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THE MAGAZINE FOR NEW ZEALAND’S OPHTHALMIC COMMUNITY<br />

PO BOX 106 954, AUCKLAND CITY 1143<br />

Email: info@nzoptics.co.nz Website: www.nzoptics.co.nz<br />

MAY <strong>2017</strong><br />

When you experience<br />

snow without limits.<br />

ZEISS Snow Goggles<br />

// INSPIRATION<br />

MADE BY ZEISS<br />

www.zeiss.com


THE PASSION<br />

REMAINS.<br />

TEN YEARS ON…<br />

In early 2007, our original Port Melbourne lens laboratory and fledgling support office<br />

opened for business, igniting the first sparks of the Specsavers optical revolution.<br />

One year later, we unveiled our very first stores, heralding the opening of an<br />

incredible 150 Australian stores in just nine months and our first six New Zealand<br />

stores. Consumers in both countries were quick to embrace our simple offer of<br />

high quality eye care and affordable, stylish eyewear – allowing our stores not just<br />

to grow but to thrive.<br />

Fast forward to <strong>2017</strong> and we now have 370 Specsavers stores operating across the<br />

two countries with annual sales approaching $800 million in Australia and over<br />

$100 million in New Zealand. Our customer database has grown to over six million<br />

individuals and we dispensed more than 4 million pairs of glasses over the past 12<br />

months alone, at an average of 80,000 pairs every week.<br />

Partnership – underpinning our success<br />

At the very beginning, we set out our stall to optometrists and dispensers<br />

under the banner ‘A Passion for Partnership’. We presented a new, inclusive<br />

business model that was open to all those with ambition and a passion for<br />

service excellence.<br />

Ten years on our passion for partnership remains undimmed. The Partnership<br />

model that pairs an optometrist and an optical dispenser as partners in their own<br />

store has propelled hundreds of optical professionals into business ownership,<br />

creating hundreds of successful, profitable, community practices and thousands<br />

of current jobs. And the Partnership between the Store Partners and Specsavers<br />

grows ever-stronger, underpinned by an unrivalled business support structure.<br />

Back in 2007, we talked to optometrists and dispensers the length and breadth<br />

of Australia and New Zealand about the Specsavers Partnership – and we are still<br />

doing so today. To gain an insight into our plans for the years ahead and to find out<br />

if you are ready for Partnership in a store of your own, talk to us now in confidence<br />

