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JULY - AUGUST 2015
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Celebrating 20 years
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BRETON COMMUNICATIONS UNVEILS A NEW SIGNATURE
AND LAUNCHES A NEW CORPORATE WEBSITE
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LEADING THE WAY IN
VISION CARE INFORMATION
WE CELEBRATE 2 DECADES
OF EXCELLENCE IN EYEWEAR
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JULY - AUGUST 2015
UPP at the Heart
of the Debate
Empower your Employees:
the Key to Success
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Federal Budget to Help
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DRY EYE:
What
CAN
Be
DONE?
Offer them extra protection
from light outdoors, indoors,
and even in the car.
Transitions® XTRActive lenses provide
unique benefits that help you satisfy more
of your patients’ needs. No matter where
they go, their eyes are protected from light.
®
Discover new resources at
TransitionsCanadaPro.ca/XTRActive.
New brown and graphite green colours
and expanded availability.
Transitions, the swirl, XTRActive and Transitions Adaptive Lenses are registered trademarks of Transitions Optical, Inc.
©2015 Transitions Optical, Inc. Photochromic performance is influenced by temperature, UV exposure and lens material.
MODEL OS-9192
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what’s inside
july - august 2015
Cover Story
Making Contact
6
Our View
8
ALL ABOUT DRY EYE
20
What’s UPP with the Pricing Debate?
Dry eye syndrome (DES) is an ‘old’ disease with a new definition, along with
newly discovered causes, diagnostic tools and treatments. In this in-depth
article we explore the latest information about causal factors, diagnoses and
treatment.
Portrait of a Designer 22
Art and the Business of Life:
Frederic Beausoleil Fulfills His Destiny in Eyewear Design
24
Dry Ideas
Managing Your Business
26
Putting the Power in Empowerment
32
Federal Budget Cuts Small Business Taxes
Lens Focus
Your money
Event
34
AOE: An educational happening!
Event
36
OAO Symposium & InfoMart Brings Excellence to Toronto
38
In the News
in the next issue
september – october
2015
4
44
Classifieds
LENSES
The latest in lenses will be covered in this feature, including new designs, technologies, colours,
materials and sales aids. We focus on the best products available in every category.
Envision: seeing beyond | july - august 2015
www.envisionmagazine.ca
Photo credit: Victoria Ilgacs
202-495 St-Martin Blvd. W.
Laval, Quebec H7M 1Y9
Tel.: 450 629-6005
Fax: 450 629-6044
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PRESIDENT/PUBLISHER
Martine Breton
[email protected]
Our View
Paddy Kamen
Editor-in-Chief
DEALING With
DRY EYE
D
o you make a point of
asking your patients
if their eyes often feel
dry? Whether they’re
watery, red and
irritated? If not,
it’s time to start. Many people –
particularly elderly women – suffer
from the condition known as dry
eye syndrome (DES) and it’s nothing
to take lightly. In addition to the
unpleasant sensations noted above,
the condition often negatively impacts
contact lens use and can lead to Proper attention to dry eye can facilitate
damage to the ocular surface of the patient retention. According to M. B. Hinton, a
product specialist with Bright Optical
eye.
Distribution, many old-school doctors say
“ECPs are so busy making sure there’s not much they can do about the
their patients don’t have serious eye condition. “In those cases, patients often go
diseases that they sometimes forget hunting for a practitioner who can offer relief,”
about problems that are symptomatic,” says Hinton.
says Toronto-based optometrist Dr.
Barbara Caffery, an expert in dry There is also room for improvement in the area
eye disease. “We should always ask if of patient education, says Sruthi Srinivasan,
the eyes are uncomfortable or dry, assistant professor at the school of optometry,
especially for those who have risk University of Waterloo. “I would be very happy
factors, including age, gender and to see greater use of pamphlets and posters
computer screen use.”
so people can learn about the risk factors and
treatment options. Awareness is greater than in
Opticians and optometrists should the past but we still can do better.”
also inquire about dry mouth,
especially in older women. If that’s an Elsewhere in this issue you’ll find a profile of
issue, they can perform a great service French eyewear designer Frederic Beausoleil,
by screening for DES and Sjogrens an assessment of the 2015 federal budget and
syndrome (an auto-immune disease much more. We hope you enjoy our July/August
in which the white blood cells attack issue. And wherever you find yourself in this
the moisture-producing glands), beautiful country during the coming months,
Caffery says.
have a safe and enjoyable summer.
n
6
Envision: seeing beyond | july - august 2015
SENIOR EDITOR
JoAnne Sommers
Tel. 250 448-6564
[email protected]
EDITOR-IN-CHIEF
Paddy Kamen
Tel. : 250 448-7516
[email protected]
ASSOCIATE EDITORS
Brian P. Dunleavy
Shirley Ha
Claudia Marks
Melissa Secord
SPECIAL ADVISOR, CONTACT LENSES
Joshua Josephson, B.Sc, OD, FAAO, FACLP
COPY EDITOR/RESEARCHER
Isabelle Groulx
[email protected]
ADVERTISING COORDINATOR/
COPY EDITOR
Aurélie Vasseur
[email protected]
CIRCULATION ASSISTANT
Louise Chalifoux
[email protected]
SUBSCRIPTION INFORMATION
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GRAPHIC DESIGN
Marco Gagnon.com
ADVERTISING
Martine Breton
[email protected]
Isabelle Groulx
[email protected]
Aurélie Vasseur
[email protected]
1 888 462-2112
Tel.: 450 629-6005
Fax: 450 629-6044
CLASSIFIED ADVERTISING
Aurélie Vasseur
[email protected]
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MR-224
All
About
Eye
Cover Story
By JoAnne Sommers
D
o many of your
patients complain
of itchiness and
a scratchy feeling
in their eyes? How about
redness,
irritation
and
watering? If so, you’re not
alone. Optometrists report
that the majority of people
who visit their offices report
these symptoms. Fortunately,
new research into dry
eye syndrome (DES) now
offers practitioners important
information that can help
to alleviate the condition.
Persistent dryness, scratchiness, red eyes and a burning sensation are common symptoms of
dry eyes. Another symptom is a “foreign body sensation” - the feeling that something is in
your eye.
DES can also cause watery eyes because dryness on the eye’s surface sometimes
over-stimulates production of the watery component of the tears as a protective mechanism.
DEFINING DRY EYE
It has been a challenge for international groups of eyecare specialists to adequately define
DES. A 2007 report published by the Dry Eye WorkShop (DEWS), an international team of
academics and industry representatives, found that a 1995 definition of dry eye was wholly
inadequate when it said the disease is, “a disorder of the tear film due to tear deficiency or
excessive tear evaporation which causes damage to the interpalpebral ocular surface
associated with symptoms of ocular discomfort.” The report noted the lack of international
consensus on the condition’s symptoms and said there is no single diagnostic test for dry eye,
nor is there an internationally accepted treatment protocol 1.
Optometrist Barbara Caffery, a Toronto-based expert in dry eye disease, was a member of
WHAT IS DRY EYE SYNDROME? the 2007 DEWS workshop. Dr. Caffery, who specializes in dry eye and Sjogren’s Syndrome
(see below), has a solid academic understanding of the disease in addition to years of clinical
Dry eye syndrome, also called practice.
keratoconjunctivitis sicca (KCS)
or keratitis sicca, is caused “There are two types of DES and practitioners need to know which type they’re dealing with,”
by a chronic lack of sufficient she says, adding that it’s not uncommon for patients to have both.
lubrication and moisture With aqueous-deficient dry eye, the lacrimal gland does not produce enough tears. ECPs can
on the surface of the eye. Its measure tear production using a Schirmer test – a thin strip of filter paper placed under the
consequences range from lower eyelid. Aqueous-deficient dry eye is the more difficult type to treat, says Caffery, noting
subtle but constant irritation that few tools are available for dealing with it.
to inflammation of the anterior
(front) tissues of the eye.
1.“The Epidemiology of Dry Eye Disease: Report of the Epidemiology Subcommittee of the International Dry Eye WorkShop (2007)” Accepted for
publication January 2007. The Ocular Surface / April 2007, Vol. 5, No. 2 / www.theocularsurface.com.
8
Envision: seeing beyond | july - august 2015
Cover Story
All About Dry Eye
“
With evaporative dry eye, the tear film
evaporates too quickly. The most common
cause of evaporative dry eye – meibomian
gland dysfunction (MGD) – is responsible
for over 60 per cent of DES cases. With
MGD, the oil glands that line the upper
eyelid and secrete lipids to the eye become
clogged and inefficient, reducing oil output
and leading to excessive evaporation of tears.
If left unmanaged, MGD can cause or
exacerbate dry eye symptoms and eyelid
inflammation. The oil glands become
blocked with thickened secretions.
Chronically clogged glands eventually
become unable to secrete oil, which results
in permanent changes in the tear film and
dry eyes.
Persistent dryness, scratchiness, red
eyes and a burning sensation
are common symptoms
of dry eyes.
rheumatoid arthritis and lupus. In Sjogren’s
syndrome, the mucous membranes and
moisture-secreting glands of the eyes and
mouth are usually affected first, resulting in
decreased production of tears and saliva.
Although Sjogren’s Syndrome can develop
at any age, most people are over 40 at the
time of diagnosis. Treatment focuses on
relieving symptoms.
Sjogren’s syndrome is very under-diagnosed,
Caffery says. “The rule of thumb is that one
per cent of the North American population
is affected by it. When a post-menopausal
senior complains of dry eyes, asking
whether her mouth is also dry could lead to
a diagnosis.”
