Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / General / Vision / May 2004

Tip: Looking for answers? Try searching our database.

State regulation of mail-order eyeglass mills.

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
.Jack Brody - 24 May 2004 20:39 GMT
 Questions for the group:

 I have looked through several web sites of opticians
who take eyeglass orders from their web sites.  Most
would have me select the doctor's Rx numbers from
dropdown boxes.

Most also ask for the Dr's name and phone number.

One said they always call to confirm.

???      In your experience, do they really call?

One, in the USA, does not want the Dr's name.

???     Is this because his state does not require it?

I heard that Penn. is such a state.  True??

Does anyone know which states are which on this
point?

???   Does anyone here think much of mail-order glasses?

Somehow I doubt it.

How do we get the frames right?

Thanks,

Jack
Otis Brown - 27 May 2004 04:15 GMT
Dear Jack,

I have no problem with people ordering a minus lens
by mail order.

Since it is stated officially that a minus lens
can not "hurt" the eye, then noting untoward
can happen if you accidentally order
a minus lens stronger than necessary.

Or am I wrong on that point?

There is no safety issue.

Commentary?

Best,

Otis

> Questions for the group:
>
[quoted text clipped - 27 lines]
>
> Jack
Rishi Giovanni Gatti - 27 May 2004 08:47 GMT
> Dear Jack,
>
[quoted text clipped - 11 lines]
>
> Commentary?

Minus or Plus lenses are ALWAYS wrong.

Signature

If you are interested in learning more about vision and the cure of
imperfect sight by treatment without glasses, contacts or surgery,
please visit http://TheCentralFixation.com or write to me privately.

Otis Brown - 28 May 2004 03:38 GMT
> > Dear Jack,
> >
[quoted text clipped - 13 lines]
>
> Minus or Plus lenses are ALWAYS wrong.

Dear Rishi,

At last (for nearsightedness) you have agreement
with the other ODs in this discussion group!

Enjoy,

Otis
Dr. Leukoma - 27 May 2004 12:51 GMT
> Dear Jack,
>
[quoted text clipped - 15 lines]
>
> Otis

Wearing a minus lens that is too strong produces the equivalent of
hyperopia.  This can lead to all the various issues related to uncorrected
hyperopia, such as asthenopic symptoms, esophoria/esotropia, etc.  If the
optical centers of the lenses do not have the proper relationship with the
interpupillary distance, prism is induced.

Some pediatric eye specialists believe that it is desirable to undercorrect
hyperopia in a child in order to encourage the eyes to become emmetropic,
i.e. move in the direction of less hyperopia and more myopia.  At least one
multi-center, longitudinal study does not support this idea.

Laboratory studies indicate that prescribing either plus or minus lenses
way in excess of the refractive status of some species of young mammalian
species will induce refractive error.

There is at least one valid reason for prescribing minus slightly in excess
of the patient's refractive error, and that is to treat convergence
insufficiency by stimulating accommodative-convergence.

DrG

>> Questions for the group:
>>
[quoted text clipped - 27 lines]
>>
>> Jack
Roland J. Izaac - 28 May 2004 12:08 GMT
Patients with A high myope >= -6.00D, have a higher incidence of potencially
blinding eye diseases. It is therefore important to have an eye exam to
exclude any of these diseases. Having said that, hyperopic and presbyopic
patients are now able to (although not always) purchase a pair of spectacles
from the drug store without ever having an eye exam. My concern is greater
for the older presbyopes, since they have reached an age where more eye
problems are seen.

Short sighted drivers can hurt others on the road, overprescribed lenses
which are not centered correctly can make a driver fatigue easily,
Underprescribed lenses can slow down reaction times.  Passing the DMV 20/40
test says nothing about the quality of vision or the visual fields.

So yes, they may not hurt their eyes but they can hurt themselves and
others.

Roland J. Izaac

--
> Dear Jack,
>
[quoted text clipped - 47 lines]
> >
> > Jack
.Jack Brody - 28 May 2004 17:42 GMT
 Indeed cateracts are potentially blinding and first drive the Rx to
large negative numbers.  But until I can get it fixed, I would like to
see as well as possible.  Examinations monthly, just for Rx, are
not practical.  The other risks are under control through medical
exams twice a year.

Questions for the group:

 I have looked through several web sites of opticians
who take eyeglass orders from their web sites.  Most
would have me select the doctor's Rx numbers from
dropdown boxes.

Most also ask for the Dr's name and phone number.

One said they always call to confirm.

???          In your experience, do they really call?

One, in the USA, does not want the Dr's name.

???         Is this because his state does not require it?

I heard that Penn. is such a state.

???        True?

???        Does anyone know which states are which on this point?

I would still like to see answers to these practical questions

> Patients with A high myope >= -6.00D, have a higher incidence of potencially
> blinding eye diseases. It is therefore important to have an eye exam to
[quoted text clipped - 34 lines]
> >
> > Otis
drfrank21 - 27 May 2004 15:54 GMT
> Questions for the group:
>
[quoted text clipped - 27 lines]
>
> Jack

I personally think that ordering prescription eyeglasses over the internet
is a bad idea.
One has no idea how the frame itself will fit from looking at a picture
much less getting accurate measurements needed (pd's, seg hgts, etc) from
a trained optician. Add to that the problems of not getting a final adjustment
at the dispense visit or anyone to turn to if you have problems
with the glasses and one has a recipe for disaster. The little savings you
might get isn't worth the possible grieve. This does not apply to non-
prescriptions (over the counter sunglasses or readers),although I still would
recommend going through an actual optical for theses purchases.

frank
.Jack Brody - 27 May 2004 17:22 GMT
  I have no doubt that the standard way to get glasses is
better, but I am now living in a situation where I can
hardly get out, and my Rx is changing monthly.  I would
like to renew my glasses about every 3 months.  I know my
pupil spacing.  I have been using combinations of old
glasses with overlays of reading glasses to be able to read
or see distance at all.  Ordering by mail may not be good,
but it has to be better than what I have now.  Frame fit
hardly even ranks as a problem.

I would appreciate it if you could answer the practical
questions I asked.

Thanks.

Jack

> > Questions for the group:
> >
[quoted text clipped - 40 lines]
>
> frank
Robert Martellaro - 27 May 2004 20:46 GMT
>   I have no doubt that the standard way to get glasses is
>better, but I am now living in a situation where I can
[quoted text clipped - 27 lines]
>> >
>> > ???      In your experience, do they really call?

Unlikely.

>> > One, in the USA, does not want the Dr's name.
>> >
>> > ???     Is this because his state does not require it?
>> >
>> > I heard that Penn. is such a state.  True??

They're probably just being honest.

>> > Does anyone know which states are which on this
>> > point?
>> >
>> > ???   Does anyone here think much of mail-order glasses?

You will not cause any permanent damage to your eyes if you are not an
adolescent. Your blood pressure might max out though.

>> > Somehow I doubt it.
>> >
[quoted text clipped - 3 lines]
>> >
>> > Jack

Jack,

Suggestion. Have an optician fit you with a frame that is appropriate for your
Rx. Buy two identical frames. Both frames should be pre-adjusted with
calculations performed for optimal lens placement. Alternate Rx changes between
frames so that you are never without a reasonably functional pair of glasses.
Pay the regular price for the first pair, but demand reduced fees for subsequent
Rx changes, especially if they are occurring frequently as you have stated. Your
optician will get the Rx from your doctor, and you can mail the glasses to your
optician. They will be careful not to upset the frame fit (which may degrade the
vision) and will send you the glasses when the lens work is completed.

Hope this helps

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
 - Richard Feynman
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.