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Troubleshooting - you’ve got a problem…

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Presentation on theme: "Troubleshooting - you’ve got a problem…"— Presentation transcript:

1 Troubleshooting - you’ve got a problem…
Fix it Once and Fix it Right

2 Attitude Your attitude Confident Scared Defensive Rushed

3 First Step Take a deep breath Calm attitude
Speed is not the issue be methodical Act like a professional - listen

4 PERSONALITY TYPE Competitor – Fight with the patient
Fun Lover – Play with the patient Respectful – Analyze with the patient Peacekeeper – Please the patient

5 Emotional issues Did you properly prepare the patient for the differences from previous pair ? Is the product right for the patient? Does the patient understand adaption? Policies 60 day Desert island

6 Check for your errors Was it ordered correctly?
Check the doctors notes on the chart. Was it received correctly?

7 Check the history Previous prescription versus new prescription
Is there a change? Where? How much? Determine total power change? Previous: OD x 050 New: OD x 055 New RX Change in progression of power? Previous: OD x 135 ADD +1.50 New: OD x 136 ADD +2.00 How much is too much?

8 Changes in history Measurement differences PD Pupillary Distance (PD)
Seg height Optical Center (OC) PD Trifocal Bifocal Progressive OR Optical Center

9 Changes in history Base curve Pantoscopic distance - Vertex distance

10 Check the history Lens material Poly to High index High index to Poly
Patient might experience Images appearing different in size Reflections Decrease in sharpness of acuity 13.8 mm 11.6 mm 10.3 mm 9.8 mm CR-39 Poly 1.66 1.70

11 Change in history Lens design Patient might experience
Single vision to progressive Patient might experience Peripheral blur Frustration with need to move head Difficulty walking, reading in bed

12 Change in history Progressive design change
How long was the patient wearing the previous design? What are the design changes? How long to adapt?

13 FRAME Fit Adjustment Differences in Pantoscopic angle Vertex distance
Too far away? What happens? Plus lens? Minus lens?

14 PHYSICAL HEALTH Discuss medications Ocular side effects
Heart medication: blurred vision, color distortion Tetracycline & steroids: swelling of the optic nerve Involve your doctor

15 PHSYICAL HEALTH Systemic changes Hypertension Diabetes Hemorrhages
Involve your doctor

16 PHSYICAL HEALTH Ocular changes Halos – acute glaucoma
Cloudy veil – retinal issues Sudden lose of vision or double vision Involve the doctor

17 Troubleshooting Checklist
Double check all parameters are as ordered Sphere, cylinder power in each lens Axis Base curve Distance and near PD’s Optical centers Prism as ordered – Is it unwanted prism Multifocal segment – style, size, height, differences Segment alignment – even or crooked Add power

18 Troubleshooting Checklist
Lens materials Lens coatings or tints Lens thickness Lens surfaces – scratches, imperfections Lens mounting

19 Troubleshooting Checklist
Frame received as ordered? Differences from previous pair Frame style, size, metal, plastic Frame condition – torn pads, loose hinges Frame alignment

20 Closing Stay calm Work through problem solving step by step
Discuss patients options Inform patient of practice policies

21 QUESTIONS


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