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Medical Forum / General / Vision / January 2006

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Need a new prescription

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Mike S. - 10 Jan 2006 06:39 GMT
Can eye doctors use an old prescription to prescribe a new one without
seeing the patient? An example: The last time you had your eyes
examined was two years ago and the doctor wrote you a prescription
which you had filled. You now decide you would like a second pair of
glasses. Can the eye doctor write/fill a prescription without examining
you first since it has been more than a year since your last visit?

I don't see what the harm could be in doing this. It's not like it's
some drug that your going to illegally sell or overdose on. But there's
probably another silly law about this sort of thing. It's weird how you
can buy reading glasses OTC but not other types of glasses.
Mike Tyner - 10 Jan 2006 06:56 GMT
> Can eye doctors use an old prescription to prescribe a new one without
> seeing the patient? An example: The last time you had your eyes
> examined was two years ago and the doctor wrote you a prescription
> which you had filled. You now decide you would like a second pair of
> glasses. Can the eye doctor write/fill a prescription without examining
> you first since it has been more than a year since your last visit?

As a rule, doctors don't fill prescriptions. Opticians do.

The requirements for expiration dates on eyeglass prescriptions varies from
one state to another.

If you're in one of the states with expiration laws, or if there is an
expiration date on the prescription, the optician isn't supposed to fill
expired prescriptions.

When there isn't an express expiration date, many opticians (and optical
chains) will refuse to fill a prescription beyond, say, 2 years. This is
usually a fiscal decision because of warranty problems arise over whether
the prescription was made properly or whether it's no longer accurate for
you.

Most doctors won't willingly "extend" a prescription beyond two years unless
there's hardship, such a bedridden patient or someone losing their glasses
on vacation.

In my state, when I write a prescription, my board of optometry makes me
responsible for any medical condition that might have arisen since your last
examination. That's too much liability to be doing favors just for
convenience.

-MT
acemanvx@yahoo.com - 10 Jan 2006 09:16 GMT
nevermind the pescription, you should be getting an eye exam every year
to test for any pescription changes and also the health of your eyes!
My own optometrist said test at least once a year and twice a year
would be great! I had two exams in a 12 month period and may have a
third one when I get my orthoK candidacy test
Mark A - 10 Jan 2006 12:42 GMT
> Can eye doctors use an old prescription to prescribe a new one without
> seeing the patient? An example: The last time you had your eyes
[quoted text clipped - 7 lines]
> probably another silly law about this sort of thing. It's weird how you
> can buy reading glasses OTC but not other types of glasses.

Can they do it legally? Maybe.

Should they? No.

Reading glasses are for reading, and regular glasses (at the least the
distance portion of the Rx) are used for driving. So there is a public
interest in making sure that the distance version of everyone's glasses is
reasonably accurate, not to mention the potential liability that an OD would
incur if someone had an auto accident wearing an out of date Rx.
Dick Adams - 10 Jan 2006 15:33 GMT
> It's weird how you can buy reading glasses OTC but not other types
> of glasses.

You can order prescription eyeglasses via the Internet.  They can be
really inexpensive.  Google will tell you where.  Google "$19 eyeglasses" to
start.  Otis told me that.  He's not all bad, you know.

See my earlier post at:
http://groups.google.com/groups?selm=MZauf.3288$tJ1.3055@trndny01

The ODs will not always be the first to tell you how to economize on eyeglasses
and stuff for your eyes.

In another thread
"CatmanX" <grantm@connexus.net.au> wrote in message news:1136881447.658053.159160@g49g2000cwa.googlegroups.com...

> > I just had salad dressing splash a small amount on my eye while wearing
> > contacts.  Is the lense going to be ruined or will it just be washed
> > off when I clean them?

> Clean the lens with an alcohol based cleaner like Miraflow or Pliagel.
> This will remove the oil.

You could also try a solution of neutral diswashing detergent like "Joy".

--
Dicky
No OD, no MD, don't wear contacts.  Model for posting style.   : )
Robert Martellaro - 10 Jan 2006 18:55 GMT
>> It's weird how you can buy reading glasses OTC but not other types
>> of glasses.
>
>You can order prescription eyeglasses via the Internet.  They can be
>really inexpensive.  Google will tell you where.  Google "$19 eyeglasses" to
>start.  Otis told me that.  He's not all bad, you know.

Sure you can. You can order a suit on the internet too. Won't fit though.