SJOGREN’S SYNDROME
CAUSES OF DRY EYE
Dry eyes can be symptomatic of Sjogren’s
(SHOW-grins) syndrome, an auto-immune
disease in which the white blood cells attack
the moisture-producing glands. Sjogren’s
syndrome is identified by its two most
common symptoms – dry eyes and a
dry mouth. Ninety per cent of Sjogrens’
sufferers are women.
• Aging
DES affects women far more frequently
than men, possibly due to hormonal
fluctuations. A recent study also indicates
that the risk of dry eyes among men
increases with age.
Sjogren’s syndrome often accompanies
other immune system disorders, such as
”
happen if a person stares
without blinking for a long time.
And many people do only a
partial blink.
Caffery cites the 20/20/20 rule:
every 20 minutes take 20 seconds
to look away from the screen at
least 20 feet into the distance and
blink fully 20 times.
A device called the LipiView
from TearScience can record how
a person blinks (fully or partially)
and shows the thickness of the
lipid layer: the thicker the better.
{
Patient undergoing a LipiView analysis
}
• Screen use
For anyone who spends a lot of time looking
at computer screens, blinking is important
for re-spreading the tear film. This doesn’t
july - august 2015 | Envision: seeing beyond
9
Cover Story
All About Dry Eye
“I don’t think any other device is so clinically
friendly,” says Caffery. “The key is the
thoroughness as well as the frequency of
blinking. Blinking is involuntary – many
people don’t completely close their eyelids so
their eye surfaces are not completely covered
and wetted. With a full blink, the lids meet,
which helps with oil secretion.”
Dry eye assessment and tear testing are made
easy with the new OCULUS Keratograph®
5M from Innova. The high-resolution colour
camera and integrated magnification changer
provide the following analyses:
• Medications
Dry eye occurs as a side effect of many
medications, such as antihistamines,
antidepressants, certain blood pressure
medicines, Parkinson’s medications and
birth control pills.
The multi-functionality of the Keratograph
5M permits the inclusion of difficult
examinations, such as meibography, in a
routine ophthalmologic and optometric
check-up. The morphological alterations of
the gland tissue associated with MGD can be
made visible by means of the MeiboScan.
• Environment
If a patient’s home or office has air conditioning
or a dry heating system, that, too, can dry out
their eyes.
“
The key is the
thoroughness as well as
the frequency of blinking.
Blinking is involuntary –
many people don’t
completely close their
eyelids so their eye
surfaces are not
completely covered and
wetted.
• Non-Invasive Tear Film Breakup Analysis
• Lipid Layer Analysis
• Meibography
• Tear Meniscus Height
• Bulbar And Limbal Redness
• Contact lenses
Long-term contact lens wear is another
cause of DES; in fact, dry eyes are the most
common complaint among contact lens
wearers.
”
PREVALENCE
Dry eye is significantly under-diagnosed,
says Caffery. “We’re so busy making sure
there are no serious eye diseases that we
sometimes forget about problems that are
symptomatic. ECPs should always ask if the
eyes are uncomfortable or dry, especially
among those with risk factors, including age,
gender and computer screen use. Opticians
should also ask about dry mouth, especially
in older women. If that’s an issue, the ECP
can perform a great service by screening for
dry eye and Sjogrens.”
Recent research indicates that contact lens
wear and dry eyes can be a vicious cycle. DES
makes contact lenses feel uncomfortable
and evaporation of moisture from contact
lenses worsens dry eye symptoms. Newer
contact lens materials and lens care products
can help reduce contact lens dryness. (See
sidebar)
DIAGNOSING DRY EYE
Dry eyes can be diagnosed through a
comprehensive eye examination. Testing,
with special emphasis on evaluating the
quantity and quality of tears produced by
the eyes, may include the patient’s history,
external examination of the eyes, evaluation
of the eyelids and cornea, and measurement
of the quantity and quality of tears for any
abnormalities. Using this information the
ECP can determine if the patient has DES
and advise on treatment options.
TREATING DRY EYES
DES is a chronic and typically progressive
condition that may not be completely
curable (depending on the cause). However,
the symptoms can be managed. Because
there are many different causes, a variety of
treatments are used.
EYE DROPS AND GELS
HYLO™ eye drops
from Candorvision
are preservative-free,
phosphate-free and can
be used to treat dry
eye of all kinds, says
President and CEO
Dr. Frank Heidemann.
“Hylo 1 mg/ml benefits
dry
eye
patients
post-surgery, particularly
those who are post-lasik,
post-cataract or have
damaged corneal cells. It forms a stable,
long-lasting lubricating film on the eye
surface that is not easily rinsed off and does
not cause blurred vision.”
{
10
Envision: seeing beyond | july - august 2015
OCULUS’ Keratograph 5M in action
}
Cover Story
All About Dry Eye
LID HYGIENE
“
I encourage patients
to go to bed with
them on.
”
Cliradex® from Bright Optical distributors
provides relief of dry eye symptoms
through effective lid hygiene therapy.
Using tea tree oil extract 4-Terpineol, it
unclogs pores and restores meibomian
gland function, reducing the risk of
corneal scarring and infection. Cliradex
cleanses the areas of the eye and face
susceptible to bacteria and viruses,
which can cause anterior blepharitis.
12
HYLO Gel 2 mg/ml is used in more severe
cases of DES, as it is even more viscous than
HYLO. Candorvision’s most recent addition
to the HYLO family, HYLO-DUAL, with
its “dual” way of action, combines the
lubricating effect of Hyaluronate with the
benefits of Ectoin. Ectoin protects the tear
film against excessive evaporation of tears
and reduces inflammatory and allergy
symptoms, such as itching and burning.
HYLO/HYLO Gel and HYLO-DUAL
contain 300 drops, are guaranteed sterile
for six months after first use and provide
long-lasting moisture to the surface of the
eye to support the natural process of healing.
Ocunox™ is the first eye ointment in North
America containing Vitamin A. A deficiency
in Vitamin A can result in keratinization
of corneal cells and can exacerbate DES.
Ocunox with Vitamin A improves the tear
film, protects the surface of the eye and is
recommended for overnight use.
Refresh Optive Fusion™, an artificial tears
product from Allergan, is the first OTC drop
to combine leading polymers Hyaluronic
Acid (HA) and Carboxymethyl celluslose
(CMC). Refresh Optive Fusion is safe to use
with contact lenses.
Envision: seeing beyond | july - august 2015
Optometry has a role to play in educating
patients about proper lid hygiene, says
Caffery. Regular warm compresses that melt
the waxy portion of the oil in the meibomian
glands and clean lid margins are especially
helpful to those prone to MGD. It is very
important not to apply any pressure to the
eye while performing this procedure.
TheraLid, an eyelid cleanser that contains
a small amount of tea tree oil, can be very
helpful for this purpose, particularly if
Demodex follicularim is involved at the lid
margins. Over-the-counter (OTC) products
that sterilize the lids can also help.
For a hot compress, fill the sink with hot
water and use a cloth to gently apply it to the
lid margins while the eyes are shut. There
are also devices that can be warmed in the
microwave and used lying down, says
Caffery, adding, “I encourage patients to go
to bed with them on.”
Optometry has a role to play in educating
patients about proper lid hygiene, says
Caffery. Regular warm compresses that
melt the waxy portion of the oil in the
meibomian glands and clean lid margins are
especially helpful to those prone to MGD.
Over-the-counter (OTC) products that
sterilize the lids can also help.
Blephagel® from Labtician Ophthalmics is a
sterile, preservative-free gel for daily hygiene
of eyelids and eyelashes. It dissolves and
removes crusts and secretions and maintains
eyelid hydration.
Blephagel, which is hypoallergenic, remains
sterile after opening because of the innovative
Steri-free Technology.
For patients who want to
start and end the day
with more moisture1,2
Recommend Biotrue® ONEday
daily disposable contact lenses
Now available for Presbyopia
Biotrue® ONEday HyperGel™ material forms a
Dehydration Barrier
• Stays moist
up to 16 hours2
• Retains more than
98% moisture
through the day2
UVA/UVB Protection*
Biotrue® ONEday Cross-section
Poloxamer
407
POLOXAMER
407
PVP
PVP
H2O
PVP binds to SAM
SAM is concentrated at surface
Hydrophilic polymer molecules —
PVP — are bound to the molecules of
the Surface Active Macromer (SAM)
Poloxamer 407.
The polymer-bound Surface Active
Macromer (SAM) Poloxamer 407,
increases in concentration at the
surface forming a permanent
component of the lens material.
For more information please contact your Bausch + Lomb Sales
Representative or our Customer Service at 1-800-686-7720
* WARNING: UV-absorbing contact lenses are NOT substitutes for protective UV-absorbing eyewear, such as UV-absorbing goggles or sunglasses,
because they do not completely cover the eye and surrounding area. The effectiveness of wearing UV-absorbing contact lenses in preventing or
reducing the incidence of ocular disorders associated with exposure to UV light has not been established at this time. You should continue to use
UV-absorbing eyewear as directed. NOTE: Long-term exposure to UV radiation is one of the risk factors associated with cataracts. Exposure is based
on a number of factors such as environmental conditions (altitude, geography, cloud cover) and personal factors (extent and nature of outdoor
activities). UV-blocking contact lenses help provide protection against harmful UV radiation. However, clinical studies have not been done to
demonstrate that wearing UV-blocking contact lenses reduces the risk of developing cataracts or other eye disorders.