– and spark your very own optical revolution.<br />

To get the conversation started, contact Sinead Convery on<br />

+61 427 754 076 or sinead.convery@specsavers.com<br />

Millward Brown<br />

Research<br />

No.1 for eye tests<br />

2016<br />

Excellence in<br />

Marketing<br />

Award<br />

2016<br />

Retail<br />

Store Design<br />

Award<br />

2016<br />

Retail<br />

Employer<br />

of the Year<br />

2015<br />

Overall<br />

National<br />

Supreme Winner<br />

2015<br />

Franchise<br />

Innovation<br />

Award<br />

2015<br />

NZ Franchise<br />

System of<br />

the Year<br />

2014<br />

Retail<br />

Innovator<br />

of the Year<br />

2014<br />

Roy Morgan<br />

Research<br />

No. 1 for eye tests<br />

2014<br />

FCA Social<br />

Responsibility<br />

Award<br />

2014<br />

2 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


OrCam now in NZ<br />

Rob Drummond from Quantum RLV demonstrating how OrCam works<br />

In the leafy Auckland suburb of Meadowbank,<br />

tucked into a small room behind the<br />

Community House last month, OrCam, the<br />

latest technology to help the blind “see” was<br />

being introduced to a small audience of<br />

visually-impaired guests.<br />

The New Zealand launch event,<br />

hosted by Low Vision Services<br />

optometrist Naomi Meltzer, has<br />

been eagerly anticipated, she says,<br />

as OrCam’s ability to allow blind or<br />

visually-impaired people to read books,<br />

menus and signs and even recognise<br />

faces and products has garnered a<br />

great deal of attention since its official<br />

US launch in 2015.<br />

Developed in Israel by OrCam<br />

Technologies, a start-up founded in<br />

2010 by Professor Amnon Shashua,<br />

Sachs Chair in computer science at the<br />

Hebrew University of Jerusalem, and<br />

businessman Ziv Aviram, OrCam uses<br />

sophisticated computer technology<br />

and a miniature video camera to help<br />

the visually-impaired interact with<br />

their surroundings. The system consists<br />

of a discreet, portable computer that<br />

fits in a pocket and connects by a thin<br />

cable to a piece clipped onto the user’s<br />

eyeglasses. The wearer can then “read”<br />

or “recognise” any object or text by<br />

simply pointing to it, triggering the<br />

technology to relay the information<br />

to the wearer though a tiny speaker,<br />

using bone conduction, to the inner ear.<br />

The reading is stopped by the wearer<br />

holding their hand up in front of the<br />

camera on their temple.<br />

Demonstrating the device and<br />

explaining how it works to the audience<br />

at Meadowbank was Rob Drummond,<br />

national sales manager and director of<br />

Australasian distributor Quantum RLV<br />

(reading, learning and vision).<br />

Roni Bruell, blind and with a cochlear<br />

implant, has been following the<br />

progress of OrCam since its inception.<br />

After the demonstration, he was<br />

enthusiastic about OrCam’s ability to<br />

give him greater independence than either his<br />

partner or dog can. “This is a meeting that I<br />

really learnt something from. This technology is<br />

a real step forward.”<br />

Using OrCam to “read” the menu<br />

A lucky few in New Zealand are already using<br />

the device, says Drummond, complementing<br />

the “dozens” of new users in Australia and<br />

the estimated 2,500 plus users worldwide.<br />

The system comes in two versions: the<br />

OrCam MyReader, which focuses on text<br />

recognition; and the OrCam MyEye, which as<br />

well as reading text can also recognise a host of<br />

objects previously identified to it. Retailing at<br />

approximately $7,000 in New Zealand, however,<br />

the sophisticated technology does not come<br />

cheap.<br />

In an interview with the New York Times back<br />

in 2013, when the first prototype was launched,<br />

Professor Shashua said the company estimated<br />

there were about 342 million adults worldwide<br />

with significant visual impairment and that<br />

roughly 52 million of them had middle class<br />

incomes.<br />

OrCam closed a US$41 million funding round<br />

in April this year, taking the total raised to<br />

US$63 million, and valuing the company at<br />

roughly US$600 million. The founders are now<br />

preparing to list the company on the Nasdaq<br />

or New York Stock Exchange, announcing their<br />

intentions through Reuters soon after finalising<br />

the US$15.3 billion sale of their car accident<br />

avoidance technology firm, Mobileye to Intel in<br />

March, the biggest recorded exit for any Israeli<br />

company to date.<br />

OrCam is now available in New Zealand<br />

through Low Vision Services in Auckland or<br />

Adaptive Technology Solutions in Wellington. ▀<br />

The OrCam device<br />

It’s about people…<br />

EDITORIAL<br />

Business is all about people, about relationships,<br />

about helping people find solutions to their<br />

problems and about letting others in to help you<br />

solve yours. People can make you smile or make you cry,<br />

so it’s particularly rewarding to attend such a collegial<br />

event as the annual CCLS conference and be included so<br />

warmly by so many of you, both at the conference and<br />

outside in lovely Nelson.<br />

Fortunately, my trainee photographer skills didn’t let<br />

me down this year, so we’ve got all the coverage of the<br />

event, including a wonderfully written round-up of the<br />

key, often amusingly told, presentations by Roberta<br />

McIlraith and Eleisha Dudson, a.k.a. Ms Robin Hood and<br />

Ab Fab’s Edina – thanks so much guys!<br />

We’ve got highlights from Eye Doctors’ first Grand<br />

Round, Auckland Eye’s first Insight evening and NZAO’s<br />

equally warm annual awards night. This issue is also<br />

packed full of news; and our wonderful Chalkeyes this<br />

month tackles the problem of recommendations or lack<br />

thereof; a theme echoed in our feature about online<br />

reviews, which you can’t escape, whatever business<br />

you’re in.<br />

We’ve got some news<br />

too: Jai Breitnauer<br />

has returned to the<br />

freelance world to<br />

spend more time with<br />

her family; and 2007<br />

optometry graduate<br />

Ella Ewens has joined<br />

us as a new writer.<br />

She’s back in NZ, after<br />

spending too long in<br />

the UK, with British<br />

husband Darren and<br />

their two children,<br />

Ella Ewens, on the team<br />

toddler Pip and<br />

baby Hugo, just two months at time of writing and a<br />

fabulously distracting addition to our monthly editorial<br />

meetings! Welcome Ella.<br />

Enjoy.<br />

Lesley Springall, publisher, NZ Optics<br />

MSO: Keeping it in the<br />

family<br />

Mike Sladen Optical is now<br />

MSO Limited following the<br />

purchase of the business<br />

in April by Mike Sladen’s son, Gethin<br />

Sladen.<br />

Gethin admits he’s not formally<br />

been involved in the optical business<br />

before, but has always had a keen<br />

interest in it as he’s had hyperopia<br />

since childhood – a condition his<br />

two children also have – and given<br />

the natural osmosis you have from<br />

growing up around a close, longterm,<br />

family business.<br />

“I’ve worn glasses since I was five<br />

and I’ve always had a passion for<br />

them. Dad was getting older, and<br />

is reaching that age when he’d like to retire and I<br />

would like to continue the family business into the<br />

future.<br />

“We’re all about family; our suppliers are all<br />

family-owned businesses, like Eyes Right Optical<br />

and European Eyewear, they are all very strong in<br />

that field.”<br />

Gethin is also experienced in running a longestablished<br />

family business, having owned and run<br />

Terry Apparel, a major supplier of sewing machine<br />

needles and threads, for a number of years. Both<br />

companies are now based at the same Auckland<br />

address with Gethin at the helm, ably assisted by<br />

great teams on both sides, he says, including, on<br />

the MSO side, his father, Mike and long-term sales<br />

representative Rae Long.<br />

“Dad is working for me as an agent<br />

for the next 12 months after which<br />

he’ll look at retiring… After week one,<br />

we’re still talking, which is good,” he<br />

laughs.<br />

Gethin says he’s excited about MSO’s<br />

potential. “I just want to push it into<br />

the future. We’ve got a great brand and<br />

with the assistance of Dad and Rae and<br />

The new MSO team, Mike and Gethin Sladen and Rae Long (centre), on Eyes Right Optical’s<br />

