburn* 08 8382 1699 Hoya Lens Australia* 1800 500 971 Humanware 02 9686 2600 Insight Optics 0418 213 907 IOC Technologies 08 6278 3801 Medmont 03 9874 1388 Miniflam Australia 02 9711 4265 Mostyn Optical 07 3298 5575 MSRx 02 4343 1334 Optech 03 9639 2125 Optical Manufacturers*1800 226 890 Opticare* 1800 251 852 Optimed* 1300 657 720 Servicing Optics 03 9546 1084 Shaan Eyeworks* 1800 777 560 Topcon Australia 02 8748 8777 Instruments and Equipment Service AMO* 1800 266 111 Bausch & Lomb* 02 9887 1444 BOC Ophthalmic 1800 804 331 Briot-Weco* 02 9790 3119 Carl Zeiss* 1300 365 470 DAW Optical 1800 635 222 Designs for Vision* 1800 225 307 Device Technologies 1800 804 006 European Eyewear* 1800 818 221 Gerber Coburn* 08 8382 1699 Insight Optics 0418 213 907 IOC Technologies 08 6278 3801 Mostyn Optical 07 3298 5575 Optech 03 9639 2125 Optical Manufacturers*1800 226 890 Opticare* 1800 251 852 Optimed* 1300 657 720 Redbank Instruments 1300 788 239 Servicing Optics 03 9546 1084 Topcon Australia 02 8748 8777 Intraocular Lenses AMO* 1800 266 111 Alcon Laboratories* 1800 025 032 Bausch & Lomb* 02 9887 1444 Carl Zeiss* 1300 365 470 Designs for Vision* 1800 225 307 Lenses Aviva Optical 1300 850 882 Bonastar 02 9310 1688 Carl Zeiss Vision* 1800 882 041 City Optical 02 8707 8122 CR Surfacing Labs* 03 9878 7599 Essilor* 02 9714 4555 Eyres Australia* 08 9325 2444 Gerber Coburn* 08 8382 1699 Hoya Lens Australia* 1800 500 971 I-Optic Computing 1800 635 222 Mann Optics 073279 4766 Oakley* 1800 034 217 Opticare* 1800 251 852 Optimed* 1300 657 720 Precision Optics* 1800 808 150 Redbank Instruments 1300 788 239 Rodenstock* 1800 257 175 Rudy Project Australia 02 9318 5300 Shaan Eyeworks* 1800 777 560 Simon Optical 02 9649 5518 Seabreeze Oz 02 6639 5555 Smyth & Perkins 07 3844 4692 Spotters Shades 03 9728 2055 Transitions Optical 08 8329 0501 Younger Optics 08 8351 4755 Lens Cleaners Aviva Optical Gerber Coburn* Noble Lens Cleaners KE Optical Group Polaris Aust 1300 850 882 08 8382 1699 03 9702 8033 03 9387 7088 07 3271 1934 Low Cost Spectacle Programs Victorian Eyecare 03 9349 7498 Vision Care NSW 02 9344 4122 Low Vision Aids Aviva Optical 1300 850 882 European Eyewear* 1800 818 221 Mann Optics 07 3279 4766 Redbank Instruments 1300 788 239 Marketing Shirlaw Eyecare Plus Provision SmartPractice 1300 133 963 02 6583 4966 03 9533 8033 03 9818 0533 Medicare Automated General Enquires Provider Liaison 1300 652 752 132 011 132 150 Medicare Health Insurance Commission 1800 067 307 Ophthalmic Drugs Allergan Australia 1800 252 224 Aviva Optical 1300 850 882 Bausch & Lomb* 07 5534 7500 Device Technologies 1800 804 006 Pfizer 02 9850 3333 Practice Merchandising Aviva Optical 1300 850 882 Chadwick Plastics* 03 9584 3613 Maxim Optical 02 9522 5522 Op’s Optical Products02 9894 1000 Preston Displays 03 9706 8862 Prescription Lens Surfacing Arc Optical* 1800 308 275 CR Surfacing Labs* 03 9878 7599 Carl Zeiss Vision* 1800 882 041 Formic Lab 02 9824 3236 I-Optic Computing 1800 635 222 Shaan Labworks* 1800 777 560 Spotters Shades 03 9728 2055 Professional Associations Association of Spectacle Makers 02 9412 3033 Australasian College of Behavioural Optometrists 03 9792 5822 Australian Dispensing Opticians Assoc: NSW / QLD 02 9412 3033 WA 08 9444 5299 SA 08 8227 1444 VIC / TAS 03 9536 3127 Contact Lens Society of Australia 02 9279 1273 Guild of Dispensing Opticians 02 9412 3033 Optometrists Assoc Australia: National 03 9663 6833 NSW 02 9712 2199 Qld / NT 07 3839 4411 SA 08 8338 3100 Tas 03 6224 7711 Vic 03 9486 1700 WA 08 9321 2300 Optometry Aid Overseas08 9380 8311 Society for Holistic Vision Care 02 9743 1864 RANZCO 02 9690 1001 Publications Australian Optometry 03 9663 6833 CEO 03 8359 1120 Eye Talk 02 9451 2737 mivision 1300 668 201 Public Heath Organisations ICEE 1300 664 233 Optometry Giving Sight1300 881 073 Vision 2020 03 9656 2020 Registration Boards NSW Board of Optometrical Registration 02 9219 0233 NSW Optical Dispensers Licencing Board 02 9219 0211 Optometrist Registration Board VIC03 9882 8884 Optometrists Board of SA 08 8332 7666 