REFERENCE: 1. Multiple-Packaged Lenses Comparison, Tyler’s Quarterly – Professional Edition, September 2013 2. Twenty-two subjects participated
in a randomized, double masked, contralateral eye study to evaluate water loss of Biotrue ONEday, 1-Day Acuvue Moist, 1-Day Acuvue TruEye contact
lenses. After 4,8,12, and 16 hours of wear, lenses were removed and immediately weighed (wet weight). The lenses were then completely dried and
reweighed (dry wet). The percent water loss was then calculated for each lens from the wet and dry weights.
Biotrue, HyperGel and inspired by the biology of your eyes are trademarks of Bausch & Lomb Incorporated or its affiliates.
All other product/brand names are trademarks of their respective owners. ©2015 Bausch & Lomb Incorporated. US/BOD/15/0011 TP11640
Insta
Cover Story
All About Dry Eye
UNBLOCKING MEIBOMIAN GLANDS
MGD is recognized as a primary cause of/or contributor to most cases of dry
eye. LipiFlow treatment from TearScience is an in-office procedure that clears
blocked meibomian glands and restores normal function.
NUTRITION AND HYDRATION
A Vitamin A deficiency can contribute to and even cause dry eye. However,
it is important that patients do not to take extra Vitamin A unless blood tests
establish a Vitamin A deficiency. It is important to avoid the condition known
as hypervitaminosis A.
Essential fatty acids (EFAs) can help reduce ocular surface inflammation. It is Physician Recommended Nutriceuticals
also important to drink plenty of water to stay hydrated, especially during dry, (PRN) Dry Eye Omega Benefits® is
custom-formulated, based on clinical
hot or windy weather.
research from top physicians. It is produced
Omega-3 fatty acids, which are considered essential fatty acids because our in a purified triglyceride form, which research
bodies cannot produce them, may help to alleviate DES. The lipid layer of the has shown to provide superior absorption.
eye is affected in dry eye syndrome, which is categorized as an inflammatory A recent study demonstrated that oral
condition, and omega-3 fatty acids modify the lipid layer and have proven consumption of re-esterified triglyceride
anti-inflammatory benefits. Omega-3 fatty acids re available from eating fish omega-3 EFAs (1680 mg EPA and 560 mg
twice a week. Omega-3 supplements can be taken on the advice of a health care DHA) as a consistent daily nutritional
practitioner.
regimen showed a statistical improvement
against relief of dry eye symptoms.* The
Ascenta Health produces the Professional
Omega-3 product used in this study was Dry
line of omega-3 supplements, all of them
Eye Omega Benefits® by PRN.
in triglyceride form.
“Oral omega 3 supplementation is one of
“We get a lot of interest in our EPA plus
the foundations for the management of
product,” says Angela Donald, director of
meibomian gland dysfunction and dry eye
education and clinical research. “EPA is
symptoms” says Dr.Eric Donnenfeld, MD, an
an essential fatty acid that has a big
investigator in this study and past president
anti-inflammatory effect.”
of ASCRS.
* EPITROPOULOS, Alice T, et al. Abstract Investigational Study, April 2015 Ahead of publication. (Presented at ASCRS April 19, 2015) “Effect of Oral Re-Esterified Omega-3 Nutritional
Supplementation on Tear Osmolarity: Double-Masked Randomized Placebo Controlled Study”.
Makeupand
CONTACT LENSES
A
recent University of Waterloo study on the effects of makeup deposits on contact lenses showed
that some makeup removers and waterproof mascaras changed the shape, optical performance
and wetting ability of some silicone hydrogel lenses1,2. Further research is needed to fully
understand the clinical implications for hydrogel lens wearers who use cosmetics, says Dr. Sruthi
Srinivasan, clinical research manager at the university’s Centre for Contact Lens Research.
One in three women suffers allergic reactions or incompatibility between their contact lenses and makeup,
according to Iberia Vision Care. For these women, the company created Derm Eyes®, a line of optocosmetics
that uses 100 per cent natural active ingredients.
Tested dermatologically, ophthalmologically and hypo-allergenically, Derm Eyes is ideal for those who
require special care for their eyes. Distributed in Canada by MyEyesMesYeux Cosmetics, it is available only
for specialized vision centres.
1. “Impact of Cosmetics on the Physical Dimension and Optical Performance of Silicone Hydrogel Contact Lenses”. LUENSMANN D., YU M., YANG J., SRINIVASCAN
S., JONES L. Eye Contact Lens. 2015 Feb 26. [Epub ahead of print] PMID: 25723565
2. “Impact of Cosmetics on the Surface Properties of Silicone Hydrogel Contact Lenses”.SRINIVASCAN S., OTCHERE H., YU M., YANG J., LUENSMANN D., JONES L.
Eye Contact Lens. 2015 Feb 24. [Epub ahead of print] PMID: 25719434
14
Envision: seeing beyond | july - august 2015
Studies Reveal That
Dry Eye Omega Benefits®
is the Right Option for
Your Patients
Two landmark studies showed:
By using Dry Eye Omega Benefits®,
70% of patients became asymptomatic and
100% had a reduction in their primary
complaint after 60 days of treatment.1
Another study presented at the 2015 ASCRS
meeting demonstrated that oral consumption
of Dry Eye Omega Benefits® is an effective
treatment of dry eye symptoms and results in
a statistically significant improvement in tear
osmolarity, OSDI, tear break up time and
omega index levels.2
Significant
improvement
against placebo
in tear osmolarity
Significant
improvement
against placebo in
omega-3 index
levels
Significant
improvement against
placebo in Ocular
Surface Disease
Index (OSDI)
Significant
improvement
against placebo in
tear break-up time
Exclusive to Optometrists, we are now offering a 60-day supply of Dry Eye
Omega Benefits® for you to sell directly out of your office to your patients!
Find out more about this exciting NEW PRN Wholesale program!
For further information, contact Tim Small at [email protected],
(800) 900-2303 ext. 118 or online at prnomegahealth.ca/wholesale
(800) 776-6439 • prnomegahealth.ca
573 5e Rue Grand-Mère • Québec, Canada, G9T 4R9
1. Smith, Gregory et al, Penetration of rTG Omega-3 into the meibomian glands after oral administration Abstract Investigational Study, March 2011
(Presented at Cornea Society Education Conference 2011)*
2. Epitropoulos, Alice T, et al. Abstract Investigational Study, April 2015 Ahead of publication. (Presented at ASCRS April 19, 2015) Effect of Oral
Re-Esterified Omega-3 Nutritional Supplementation on Tear Osmolarity: Double-Masked Randomized Placebo Controlled Study
Cover Story
All About Dry Eye
CONTACT LENSES:
What’s
BEST
for DRY EYE?
W
hen it comes to dryness
and contact lens wear,
there are many studies
and few clear results,
says Dr. Barbara Caffery. “I have some
severe dry eye patients who can only
function with contact lenses and mild
dry eye patients who can’t tolerate
them.”
Caffery says. “The Leis Vision lens
and the Proclear material have proven
track records. Some silicone hydrogels
like Acuvue® Oasys and Dailies Total
One have shown clinically better
performance in dry eye. But you
have to try it and see what happens.
Many visits and lots of patience are
required.”
The sensation of dryness may not be
actual dryness, she adds. “Something
like blurred vision can make contact
lens patients aware of their eyes in a
way that makes them seem dry. As
clinicians, we must pay attention to
factors beyond lens type, including
lens condition, solutions used, whether
the patient cleans their lenses after
removal, how the lenses fit, and even
whether they see well or not.”
The Onefit Series of mini scleral lenses
from Laboratoires Blanchard sets
a new standard for GP and soft
lens wearers. They are designed to
completely vault the irregular or
ectatic cornea, as well as normal
prolate cornea with astigmatism.
Onefit lenses boast the crisp visual
acuity and high DK of a GP lens, and
the comfort previously only available
in a soft lens.
If contact lens discomfort is causing
dry eyes, the patient might benefit
from switching to a different lens or
wearing them fewer hours each day.
Patients using preserved disinfecting
solutions may benefit by changing to
disinfecting systems using hydrogen
peroxide and preservative-free saline.
The Onefit Cone is designed to
accommodate
highly
irregular
corneas such as keratoconus (Oval,
Nipple) and ectasias while the Onefit
P+A is designed to vault over corneas
with normal prolate profile or
astigmatism.
It’s impossible to determine in advance
which lens will work effectively,
says Caffery. “There are several
variables
that
cause
dryness
sensations, including the length of
time between lens replacements, lens
solution, etc.”
Scleral contact lenses, which cover
most or all of the eye, can help protect
the cornea, prevent nerves from firing
and causing pain, and keep surface
cells moist all day because of their
saline content.
Some materials work better than others
for contact lens patients with dry eye,
16
“
I have some severe dry
eye patients who can
only function with contact
lenses and mild dry eye
patients who can’t
tolerate them.
Today’s patients spend more time using
digital devices, says Denise Lougheed, eye
health product manager, contact lenses.
“Dryness and high computer usage are the
leading contributing factors resulting in
“Onefit is thinner than its competitors contact lens drop off, so a contact lens that
and allows for good oxygen allows patients to start and end the day with
moisture is a great choice. They also provide
flow-through,” says President Jean
UVA/UVB protection.”