stand at Silmo Sydney<br />

our loyal customers I believe we can grow, which is<br />

why I bought the business.”<br />

Top of the list for the new MSO is a website, he<br />

says, which, together with social media such as<br />

Facebook, should make it easier for MSO to stay in<br />

touch with current and new customers and help<br />

grow MSO’s and its suppliers’ brands. “I will be<br />

active in the trade. I am a passionate owner and<br />

hope to visit my customers and get to know them,<br />

because for me it’s all about relationships. We are<br />

a New Zealand-owned and run family business and<br />

that’s also something that’s important to me and, I<br />

think, to our customers.”<br />

Mike Sladen established the business in 1991.<br />

It’s the New Zealand agent for Australian family<br />

eyewear businesses, Eyes Right Optical, with<br />

brands such as Face à Face, Prodesign,<br />

Koali, Oga and Zac Posen; and European<br />

Eyewear with Eschenbach – Titanflex,<br />

Brendel and Humphrey’s; and the sole<br />

distributor for Minima and Coppe-Sid<br />

from France and Italy, respectively.<br />

“MSO will continue to be dynamic in<br />

responding to changing fashion trends<br />

in the optical industry,” said Gethin. ▀<br />

www.dilem.fr<br />

dilem.lunettes<br />

<strong>May</strong> <strong>2017</strong><br />

www.dynamiceyewear.com<br />

NEW ZEALAND OPTICS<br />

3


News<br />

in brief<br />

FUNDING FOR MS AND VISION RESEARCH<br />

Dr Peter van Wijngaarden, CERA deputy<br />

director and principal investigator,<br />

has won an A$18,000 Incubator Grant<br />

from MS Research Australia to further<br />

his research on the eye as a monitor of<br />

disease activity and repair in multiple<br />

sclerosis (MS). The grant will help develop<br />

a laboratory model of MS based on<br />

damage to the optic nerve so researchers<br />

can test therapies to repair damaged<br />

myelin and determine effectiveness.<br />

ANTI-VEGF INJECTIONS LINKED TO GLAUCOMA<br />

Researchers have found patients receiving seven or more<br />

intravitreous injections of the anti-VEGF drug, bevacizumab, were<br />

at higher risk of needing glaucoma surgery. Published in JAMA<br />

Ophthalmology, the study analysed more than 800 patients who<br />

received injections in British Columbia between 2009 and 2013.<br />

DE RIGO EXTENDS CHOPARD PARTNERSHIP<br />

After 10 years, De Rigo and Swiss<br />

jewellery house Chopard<br />

announced their continued<br />

collaboration in the design,<br />

production and distribution of<br />

Chopard eyewear worldwide. In a joint<br />

statement, the two family-owned companies<br />

said they shared the same fundamental values: a constant quest for<br />

perfection and excellence and a passion for elegance and innovation.<br />

HUBBLE RAISES US$16.5MILLION<br />

US company Hubble, the first direct-to-consumer subscription-based<br />

contact lens brand announced it had secured US$23.7million in<br />

investment in two tranches, which it will use to boost marketing<br />

and advertising. The company also plans to purchase additional<br />

inventory, including toric lenses, and to roll out new product<br />

extensions, such as eye drops. Hubble claims its contact lenses cost<br />

less than half the price of competitors.<br />

CALL TO SHARE ‘DISRUPTIVE’ IDEAS<br />

Clinicians are being asked<br />

to share their ideas on how<br />

technology can transform<br />

and improve patient care<br />

for this year’s Clinicians’<br />

Challenge. The challenge<br />

has two categories: a<br />

disruptive innovation yet<br />

to be developed; and an<br />

innovative system or solution<br />

being developed that’s having a positive impact on patient care.<br />

Ophthalmology registrar Dr Hong Sheng Chiong won the 2015<br />

challenge with his smart phone-based retinal camera (pictured).<br />

For more or to submit an entry, visit www.hinz.org.nz.<br />

NEW AUSTRALIAN SCHOOL OF OPTOMETRY<br />

The University of Canberra is set to open a school of optometry in<br />

2018 and is recruiting for a professor of optometry. Talking to The<br />

Canberra Times, local optometrist Mark Feltham said he hopes the<br />

new school will help solve the current optometry skills shortage in<br />

the region. Governing body Optometry Australia, however, voiced<br />

concerns about an oversupply of optometry students.<br />

AMÉLIE MOREL – SILMO PRESIDENT<br />

Morel communications director Amélie<br />

Morel has been named as the new Silmo<br />

Paris president. Amélie Morel is the fourth<br />

generation to manage the well-known<br />

French family eyewear design business<br />

alongside her brothers Jérôme and Francis.<br />

The Silmo board said Amélie received a<br />

unanimous vote to continue the work<br />

started by her predecessor, Philippe Lafont,<br />

who passed away suddenly in March.<br />

GENETIC LINK FOUND FOR CORNEAL DISEASE<br />

A consortium of US-based researchers, headed by Professors Natalie<br />

Afshari and Stuart Brown from the Shiley Eye Institute in San Diego,<br />

have identified three novel genomic loci linked to Fuchs endothelial<br />

corneal dystrophy (FECD), a slowly-progressing degeneration of the<br />

corneal endothelium. The discovery, which takes the known FECD<br />

loci from one to four, should lead to better therapies for treating or<br />

preventing the disease, they wrote in Nature Communications.<br />

STEM CELL ‘THERAPY’ LEFT PATIENTS BLIND<br />

Three women with macular degeneration went blind within a week<br />

after undergoing non-approved stem cell treatment in what they<br />

thought was an official clinical trial in 2015, in Florida. Professor<br />

Jeffrey Goldberg, chair of ophthalmology at Stanford University,<br />

co-authored a paper on the cases, published in The New England<br />

Journal of Medicine, to raise awareness of “the risks of this kind of<br />

minimally-regulated, patient-funded research.” An estimated 600<br />

clinics in the US are reported as using stem cells to treat a wide<br />

variety of disorders.<br />

EyeSpace: From NZ and back again<br />

Corneal Lens Corporation (CLC) has taken over<br />

the distribution and support for the EyeSpace<br />

technology platform and speciality lenses from<br />

Australian company Innovative Technology.<br />

Given that CLC has always made Innovative Technology’s<br />

lenses, this means in some ways the lenses and the<br />

technology have simply cut out the middle man, explains<br />

Innovative Technology co-founder Lachlan Scott-Hoy.<br />

Scott-Hoy was in New Zealand as both a delegate at the<br />

<strong>2017</strong> Cornea and Contact Lens Society (CCLS) conference<br />

(see pages 8-12) and to support CLC’s new position as the<br />

go-to-company for all Kiwi optometrists who use or wish<br />

to use the EyeSpace platform.<br />

“Over the past four years the adoption from New<br />

Zealand optometrists has got to the point where we<br />

needed someone locally to take over the support for<br />

EyeSpace and so that’s what CLC are doing,” explained<br />

Scott-Hoy at the conference.<br />

Graeme Curtis, CLC general manager, said the move<br />

reflects the rapid changes taking place in the speciality<br />

contact lens market. “It’s going from old school to new<br />

school. The EyeSpace platform is very exciting because it’s<br />

taking the traditional method of fitting contact lenses into<br />

the future.”<br />

EyeSpace is a software tool that integrates with the optometrist’s<br />

desktop computer and their corneal topographer to generate<br />

computerised fluorescein simulations of gas permeable contact<br />

lenses from real corneal data so the optometrist can then calculate<br />

and order better-fitting contact lens designs for their patients, said<br />

Scott-Hoy.<br />

There’s no more trial and error, said Curtis. “The EyeSpace data<br />

shows you where all the complex curvatures need to be and by<br />

matching that to our high-tech laser technology the end result is we<br />

can quickly make very complex lenses that work very well. So the<br />

patients are happier and we’re happier because we’re changing more<br />

Little4eyes launched<br />

Behavioural optometrist Nicky Kiparissis<br />

and husband Andrew Markakis have<br />

launched Little4Eyes, rolling all their kids’<br />

frame brands together under one umbrella for<br />

distribution to the Australasian market.<br />

Passionate about kids, Kiparissis got into the kids’<br />

frame distribution world after becoming frustrated with the lack of<br />

frames for her Kiddies Eye Care patients in Melbourne. This led to her<br />

and Markakis taking on the agency for Tomato Glasses in Australia.<br />

Based in Korea, Tomato Glasses are specially-designed, fullyadjustable,<br />

non-slip frames. They are especially good for those<br />

with Down syndrome, children who are very active or who have to<br />

wear their glasses properly and need them to stay on without any<br />

discomfort, says Kiparissis.<br />

Looking for something “prettier” for slightly older children, the<br />

couple then added kid’s fashion label Catimini, “the Coco Song of<br />

kids’ glasses,” to their portfolio, catering for younger fashionistas (see<br />

NZ Optics’ July 2016 issue). This was also when they starting making<br />

more in-roads into New Zealand.<br />

Given the early success of their first two frames ranges, Kiparissis<br />

and Markakis have now added US-based ro.sham.bo baby and other<br />

brands from Catimini’s French parent company, Karavan, to their<br />

portfolio, including Karavan Kids and Jacadi Paris, all now marketed<br />

from the newly branded, Little4Eyes.<br />

• US-based ro.sham.bo baby are sunglasses for littler people,<br />

specially-designed to be safe, durable, flexible and even chewable<br />

• Karavan Kids is known for the its character and colourful designs<br />

and its technical solutions for frames which “sometimes have to<br />

www.nzoptics.co.nz | PO Box 106954, Auckland 1143 | New Zealand<br />

CLC’s Graeme Curtis and Whitney Parsons with Innovative Technology’s Lachlan Scott-Hoy<br />

lives today than we ever used to, by allowing a lot more people to<br />

comfortably wear contact lenses for the first time.”<br />

CLC officially took over the running of the EyeSpace platform in<br />

New Zealand in April. The EyeSpace platform is now also free to use,<br />

with Innovative Technology cancelling the annual subscription from<br />

the beginning of this year. “So any practice with a topographer can<br />

now utilise EyeSpace for the design and manufacture of their lenses,”<br />

said Scott-Hoy.<br />

Innovative Technology, which celebrates its 10th anniversary this<br />

year, now supplies the EyeSpace system – with CLC manufacturing all<br />

the EyeSpace ortho-k, scleral and custom-fit lenses – to New Zealand,<br />

Australia, South Africa and the USA. ▀<br />

Rijksmusem-inspired CLs<br />

The Dutch Rijksmuseum’s annual US$10,000 Rijksstudio Award invites anyone to<br />

create an outstanding design for a practical, everyday item inspired by works from<br />

its world famous collection. This year’s 10 finalists, whittled down from a total of<br />