Optom.s Board of WA 08 9321 8499 Optom.s Registration Board of NT 08 9898 2865 Optom.s Board of QLD 07 3277 711 Research Organisations National Vision Research Institute 03 9349 7480 Optometric Vision Research Foundation 02 9385 7311 Vision Cooperative Research Centre 02 9385 7516 Centre for Eye Research Australia 02 9929 8360 Co-op Research Centre for Eye Research & Technology 02 9385 7400 Rimless Fitting Arc Optical* 1800 308 275 Essilor Australia* 02 9714 4555 Hoya Lens Australia* 1800 500 971 Opticare* 1800 251 852 Shaan Labworks* 1800 777 560 Simon Optical 02 9649 5518 Sola International 08 8392 8392 RX Laboratory Supplies Gerber Coburn* 08 8382 1699 Gibson Importing* 1800 331 021 Good Optical 03 9820 9222 Inta Optical 02 9734 9999 Jonathon Paul 1800 068 828 Julbo* 02 6162 0900 Luxottica Aust* 1300 655 612 Mann Optics 07 3279 4766 Marriott Sports 02 9980 2226 Maui Jim Sunglasses 1800 010 244 Oakley South Pacific* 1800 034 217 Piranha Eyewear* 02 4284 7888 Rudy Project 02 9318 5300 Seabreeze Oz 02 6639 5555 Spotters Shades 03 9728 2055 Topace 1300 782 990 VMD Australia 07 5594 9854 Barz Optics 07 5534 7500 Sunglasses Adidas 02 9970 1800 Allso Eyewear* 02 9789 6666 Apollo Optical 02 9821 4111 Aviva Optical 1300 850 882 Barz Optics 07 5534 7500 Blur Optix* 1300 bluroptix Bollé Australia* 1300 138 098 Bugaboos – Rikki 08 9256 2799 Carve Eyewear 02 9503 0600 Engelhardt Eyewear 1800 888 840 Europtica Designs 07 3878 5616 Eurostyle Eyewear 1300 787 394 Eyres Australia* 08 9235 2444 Gatorz 02 9979 1988 General Optical* 1800 251 025 Gibson Importing* 1800 331 021 Good Optical 03 9820 9222 Hagemeyer 1300 652 525 Healy Optical Group* 02 9420 3200 Inta Optical 02 9734 9999 Jonathon Paul 1800 068 828 Jono Hennessy* 02 9362 4941 Julbo* 02 6162 0900 L’Amy* 02 9428 1500 Luxottica* 1300 655 612 LVMH - Tag Heuer 03 8614 4300 Marriott Sports 02 9980 2226 Matrix Eyewear 02 9557 3122 Maui Jim Sunglasses 1800 010 244 McCann Optical Parts1800 787 448 Mimo* 02 9970 1800 Modstyle 1800 338 812 Mondottica Australia*1800 251 467 Oakley South Pacific* 1800 034 217 Opticare* 1800 251 852 Optiproject 1300 306 678 PD Distributors 03 9855 8633 Phoenix Eyewear 02 9899 1866 Piranha Eyewear* 02 4284 7888 Rodenstock* 1800 257 175 Rudy Project Australia 02 9318 5300 Safilo Australia 1800 252 016 Sceats Eyewear* 02 9519 0022 Shaan Eyeworks* 1800 777 560 SOS Survival Optics 07 4055 5554 Seabreeze Oz 02 6639 5555 Spotters Shades 03 9728 2055 Sunshades Eyewear 02 8303 7300 Bollé* 1300 138 098 Suntrak Eyewear Bugaboos – Ryders 08 9256 2799 The Eyewear Company02 9648 5422 Eyres Australia* 08 9325 2444 Topace 1300 782 990 Gatorz 02 9979 1988 General Optical* 1800 251 025 Tower Optics VMD Australia 02 9519 0022 07 5594 9854 Arc Optical* 1800 308 275 Aviva Optical 1300 850 882 Carl Zeiss Vision* 1800 882 041 CR Surfacing Labs* 03 9878 7599 DAW Optical 1800 635 222 Gerber Coburn* 08 8382 1699 Mann Optics 07 3279 4766 McCann Optical Parts1800 787 448 Mostyn Optical 07 3298 5575 Opticare* 1800 251 852 Shaan Labworks* 1800 777 560 Smyth & Perkins 07 3844 4692 Safety & Industrial Aviva Optical Carl Zeiss Vision* 1300 850 882 1800 882 041 Cummings Optical* 1800 066 481 Eyres Australia* 08 9235 2444 Gerber Coburn* 08 8382 1699 Hoya Lens Australia* 1800 500 971 Mann Optics 07 3279 4766 MSRx 02 4343 1334 Piranha Eyewear* 02 4284 7888 Prescription Safety Glasses 02 4322 4597 Rx Safety 08 8186 3698 Shaan Eyeworks* 1800 777 560 Spare Parts Aviva Optical 1300 850 882 Gerber Coburn* 08 8382 1699 Mann Optics 07 3279 4766 McCann Optical Parts1800 787 448 New Image Optical Supplies 02 9363 1531 Optech 03 9639 2125 Shaan Eyeworks* 1800 777 560 Spectular Specs 1800 630 660 Spectacle Repairs Frame Care Australia*07 4051 4546 Miniflam Technical 02 9711 4265 Opticare* 1800 251 852 Sports Eyewear Adidas 02 9970 1800 Allso Eyewear* 02 9789 6666 Aviva Optical 1300 850 882 1800 888 316 Trade Fairs Exhibition Mgmt 03 9699 4699 Training Institutions Dept.of Optometry & Vision Sciences: VIC 03 9349 7400 NSW 02 9385 4624 School of Optometry QLD 07 3864 5735 Veteran’s