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Paediatrics > Spectacle dispensing in children > Flashcards

Spectacle dispensing in children Flashcards

1
Q

what must you need to be in order to dispense children

A

GOC registered

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2
Q

name the three do’s of effective communication

A
  • DO explain the procedure to parents beforehand
  • DO talk directly to the child especially if they are at a communicating age
  • DO use toys and gadgets which will help keep the child’s attention
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3
Q

what is a don’t in effective communication and why is this

A

Don’t rush take your time to get it right

because a child won’t complain if the frames aren’t right fit for them

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4
Q

how should you communicate when dispensing a child that is from birth up till 36 months

A

by referring to the parent

e.g. if they prefer to put the glasses on the child then let them, or if they prefer for us to put them on

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5
Q

at what age will a child start to ask questions and what should you do

A

3-6 years old

engage with the child and answer their questions and communicate less with the parents

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6
Q

what should you when you dispense to avoid a child getting bored

A

try to do the paperwork afterwards once the patient has gone

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7
Q

list 4 things you must be aware of when dispensing older children from 12 - 18 years old and 4 things that you can do

A

Be aware of:
- Bullying of spectacle wearers

  • Peer/family pressure
  • Body image issues
  • Awareness of visual ‘disadvantage’

You can:
- Talk to your patient

  • Reassure them about appearance
  • Reinforce benefits of wearing spectacles
  • Take your time
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8
Q

what is more important than the colour and style of a frame

A

a frame that fits well

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9
Q

what can you do if there is too much choice

A

Narrow selection down according to fit/size

Let child make the final choice

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10
Q

which type of frames are best suited for infants and toddlers

A

Soft plastic frames ideal for comfort

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11
Q

which type of frames are least suitable for infants and toddlers and why

A

metal frames
they are less comfortable as young infants dont have a fully formed nose bridge so theres nothing for the notepads to sit on, therefore they slide down the face

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12
Q

which type of frames are least suitable for older children and why

A

More brittle plastics tend to break

Be aware in active children

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13
Q

which type of frame are best suited for older children and why

A

Metal frames

more robust and can be reshaped when damaged

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14
Q

list 5 suppliers of specialist frames

A
  • Tomato frames
  • Zoobug
  • Centrostyle active soft
  • Norville
  • Mira flex USA
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15
Q

what is the advantage of tomato frames

A

they have adjustable side lengths so can pull in and out as the child grows

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16
Q

list 6 features that specialist frames have

A
  • Spring joints
  • Soft on skin/non irritant
  • Grip on back/ strap
  • Adjustable length to bend
  • Soft nose pads
  • Variant bridge sizes
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17
Q

why are grip on back/straps used for children’s spectacles

A

for children who tend to pull their glasses off, so it makes sure the child is looking through the lens and also for active kids

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18
Q

what are the 2 types of specialist sports/safety eyewear used by kids

A
  • Swimming goggles

- Ski goggles

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19
Q

list 4 possible frame side options/accessories

A
  • sprung sides
  • curl sides
  • slip stops
  • loop end sides (tie on)
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20
Q

what is the advantage of sprung sides

A

Right handed children will damage the left side if the side is not sprung
as children can use one hand to remove their spectacles

21
Q

what is the disadvantage of sprung sides

A

a broken sprung side is difficult, if not impossible to repair

22
Q

what are curl sides and which type of children are they good for

A
  • Can be fitted onto any metal frame
  • Silicon covering
  • Rest along back of ear

Provides good fitting option for younger children who try to pull their glasses off, so it keeps them in place and makes sure the child is looking through the lenses

23
Q

what is an advantage of curl sides

A

they’re cost effective

as the child is not breaking them as often

24
Q

what are slip stops and what are they useful for

A

rubber parts that slip onto the end of glasses to stop them from slipping off
useful for active children and when parents aren’t sure about the fit

25
Q

what are Loop end sides (tie-on)

A

sides which you can tie a ribbon on them

its an old style and lots of new styles are out now

26
Q

name three types of spectacle bridge options that can be used for infants and toddlers

A
  • moulded frame
  • saddle bridge
  • strap bridge
27
Q

what is a saddle bridge and under what condition will it be suitable

A
  • one piece of plastic that goes around the bridge

- the bridge should conform to child’s nose if not the frames will slip off

28
Q

what is a strap bridge and under what condition will it be suitable

A
  • nose pads that are joined into one

- the nose must be big enough as it needs something to grip onto, it is good for slightly oder children

29
Q

list 2 advantages of the strap bridge

A
  • Absorbs impact

- Needs less frequent adjustment

30
Q

what can be changed of a nose pad

A

the size, e.g. if its too big, you can change it to smaller ones on the same frame

31
Q

what is essential when fitting a frame on a child and why

A
  • checking the length to bend
  • to avoid sore ears, because children won’t complain about poor fitting frames, they just won’t wear them = poor compliance
32
Q

which lens material must never be dispensed for children, and under what condition may it be dispensed

A
  • glass

- only may be appropriate for high myopia if requested by the parent if they use glass lenses too

33
Q

which lens material is always dispensed for children

A

resin

34
Q

which lens materials is usually dispensed for children

A
  • CR39

- Trivex

35
Q

list 4 reasons why polycarbonate/trivex lenses are dispensed for children

A
  • Light weight
  • Impact resistant 10x more than plastic/glass
  • Good ‘V’ value
  • blocks 100% UV
36
Q

how can you make it easy to take measurements on a child

A
  • keep the child’s attention by getting down to their level i.e. kneel down or put child on a chair
- Use tricks to attract their attention
Look into my purple eye
Toy on tip of your pen
Statues
Praise
37
Q

list 4 ways methods of measuring a child’s pd’s

A
  • Inner limbus to outer limbus
  • Pupil centre to pupil centre
  • Inner canthus to outer cants
  • on a sleeping baby: estimate distance between corneal bulge, centre to centre
38
Q

how can you measure pd’s on a child with strabismus

A

use an occluder to cover the fixing eye in order for the child to focus with their strabismic eye

39
Q

how are bifocal heights set when dispensing children and which type of bifocal seg should be used

A
  • Set at lower pupil NOT lower limbus
    Avoid ‘missing’ the sen and making sure they look through it
  • Use large ‘D’ seg
40
Q

when must you consider measuring BVD on a child

A

when choosing frames for children with high Rx

same as an adult

41
Q

what happens to the power of a plus lens as it moves away from the eye

A

less plus as lens moves away from eye

42
Q

what happens to the power of a plus lens as it moves closer to the eye

A

becomes more plus

43
Q

what happens to the power of a minus lens as it moves towards the eye

A

becomes less minus

44
Q

who is the GOC3 “yellow form” form used for

A
  • Children under age 16

- Aged 16, 17 or 18 and in full time education

45
Q

when may you still need to charge a patient for glasses who are using the GOS3 form

A

when spectacles cost more that the voucher value

46
Q

in which 3 cases does the small glasses supplement found on the GOS3 form apply

A
  • Spectacles for a child under 7 years of age
  • Spectacle frame with boxed centre of no more than 55mm
  • Custom made or stock spectacle frame which requires “extensive adaptation” to ensure an accurate fit
    i. e. on specialist frames that are a bit more expensive e.g. the moulded type so can make an extra claim to help cover cost of the glasses
47
Q

which form used for repairs and replacements of glasses and who can it be used on

A
  • GOS4
  • for children under age of 16

used to repair or replace before next appointment

48
Q

what is the GOS4 repair and replacement form not used for

A

a spare pair of glasses

Paediatrics (5 decks)

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