Free FormPresentation Notes FreeForm Lens Technology What does it really mean to your Patients and your Business? Definition: Free-form surfacing refers to a process that is capable of producing complex surface shapes, including aspheric, atoric and even progressive addition surfaces. A typical process begins by generating the lens surface using a three-axis, computer numerically controlled (or CNC) generator. With three possible axes of movement, single-point cutting tools can produce virtually any lens surface shape with a high degree of accuracy and smoothness. The worked lens surface is then polished to a high luster using a flexible polishing pad that is also dynamically controlled by a computer. Using free-form surfacing, the laboratory can directly surface a variety of lens designs directly onto a semi-finished lens blank in addition to the prescription curves. With two surfaces to work with, free-form progressive lenses represent a combination of factory-molded and free-form-surfaced lens curves that range in complexity from simple spherical surfaces to progressive surfaces that have been combined with the prescription curves. Slide 9 The software can calculate the “perfect” curve(s) and cylinder cross-curve(s) to 1/100th of a diopter (0.01D), the optimal corridor length based upon the fitting height and frame “B” measurements, and the near vision inset based upon add power and PD. The free-form machinery available today can produce those curves. Slide 14 CNC – Computer Numeric Controlled – processing enables industries to consistently produce parts to accuracies undreamed of a few years ago. The same part can be reproduced to the same degree of accuracy any number of times with amazing speed. Prerequisitions: - Computer properly programmed - Machine properly set up Glossary of the Terms you need to Know LENS PERSONALIZATION You’ve probably already heard the analogy that lens personalization is like buying clothing: you can buy S, M, or L, or you can buy a defined size, or you can have the item custom tailored to fit you perfectly. That’s exactly what lens personalization is—custom tailored to meet the wearer’s exact prescription requirements, working distance needs, frame measurements, and posture. HUNDREDTHS One way of personalizing lenses is to provide them to 0.01D accuracy instead of 0.25D accuracy. Prior to lens personalization, most lenses were produced in +/-0.25D increments. OPTIMIZATION One of the techniques free-form PAL designers use is called optimization. This strategy attempts to provide lenses that are as sharply corrective as possible. This means that designers will address lens aberrations in order to provide the wearer with lenses that offer super crisp vision. ABBERATIONS SPHERICAL ABERRATION When a wide beam of parallel light rays pass through a lens that has plus or minus power, the light that passes through the center of the lens will come to a fine focus, however, the rays of light passing through the lens’ periphery will focus either in front of or behind the ideal focal point. In vision-correcting lenses, this results in an imperfect correction of vision. Spherical aberration is most noticeable when the pupil is dilated (for example, during night driving), or after certain refractive surgeries like LASIK or a corneal graft. COMA This optical aberration causes a wide beam of off-axis light to focus inaccurately. Coma is usually demonstrated by using a wide beam of light and passing it through a lens, which results in an inaccurate focusing of the rays and the image being blurred. Instead of the light rays focusing to a single point, the image appears to have a “tail” (like a comet, and hence the coma name). Coma is often troublesome to wearers viewing street lights or other bright light sources at night. In this situation, they see a starburst pattern around the light, which is the visual effect of the coma aberration. MARGINAL ASTIGMATISM This aberration is sometimes called oblique or radial astigmatism. It’s a result of a narrow beam of parallel light rays passing through a lens at an oblique angle. The light then comes to a focus at two different points on the retina, and the space between those points determines the amount of astigmatism the person experiences. Marginal astigmatism is considered to be the most troublesome lens aberration because it creates unwanted cylinder so all manufacturers work to reduce it. HIGHER ORDER ABERRATIONS Most lenses address lower order aberrations. That’s because they attempt to correct spherical and cylindrical refractive errors of the eye. Some lens manufacturers have introduced lenses that attempt to address higher order lens aberrations. These aberrations affect the quality of clear vision as well as the contrast of what the lens wearer experiences, which can have a significant effect on the overall visual experience with correcting lenses. Up to 20% of a person’s visual potential can be reduced due to higher order aberrations. POSITION-OF-WEAR One technique that lens manufacturers use to personalize lenses is the use of position-of-wear (POW) measurements. In addition to the typical patient PDs and fitting heights, ECPs are asked to also supply vertex distance, pantoscopic tilt, and face-form (wrap) tilt measurements. This is because these parameters have an effect on the power wearers experience when they wear their lenses. VERTEX DISTANCE The position at which a lens is placed in front of the eye has a bearing on the power it will deliver to the wearer. This optical property is known as “positional effect.” For example, a patient may have been refracted with the refractor setting 10mm in front of her eyes but when she obtained her eyeglasses, the lenses sat only 7mm from her eyes. If the patient was refracted with a +10.00D power, the wearer would experience +9.50D in the lenses delivered to them. That 0.50D apparent loss in effective power is due to a change in the lens’ position between the refracted position and the delivered position. LENS TILT When patients are refracted using a conventional phoropter, the instrument is usually placed at roughly a 90° angle in front of their eyes, however that is seldom the POW for the final