Paedriatic Dispensing Flashcards
What should we consider more important than the colour and style of frame?
how well the frame fits
what is an example of a measurement we check when gls on child’s face?
Length to bend
when do we adjust the frame for the child?
at the time of dispense (collection if new frame)
give some examples of specialist frame suppliers for kids?
Tomato frames, Erin’s world, centrostyle, miraflex, zoobug and swiss flex
what type of side is specially made for children?
curled sides
what factors do we consider when taking measurements of a child?
be on the same level as the child, keep talking with them/keep them engaged, use tricks, praise them, say their name
what don’t we do in a paedriatic dispense?
rush, only talk to/ involve parent, not be on same level as child or appear ‘authoritative’
what strategies do we use when dispensing a child who of the age: newborn to 12 months?
use a ‘sing song’ voice and exaggerated facial expressions
what strategies do we use when dispensing a child of the ages between 3-6 yrs?
can talk about their past experiences
what strategies do we use when dispensing a child of the ages between 12-18 yrs?
be patient- avoid impatience and disagreement
what are the different ways to take pd’s for kids?
inner to outer canthus, inner limbus to outer limbus, corneal bulge to corneal bulge (babies)
what type of seg do we dispense a child and where to we place the seg?
D-seg,, set at lower pupil margin
do we also give older children bifocals?
No- try give them progressives
what are the lens materials we dispense paeds with?
CR39, Trivex, polycarb, tribrid (this is a 1.6)
what lens material do we NEVER dispense kids
glass
what is the formula for MSU
MSU= Boxed centre distance- PD+ED+2
How much anisometropia puts a child at risk of amblyopia at 12-30months?
+2.50ds
How much anisometropia puts a child at risk of amblyopia at 31-48 months?
+2.00ds
How much anisometropia puts a child at risk of amblyopia at >49months?
+1.50ds
what extra measurements can we do wehn we have an anisometropic/aneisokonic rx?
pds, hts, vertex distance
what is the spec mag formula for aneisokonia?
1/1-dFV x 1/1- (t/n)f1
Power factor x shape factor
what is the general tolerance allowance for spec mag and aneisokonia?
5% Difference
what are solutions for high rxs?
aspheric lenses, high index lenses, flatten base curve, iseikonic lenses?
how do iseikonic lenses work?
steepen base curve to increase mag, increase thickness to increase mag
what are the key things we check on collection of spx
frame fit, head wdith, length to bend, angle of drop, inwardangle of drop, nose pads, adviseon care of spx, explain NHS replacement scheme