>See my earlier post at:
>http://groups.google.com/groups?selm=MZauf.3288$tJ1.3055@trndny01
>
>The ODs will not always be the first to tell you how to economize on eyeglasses
>and stuff for your eyes.

That's not true, moreover they'll advise based on science and professional
experience. They won't recommend buying Rx eyeglasses on the internet not
because they will "lose the sale",  but simply because as "Judge Judy" would
say, it's STUPID.

>In another thread
>"CatmanX" <grantm@connexus.net.au> wrote in message news:1136881447.658053.159160@g49g2000cwa.googlegroups.com...
[quoted text clipped - 5 lines]
>> Clean the lens with an alcohol based cleaner like Miraflow or Pliagel.
>> This will remove the oil.

>You could also try a solution of neutral diswashing detergent like "Joy".
WARNING...

Ignore this advice!!! Some lenses will be permanently damaged from cleaning with
shampoo or dishwashing liquids. There's also the danger that corneal cells will
slough off from the insult/irritation due to residual detergent in the lens,
unless it can be leached from the lens by dilution.

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"An expert is a person who has made all the mistakes that can be made in a very narrow field."
 - Niels Bohr
Neil Brooks - 10 Jan 2006 19:22 GMT
"Dick Adams" <bad.addr@nonexist.com> wrote:

>>You could also try a solution of neutral diswashing detergent like "Joy".


>WARNING...
>
>Ignore this advice!!! Some lenses will be permanently damaged from cleaning with
>shampoo or dishwashing liquids. There's also the danger that corneal cells will
>slough off from the insult/irritation due to residual detergent in the lens,
>unless it can be leached from the lens by dilution.

Thanks, Robert.

Yet another newly frequent contributor with no regard for the accuracy
or wisdom of what he posts, and no presumed liability for the adverse
medical consequences of his poor advice.

Go back and play with your cat, Dicky.  You'll harm fewer people that
way.
Signature

Live simply so that others may simply live

Dick Adams - 10 Jan 2006 20:22 GMT
> >The ODs will not always be the first to tell you how to economize on eyeglasses
> >and stuff for your eyes.
[quoted text clipped - 3 lines]
> because they will "lose the sale",  but simply because as "Judge Judy" would
> say, it's STUPID.

What does she know about eyes?

You might not like Internet eyeglasses.  Probably not good in trifocals.  But
cheap enough to be considered disposable.  Try it for a spare pair.  You might
be pleasantly surprised.

> You can order a suit on the internet too. Won't fit though.

Eyeglasses are less complicated than suits.  Fitting eyeglasses is not rocket science.
But you might need a second pair of pliers.

(You won't know if the centers and axes are correct, but, believe me, you will,
on the average, not know that anyway.)

> >You could also try a solution of neutral dishwashing detergent like "Joy".

> Ignore this advice!!! Some lenses will be permanently damaged from cleaning with
> shampoo or dishwashing liquids. There's also the danger that corneal cells will
> slough off from the insult/irritation due to residual detergent in the lens,
> unless it can be leached from the lens by dilution.

The same people who tell us to wash out our eyes with baby shampoo are telling
us it could wound our eyes.  Go figure!

--
Dicky
CatmanX - 10 Jan 2006 20:41 GMT
We use this on the lid margin, not the eye. There is a difference,
mainly keratinised vs non-keratrinised epithelium.Baby shampoo on the
eye stings like hell, on the lid is not felt.

You can't use shampoo or detergent on CL's as this wrecks the polymer,
changes lens curve and stings like hell when the lens goes back into
the eye. CL solution is designed to rinse off the lens, so is made from
a larger molecule than detergents.

The only time that detergents can be used is for RGP lenses, and only
Cussons Morning Fresh is able to be used.

dr grant
Dick Adams - 10 Jan 2006 21:20 GMT
> Baby shampoo on the eye stings like hell, on the lid is not felt.

You gotta be kidding!  There's no way to shampoo the eyelashes without
getting some shampoo in the eyes.  It does not sting.  I guarantee it.

If you have good reason to believe that it stings, you should bring it to the
attention of the FDA, because it is promoted on the basis that it will not
irritate the eyes of babies.  Send J&J a letter, on your letterhead.  Observe
their denial.  Consider bringing a class action lawsuit against them.

> You can't use shampoo or detergent on CL's as this wrecks the polymer,
> changes lens curve and stings like hell when the lens goes back into
> the eye.

Personally, I could not consider sticking in my eye anything that could not
be cleaned in a straightforward way.  Fortunately I have never had to make
a hard choice for contact lenses.