Blanchard. “Studies show they are as
comfortable as soft lenses. For older The 1-Day Acuvue® Moist® brand contact
patients, tear quality declines and soft lens family from Johnson & Johnson features
lenses suck moisture from the eye, LACREON® Technology, which locks PVP
leaving a gritty feeling. That doesn’t into the lens, for a consistent volume of
happen with these lenses.”
wetting agent from morning to night.
The Biotrue ONEday lens from
Bausch & lomb is an excellent option
for keeping the eyes moist, while
providing crisp, clear, consistent
vision. It retains more than 98 per
cent moisture throughout the day and
stays moist for up to 16 hours.
Envision: seeing beyond | july - august 2015
Lacreon creates a long-lasting cushion of
moisture from the lens core to the lens
surface that doesn’t blink away over time. It
provides exceptional comfort, even when
eyes are prone to dryness or irritation. And
built-in PVP helps maintain visual quality in
symptomatic soft contact lens wearers. n
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UPP
PRICING
What’s
With
The
I
DEBATE?
n March 2015, Costco
filed a lawsuit in
California federal court
against Johnson &
Making Contact
Johnson Vision Care,
By Shirley Ha, HBSc., O.D., FCOVD
Inc. (J&J) alleging
antitrust violations with
respect to J&J’s unilateral
pricing policy (UPP). Numerous
anti-UPP class action lawsuits
THE DEBATE
by contact lens patients have WHAT IS UPP?
also been filed in the U.S.
When manufacturers ship products to Lens manufacturers claim there are many
retailers, they do so under an agreement reasons that UPP makes sense. One primary
Together with 1-800 CONTACTS, called the unilateral pricing policy (UPP). reason is that UPP levels the playing field
Costco has lobbied heavily In the contact lens industry, UPP contact for independent practitioners and online
against the practice of UPP, lenses cannot be sold or advertised by retailers. With built-in consumer savings and
which has been adopted by retailers and/or eyecare professionals for less
several major contact lens than the manufacturer’s specified minimum no volume discounts, discussions about price
manufacturers. On March 27, price. Those who violate, or fail to comply and rebate redemptions are eliminated. ECPs
Utah signed into law the with this requirement risk being suspended can sell the manufacturer’s products, based
Contact
Lens
Consumer and/or prohibited from purchasing or selling on the patient’s visual and clinical needs,
and they can compete against other resellers,
Protection Act, making it the manufacturer’s products altogether.
including retail chains and major online
the first state to ban UPP.
Subsequently, Alcon, Bausch + Alcon initiated the UPP implementation discount retailers. Patients are less likely to
Lomb, and J&J filed a lawsuit in June 2013 with their Dailies Total 1. order lenses online or buy them elsewhere
to stop Utah from enforcing Subsequently, in the U.S., J&J, Bausch + Lomb if they know the purchase price will be the
the law. They were successful and CooperVision applied UPP to several same regardless.
in staying it, citing a of their products. So far in Canada, Alcon’s
violation of the Commerce Dailies Total 1 and Air Optix Colors are the Other arguments in favour of UPP include
Clause in the U.S. Constitution. only contact lenses affected by UPP, although the transparency of the reduced cost and the
Similar anti-UPP bills are in there are rumours that J&J is considering fact that the patient makes a purchase based
the works in 14 other states.
on need rather than price.
adopting it soon.
20
Envision: seeing beyond | july - august 2015
Making Contact
Those who oppose UPP, including Costco,
1-800 CONTACTS and Consumers Union,
call it a quasi-illegal conspiracy to fix the
price involving the manufacturers and the
American Association of Optometrists
(AOA). They allege that UPP gives
practitioners an incentive to prescribe and
directly sell a particular manufacturer’s
lenses because practitioners know their
patients are more likely to buy from them
if the purchase price is the same. They also
claim that UPP will result in higher prices
for consumers and that practitioners will
limit lens choices for their patients because
of potential revenue bias.
ECPs are part of the multi-billion-dollar
contact lens industry. As we watch the
UPP drama unfold in the U.S., we must be
mindful of who, in the end, will exercise
market power. Will it be manufacturers,
who have rising flexibility to influence
future price increases of their products
downstream, which in turn can impede the
buying/selling of premium contact lenses
and reduce the patient benefits associated
with their purchase? Or will it be the
online discount retailers who can continue
discounting products, with unknown
economic consequences, such as decreased
quality or variety of contact lens products
developed and sold?
Eyecare practitioners need to communicate
the value of contact lens fittings, eye exams
and progress checks to their clients. They
need to inform the public and lawmakers
that contact lenses are medical devices
designed to correct vision. They need to
emphasize the importance of supporting
their right to prescribe contact lenses,
based on a patient’s visual needs, including
lifestyle considerations, for optimum
ocular health and safety. They also need
to educate contact lenses wearers about
potential risks and complications that
require regular follow-up care.
Thanks to UPP, price can be taken out
of the purchasing and decision-making
equations for both patient and practitioner.
The value of the contact lenses is increased,
accompanied by a continued investment
in service levels and in the contact lens
products being sold. In this way, the
negative perception that, “it’s too expensive
to purchase from my eye doctor,” is also
eliminated and the focus can be entirely
directed to patient care, visual need, best
lens choice and safety.
“
They need to inform
the public and lawmakers
that contact lenses
are medical devices
designed to correct
vision.
”
As Josh Josephson, former research
optometrist, founding member of the
International Society for Contact Lens
Research and CEO of Josephson Opticians
in Toronto, puts it: “The purchase of
contact lenses should not be price driven;
it should be driven by what the
diagnosing eyecare practitioner thinks is
best for the patient. Contact lenses are not
all about material/product price and they
should not be considered a commodity to
be purchased casually online, like a book
or a tube of toothpaste. They are devices
that require professional judgment in their
use, regular and routine ocular response
monitoring, and constant coaching in
n
compliance and risks.”
july - august 2015 | Envision: seeing beyond
21
Portrait of a Designer
By Paddy Kamen
{ Frederic Beausoleil }
ART AND THE BUSINESS OF LIFE:
FREDERIC
BEAUSOLEIL
FULFILLS HIS DESTINY IN
EYEWEAR DESIGN
Working as a sculptor in wood and stone would seem to be an almost
ideal background for creating frames in acetates and metals. But little
did the teenage Frederic Beausoleil guess where his destiny lay.
“I
always wanted to be an artist,” says Beausoleil, president
of Frederic Beausoleil haute lunetterie. “And sculpture
was my first love in my teen years. I wanted to attend art
school but my parents felt I should have a career at which
I could earn a living first.”
Beausoleil’s mother was the first female optician in
France and a successful retailer of high-end designer frames
from her two stores in Nantes. She suggested that he train as
an optician. Frederic had worked in her stores selling frames
during the summers. “I remember perfectly the beautiful frames
available during those years,” he says. “The subtle sophistication
of frame design was not lost on me and I enjoyed handling the
materials.”
22
Envision: seeing beyond | july - august 2015
{
mod. STR4
}
It was young love that took Beausoleil
as a newly minted optician to Paris, where
he was soon to embark on his career.
“I decided to move to Paris with my
girlfriend and wanted to create a pair of
optical frames for her as a gift, so I did the
drawings and was looking for someone to
manufacture them when I came upon a
small workshop in Le Marais. The 72-year
old owner had been making tortoiseshell
and buffalo horn frames by hand since
1946. It was there that I caught the magic
and first envisioned a career as a frame
maker. He took me on as an apprentice for
six months and then sold me the workshop.
I well remember my first day on my own in
the workshop: I knew how to craft frames
but I didn’t yet know how to design them.
I spent 18 months teaching myself. Then, I
was ready for my first exhibition.”
Silmo 1989 was the stage for Beausoleil’s
introduction to the optical industry. To
say that his first collection of 26 models
was a success is an understatement. “I was
approached by leading optical retailers
and designers from around the world,” he
explains. Robert Marc (NYC), Josh
Josephson (Toronto), Barbara McReynolds
and Gai Gherardi (l.a. Eyeworks), and
Oliver Peoples founder Larry Leight were
among Beausoleil’s first fans. His order book
was overflowing but he couldn’t produce
all the frames needed in his tiny workshop.
“I sought out a manufacturer but I was
new in the business and no one trusted
that I would pay them. So I built my own
factory,” he explains.
Now one of only nine eyewear factories
left in France (down from 150 when
he started in the business) Beausoleil’s
Nantes-based factory employs 26 people
and four robots. Here they produce the
acetate collections – Sellier, Bague, Galet,
Bi-Chomatique and Stradivarius (part metal
with hinge production in Japan) – with
exclusive Beausoleil-designed Mazzucchelli
material. Every Beausoleil piece is
hand-assembled and hand-polished, with
robots doing the intial cutting and sharp
sculpting. Each frame is slightly different,
due to the hand finishing and Beausoleil
knows his clientele appreciate the attention
to detail that is integral to his design
aesthetic.
One of the benefits of building his own
factory is that Beausoleil was able to set it
up to manufacture one of his innovations:
marquetry applications in the tradition
of André-Charles Boulle, a French
cabinetmaker who originated the technique
of inlaying tortoiseshell and brass in
furniture in the 17th century. Other
innovations include frames made from 100
per cent linen, an ergonomic bridge for
metal frames, and original hinge designs.
Beausoleil has a passion for handcrafted
items and takes inspiration from musical
instrument design, artisanal furniture,
jewelry: ’things with true value’, as he puts it.
{
mod. O394
}
{
mod. SL01
}
“
We don’t look at what
others do, nor do
we repeat successful styles.