2,500 entries, are particularly quirky and technologically-innovative. They range from<br />

17th century drawings of Adam & Eve condom wrappers, designed by Spanish artists<br />

Esther Pi and Timo Waag with the safe sex campaign slogan “No glove, no love”, and a<br />

“Night Watch” nightshirt to cosmetic contact lenses.<br />

The contact lenses’ “visionary” design, by US-based couple Francine LeClercq and Ali<br />

Soltani, was inspired by Holland’s famous Delftware or Delft Blue, the blue and white<br />

pottery made in and around Delft from the 16th century.<br />

LeClercq and Soltani said their design entry is “a nod to Marcel Duchamps’s comments<br />

on retinal art.” To complete the look, they have also designed matching nail decals. ▀<br />

Karavan Kids “Bili” winner<br />

of the children’s category<br />

at Silmo Paris 2016<br />

withstand rough<br />

treatment”.<br />

• Jacadi Paris is<br />

inspired by the French<br />

heritage of children’s<br />

fashion, according<br />

to parent company<br />

Karavan. “An authentic<br />

and timeless brand fed<br />

by history in order to<br />

reinvent the present<br />

and re-enchant the<br />

best time of one’s<br />

Nicky Kiparissis, optometrist and co-owner of Little4Eyes<br />

childhood.”<br />

Talking at Silmo Sydney, which marked the official launch of<br />

Little4Eyes, Kiparissis, says the business has just grown and grown<br />

because there’s a real need for more children’s ranges, which is why<br />

they decided to introduce more of Karavan’s brands to the market<br />

this year. “They are for fashion conscious parents who want their<br />

kids to love their glasses so they wear them. There’s no use spending<br />

money, if they don’t wear them.” ▀<br />

For general enquiries or classifieds please email info@nzoptics.co.nz<br />

For editorial, please contact Lesley Springall at lesley@nzoptics.co.nz or +64 27 445 3543<br />

For all advertising/marketing enquiries, please contact Susanne Bradley at susanne@nzoptics.co.nz or +64 27 545 4357 in the first instance, or Lesley Springall at lesley@nzoptics.co.nz<br />

To submit artwork, or to query a graphic, please email susanne@nzoptics.co.nz<br />

NZ Optics magazine is the industry publication for New Zealand’s ophthalmic community. It is published monthly, 11 times a year, by New Zealand Optics 2015 Ltd. Copyright is held by<br />

NZ Optics 2015 Ltd. As well as the magazine and the website, NZ Optics publishes the annual New Zealand Optical Information Guide (OIG), a comprehensive listing guide that profiles the<br />

products and services of the industry. NZ Optics is an independent publication and has no affiliation with any organisations. The views expressed in this publication are not necessarily<br />