Affairs Claims: Health Insurance Commission1300 550 051 Imprinter Sales 132 150 All States call free 1800 113 304 Authorisations 1800 555 254 Veterans Affairs: NSW 02 9213 7777 VIC 03 9284 6870 QLD 07 3223 8333 SA 08 8920 0320 WA 08 9366 8373 TAS 03 6221 6685 Vision Therapy Cyclopean Design 03 9729 5822 Optovision 02 9597 6413 Vision Therapy Australasia 1800 755 441 Xcimer Laser CentREs Clear Vision Laser Clinic 8266 08 9381 Elder Eye Centre 02 9387 4444 The Eye Institute 02 9424 9999 Hunter Laser Centre 02 4926 5823 Laser Sight Centres 02 8833 7111 Marsden Laser Clinic 02 9635 6964 Northern Laser Vision Centre 02 9410 1011 PersonalEYES for Life02 8833 7111 Sydney Eye Specialist Centre 02 9663 3927 Serban Eye Centre 02 9907 3003 Southline Laser Centre02 9580 1460 Vista Laser Eye Clinics02 9460 1177 Canberra Eye Hospital02 6249 6000 Insight Laser Centre 03 9629 4800 Laser Sight Centres 03 9663 0101 Medownick Laser Centre 03 9429 3566 Melbourne Xcimer Laser Group 03 9639 4635 New Vision Centre 03 9584 6122 Perfect Vision Laser Correction St Kilda Road Laservision Centre 13 13 40 03 9521 1499 Vista Laser Eye Clinics03 9532 9981 Custom Lasik Centre 07 5557 8300 Excimer Laser Vision Centre 07 3831 8299 Laser Sight Centres Australasia 1800 003 937 Adelaide Eye & Laser Centre 08 8274 7000 Ashford Advanced Eye Care 08 8293 2700 Laser Focus Vision Correction Centre 08 8431 9991 Eye Surgery Found’n 08 9481 6277 Lions Eye Institute 08 9381 0772 Perth Laser Vision 08 9366 1744 The Eye Centre 03 6334 1599 The Eye Institute 02 9386 3666 mivision • 81 miclassifieds Position Vacant short term arrangements to suit your requirements and availability. Vision Therapist Unmatched daily rate - $500 per day. Unrivalled organisational support in place. Work close to home. Locations available in all areas of Melbourne. We are a full scope behavioural optometry practice seeking a full or part time vision therapist. This person may be fully accredited with the Australasian College of behavioural optometrists in vision therapy or willing to undertake such training. The successful applicant will be task oriented with good people and time management skills and excited to work with children with learning disabilities, adults with acquired brain injury and people with strabismus and/or amblyopia. A background in early childhood, teaching or orthoptics would be beneficial but not essential, as in house training will also be provided. Please forward resumes to vision@ thompsonlarter.com.au or call Andrew on [AUS] 02 9481 0449. Nowra Are you after a career with job satisfaction in a professional environment where patient care is the top priority? Nowra Specsavers have a full and part-time position available for a motivated optometrist. Be part of a highly energetic team in one of our two independently owned practices in Nowra, NSW. The practices have been established for 20 years and are equipped with fundus cameras, Medmonts, autorefractors and a pachymeter. Work with trained support staff and three other optometrists. Excellent remuneration is offered.Only two hours from Sydney, Nowra boasts affordable living close to some of Australia’s most beautiful beaches. For more information on this opportunity, call Louise on [AUS] 02 44 21 0500 or dir.nowracentral@ st.au.specsavers.com FULL TIME POSITION FOR OPTOMETRIST & OPTICAL MECHANIC, WA A long established independent practice has an available full time position for optometrist and optical mechanic. Excellent support from friendly staff. Experienced or new graduates may apply. Interstate applicant will receive help in their relocation in WA. Attractive salary packages negotiable. Email resume at vso@iinet. net.au or call [AUS] 0413 228 814. Agents for NSW, QLD, VIC, WA HD OPTICS is seeking experienced sales agents with an existing client base within the optical industry to represent quality acetate range from Italy. Attractive commission offered. For further details please call Helen on [AUS] 03 9455 2760 or email [email protected] Absolutely fantastic OPTOMETRY opportunity. Regular