I love to keep
evolving.
“We don’t look at what others
do, nor do we repeat successful
styles. I love to keep evolving.
Every year you have to prove
that you are innovative and can
challenge the best. But that is my
passion.”
”
One of Beausoleil’s latest
innovations is frames with
hearing aids embedded in the
temples. He was asked to design
them by Siemens, the world’s
largest hearing aid manufacturer.
“These are perfect for men who
don’t usually have hair that’s long
enough to hide hearing aids,” he
explains. Beausoleil is a partner
in a new type of retail store that
sell both regular and hearing-aid
equipped frames, along with
traditional hearing aids. Acuitis
is the name of the new company
and he is very excited by its
growth and potential.
The recession of 2008 prompted Beausoleil
to change his business model from direct
distribution to retailers to partnering with
distribution firms. Montreal-based Prisme
Optical Group is the distributor for North
America. Prisme president Richard Stortini
says the combination of beautiful product,
exclusive acetates and the prestigous
Beausoleil name combine to make the
It’s clear that Frederic Beausoleil
collections very popular.
won’t be retiring anytime soon,
“Frederic is an artist,” says Stortini. for he has created a deeply
“His collections are stylish and chic with satisfying career. He’s a risk-taker
neoclassical inspirations. It’s a quintessential in business who still loves to
French look that is very wearable and of touch the chamois-polished
frames.
Materials,
highest artisanal quality. Having his own acetate
tradition,
handcrafted
skill and
factory gives Beausoleil a degree of control
elegant French design without
over his product that is rare in this
ostentation: these elements have
industry.”
created an unbeatable synergy
Beausoleil heads a team of three designers, in Beausoleil the man, and in the
who work, “In our own DNA,” he explains. products that bear his name. n
july - august 2015 | Envision: seeing beyond
23
Dry
IDEAS
D
ry eye has always
been considered a
problem for contact
lens wearers. However,
the ocular condition has
implications
for
eyeglass
wearers as well, according to
David Watson, an instructor
at the BC College of Optics in
Vancouver. “I definitely teach
my students about it because,
as opticians, there are things
we can do to help.”
“
One of the primary
culprits in the prevalence
of dry eye is increased
computer use.
24
”
Lens Focus
By Brian P. Dunleavy
According to the Canadian Association of Optometrists, dry eye, or the inability to produce
sufficient tears for lubrication and nourishment, affects as much as 30 per cent of the
population – or a significant percentage of the clients visiting optometry practices and optical
shops. As Watson notes, the condition is particularly troubling for those who wear contact
lenses, as the lack of tears or poor tear quality can lead to the accumulation of debris, causing
eye irritation.
One of the primary culprits in the prevalence of dry eye is increased computer use.
In addition to emphasizing the role opticians, like all eyecare professionals, can play in
“re-teaching customers to blink more often and lubricate their eyes” while working on
computers, Watson also highlights the important role a quality pair of spectacle lenses
designed for computer users (so-called computer progressives or office lenses) can play in
reducing eyestrain. Typically, these lenses are designed with enhanced near and intermediate
segments to provide optimal vision for wearers working on computers in an office setting;
while they do not address dry eye specifically, they can increase visual comfort during the
performance of computer-related tasks.
Envision: seeing beyond | july - august 2015
Lens Focus
“
Glare, halos and
reflected light can add to
eyestrain and exacerbate
dry eye.
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Another spectacle product with potential dry eye-related
benefits is anti-reflective (A-R) coating. According to
Ron Dorey, optician and owner of Cornwall Optical
in Regina, glare, halos and reflected light can add to
eyestrain and exacerbate dry eye. He has also found
success with coatings designed to filter low-wavelength
visible blue light (from computer screens, for example),
which has been shown to be particularly problematic for
those with dry eye.
“In outdoor situations, a good pair of sunglasses with a
wrap not only prevents an overabundance of sunlight
and UV light from entering the eyes, but also keeps
wind, dust and other foreign debris away from the eyes,”
he adds. “These are all contributing factors to dry eye.”
Indeed, Alan R. Boyco, OD, owner of Image Optometry,
a chain of optometric practices in B.C., says wrap lenses
have historically been referred to as “moisture retention
glasses” because the shorter vertex distance affords
enhanced eye protection from debris and other
environmental factors linked to dry eye. Like Dorey,
Dr. Boyco is also a big believer in specialized,
light-filtering coatings.
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“The theory [of these products] is that an ophthalmic
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pterygium, both of which have a strong correlation
with dry eye due to the disruption of the eye’s natural
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Dr. Boyco also stresses the importance of patient
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I
Managing Your Business
t is often said that
people are the greatest
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possesses. But how
can you leverage that
resource to its fullest
potential?
26
Employee empowerment – the process of
giving your employees the power to make
decisions on their own – is the answer, says
Dana Sacco, an optician with family-owned
Rossland Optical in Whitby, ON. Sacco, who
has a five-person team, is a strong proponent of
employee empowerment.
“When you empower your employees they
give it their all,” she says. “They come in early
and stay late, and most importantly, they do
a better job when working with customers.
Empowerment opens the door to creativity and
helps to foster a team environment in which
everyone thrives.”
“
I see empowerment
as giving people the
necessary skills,
experience and
guidance to show
leadership.
By JoAnne Sommers
”
Empowered employees have an increased sense
of ownership in the business. Not only are they
more involved in their work, they’re also more
satisfied with what they’re doing. This leads
to greater customer satisfaction since satisfied
employees do their jobs with increased
enthusiasm and greater attention to detail. That
leads to them finding creative ways to solve
customer problems, which in turn results in
improved customer loyalty and retention.
Envision: seeing beyond | july - august 2015
The empowerment process also relieves some
of the day-to-day stresses on management.
When a manager delegates important tasks
and decisions to his staff, he can spend less of
his time focusing on operations and more on
strategy and business planning.
With three Eye Health Centres in Saskatchewan
and Alberta, Dr. Diana Monea can’t be
everywhere at once. It helps that her 36
employees, including six optometrists, are
empowered to make decisions on their own.
“I see empowerment as giving people the
necessary skills, experience and guidance to
show leadership,” she says. “We have office
policies but I consider them guidelines.”
Decisions should depend on the circumstances
of the particular situation and Monea’s
employees can make those decisions without
having to consult her first. If, for instance, a
customer purchased a pair of children’s
sunglasses for $20 and they break, her employees
would replace them without having to get
permission first. That’s important because the
alternative might lead to the loss of the patient.
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“
28
I look for opportunities
to develop my new
employees right away.
my goal is to leverage
their strengths and find
out where they’re
willing to take
risks.
Monea says the key to empowerment
is to hire people with the right attitude.
“Obviously they require the skills
necessary to do a particular job. But
attitude is also vital because the
interface with customers is an essential
component of successful business
relationships. I look for people who have
the ability to think for themselves.”
”
Sacco believes that the process of
empowerment should begin early.
“I look for opportunities to develop my
new employees right away. My goal is
to leverage their strengths and find out
where they’re willing to take risks. Is
there a new skill they want to develop or
a new field they want to explore?”
Rossland Optical is currently running a
frame show and Sacco’s administration
assistant has taken a leadership role
in creating a marketing plan and ads
for the event. “We shared ideas and
approved the artwork as a team,” she
says. “And one of my opticians has
invited a sales representative whom she
knows to attend the show. The point is
that it’s not all about me.”
Envision: seeing beyond | july - august 2015
To show the benefits of empowerment
to both employer and employee, Sacco
cites the example of a business
student she hired to do administrative
work for her 16 years ago. While the
woman didn’t have an optical industry
background, she caught on to the
business very quickly. The employee
went on to become an optician, then
an inventory specialist with Rossland.
Today, she is the company’s general
manager.
“Empowerment makes a lot of sense,”
says Sacco. “As employers we have to
be budget- and profit-conscious so it
makes sense to get the most from the
people who work for us. The more we
communicate with and empower our
employees the more we can compete
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Federal Budget
CUT
TAXES
Small
Business
S
mall businesses across
Canada are poised to
receive significant tax
relief as a result of the
recent federal budget.
On April 21, Federal Finance
Minister Joe Oliver announced
a proposal to cut the smallbusiness tax rate by 0.5 per
cent in each of the next four
years. Between 2016 and
2019, the rate will be reduced
from 11 per cent to 9 per cent,
a move that is expected to
provide $1.2-billion a year
in tax relief when fully
implemented. The lower rate
applies to a business’s first
$500,000 in qualifying income.
32
Your Money
By JoAnne Sommers
Other budget proposals include an increase in the lifetime capital gains exemption for
farmers and fishers. It was raised to $1-million from roughly $800,000 for all property sold
on or after budget day.
Dan Kelly, president of the Canadian Federation of Independent Business (CFIB), praised the
budget, calling it, “Perhaps the most decidedly pro small business budget we’ve seen. CFIB
applauds the government for lowering the tax burden on Canada’s small businesses now
that the budget has been balanced. This builds on earlier announcements of Employment
Insurance premium relief, new measures to address credit card fees and balanced budget
legislation.”
Reducing the small business corporate tax rate was viewed by CFIB members as the most
effective measure the federal government could take to strengthen the performance of small
firms, he noted. “We are especially pleased that government intends to legislate the full small
business tax cut plan before the (fall 2015) election.”