those of NZ Optics 2015 Ltd or the editorial team.<br />

4 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


Look Sharp with<br />

Dilem and Oxibis<br />

Look Sharp Eyewear,<br />

a division of<br />

Dynamic Eyewear,<br />

is relaunching French<br />

brands Dilem and Oxibis<br />

in the New Zealand<br />

market.<br />

Dilem frames,<br />

designed and<br />

manufactured in France, Dilem<br />

are fully customisable<br />

with simple temple changes to<br />

achieve several different looks using<br />

the many patterns and colours<br />

available, says Dynamic Eyewear’s<br />

Paul Beswick.<br />

“The collection offers styles<br />

that are totally on trend, using<br />

innovative printing techniques.<br />

The company takes very special<br />

care over the design of its temples<br />

as they are a genuine fashion<br />

accessory. Dilem is a great addition<br />

to our portfolio as its design offers<br />

numerous styles for men, women<br />

and smaller fitting options.”<br />

Look Sharp is also very pleased to<br />

have added Oxibis, says Beswick,<br />

as it’s a great quality, French-made<br />

Oxibis<br />

product, which is offered at a very<br />

competitive price point for both<br />

men and women in a range of sizes.<br />

“The collection incorporates bold,<br />

loud colours to make the eyewear<br />

really stand out.”<br />

Look Sharp is relaunching the two<br />

brands with new models for both<br />

collections not seen in New Zealand<br />

before. Paula Hollobon, Look Sharp’s<br />

sales executive, will be presenting<br />

both ranges to optical practices<br />

nationwide from this month.<br />

All existing stock has been<br />

purchased from former distributor,<br />

Little Peach, with Look Sharp being<br />

responsible for all orders, servicing<br />

and warranty work from now on. ▀<br />

US$18m for Australian bionic eye<br />

Australian-based Bionic Vision Technologies (BVT) has<br />

raised US$18 million (NZ$25.8m) from China Huarong<br />

International Holdings and State Path Capital to<br />

develop its products and begin human clinical trials of its<br />

‘bionic eye’ implant in patients with retinitis pigmentosa.<br />

BVT is the commercial spinoff company from the 2010<br />

to 2016 Bionic Vision Australia (BVA) research consortium,<br />

comprising the Universities of Melbourne, New South Wales<br />

and Western Sydney, the Bionics Institute, the Centre for<br />

Eye Research Australia, CSIRO’s Data 61, The Royal Victorian<br />

Eye & Ear Hospital and the Australian College of Optometry,<br />

all of which are now shareholders in the new company as it<br />

transitions to becoming a fully-fledged commercial enterprise.<br />

This latest investment resulted from BVT’s work in<br />

developing bionic vision technologies, including a successful<br />

clinical trial of its prototype device in three patients. “BVT’s<br />

bionic eye has a number of significant advantages over<br />

competitors, including a superior surgical approach, stability<br />

of the device and unique vision processing software that<br />

potentially improves the patient’s experience,” said BVT<br />

executive chair Robert Klupacs.<br />

“This investment is an important milestone… The funding<br />

will propel this Australian technology into clinical trials in<br />

coming months as we work towards securing regulatory<br />

approval and a commercial launch in key markets where loss<br />

of vision is a significant medical burden.”<br />

The US National Eye Institute estimates one in 4,000 people<br />

have retinitis pigmentosa worldwide, with a higher number<br />

of cases in China and India compared to other countries in<br />

the developed world. To date, the development of Australia’s<br />

‘bionic eye’ has been funded through a five-year A$50<br />

million Special Research Initiative grant administered by the<br />

Australian Research Council. ▀<br />

Novartis pays for dry eye potential<br />

Alcon’s wavering parent company Novartis has in-licensed<br />

potential dry eye drug candidate ECF843 from US biotech<br />

Lubris Biopharma following a small but successful phase<br />

II trial in 40 patients showing it was significantly more effective<br />

than sodium hyaluronate eye drops.<br />

ECF843 demonstrated the potential to provide immediate<br />

improvement of symptoms by increasing lubrication across<br />

eye and tear surfaces and an overall improvement in dry eye<br />

signs within 28 days, without adverse effects, said Dr Vasant<br />

Narasimhan, Novartis’ head of drug development and chief<br />

medical officer. “Exercising our option to in-license ECF843, along<br />

with our recent acquisition of Encore Medical for the treatment of<br />

presbyopia, underscores our commitment to treating diseases of<br />

the front of the eye which impact millions of people worldwide”<br />

ECF843 is a recombinant form of<br />

human lubricin, an endogenous<br />

glycoprotein expressed in areas of high<br />

shear stress and friction, including<br />

the tear film where it binds to and<br />

protects tissues of the ocular surface.<br />

Business commentators said<br />

upfront and milestone payments<br />

from Novartis to Lubris for ECF843<br />

could total more than US$1 billion,<br />

demonstrating Novartis’ commitment<br />

Novartis’ CMO, Dr Vasant<br />

Narasimhan<br />

to building its dry eye portfolio - which includes artificial tear<br />

products Systane, Tears Naturale and Genteal - if not its contact<br />

lens business, which is still under discussion for possible sale. ▀<br />

It’s easy to see why<br />

we love our new<br />

rooms in the heart<br />

of Christchurch.<br />

Dr James Borthwick<br />

MB ChB, FRANZCO<br />

Disease and surgery of the retina and macula, cataract<br />

Dr Sean Every<br />

MB ChB, MMedSci (Distinction), FRANZCO<br />

Disease and surgery of the retina and macula, cataract<br />

Dr Jo-Anne Pon<br />

MB ChB, FRANZCO<br />

Oculoplastics, cataract, neuro-ophthalmology, strabismus,<br />

general ophthalmology<br />

Dr John Rawstron<br />

MB ChB, MPH, GDipM (Refract Surg), FRANZCO<br />

Cataract, LASIK, corneal transplant<br />

For the specialist treatment of all eye conditions the new space provides an increase<br />

in consulting and treatment rooms, state of the art technology, an innovative new layout<br />

to increase comfort and plenty of free and easily available parking.<br />

Most importantly, it also provides the home for a proudly local team. As the number one<br />

South Island provider of specialist ophthalmic care our surgeons are fellowship and New Zealand<br />

trained sub-specialists. They are the best in their respective fields. They are excited to be<br />

part of our new city, to be the care behind the change, the insight behind the vision.<br />

Dr Rebecca Stack<br />

MB ChB (Distinction), MMedSci, FRANZCO<br />

Cataract, oculoplastic and reconstructive surgeon<br />

Dr Allan Simpson<br />

MB ChB, FRANZCO<br />

Cataract, glaucoma<br />

Dr Robert Weatherhead<br />

MB ChB, FRCS, FRACS, FRANZCO<br />

Oculoplastic and reconstructive surgeon<br />

Dr Logan Robinson<br />

MB Chb, PG Dip Ophth BS (Distinction), FRANZCO<br />

Vitreoretinal surgery, diseases of the retina and macula,<br />

refractive cataract surgery<br />

128 Kilmore Street, Christchurch ı P: 03 355 6397 ı W: www.southerneye.co.nz<br />

<strong>May</strong> <strong>2017</strong><br />

NEW ZEALAND OPTICS<br />

5


Free vision surgery for tetraplegics<br />

The Buchanan Charitable Foundation is funding free laser<br />

vision correction for tetraplegic patients in New Zealand.<br />

Tetraplegic patients have lost function in all four limbs,<br />

usually after a severe neck injury, causing irreparable damage<br />

to their cervical spinal cord. This devastating injury leaves<br />

patients confined to their electric wheelchair or bed, with<br />

little or no ability to use their hands or legs. Thus tetraplegic<br />

patients who have to wear glasses are often functionally blind<br />

until a caregiver can put on or adjust their glasses for them.<br />

Founded by Drs Trevor and Caroline Gray in 2011, the<br />

Buchanan Charitable Foundation decided to address this<br />

need by designing a specially-equipped laser theatre for<br />

tetraplegic patients and providing funding for free laser<br />

vision correction.<br />

Dr Cynthia Bennet, clinical director of the Auckland<br />

Spinal Unit, says having the surgery is about maximising<br />

independence and decreasing the patients’ reliance on others.<br />

“Having to rely on someone to perform a simple task (like<br />

putting your glasses on) limits independence and quality of<br />

life. This surgery improves the quality of life for these people<br />

and that is what the hope is for others that come through.”<br />

The Auckland Spinal Unit is the main point of call, but<br />

the vision correction surgery and use of the special ceilingmounted<br />

hoist at Eye Institute in Auckland is available to<br />

tetraplegic patients throughout New Zealand. The foundation<br />

covers the costs of the operation, use of the operating<br />

theatre and staff. The surgery takes two to three times as<br />

much time as typical laser surgery due to the complexities of<br />

moving the patient, explains Frances Read, senior ophthalmic<br />

technician to Dr Gray. The hoist allows the patient to be lifted<br />

comfortably from their wheelchair into position for surgery.<br />

“Tetraplegic patients are often previously very active young<br />

adults whose lives have been tragically changed by a spinal<br />

injury,” says Dr Gray, an ophthalmologist based in Auckland.<br />

“They have already been dealt a tough deal in life, so what<br />

we are offering is a life-impacting positive event.”<br />

To date the Buchanan Charitable Foundation has<br />

gifted more than $3 million dollars for a variety of social,<br />

educational and medical philanthropic activities, including<br />

$2.4 million to found the Buchanan Ocular Therapeutics Unit<br />

(BOTU) at the University of Auckland. BOTU has initiated and<br />

is involved in a number of ground-breaking ocular therapeutic<br />

research studies and hosts the annual Ocular Therapeutics<br />

conference, which this year will be held on 21 <strong>May</strong>.<br />

Nick Mathew, Taniwha’s caregiver Paul, Dr Trevor Gray and Ivy Sacdal helping Lee Taniwha into the hoist before surgery<br />