LOCUM work for qualified Optometrists. Both full time and part time positions have become available in our growing company. We are able to tailor long term and 82 • mivision Interested? Please call Russell on [AUS] 0412 915 599 or email [email protected] to find out more about the position available. OPTICAL DISPENSER/MECHANIC - Melbourne Well-established and independent optometry practise in Melbourne, is seeking a qualified &/or experienced OPTICAL DISPENSER/MECHANIC to be part of our sophisticated practice. You are self-motivated and want a permanent part-time or fulltime position. Apply in confidence to [AUS] 03 9513 0899 (MUST DIAL 03 for connection). OPTOMETRIST- PERMANENT P/T OR LOCUM Independent optometry practice in Melbourne is seeking an OPTOMETRIST to be part of our sophisticated trendy practice. You should be an experienced practitioner wanting permanent part-time work or locum sessions. Fantastic career opportunity for the future: unmatchable hourly rates, flexible hours, free local parking. Apply in confidence to [AUS] 03 9513 0899. (MUST DIAL 03 for connection). OPTOMETRIST WELCOME – North & South TASMANIA Optomeyes is an owner operated group of twelve optometry practices based in the fresh and stunning state of Tasmania, and we’re your employer of choice in Tasmania. Our vision is to be a world class provider of the full range of eye care needs with support of our well established brands and services. Practices are well equipped, integrated into the primary health care system and optometrists are well supported. Regular meetings to discuss interesting patients, access to therapeutic agents and varied patient base make the day fun and rewarding. Optomeyes welcomes you to contact Sue Sluce [AUS] 0408 143 596 or [email protected] Optometrist – Carlingford, NSW • Permanent part-time position available or short term locum position • Well-established independent optometrist with a loyal patient base • Work in a professional environment with the latest equipment A great opportunity exists to be part of a happy, experienced and supportive team. The successful applicant will have professional freedom and work alongside experienced optometrists. Our focus is on providing quality eye care, the latest fashion frames and a comprehensive contact lens service. An attractive salary will be offered to the right applicant. Good working conditions and flexible hours available. Please contact Norm or Louise on [AUS] 02 9872 1555 or [AUS] 0418 677 543 or via email: [email protected] Optometrist, SE Qld - Equity Available. Package $100K + This is a ground floor opportunity to be part of an expanding practice in the beautiful Scenic Rim only 1 hour from Brisbane and the Gold Coast. The Scenic Rim is one of SE Queensland’s fastest growing areas but also offers a great work life balance. You will be ready to take your experience as an optometrist and apply it to this new business, with a chance to put your own stamp on it. We are successful business expanding to a new location , using the systems and back up established over 80 years through 4 generations of service to this community so you won’t be on your own in this new venture. We are looking for someone one who wants to be involved in the decision making process in the set up of this business. The location is very well established next to a large medical centre. You may prefer to be an employee whilst you settle in but EQUITY will definitely be available. We offer a flexible package, sensible working hours and young and vibrant team environment. For an initial discussion contact Ron Hailes [AUS] 0418 555 641. Or email your resume to tamopt@ westnet.com.au All Optometrists Take control of when and where you work. Our locum optometrists work hard for short periods and then enjoy a break. You choose whether you want to take 2 months holiday, or work to save for that special purpose. We have work available from Melbourne to Darwin, and from Sydney to Perth. We pay most costs of registration, travel and accommodation and offer great rates of