Envision: seeing beyond | july - august 2015
Your Money
“
The measures will result in the following
estimated tax savings over four years:
!For those with a net yearly taxable
income of $30,000, $1,500 in total savings.
!For those with a net yearly taxable income
of $500,000, $25,000 in total savings.
Kelly also lauded the following budget
provisions:
!Returning the budget to balance and
introducing balanced budget legislation
to protect taxpayers for the future. The
government is projecting a $1.4 billion
surplus for 2015, the first in eight years
for Canada’s federal government.
!An Accelerated Capital Cost Allowance
(CCA) for manufacturers for the next
10 years.
!Several measures to reduce red tape,
including legislating a plan to cut a
regulation for every new one that is
implemented (1:1 rule).
!Confirmation that small firms will save
$550 million in lower Employment
Insurance rates through the Small
Business Job Credit before even larger
premium cuts start in 2017.
!Changes at the Canada Revenue Agency
(CRA), including less frequent
remittances for new firms, a commitment
to honour all written advice, including
information provided by the CRA
website, and a new CRA forum with CFIB.
“In the past, if the CRA gave you bad
advice, their auditors weren’t obligated
to acknowledge it and you were liable for
any penalties that resulted from it,” said
Kelly. “Now, if the CRA makes an error, the
taxpayer won’t be on the hook for it.”
The budget also contains tax breaks for
women entrepreneurs, with a program
to help “connect women with the tools
they need to succeed in business.”
The budget suggests these tools could
include mentoring and network initiatives,
as well as access to $700 million over three
years through the Business Development
Bank of Canada. The program would
also encourage trade missions for
women-led companies to widen exposure to
international markets.
Kelly said the budget’s biggest surprise
was the increased lifetime capital gains tax
exemption for fishers and farmers. “It’s a
big deal for us because it will help to secure
the retirement of many of Canada’s small
business owners. This measure also gives
us something to shoot for in the future:
increasing the capital gains tax exemption
to $1 million for all of Canada’s small
business owners will be one of our goals
for 2016.”
In the past, if the CRA
gave you bad
advice, their auditors
weren’t obligated to
acknowledge it and
you were liable for any
penalties that resulted
from it.
”
The budget wasn’t perfect from a small
business standpoint, however. “There
wasn’t as much about reducing the size
and cost of government as CFIB would
have liked,” said Kelly. However, the federal
public service, which is in the midst of
contract negotiations, did receive notice
that the government intends to save $900
million by revamping sick-leave policies,
one way or another.
Noting that the government intends to
pass legislation during the coming session
to put the announced business corporate
tax reductions in place, Kelly said this
demonstrates that this is not just a political
n
commitment.
ITALY
Distributed by Audace Lunettes: 1.866.922.9208
july - august 2015 | Envision: seeing beyond
33
An Educational
HAPPENING!
Event
T
he Academy of Ophthalmic
Education hosted its 43rd
bi-annual continuing education
seminar and Optifair Canada
Trade Show on April 25-26, 2015 at the
Embassy Grand Convention Centre in
Brampton, Ontario. Over 1,000 eyecare
professionals were in attendance.
“
For the first time ever,
Opticians were
invited to attend a full
weekend of continuing
education.
34
”
By Claudia Marks
For the first time ever, Opticians were invited
to attend a full weekend of continuing
education. Since Opticians were able to fulfill
their portfolio requirements all in one
weekend, the program quickly sold out.
Optifair Canada Trade Show, which ran
concurrently during AOE’s CE seminar, was
bustling with activity. Along with all of the
well-known suppliers, many new companies
also exhibited their products and services.
Optometric Assistants were invited to a
training course that featured one-on-one,
hands-on workshops on frame fitting and
sales and service techniques. Due to the high
demand of these workshops, this program all
sold out quickly.
AOE’s fall seminar and Trade Show are
scheduled for Saturday and Sunday October
31 and November 1, 2015. Registration
is now available! Visit aoece.com for full
details.
Optometrists enjoyed a weekend of
educational lectures with topics that ranged
from technological innovations to ocular
surface conditions. The program also
featured a panel of seven ophthalmologists
from the Toronto area that participated in a
grand rounds panel discussion.
On October 30, 2015, AOE will be hosting
its third annual Eye Ball Gala Fundraiser
at the Embassy Grand Convention Centre
in Brampton, Ontario. All proceeds raised
from the gala will go directly to AOE’s
beneficiary – The Foundation Fighting
Blindness. Save the date.
n
Envision: seeing beyond | july - august 2015
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Whatever the frame, both men and women
can optimize their style with high-quality
prescription sunlenses with NuPolar polarizing
technology, in a range of optimized colors.
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NUPOLAR, IMAGE, IMAGE WRAP, ADAGE, and TRILOGY are registered trademarks of Younger Mfg. Co.
{
Alternative Eyewear & Plan B sponsored the GetFramed! Photo
booth. Delegates took turns styling with their latest eyewear and
posted them on social media.
{
Ontario Minister of Health and Long Term Care, Dr Eric Hoskins
addresses the OAO Symposium delegates.
{
}
Dr Jimmy Bartlett, OAO President’s Keynote Lecture. }
OAO Symposium
& InfoMart
T
Bring
he Ontario Association
of
Optometrists
(OAO) returned with
its highly anticipated
Annual
Symposium
and
InfoMart to Sheraton Centre
Toronto April 17-19, 2015.
With the new conference
theme,
Educating
for
Excellence, the 40+ hours
program featured some of the
most sought after speakers in
North America – Drs. Jimmy
Bartlett, Kyle Cheatham, Susan
Cotter,
Kimberly
Reed,
Mohammad Rafieetary and
Efrem Mandelcorn to name
but a few. The event brought
in near record attendance, with
over 700 delegates taking in the
three-day programming.
EXCELLENCE
To
{
Aurélie Vasseur and Martine Breton from BretonJobs.com
TORONTO
Event
By Melissa Secord
Director, Professional Affairs at OAO
The first day included OAO InfoMart,
featuring more than 100 booths showcasing
latest product innovations, as well as
clinical management and business services.
OAO Symposium Marquee Partner Alcon
Canada pulled out all the stops for its 70’
long booth, featuring flare bartenders,
product testing and makeup artists. Bayer
made its first appearance at the show
as a Symposium Education Partner,
introducing its EyeLea™ product to
optometrists. Delegates were treated to
‘Taste
of
Toronto’
Neighbourhood
international cuisine stations, courtesy
of Topcon, while InfoMart Lead Partner
Johnson & Johnson Vision Care did contact
lens fittings with their 1-Day Acuvue® define™
contact lenses at their 400 square feet booth
at the entrance to the show. Also as a new
exhibitor, BretonJobs.com with its recently
launched job portal, servicing the Canadian
optical industry, had the chance to educate
visitors on a modern way of finding jobs as
well as recruiting.
{ Alcon’s 70 ft booth featured flare bartenders mixing up
fruity health beverages }
36
}
Envision: seeing beyond | july - august 2015
Day two opened with the Honourable
Minister of Health and Long-Term Care
Dr. Erik Hoskins making a historical address
at the OAO Annual General Meeting. Alcon
Marquee Lunch and Learn speaker Dr. Bertice
Berry received a rare standing ovation, after
delighting the audience with her hilarious
tales and then ended the session with a
stirring and tear-filled thank you to
optometrists for the work they do to deliver
better eye care to patients. One delegate
commented, “Dr. Berry was very
inspirational and she instilled in me more
energy to continuing to provide the best care
for my patients.”
For the first time in Canadian optometry,
OAO featured a 4-hour program by The
Ritz-Carlton Leadership Center®, helping
optometrists and their staff to bring service
excellence to patient care.
Video and photo highlights of the conference
can be found at www.oaosymposium.com.
Next year, OAO Symposium and InfoMart
will be back in Toronto at Sheraton Centre
n
from April 8-10, 2016.
}
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In the News
Time to Register for
Vision Expo West
2015
International Vision Expo
& Conference has opened
attendee registration for Vision
Expo West at the Sands Expo
and Convention Center in
Las Vegas, NV. (Education:
Sept. 16 –19, 2015; Exhibition:
Sept. 17 – 19, 2015.)
Again named to the Trade
Show News Network’s list of
the top 250 trade shows in the
U.S., Vision Expo West hosts
eyecare professionals from
around the world for four days
of learning, networking and
exclusive buying activities.
The conference showcases
company and product innovation
across 190,000 sq. feet of
exhibit space and offers more
than 320 hours of education
where ECPs will learn how to
expand their level of patient
care and enhance their
business acumen.
Social calendars over the
course of the event will fill up
quickly, with an opening night
party featuring the Bad Habits
“Eye Docs of Rock” at the
Hard Rock Café, the ODs on
Facebook Party at TAO
Nightclub at the Venetian
Hotel, Prevent Blindness
and Breton Communications’
Party.
Vision Expo West 2015
attendees can also look forward
to co-located meetings, including
specialty programming for lab
owners and managers at The
Optical Lab Division Meeting.
Attendees who register by
August 20 will benefit from
early bird pricing: a $25
discount on registration fees.
38
Ease of Hiring Now Within Reach for
All REGARD ACTION Members
An agreement between REGARD ACTION and Breton Communications will allow
members of the buying group to benefit from preferential rates when they seek to recruit
employees through BretonJobs.com.
Regard Action is a significant player amongst buying groups in Canada. Having their
headquarters in Quebec brings a specificity and added value that employers and job
seekers will appreciate,” says Martine Breton, president of Breton Communications.