Changing lives<br />

Lee Taniwha was 13 when he dived into a<br />

pool and hit his head, paralysing him from<br />

the chest down. With limited function and<br />

sensation in his arms and hands and unable<br />

to walk, life was suddenly a battle for the<br />

young, previously-active teenager. To add to<br />

his problems, Taniwha has hyperopia with<br />

high astigmatism in both eyes and had been<br />

reliant on glasses since he was five years<br />

old. In June last year, at age 24, he received<br />

laser vision correction surgery, funded by the<br />

Buchanan Charitable Foundation. He now has<br />

6/6 unaided visual acuity in each eye and no<br />

further need for glasses.<br />

Before the surgery, Taniwha says he<br />

couldn’t even see the clock from his bed<br />

when he woke in the morning or even clean<br />

his glasses when they fogged up. “[The<br />

surgery] has helped a lot. It’s just one less<br />

struggle to deal with day-to-day.”<br />

James Forsyth, another tetraplegic patient,<br />

found out about the foundation’s project<br />

through his ACC case-worker. He had<br />

surgery in January <strong>2017</strong> and says he was<br />

overwhelmed by the results and loves his<br />

new vision. “[It’s] tremendous! I can see so<br />

many things.”<br />

Forsyth says he wants more of his<br />

wheelchair friends and others to know about<br />

the foundation’s project so they too can<br />

benefit from it and have their lives changed<br />

for the better.<br />

A happy Dr Trevor Gray and Lee Taniwha post surgery<br />

“This project is incredibly generous and kind,”<br />

says Dr Cynthia Bennet, clinical director of<br />

the Auckland Spinal Unit. “It’s really thinking<br />

of people and how to make their lives better.<br />

I wish we had more people that could take<br />

advantage of it.”<br />

Dr Trevor Gray, trustee of the Buchanan<br />

Charitable Foundation and ophthalmologist,<br />

says he’s keen to offer this opportunity to as<br />

many patients as possible. “The foundation<br />

is all set to fund up to one new tetraplegic<br />

vision correction patient per month as long<br />

as demand continues.”<br />

If you know of any patients that might be<br />

suitable, please contact Dr Gray at trevor@<br />

tgray.co.nz or call him on 021 799 799. ▀<br />

See the light:<br />

ICCLC <strong>2017</strong><br />

Registrations are now<br />

open for the 16th<br />

International Cornea<br />

& Contact Lens Congress<br />

(ICCLC) in Sydney from 8-10<br />

September <strong>2017</strong>, which<br />

organisers from the Australian<br />

Cornea and Contact Lens Society say is an event not to be missed.<br />

The Congress is being held at the beautiful Sofitel Sydney Wentworth,<br />

just a short walk from the hustle and bustle of Circular Quay. With an<br />

underlying theme of ‘See the Light’, it runs over two and a half days<br />

and includes several speciality workshops and more than 30 speakers<br />

tackling subjects such as: ‘Is our myopia management short sighted?’;<br />

‘Eye tech is high tech’; ‘Surgery and the anterior segment’; ‘Therapeutic<br />

challenges of contact lens practice’; and ‘Things you can try at home…’.<br />

“We are very proud to announce this year’s speaker line-up who<br />

represent the very best of the industry,” say organisers. The following is<br />

just a selection of some of the keynotes:<br />

Phone 0800 750 750 or Fax 09 282 4148<br />

info@eyesurgeryassociates.co.nz or<br />

Dr Patel at: patel@glaucoma.co.nz<br />

www.eyesurgeryassociates.co.nz<br />

Sofitel Sydney Wentworth<br />

For more personalised eye care<br />

talk to Dr Hussain Patel<br />

Consultant Ophthalmologist<br />

MBChB, MD, FRANZCO<br />

Eye Surgery Associates are a Southern Cross Health Society Affiliated Provider<br />

SERVICES INCLUDE:<br />

Glaucoma Specialist / Refractive Cataract Surgery<br />

General Ophthalmology / Acute & Emergency Eye Care<br />

• Dr Laura Downie, senior lecturer at the Department of Optometry<br />

and Vision Sciences at the University of Melbourne, who will be<br />

discussing dry eye and DEWS II<br />

• Professor Helen Swarbrick, an optometrist and psychologist from<br />

Auckland, who’s now a professor<br />

with the University of NSW’s School<br />

of Optometry and Vision Science.<br />

Her primary research interest is<br />

the corneal response to ortho-k (or<br />

Clinics on the North Shore, Central<br />

and South Auckland<br />

corneal refractive therapy) for the<br />

correction of refractive errors and<br />

its role in myopia progression and<br />

control; a subject she will be covering<br />

in her talk<br />

• Paul Rose, CNZM, New Zealandbased<br />

optometrist and lecturer at<br />

Auckland University, and founder<br />

of the Rose K contact lens range<br />

(see story p14). Rose will be sharing<br />

his expertise in contact lens<br />

management of keratoconus, how to<br />

approach the patient and rationalise<br />

a treatment plan<br />

ICCLC <strong>2017</strong> also has a range of<br />

social events organised for delegates<br />

starting with Friday evening’s<br />

welcome reception, continuing<br />

over topic-focused breakfasts and<br />

culminating in the Congress’ annual<br />

social highlight, the masquerade<br />

dinner on the Saturday night.<br />

For more information or to register,<br />

visit www.icclc-<strong>2017</strong>.cclsa.org.au/ ▀<br />

All change at<br />

Misty Optic<br />

Misty Optic Partnership<br />

has appointed Jamie<br />

Smith as its new<br />

territory manager.<br />

“It’s great to welcome Jamie<br />

back to the optical community<br />

after a break of three years,”<br />

said Chris Clark, director of<br />

Misty Optic, in an email to<br />

customers. “Jamie will be<br />

best known to you from his<br />

seven years with Bollé, where<br />

he managed three divisions<br />

including ‘premium sunglasses’<br />

Jamie Smith back in the eye business<br />

with Misty Optic<br />

In other news, fellow Misty Optic territory manager Tom Frowde,<br />

has been appointed general manager of the Eyepro group,<br />

increasing his role in running the independent optometrists’<br />

group with director, Misty Optic colleague, Chris Clark.<br />

“It’s an exciting year ahead for Eyepro with several new<br />

initiatives across all major product and service categories<br />

ready to launch,” said Clark.<br />

More on this in future NZ Optics’. ▀<br />

and ‘safety eyewear’. Jamie’s combination of previous industry<br />

experience and his more recent work in the premium sporting<br />

goods industry will ensure a smooth transition along with an<br />

injection of fresh ideas for us all.”<br />

Smith will be replacing Brad Boult from CMI Optical, who<br />

used to represent Misty’s collections in the North Island, and<br />

partially replace Steve Saxton, who’s reducing his hours after<br />

nearly 40 years in the industry.<br />

“After five years of sterling service on the road for Misty<br />

Optic, Steve is finally putting down the bags in favour of a<br />

quieter life,” said Clark. “We’re pleased to still have Steve’s<br />

experience and skills available to us on a part-time basis so he<br />

still has to wait a bit longer for his gold watch.”<br />

Clark also wished Boult well, who he said will be spending<br />

more time concentrating on his own CMI ranges, which now<br />

includes Modstyle (see April’s NZ Optics), and his “rapidly<br />

growing brewing empire”.<br />

“Brad continues to be part of the family and we still look<br />

forward to running joint sale events and other projects<br />

together.”<br />

Smith’s portfolio consists of all the Charmant brands<br />

including Elle, Esprit, Adlib, Aristar, Awear, Line Art and US<br />

brand Spy+, all now depicted in a new Misty Optic website,<br />

created by Saxton.<br />

Eyepro update<br />

6 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


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7


SPECIAL FEATURE: CCLS<br />

A look back and thanks<br />

BY OUTGOING CCLS PRESIDENT ANNE MATHESON<br />

There’s a lot to worry about when you’re involved in<br />

organising a conference. Will there be fog at major airports<br />

or another earthquake at the top of the South Island? Will<br />

all the speakers turn up, and will any of them have laryngitis?<br />

Will the delegates like the speakers?<br />

I’m happy to say none of my worst fears eventuated. I was<br />

particularly pleased with the conference content. When it comes<br />

to the crunch, the education is what we attend conferences<br />

for and at the <strong>2017</strong> CCLS conference it was all high quality,<br />

educational and relevant, with a good mix of some very amusing<br />

Anne Matheson<br />

extroverts and some more understated speakers. Since I was the<br />

one who invited Dr Marc Bloomenstein, I was relieved he turned out to be as good a lecturer as<br />