pay. Email us at [email protected] or give us a call on [AUS] 02 4782 5760 to find out more about the flexibility of working as a locum. Sydney CBD Optical Dispenser/ Sales Consultant – Fashion Eyewear • Part time • Excellent salary & conditions • Sydney CBD (NSW) Location HineSight a busy city Optometry practice located in Circular Quay, seeks a vibrant, organized, stylishly presented dispenser/ sales person who has a love of designer eyewear and a passion for helping our clients look great. The role involves optical dispensing, personalized customer care, sales of high end spectacle frames, lenses and sunglasses and general reception. Your customer focus aided by your polished communication skills, outgoing personality, and strong sales ability ensures you’ll fit right in with our professional team. Of course, you’ll need the standard computer literacy and ability to work fast and hard through our busy days. Boutique sales experience is an advantage and training will be offered to the right candidate with exceptional sales experience and attitude. No Thursday night or weekend work. Hours may be negotiable. Please call Narelle [AUS] 02 9251 8869 Optical Assistant/ Dispenser - Part Time Optical Warehouse Toowoomba • Part Time (Thurs pm/Sat am) • Excellent Team Environment • Toowoomba (Qld) location • Wages negotiable An ideal opportunity has become available for an experienced Optical Assistant/Dispenser. Must have excellent optical skills, product knowledge and paramount customer service, be self motivated and enthusiastic. Be willing to work half day Saturdays and Thursday pm. Phone [AUS] 07 4638 8828 (Weekdays 9-4) Australia and NZ Wide- All Locations, All Positions! If you are ready to be known as part of the fastest growing and most progressive Optical company in the world then enquire today about new and exciting positions. PERMANENT, LOCUM OR CASUAL work is available at all levels with Specsavers. Directly influence your growth and success in an independently owned store and be generously rewarded for your efforts. Check out www.specsavers.com. au/opportunities or Phone: [AUS] 1300 889 350 Optometrists Are you commercially focused and highly motivated? Would you like to: • Work alongside some of the best ophthalmic surgeons? • Spend more time with patients? • Work with state of the art equipment & technology? We are looking for Optometrists who are committed to delivering the highest level of clinical standards within a commercial environment and believe in providing world-class customer care. Please send your expressions of interest to Dean Powrie CEO/Director to [email protected]. au or call [AUS] 0414 487 700. All communications will be handled in a confidential manner. Canberra Optometrist Would you like to earn over $85,000 PA for 3 1/2 days work per week? Or even have your own practice and earn over $170,000 PA for the same amount of work! A rare opportunity exists in an independent practice for employment or ownership. Call Ian on [AUS] 0402 392 369 or email [email protected] Optometrist Required Coffs Harbour Practise professionally with a therapeutically endorsed optometrist in a full scope practice covering all aspects of optometry including pathology and Ortho K in a spacious custom-designed building, fully computerised with state-of-the-art optometric/optical laboratory anddigital imaging equipment. A negotiable productivity linked financial package ($100,000-$120,000) is offered to applicants with > 2 years experience and $75,000$90,000 for new graduates with prospects of associateship/partnership. Coffs Harbour is a large rapidly growing regional centre with an excellent climate, lifestyle, shopping, university, beaches, rivers and resorts with air/road links to Sydney and Brisbane. Contact Alan Burrow at W: [AUS] 02 6651 2020 or M: [AUS] 0429 456 485. Sales Agents Required – NSW, QLD and VIC. We are seeking experienced sales agents to represent Julbo eyewear. Julbo is a leading French sunglass brand that has a strong heritage in Institute for Eye Research supplying high quality