Members of this network, who already enjoy many exclusive benefits, will now have easy
access to a specialized job portal that will assist them with recruiting.
Including its outside division, iFOCUS, REGARD ACTION includes almost
180 independent optical offices across the country and approximately 400 eyecare
professionals.
The many partnerships between BretonJobs.com’s various players in the field of optometry
(schools, associations, groups) and aggregators, promote an extensive network that
multiplies recruitment exponentially. The members of REGARD ACTION will also rely
on the media and the many resources available through Breton Communications to reach
their target market.
“The support we offer to our members in the recruitment and retention of human capital is
now enhanced with the addition of an efficient and recognized service in broadcasting job
opportunities,” said Nicolas Tountas, CEO of the cooperative. “We are pleased to expand
our range of services by partnering with the expertise of BretonJobs and we are proud to
offer our members the most advantageous recruitment showcase in the industry.”
Silmo is Getting Ready
With the positive dynamic
generated by its latest edition,
Silmo, which is scheduled for
September 25 to 28, 2015, is
expecting a record number
of exhibitors. In March, after
only two months of the
registrations opening, the
number of attendees reserving
their stand was already 15 per
cent up than last year for the same period,
and loyal exhibitors were choosing to boost
their visibility, with a 4 per cent increase in
exhibition space.
“We are benefiting from positive signals,
explains Silmo President Philippe Lafont.
Envision: seeing beyond | july - august 2015
A European economy emerging
from its sluggishness, an optics
sector with a talent for renewing
itself, the appeal of Paris for
many international visitors and,
of course, our ability to create
content, Silmo is a platform for
sales, a showcase for product
offerings and trends, a resource
for information and training.
“Companies are actively seeking major
events in order to promote and sell
their collections, by taking part in
international-scale trade fairs. At the same
time, they wish to maintain an ongoing
and seamless presence in their professional
community.”
In the News
[ mod. Silk ]
Sasura Jewellery Eyewear Goes
Optical
One year after the launch of a unique luxury sunwear based on interchangeable
charm jewellery pieces, Sasura announces the release of an optical line. Distributed in
North America by Audace Lunettes, the everyday lightweight frames offer women the
opportunity to design their own unique luxury eyewear.
“We are so excited to introduce our new Sasura line, Sasura Optical” says Audace
Lunettes President Alain Lachambre and Sasura VP and designer Sherrill Nettleton.
“Our clients have responded extremely well to our initial release of our Sasura sunwear
collection and have been asking for the Sasura optical collection as it holds an
even greater potential to them. We’re pleased to have met their requests. The new
collection has been carefully designed with consideration for key optical features
including lightness, elegant style, and refinement, especially in our specialized keeper
system. This, Sasura’s patented temple design, now shows, better than ever, the
beautiful jewelry women can choose.”
Fully customizable, Sasura features the option to insert Sasura jewels as well as
other popular charm jewellery onto the frames; these can be changed for a style
transformation at any time. With this patented interchangeable jewellery technology,
women impart a piece of themselves to the design.
The new optical line, designed in Canada and made in Italy with innovative and traditional technologies, has been released in three exclusive collections. Silk, more delicate,
smaller and softer both in shape and colour, reflects feminine styling. The Lifestyle
collection takes a fashionable, urban approach to Sasura. Bolder shapes and brighter
colours make this collection ideal for the trendsetting woman. The Signature collection pays homage to Sasura’s Italian roots. With true Italian styling, Signature frames
are fashion-forward, yet timeless, using classic shapes and colours in new and exciting
ways.
Sasura uses premium acetates and metals for their frames and the finest crystals and
sterling silver in their charms jewellery collection.
Nikon Launches New Progressive Lens with Flexible
Inset Option
Building on the success of the SeeMax Power AP lens, Nikon’s new
SeeMax High Power AP has been reformulated using NODE (Nikon
Optical Design Engine) to deliver significantly improved optical
performance.
Because all wearers are unique and do not adapt to their
progressive lenses the same way, SeeMax High Power AP offers a
flexible inset option to provide the ultimate power of customization
and thus ensure that every patient benefits from the most optimal visual performance
possible.
SeeMax High Power AP is available in 1.60, 1.67 (clear and Transitions®) and 1.74
(clear) indexes. Also available are high base options 3 and 5 as well as advanced fitting
parameters.
july - august 2015 | Envision: seeing beyond
39
In the News
[ mod. HE 4269 ]
[ mod. HE 4285 ]
[ mod. HE 4274 ]
EMPOWER YOUR
Match Eyewear Launches New Styles
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A C U I TA S
PATIENT RELATIONSHIP
MANAGEMENT
SOLUTION
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Online booking
SMS
When it comes to menswear fashion, much is made of “sprezzatura” and its
distinction among Italian men. The art of sprezzatura, commonly defined as “a
certain nonchalance”, relies on attention to detail. The Helium Men’s collection
consists of eight new styles in metal and acetate, all expressing the signature
attributes of masterful Italian craftsmanship with simple classic details and refined
designs elements.
Elegant and sleek, style 4274 is a metal frame in a multi-dimensional woven metal
pattern resembling the grain of a fine tweed fabric; this same woven pattern is
realized in acetate model 4285, a bold matt acetate with strong style characteristics.
The 4269 style is a classic Clubmaster refined and re-styled in optical of gorgeous
marbled acetate with the signature HE embedded logo on temple.
The Helium Men’s collection is 100% made in Italy of Mazzucchelli acetate and the
finest quality componentry and is supported by creative merchandising solutions
including a 3-piece folding counter display, Lucite logo block and new image counter
cards.
Canadians Believe UV is Most Dangerous Form of
Light, But …
Most Canadians (87 percent) think sunlight is dangerous for their eyes, but, despite
this, more than half of Canadians falsely believe that you only need to protect your
eyes from the sun’s UV rays in the warmer, summer months. Results from the 2015
“Light and Glare” survey from Transitions Optical show that 87 percent of Canadians
agree that they should protect their eyes from the sun in July, but only 47 percent say
the same for the month of December.
“Unfortunately, the survey results reveal a large group of Canadians who are still
in the dark when it comes to understanding the importance of UV protection for
the eyes year-round,” said Isabelle Tremblay-Dawson, senior marketing manager,
Canada. “We hope this data will urge more people in the industry to talk more
frequently about the ways in which UV rays are present during the entire calendar
year.”
In addition to thinking that sunlight is dangerous to the eyes, Canadians also believe
that blue light from digital devices (50 percent) and overhead lighting indoors
(34 percent) can be harmful to the eyes as well.
CALL 1800 708 1610
EMAIL [email protected]
VISIT www.ocuco.ca
40
“It is interesting that there is so much higher recognition of the danger of UV rays,
versus blue light, because Canadians actually report that they increased their time
spent using digital devices (70 percent) rather than their time outdoors (18 percent)
over the past five years,” said Tremblay-Dawson. “The research suggests that even
though Canadians are not necessarily spending more time outdoors, they still
recognize that UV can be dangerous to the eyes – it’s just not top-of-mind
year-round.”
Envision: seeing beyond | july - august 2015
In the News
Marcolin and Iconix Renew
Licensing Agreement for Candie’s,
Coburn Technologies Bongo and Rampage
SpA and Iconix Brand Group have extended their licensing agreement for the
Introduces SGX Pro Marcolin
design, production and distribution of the optical and sun collections for Candie’s, Bongo
Generator and Rampage brands. These renewals extend the partnership until 2020. Initially launched
through licensing partnerships with former and acquired Viva International Group in 2008,
the relationship is now managed by Marcolin USA.
“We are very happy to renew our long-standing partnership with Iconix Group. Marcolin
is looking forward to promoting our business together to the maximum extent,”
commented Fabrizio Gamberini, CEO, Marcolin USA.
“Marcolin is the best in class and we are thrilled to continue to grow Candie’s, Bongo and
Rampage eyewear business with them,” added Lanie List, Chief Merchant, Iconix.
Coburn Technologies, a leader in
providing innovative, end-to-end
customer solutions to the world’s
ophthalmic lens processing industry,
has introduced and begun shipments of
its latest generation surface generator,
SGX Pro.
The SGX Pro is equipped with new
electronics, operating on a Windows
7 platform. Modernized with a touch
screen interface and USB capabilities,
this user friendly generator makes lens
processing easier. Like its predecessor,
SGX Plus, the SGX Pro generator
delivers high performance, dry-cut
milling technology for processing
Trivex, CR39, polycarbonate and high
index lenses.
The SGX Pro is the fourth generation of
the SGX series of generators and is one
of the most popular lens generators in
the world. Known for its reliability and
impressive performance, SGX Pro has
one of the widest curve ranges on the
market and has been proven to provide
the same dependability and accuracy of
earlier SGX models.
Concurrently, Coburn has discontinued
production of its SGX Plus generator
at their world headquarters assembly
plant. Coburn will continue to provide
support and service to existing SGX
Plus generators and, in addition,
offer an SGX Pro Upgrade kit for users
looking to update that equipment.
The system was showcased at Vision
Expo East in NYC in March and will
be on display at Vision Expo West from
September 16th-19th, 2015.
july - august 2015 | Envision: seeing beyond
41
In the News
[ mod. E-9112 ]
[ mod. F-3539 ]
[ mod. K-541 ]
WestGroupe Adds New Releases for Summer 2015
With the summer season upon us, WestGroupe’s summer collection
is all about fun, flirty looks for the ladies and a laid back casual
approach for the men.