I remembered. I hadn’t heard Professor Ken Nischal speak before and he was a pleasure to listen<br />

to. A local highlight for me, however, was Tracy Thompson’s report on her CCLS scholarship trip<br />

to Iowa. She said it changed her life and gave her a renewed passion for her job, which is a great<br />

endorsement. And yes, our own Professor Charles McGhee managed to deliver his lectures<br />

despite having laryngitis!<br />

On the organisational level, Karen McLean from Conference Makers ensured things ran as<br />

smoothly as usual. Sponsor support was good and the conference will make a modest profit,<br />

which always makes the council feel better. Nelson was a pleasant and novel venue and it was<br />

easy for delegates to get out and about.<br />

It’s been a great two years, but I’m pleased to hand over the presidency to Jagrut Lallu,<br />

who has been and continues to be a great supporter of CCLS and who is always looking for<br />

opportunities for self-improvement and to improve how things are done in any organisation<br />

he’s involved with. Together with the newly appointed vice president Roberta McIlraith, I<br />

know the CCLS is in good hands.<br />

I look forward to seeing you all again in Wellington next year.<br />

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CCLS <strong>2017</strong>: Entertaining<br />

education<br />

This year’s Cornea and Contact<br />

Lens Society (CCLS) two-day<br />

conference was held at the<br />

Rutherford Hotel in Nelson, timing<br />

nicely with the region’s MarchFest<br />

(regional craft beer) celebrations. As<br />

per usual, the conference was a great<br />

mix of entertaining education, handson<br />

informal workshops and relaxed<br />

and fun-filled social gatherings.<br />

We were treated to an array of<br />

interesting and diverse speakers<br />

from far and wide. For our keynotes,<br />

we enjoyed the return of Professor<br />

Fiona Stapleton, head of the School<br />

of Optometry and Vision Science at<br />

the University of New South Wales<br />

in Sydney; Dr. Ken Nischal, head of<br />

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Keynote speakers (L to R) Profs Fiona Stapleton and Charles McGhee, Dr Marc Bloomenstein and Prof Ken<br />

Nischal with CCLS outgoing president Anne Matheson (centre)<br />

paediatric ophthalmology and strabismus at the Children’s Hospital of Pittsburgh and professor of ophthalmology<br />

at the University of Pittsburgh School of Medicine; Dr Marc Bloomenstein, director of optometric services at the<br />

Schwartz Laser Eye Centre in Scottsdale, Arizona; and our own Professor Charles McGhee, head of ophthalmology at<br />

the University of Auckland.<br />

Prof Stapleton spoke to us on a range of topics from contamination<br />

control in contact lens wearers, contact lens discomfort, dry eyes<br />

and meibomian gland dysfunction to managing red eye and<br />

acanthamoeba. Her presentations were, as always, very informative<br />

and clinically relevant, reminding us all to be completely vigilant<br />

with patient education, whether they are a novice or an established<br />

contact lens wearer.<br />

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Prof Nischal, a pioneer in paediatric anterior segment disease, led us<br />

through some inspiring, and often amusing, talks on the treatment<br />

of paediatric blepharokeratoconjunctivitis (possibly the longest<br />

word in eye care!), penetrating keratoplasty, acute corneal melt and<br />

congenital corneal opacification. He also provided a healthy reminder<br />

that the management and treatment options for children with ocular<br />

disease or dysfunction has to take into consideration the wider<br />

context of their lives, including family dynamics and location.<br />

Dr Bloomenstein provided as much hilarity as he did education.<br />

Speaking on contact lens-related inflammatory processes, treatment<br />

options in adenoviral keratoconjunctivitis, comparing treatment with<br />

iodine vs. topical gangcyclovir, cross-linking in low ammetropes, lasik<br />

outcomes and #feminism.<br />

Prof McGhee continued the amusing banter, while providing us<br />

with up-to-the-minute education from the University of Auckland’s<br />

ophthalmology department on trends in corneal transplantation<br />

and management of keratoconus and the rise of acanthamoeba<br />

infection rates in New Zealand. He also delivered a fairly gruesome<br />

account of severe ocular chemical injuries and the treatment<br />

thereof. The take-home message there: “Irrigate. Irrigate. Irrigate…<br />

Irrigate, Irrigate, Irrigate…”<br />

Professor Trevor Sherwin spoke to us about his very promising<br />

research into stem cell repopulation of corneal tissue, which we’re<br />

sure we will be hearing a lot more about soon, including its possible<br />

applications for ocular surface reconstruction. While Dr Trevor Gray<br />

delivered a timely presentation of the safe protocols for TPA-endorsed<br />

optometrists in the developing scope of prescribing oral medications.<br />

In addition to the aforementioned speakers, a number of our<br />

optometrist friends also kindly shared their own clinical experiences.<br />

Alex Petty, having suffered two retinal detachments as a high<br />

myope himself, took us though the options available to minimise<br />

myopia progression in our younger patients. It is now widely thought<br />

that myopia progression control should be the standard of care<br />

provided to young myopic patients, particularly those with a genetic<br />

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CONTINUED ON PAGE 10<br />

8 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


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References: 1. Perez-Gomez I, Giles T. Clin Optom 2014;6:17–23. 2. Angelini TE et al. Invest Oph & Vis Sci 2013;54:E-Abstract 500. 3. Angelini T. Hydrogel surface viscoelasticity<br />

and mesh-size characterized with microrheology. ARVO, 2013:E-abstract 1614872. 4. Dunn AC et al. Tribol Lett 2013;49(2):371–378. 5. Straehla JP et al. Tribol Lett 2010;38:107–113.<br />

6. Thekveli S et al. Cont Lens Anterior Eye 2012;35(Supp1):e14.<br />

© <strong>2017</strong> Novartis. Alcon Laboratories (Australia) Pty Ltd. ABN 88 000 740 830. Phone: 1800 224 153; NZ Phone: 0800 101 106. 04/17 ALC0715 NP4:A21611561214.<br />