> The only time that detergents can be used is for RGP lenses, and only
> Cussons Morning Fresh is able to be used.

Good luck.  I hope you sell a lot of Cussions Morning Fresh.  How big is
you territory?

"Neil Brooks" <neil0502@yahoo.com> wrote in message news:p828s11five50tjtngp90dt9bkhlfnsua4@4ax.com...

> Yet another newly frequent contributor with no regard for the accuracy
> or wisdom of what he posts, and no presumed liability for the adverse
> medical consequences of his poor advice.

Maybe.  But don't you like my posting style?

--
Dicky
Neil Brooks - 10 Jan 2006 21:22 GMT
>"Neil Brooks" <neil0502@yahoo.com> wrote in message news:p828s11five50tjtngp90dt9bkhlfnsua4@4ax.com...
>
[quoted text clipped - 3 lines]
>
>Maybe.  But don't you like my posting style?

I actually think you're a self-absorbed a.shole, but that's just one
man's opinion.
Signature

Live simply so that others may simply live

Quick - 10 Jan 2006 22:06 GMT
>>> Yet another newly frequent contributor with no regard
>>> for the accuracy or wisdom of what he posts, and no
[quoted text clipped - 5 lines]
> I actually think you're a self-absorbed a.shole, but
> that's just one man's opinion.

I have him pegged as a "better than average troll".

-Quick
Dick Adams - 10 Jan 2006 23:28 GMT
sez to Dicky:

> I actually think you're a self-absorbed a.shole, but that's just one
> man's opinion.

Self-absorbed?  Why do you say self-absorbed?

"Quick" <quick7135-news@NOSPAMyahoo.com> in message
news:gdWwf.57967$q%.53535@newssvr12.news.prodigy.com
pipes up:

> I have him pegged as a "better than average troll".

That's nice.  Some credit where credit is due.

Well, for both of you, your reverence for the professional participants
is commendable, particularly the way you pop up and start blasting away
when any one of them talks himself into a corner.  Not all newsgroups
have such committed groupies.

--
Dicky

> I have him pegged as a "better than average troll".
Quick - 11 Jan 2006 00:29 GMT
>> I have him pegged as a "better than average troll".
>
[quoted text clipped - 6 lines]
> himself into a corner.  Not all newsgroups
> have such committed groupies.

Well, yes. I'm pretty much a committed groupie
of my Primary Care Physician too. He is certified and
I'm not. He says "This is your condition and I'm
going to prescribe this for you" and I take his word
for it. I usually have some idea of what's going on and
I pay attention to and average in hearsay and opinions.
If it works or doesn't as predicted I keep going back.

When I hear something that's completely off the wall
and against everything I've heard and understand I am
liable to reject that as crap and stick with the common
opinion of certified professionals. I do not think I've missed
out on anything significant so far. I could, but I have decided
that the risk of that is so small that I am clearly making
the best decision.

I passed Chem 101 and Bio 101 and did some labs and
contaminated most of my experiments so I am under the
impression that it's not easy to keep things sterile.

I got something in my eye in the swamps of NC and it
ulcerated in about a day. It looked nasty. It fealt nasty.
I was worried.

So you imply that nothing grows in salt water.
I think about my Bio 101 experiments and the ocean.
You talk about mixing up some piss in a jug (in a dark closet)
and putting it in your eye.
I think about mushrooms and what happened to my eye in NC.

Can you guess how much credence I give you? In fact I am
so convinced that no one who can write fairly coherently as
you do could be that stupid or uninformed so I immediately
came to the conclusion that you are a troll or have a similar
agenda.

-Quick
Neil Brooks - 11 Jan 2006 00:42 GMT
>I am
>so convinced that no one who can write fairly coherently as
>you do could be that stupid or uninformed so I immediately
>came to the conclusion that you are a troll or have a similar
>agenda.

It's also possible that he is Otis Brown's gay lover, come to support
his paramour in all things unsupportable, unscientific, and
discredited.  

Their slightly aberrant progeny, Ace, is being raised by relatives in
Boca Raton, hoping to shelter him just a tad from the ignominy of his
origins.

Just a theory.
Signature

Live simply so that others may simply live

Neil Brooks - 10 Jan 2006 20:42 GMT
>The same people who tell us to wash out our eyes with baby shampoo are telling
>us it could wound our eyes.  Go figure!

Actually, the people who do this stuff for a living warned against
following *your* advice to use dishwashing detergent on their contact
lenses.
Signature

Live simply so that others may simply live

 
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