The two new KLiiK models, K-541 and K-542, are perfect additions,
as they personify the upbeat and playful tone of the season. Model
K-541 is a full rim 2-tone acetate frame with a smoky gradient finish,
creating the illusion of billowing smoke inside the translucent lower
half of the front. A vintage inspired square shape is made modern
with complimentary, coloured accents laminated on the end piece
and flexible spring hinges. K-541 is available in size 50-17-140
and comes in a variety of gradient colors such as cobalt, purple,
burgundy, and aqua.
This month, EVATIK adds 2 new models, E-9112 and E-9113,
to the line-up that are both trendy and clean, the very essence of
EVATIK. Model E- 9112 is a full rim combination frame with a
rounded rectangular shape. The TR90 front and thin stainless steel
temples combine to make this frame ultra lightweight while the nose
pads ensure a great fit for all face shapes. With a keyhole bridge to
add a modern edge to the retro style of the frame and subtle detailing
inside the temples, E-9112 is the perfect frame to compliment any
business or casual outfit. E-9112 is available in size 53-20-145 and
comes in a distinctly masculine colour pallet that includes black,
taupe, and blue.
Not to be outdone, FYSH adds model F- 3539 to its collection. This
sophisticated full rim model has an elegant modified cat-eye shape
and is made entirely of handmade translucent sparkled acetate. The
temples are adorned with an eye-catching metal accent on the end
pieces, adding a touch of glam to an already girly accessory. Inspired
by runway fashion trends, F-3539 comes in a trendy neutral colour
palette that includes blush, snow and platinum and is available in
size 53-17-140.
AudiVue: the Auditory Glasses for both Sight and Hearing
Siemens Audiology and Frederic Beausoleil teamed up to create
a new and innovative two-in-one solution – AudiVue – that
combines the efficiency of a pair of glasses with the performance
of a hearing aid.
The choice of sleeve can be made according to the colour of the
frame or for even more discretion, can be chosen to match the hair
colour of the wearer. AudiVue eyewear is conceived and designed
by highly qualified experts to:
The AudiVue auditory glasses are both an optical and hearing
solution, combining aesthetics and technical advancement and
performance. The novel and revolutionary eyewear is designed
and manufactured to meet an increasing demand for glasses with
an integrated hearing aid. “Always at the forefront, we are pleased
to offer to the North American market this really unique product,”
said Prisme Optical Group President Richard Stortini, exclusive
AudiVue distributor for Canada and the U.S.
• Deliver a high-quality sound that is natural and comfortable.
Available in men’s and women’s collections, AudiVue is equipped
with ergonomic coupling sleeves that discreetly integrate the
Siemens hearing aids (Pure 312 and Orion RIC). The glasses are
adaptable to all morphologies as well as all corrections.
42
Envision: seeing beyond | july - august 2015
• Provide easy access to the hearing aid control buttons for ease of
adjustment.
• Provide ambient sound perception without any parasite (this
sounds weird) noise that could be related to the rubbing of the
hearing aid on the temples of the frame.
Created by the high-end artisan optician Frederic Beausoleil, the
proposed models are elegant, inspired by noble materials, offer
fashionable designs and are available in numerous colours. The
AudiVue auditory glasses come with a large presentation box, and
communication tools (brochures, totems, easels, window posters).
In the News
[ mod. RE5251 ]
CooperVision Appoints
Jerry Warner
as President, North America
CooperVision has named Jerry Warner as president, North America, responsible for
determining the strategic direction of the company’s largest region, driving sustainable business
growth and deeper customer relationships in the United States and Canada.
[ mod. RE5242 ]
Warner previously served as CooperVision’s senior vice president of global marketing.
He joined the company in 2012 as vice president, life cycle management.
Reactive Revamped
“Jerry has extensive vision care experience, having spent the past two decades working
hand-in-hand with eyecare practitioners, retailers, researchers, educators, field sales teams and
others in global and regional roles,” said Dennis Murphy, executive vice president of global sales
and marketing at CooperVision. “The depth of his expertise, encompassing strategic planning,
sales, marketing, branding, pricing, and life cycle management will help drive CooperVision
and the entire contact lens industry forward.
“As a key member of our global leadership team, Jerry has helped grow CooperVision’s
worldwide market share by more than four share points over the last three years, and his
insights and knowledge have been instrumental in introducing inventive products and services,
such as MyDay® and LensFerry® that are benefitting customers and patients alike. He’ll bring
that same drive, vision and commitment to North American customers and their business.”
Prior to joining CooperVision, Warner was with Bausch + Lomb for 17 years. During that
time, he held numerous leadership positions, including vice president of marketing/general
manager of global contact lens; vice president of global strategy for contact lens; and director of
marketing for lens care – North America.
Optika Eyewear has totally reworked its
Reactive collection for small faces. Their
top-selling line is perfect for both adolescent and ladies with eye sizes ranging
from 44 to 49.
Expected in August, the new line will
present 15 new styles featuring a mix of
super lightweight stainless steel and acetates. The model RE5251 shows the latest mix of acetate colours by combining
two different acetates and fusing them
together, making a new exciting impact.
Boys will love high fashion styles like
model RE5242 which employs laser cut
out designs on the front.
New Look Eyewear
Confirms
Name Change
The corporation New Look Eyewear will
be re-named New Look Vision Group Inc./
Groupe Vision New Look Inc. The new
designation received shareholder approval
at the annual and special meeting of the
corporation held May 7 in Montreal.
The new name will better reflect the national
aspirations of the corporation and the
multiple banners of its activities. All banners
– New Look Eyewear, Vogue Optical and
Greiche & Scaff – will retain their own
identities and maintain their operations
under the same designations, as in the past.
july - august 2015 | Envision: seeing beyond
43
Classifieds • Classifieds • Classifieds • Classifieds •
BUSINESS
OPPORTUNITY
Looking to purchase an established
Optical store in Oakville, Milton,
Hamilton and surrounding areas. Please
email: [email protected].
....................................
Optical Boutique for sale in trendy
Vancouver West End! Over 20 years in
the same location, large client base. One
person operation. Perfect for optician/
owner. Separate Doctor`s exam room. 3
year lease, 2 year option, turnkey. E-mail:
[email protected]. Owner retiring. Serious
inquiries only please.
....................................
EQUIPMENT
For fast sale: Topcon Keratometer, 260
frames (France, Italy manufactured), 10
frame displays wall mounted UNITS (30
frames each), ocular counter-balanced
table (for 2 instruments), 16 waiting
room chairs (quality fabric covered), 4
Cinema style lighting fixtures (300w each)
including tracks. To ask for complete list,
pictures and prices: please send an email
to [email protected].
....................................
Optical Store For Sale - Established
Optical Business for sale with contact lens
replenishment call-ins. Owner wishes
to retire. All furniture, display units,
frame inventory, tools. In St Catharines.
Lease coming due, make an offer, can
supply a full list and photos. Emails to
[email protected].
....................................
For Sale - Purchased NEW: Hoya RH3000 Autophoropter ($800.00); Frastema
Chair/Stand Model Simplex #1 ($3000);
Haag-Streit Bern Tonometer for $750.00;
30 long and 5 short frame bars $30.00.
In outstanding condition. Also, a Tomey
Autolensometer, needs repair, $500.00
or best offer. For more information
contact: Paul Rooks (519) 659-0404 or at
[email protected].
....................................
www.bretonjobs.com
PLEASE SEND US
YOUR CLASSIFIED AD*
BY EMAIL BEFORE
AUGUST 14, 2015 TO:
[email protected]
*Only the Business Opportunity, Equipment and Service Offer
sections are available in our publication and online at :
Envision: seeing beyond
Breton Communications Inc.
202-495 St-Martin Blvd. W.
Laval, Quebec H7M 1Y9
Fax: 450 629-6044
Please note that job postings are available at
http://bretoncommunications.com/classified/
Market Place
To advertise in the Market Place, contact [email protected] or 1 800 462-2112
is looking for distributers for the following well known and fast growing brands
BUILDING YOU A
BETTER BUSINESS
WWW.EYEDESIGNS.COM
601.409.1900
Please contact
[email protected]
www.scandinavianeyewear.se
VEW BOOTH 16076
Advertising Index
Audace Lunettes. . . . . . . . . . . . . . . . . . . . . . . . 33
Match Eyewear. . . . . . . . . . . . . . . . . . . . . . 18-19
Bausch + Lomb. . . . . . . . . . . . . . . . . . . . . . . . . 13
MyEyesMesYeux Cosmetics. . . . . . . . . . . . . . 11
BC College of Optics. . . . . . . . . . . . . . . . . . . 43
Ocuco. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Breton Communications. . . . . . . . . False Cover
Optika Eyewear. . . . . . . . . . . . . . . . . . . . . . . . . . 5
BretonJobs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Plan B Eyewear. . . . . . . . . . . . . . . . Back Cover
Candorvision . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Plastic Plus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Cenoco. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Prisme Optical Group. . . . . Inside Back Cover
Concept Eyewear. . . . . . . . . . . . . . . . . . . . . . . 41
PRN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Hoya . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Ronit Fürst. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
44
Envision: seeing beyond | july - august 2015
Ronor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Sàfilo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30-31
The Optical Group. . . . . . . . . . . . . . . . . . . . . . 28
Transitions Optical . . . . . . . Inside Front Cover
WestGroupe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Younger Optics. . . . . . . . . . . . . . . . . . . . . . . . . 35
Zig Eyewear. . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
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