eyewear to the outdoor recreation and sport markets. Recognised as a market leader in the Outdoor industry the Julbo collection also includes a highly successful range of children’s sunglasses and recently released children’s optical frames. View the exceptional julbo range at www.julbo-eyewear.com Huge range of brightly coloured Italian acetate frames. All shapes and sizes. Brand new. Traditional tortoiseshell and blacks. Generic brands. Sell as budget package. FRAMES: $19.95 each. Less for bulk orders. For more info call [AUS] 03 9513 0899 (must dial 03 for connection). to stay on part time if required. Contact Emad on [AUS] 0414 444 896 or [email protected] Contact : David Edwards on (AUS) 02 6162 0900 or email oscar@ mont.com.au Practice for Sale Canberra OPTOMETRISTS WA We are seeking full-time Optometrists to work in our practices. Please direct your enquiries to Diane on [AUS] 08 9321 1700 or via email to [email protected] Southern Highlands Ultramodern practice for sale in high growth area with executive living, reasonable rent in expanding shopping complex. 80 minute drive from the centre of Sydney. Turnover approx $400,000 and increasing. Optometrist willing Would you like to earn over $85,000 PA for 3 1/2 days work per week? Or even have your own practice and earn over $170,000 PA for the same amount of work! A rare opportunity exists in an independent practice for employment or ownership. Call Ian on [AUS] 0402 392 369 or email [email protected] Equipment for Sale Insight Optics A complete range of quality new and second hand ophthalmic equipment at competitive prices. Professional Service with over 20 years experience. Visit: www.insightoptics.net.au or contact Stahy on: (AUS) 0418 213 907. Email: contact@insightoptics. net.au From the team at mivision, have a safe and Happy Christmas & New Year with your friends and families. As we don’t have a January issue we will see you in February. EQUIPMENT FOR SALE BRIGHT & COLOURFUL FRAMES - $19.95 each. SHELL Clinical Optometrist Eastern Suburbs, Sydney • Salarysacrificingbenefits • Discountedon-siteparking • Closetomaintransportlinks The Institute for Eye Research, a dynamic, world class research organisation located on the University of New South Wales campus, is dedicated to the advancement of eye care and education in Australia and globally. For further details, please see our website: www.ier.org.au We are currently seeking a talented and motivated individual who wishes to join our team of dedicated research professionals. Clinical Optometrists conduct a range of research projects in contact lenses and associated areas using advanced technology. Applicants must be eligible for registration in NSW, have a desire to work in eye research and possess strong organisational and communication skills. A proven aptitude for clinical and patient management skills is required along with a keen approach to developing clinical observational skills. Experienced optometrists and new graduates are encouraged to apply. Previous research experience is not required. Applications including a cover letter and resumé should be sent to Linda Puckeridge, Human Resources Administrator, Level 4, North Wing, RMB, Gate 14, Barker Street, University of New South Wales, Sydney NSW 2052. Email: [email protected] or fax to 02 9385 7401. Telephone enquires: 02 9385 7376. Vision 2020 Australia Global Consortium launched at Parliament House Vision 2020 Australia was pleased to launch the Vision 2020 Australia Global Consortium at Parliament House, Canberra on Thursday 19 November 2009. Federal Parliamentarians, members of Vision 2020 Australia and regional stakeholders gathered for a morning tea to witness the launch of an historic partnership to improve the lives of millions in our region. The Consortium is a group of nine Australian eye health and vision care organisations that have joined forces to help eliminate avoidable blindness in the Asia Pacific region. The formation of the Consortium was facilitated by the Government’s commitment of $45 million over two