L14 Paediatric Dispensing Flashcards
1
Q
Things to consider
A
- communication
- prescription and vision
- lenses
- frames
- financial assistance - nhs voucher system
2
Q
1) Communication
A
- effective communication makes px and carer feel at ease:
- explain procedure beforehand
- talk directly to the px
- use toys to keep child engaged
- explain condition, explain solution, answer any questions
3
Q
Consider Timing
A
-child may be tired/bored after the test =dont make child wait -conduct necessary first -help with frame choice -second visit may be needed
4
Q
Be aware of
A
- bullying of spec wearers
- peer/family pressure
- body image issues
- awareness of visual ‘disadvantage’
To help, you can talk to px, reassure them about appearance, reinforce benefits of wearing specs, take your time
5
Q
2) Prescription and Vision
A
- visual development - alters with age
- refractive error - may not need rx - can grow out of it
- strabismus = eye doesnt point in the direction its supposed to
- amblyopia
- accommodative dysfunction
6
Q
3) Lens Selection
A
- consider:
- safety
- vision
- cost
- weight
- blank size
- thickness
7
Q
CR39
A
- good choice
- more durable than polycarbonate
- plastic - good from a safety pov
- covered by nhs vouchers
8
Q
Trivex
A
- lightest for a high rx
- more impact resistance - good for safety
- extra cost
9
Q
Glass
A
- bad choice
- not good for a child due to safety issues
10
Q
Polycarbonate
A
- bad choice
- scratches easily
- visual properties
11
Q
1.6/1.74 Plastic
A
- can be expensive
- cosmetically - frame size is smaller for a child, so lens sticks out more
12
Q
4) Lens Materials - coatings
A
- hard coatings - most practices include as standard
- anti reflection coating - depends on whether child notices it
- uv coating
- tint
- child probably wont benefit from photochromic and polarising
13
Q
Lens materials - glazing
A
- choosing minimum size uncut helps
- can alter the edges eg glaze to knife edge
- pre calculations
14
Q
5) Lens Measurements - tips
A
- keep the childs attention
- be at eye level
- keep their attention
- praise them
15
Q
How to measure PD
A
- pupil centre to pupil centre
- inner limbus to outer limbus
- inner canthus to outer canthus
- for a sleeping baby, estimate centre of corneal bulge to centre of corneal bulge