This presentation is veey helpful for optometry student and eye practicinors..

1. UTTAR PRADESH UNIVERSITY
OF MEDICAL SCIENCES
Guided by-
Optom.
Gaurav Dubey Sir
Presented by-
Krishna kumar
B.Optom Final year

2. SpectacleDispensinginchildren

3. Spectacles suitable for children -
 Spectacles for children should be comfortable and
sit consistently well, without slipping .
 Spectacle frame should fit in order to feel good
wearing them and not feel like the spectacle are
strange
 The spectacle do not sit on the child’s cheeks and
cause pressure marks and discomfort.
 The spectacles should not be higher than the
eyebrows or wider than the face

4. Win the parents -
 The child is only going to convey his liking or disliking of the
frame , it is the parents who would be giving the approval for
the final spectacles.
 While discussing the option use sentences like – ‘this frame
and these lenses would the spectacles more
comfortable/safe/UV protected/ for your child’s eyes.
 ‘WIN THE CHILD’ is also very important for the spectacle
dispensing.

5. Choosing the Frame -
 The spectacle frame should not be too big or too small.
 Understand the requirement , read the prescription for any
special requests like centration , UV protection , Hi-index ,
aspheric , bifocals , progressives etc.
 It is better that we use the technical knowledge to select few
frames based on the requirement keeping in mind the
favorite color and designs.

7. Technical Aspects -
 Safety
 Comfort
 UV protection
 Allergies
 Clear vision
 Cosmetics

8. (1) Safety-
 The spectacles should be safe for the child’s precious part of
eyes.
Frame -
 Plastic frames are better suited than metal frames.
 Saddle or large pads bridges would provide better stability
to the frame.
 Memory material would to better to keep the frame in
shape in the long run.

9. Lenses -
 Lenses have to be high impact
resistance .
 Stress free polycarbonate or Trilogy
lenses would be indicated.
 Parents have to be educated about
the safety aspects of child’s eye wear
so that they would be convinced
about buying impact resistance
lenses

10. (2) Comfort -
Frame -
 Should be comfortable to be wear.
 Avoid giving smaller frame which eventually would feel tight
and uncomfortable.
 Parents may have tendency to choose large frame because
the ‘child is growing up fast’.
 Avoid this as the large frames would require more
decentration of lenses and would increase the over all weight
of the spectacles.

11.  A snug fit with perfect bend would make the frame stable and comfortable to
wear.
 The temples could be comfort cables, to avoid frame accidentally falling down.
 Some dispensers feel that an elastic band should be recommended.

12. Lenses -
 Lenses should be light weight.
 Lesser specific gravity would mean lighter
lenses.
 Avoid glass at all costs.
 Polycarbonate , CR39 are preferred .
 If the frame is selected as per the child’s
IPD the lenses would end up being lightest

13. Types of frame temples -

14. (3) UV Protection -
 A property of pediatric spectacles which is a must have for
children’s eye wear.
 All the times they are exposed to lot of UV rays.
 Because children most often play outside and go to school or
even for vacations.
 Maximum damage due to UV rays , occurs at this age as the
exposure is more.
 Polycarbonate offers protection upto 385nm and

15. UVprotectedglasses -

16. (4)Allergies -
 Frames especially metal can cause allergy.
 If metal frames have to be used it is better to use NICKEL
free frames through they may be little more expensive.
 Cellulose Acetate frames may not cause any allergies but
external materials absorbed by frame can produce rashes.
 Frame should be of good quality and non absorbent.

17. (5) Clear vision -
 If the refraction and power dispensed is correct then the
vision would be clear .

18. (6) Cosmetics -
 Choose lenses with higher index and asphericity for better
cosmesis.
 Use of anti-reflection coated (scratch resistant) lenses is
recommended.
 In case of high plus powers ordering reduced diameter
lenses with asphericity would get the best finished product.
 High minus lenses could be high index with aspheric.
 Both cases Anti- reflection coating is recommended.

19. Sports glasses for children -
 Ball sports or judo are the particularly challenging for
children wearing spectacles.
 There are also special sports spectacles for children that,
depending on the model, are made completely out of plastic
, with temples that do not have hinges.
 An elastic strap on the temples that is worn around the back
of the head can also ensure that spectacles sit securely.

20. Sports glasses -

21. Special Instructions -
 Children may not take as good care of spectacles as adults.
 So explain the proper procedure to clean the spectacle
lenses and even the frames.
 Sweating would spoil the lenses and hence wash the lenses
and frame in running tap water.
 For dry cleaning use of microfiber cloth after blowing the dry
dust should be encouraged.
 Regular reviewing and frequently change of glasses should
be recommended due to the possibility of frequent scratches
and mishandling of frames in children.