years to address eye health and vision care in the 2008 Federal Budget. The Consortium was launched by the Hon Bob McMullan MP, Parliamentary Secretary for International Development Assistance, who signed a Partnership Framework with Vision 2020 Australia enabling the Consortium to implement programs under the Avoidable Blindness Initiative as part of the Australian Government’s strategy Development for All: Towards a DisabilityInclusive Australian Aid Program 2009-2014. mitime The Last Word: Live Your Vision Sudoku Puzzle “Life is 10 per cent of what happens to me and 90 per cent of how I react to it.” Enter digits from 1 to 9 into the blank spaces. Every row must contain one of each digit, so must every column and every 3 x 3 square. There can only be one correct answer. The solution for this month’s puzzle will appear in next month's edition of mivision. So says John C. Maxwell, an internationally respected leadership expert, speaker, and author who has sold more than 18 million books. He has trained countless leaders worldwide. Each year he speaks to the leaders of diverse organisations, such as Fortune 500 companies, foreign governments, the National Football League, the United States Military Academy at West Point, and the United Nations. The above adage by the esteemed Mr. Maxwell was brought to mind whilst reading about the winners of a most worthy competition run by Transitions Optical asking customers at retail outlets to illustrate via photographs and captions how they “live their visions”. Iris Mockford of Hervey Bay, Queensland, was the grand prize winner of the AUD$20,000 cash prize for submitting a photograph of her 60th wedding anniversary with her husband. remain healthy and active and continue to spend time with one another and our friends”. And when asked what she would do with the money she had deservedly won Iris said without hesitation: “We hope to go on a luxurious trip and spoil ourselves with only the best. We would also like to use part of the prize to help out some of our friends who may have fallen on hard times so they too can live their vision”. Perhaps that man of inspiration, John C. Maxwell, might like to meet Iris Mockford and incorporate her simple philosophies in his high profile lecture tours because it seems as though this wonderful lady from Queensland’s central coast has got life all worked out. Her reaction to life seems exactly what Mr. Maxwell was talking about…10 per cent of what happens to her and 90 per cent of how she reacts to it. But it was the accompanying caption which really sealed the win: “Sixty years together and we still can see each other in the morning. Now that is living a vision!” What a wonderful attitude! What a terrific philosophy! If that doesn’t personify what John Maxwell was talking about, then I don’t know what does. Iris goes on to say: “We would hope that others would be inspired by seeing how happy we are after 60 years of marriage and the enthusiasm we have for life. We would like to “Sixty years together and we still can see each other in the morning. Now that is living a vision!” 84 • mivision 8 9 7 4 5 3 2 4 3 6 1 9 8 5 8 7 3 6 1 7 9 1 6 7 5 6 1 2 4 3 Last month's solution 8 7 9 5 1 6 4 3 2 1 3 5 4 8 2 6 9 7 6 4 2 3 7 9 1 8 5 3 5 1 6 4 7 9 2 8 4 2 8 9 5 3 7 6 1 Double Vision 9 6 7 8 2 1 3 5 4 2 9 4 7 3 8 5 1 6 5 1 3 2 6 4 8 7 9 7 8 6 1 9 5 2 4 3 News on time, every time. With almost 7,000 eye care decision makers as readers, mivision Australia and NZ is the most effective way to reach your market. mivision is distributed to every optometrist, ophthalmologist, dispenser and optical retailer in Australia and New Zealand. From the team at mivision, have a safe and Happy Christmas & New Year with your friends and families. As we don’t have a January issue we will see you in February. s e c a f r Resu e t i B h wit SCOTT HILLIER WEARS MOGUL Australia’s Original Polarised Sunglasses NEW Season Range Available Now Mondottica Australia Pty Ltd Ph +61 2 8436 6666 Mako & Solar Predator are Trademarks of Allso Marketing International