spectacle product. This means that most refractionists do not attempt to refract with lenses in a tilted position just as the patient will wear them. The theoretically correct amount of lens tilt for a patient is 8° and most lens wearers have their frames positioned at about 8° to 15° of pantoscopic tilt. FACE-FORM Sometimes referred to as “wrap,” face-form tilt is another form of lens tilt that occurs when a frame is curved or “wrapped” around the face’s contour. Wrap sunwear is a good example of this. Sports performance sunwear is usually highly wrapped to provide eye protection and aggressive good looks but it also induces unwanted cylinder in the 90th meridian if not compensated. EYE AND HEAD MOVERS Is the patient sitting before you an eye mover or a head mover? The answer has a bearing on how the patient will use their lenses. For example, a head mover will look more along the vertical midline portions of the lens for most visual tasks because he will turn his head to view objects, reducing the amount of eye turning. An eye mover will do the opposite: she’ll turn her head a little to view a peripheral object and turn her eyes a good deal. This means she’ll use the peripheral portions of the lens more. EYE DOMINANCY Along with other initiatives to improve the resulting image, one manufacturer has included eye dominance in the mix of personalized measurements. This is to ensure that both eyes are working as a single visual system which allows for synchronization of the retinal image, and improved spatial perception. The design works around the principle that the dominant eye reaches the object first when the wearer changes their direction of gaze. That also requires that the practitioner use the lens company’s proprietary measurement system. MEASUREMENTS As the design of spectacle lenses has become more sophisticated, the need for accurate measurements has increased. Unfortunately, the technology for taking lens measurements has remained fairly constant for a good number of years and the tools used for taking lens fitting measurements still include a PD ruler, marking pen, and a corneal reflex pupilometer. In the last few years, instrument manufacturers have begun producing electronic platforms that take electronic measurements. Since these instruments use electronic imaging and computerized measuring techniques, they provide highly accurate measurements…as long as the patient is properly positioned and aligned in the unit. These instruments, which you might call computerized eyewear selection, measurement, and information systems (CESMIS), provide highly accurate measurements, usually at the push of a button. To take lensfitting measurements, the selected frame is pre-adjusted, and the patient is positioned and aligned in front of the instrument. At this point, the optician presses a button and digital images are taken, which the instrument uses to provide a variety of eyewear and lens fitting measurements. These include: Monocular PDs for both distance and near (calculated at actual working distance) Lens vertex distances Monocular segment heights Pantoscopic/retroscopic tilt Frame wrap (face-form tilt) Some lens companies will not accept orders for their premium products without POW information, and sometimes only POW information from their proprietary CESMIS. Most of these devices also provide accurate frame measurements including the A, B, DBL, and ED. Another nice feature is that most units allow patients to align to the instrument using their natural body posture so if a patient has a natural head or chin tilt, it will be considered in the measurements. The measuring process is fast and accurate and most patients find it interesting, impressive, and engaging. For the office that does not want to dedicate the space for a stand-alone CESMIS, the answer might be very simple: There are “apps” available that allow these measurements to be taken with a cell phone, tablet, or digital camera. The most common ones use Apple’s iPad format. These devices are fast, convenient, and they don’t take up much space. Standard Distance Lens Digital Freeform Distance Lens Offer clear vision centrally and have distortions and Offer a larger area of clear, natural and distortionimperfections that impact vision to the side free vision. Slide 24 leaning forward with reading glasses tilting head up with bifocals What you might tell your Patient natural posture with Freeform computer lenses Think about the first time you saw high-definition television. Remember how it made your old analog TV picture seem drab and blurry? High-definition made colors brighter, shapes sharper, and brought everything keenly into focus. Now imagine having the same experience with your glasses. Sure, you can probably see fine with the ones you have, just like watching analog TV was fine when that was all you had. But what if you could upgrade to high-definition for your eyes? Free-form Technology There’s a new technology that could change the way you see—forever. It’s called “free-form,” a revolutionary digital manufacturing process that uses computer-aided design and surfacing to create high-level, customized eyeglass lenses with your unique prescription. Think of it as a tailor for your eyes. Just like you can take an off-the-rack pair of pants and have it customized to fit your specific measurements, you can now have lenses made customized for your specific prescription and frames. Benefits of Customized Free-form Lenses Many leaders in the vision industry expect free-form technology to be the next revolution in vision correction. In addition to the improved visual clarity that customized free-form lenses provide, you will enjoy: Exceptional night/low light vision: Free-form lenses can reduce glare and halo effects caused by light sources at night, such as car headlights Exceptional contrast perception: Free-form lenses can sharpen vision Exceptional color vision: Free-form lenses can maximize the optics built into your lenses, providing brighter and more intense colors While everyone can benefit to a certain extent from customized lenses, people with complex prescriptions and progressive wearers will notice the greatest visual improvements.