<strong>May</strong> <strong>2017</strong><br />

NEW ZEALAND OPTICS<br />

9


SPECIAL FEATURE: CCLS<br />

predisposition or signs of progression. Alex also spoke to us about<br />

scleral lens fitting and maintaining adequate oxygen transmission<br />

to the cornea.<br />

Eleisha Dudson provided further education on how to<br />

approach complex lens fitting techniques, including scleral and<br />

orthokeratology. Emilie Langley focused on refitting a patient in<br />

a compromising scleral lens back into a RGP corneal lens design<br />

and the options now available to customise the lens fit. Peter<br />

Walker took us through his approach to managing keratoconus in<br />

corporate optometry, reminding us again of the discussion around<br />

genetics we must have with our patients, and developing a system<br />

of screening for young family members so corneal cross-linking<br />

can be delivered at the most beneficial time. While well-known<br />

educator and practitioner Grant Watters discussed the plethora<br />

of ocular surface disorders that may ultimately be caused by a<br />

dysfunctional microbiome and how we might better manage it.<br />

Workshops<br />

Interactive workshops were held on the Friday afternoon and<br />

Saturday morning. CCLS would very much like to thank workshop<br />

hosts for giving up their time and sharing their expertise, and<br />

the companies which assisted them by supplying equipment for<br />

these informative hands-on sessions.<br />

Workshops hosts included: Paul Rose for ‘Fitting the right<br />

Rose K design for the irregular cornea’; Ally Xue for her dry<br />

eye workshop; Chris Murphy and Richard Johnson for taking<br />

us through ‘OCT front to back’; and Eleisha Dudson and her<br />

“patient” Andrew Sangster for ‘Scleral lenses: case and example’.<br />

Conclusion<br />

In summary, at the CCLS <strong>2017</strong> conference we were treated to a range of<br />

wonderful and often amusing talks from a high calibre of speakers on<br />

science, surgery, clinical conditions and their management. The committee<br />

and society are hugely grateful to all the speakers who gave us their time to<br />

deliver excellent insight and education, and to bring us up to speed on the<br />

developments in their areas of expertise.<br />

And it wouldn’t have been a CCLS conference without the opportunity to play<br />

dress-ups. Friday night saw bus-loads of queens, cricketers, tea bags and other<br />

well-known British icons, make their way to the “Best of British” conference<br />

dinner complete with grand marquee, lawn games, Pimms, yorkshire pudding<br />

and toss the corgi balloons. What more could you want.<br />

Delegates from CCLS <strong>2017</strong> off to the ‘Best of British’ dinner, with Absolutely Fabulous’ Eleisha Dudson getting into the swing of things (centre)<br />

Richard Newson, Kevin O’Connor and Tim Eagle<br />

Phil Mathews, Mick Toll and Alastair Hand<br />

CCLS Board news<br />

With another two-year cycle done, we welcome new president, Jagrut Lallu<br />

to the helm and thank Anne Matheson for her devotion and dedication over<br />

the past two years.<br />

It is also with great thanks that we release past-presidents and long-serving<br />

CCLS council members Richard Johnson and Dr Sue Ormonde from their<br />

council roles. We are grateful for their significant contributions to the<br />

committee and the society.<br />

We welcome back to the committee optometrist and professional teaching<br />

fellow Adele Jefferies and welcome to the committee for the first time,<br />

Auckland-based ophthalmologist Dr Rasha Altaie.<br />

The committee are now looking forward to planning the programme for the<br />

1-day conference at Macs Brew Bar in Wellington on March 18th 2018.<br />

*Roberta McIlraith and Eleisha Dudson are both CCLS’ councilors. Roberta is a speciality CL<br />

practitioner with Curtis Vision in Christchurch and Eleisha also specialises in CL fitting at<br />

Stevenson, Sangster & Matthews in Wellington<br />

Sarah Lord, Francis Hassan and Roberta McIlraith<br />

Grant Watters, Aniell Esposito and OptiMed’s Craig Norman<br />

Bryre Arnott and Greg Nel<br />

From the exhibitor’s hall<br />

The <strong>2017</strong>, two-day CCLS conference was well attended by<br />

exhibitors, with many such as the Ophthalmic Instrument<br />

Company (OIC) kindly donating equipment for use in the<br />

popular workshop sessions. Other key sponsors Alcon, Johnson<br />

& Johnson and Coopervision also came under the spotlight in<br />

concurrent sponsor presentations in the break-out room, all of<br />

which were well-attended by delegates.<br />

The exhibition floor was abuzz with chatter throughout all the<br />

breaks, with many attendees taking advantage of the opportunity<br />

to try the latest technology on show. Here’s the highlights from<br />

some of the exhibitors’ stands and presentations:<br />

Toomac Ophthalmic<br />

Dry eye and the importance of osmolarity testing in diagnosing<br />

dry eye was a key point made by two of the keynote speakers at<br />

this year’s conference, Professor Ken Nischal and, particularly, Dr<br />

Marc Bloomenstein.<br />

While completely dismissing the Schirmer’s test as a waste<br />

of time when it comes to dry eye testing, Dr Bloomenstein<br />

recommended instead a simple diagnostic tool called the i-Pen,<br />

produced by i-Med Pharma and now distributed in New Zealand<br />

by Toomac Ophthalmic.<br />

The i-Pen is a new, in vivo testing device that measures tear<br />

osmolarity in a few seconds directly from the surface of the eye.<br />

Ian MacFarlane, director of Toomac, says it’s great diagnostic tool<br />

because its portable, sterile and is very price competitive. “It’s<br />

safe because you can’t use the same probe twice and it’s very<br />

simple to use.”<br />

Device Technologies<br />

Keeping<br />

with the dry<br />

eye theme<br />

was Device<br />

Technologies,<br />

but it’s<br />

newest piece<br />

of dry eye<br />

diagnostic<br />

equipment,<br />

the LipiScan<br />

from<br />

TearScience,<br />

which can<br />

capture,<br />

Device Technologies’ Ryan Heggie demonstrates the only LipiScan<br />

currently in Australasia at the recent Silmo Sydney optical fair<br />

archive, manipulate and store digital images of the meibomian<br />

glands, was actually missing from action as the one Australasian<br />

copy was on display at the recent Silmo Sydney fair. It’s<br />

predecessor, LipiView ocular surface interferometer, which<br />

defines, measures and tracks lipid deficient evaporative dry<br />

eye, was on display as was the company’s treatment device, the<br />

LipiFlow, proven to help unblock meibomian glands.<br />

Talking at Silmo, Device’s Ryan Heggie, however, was happy to<br />

demonstrate the smaller, more portable, day-to-day diagnostic<br />

LipiScan, which is currently going through Therapeutic Goods<br />

Administration (TGA) clearance and should be available in<br />

Australia and New Zealand later this year. “It gives you a better<br />

understanding of the current condition of the glands, and that<br />

better understanding allows you to provide better treatment,” he<br />

explained.<br />

Also on display on Device’s stand at CCLS was the latest Topcon<br />

Maestro OCT package, designed especially for retinal screening<br />

in smaller practices, now available with wide scan trend analysis.<br />

Existing systems can be brought up to spec through acquisition<br />

of the latest viewing software, says Sonderegger.<br />

AMO, now J&J Vision<br />

Showing they are now one, former AMO, now Johnson & Johnson<br />

(J&J) product manager Damien Liuzzo and J&J’s professional<br />

affairs manager Emma Gillies, were manning their two stands<br />

side-by-side under the name Johnson & Johnson Vision.<br />

The two companies officially became one at the end of<br />

February, with AMO’s cataract surgery, laser refractive surgery<br />

and consumer eye health divisions being wrapped up with J&J’s<br />

Acuvue contact lens business under the name J&J Vision.<br />

Liuzzo says the main new thing at the conference from his side<br />

was the Blink Dry Eye Journey programme, which is a patient<br />

support kit, put together on the back of the latest findings<br />

from the Dry Eye Workshops (DEWS II), that optometrists and<br />

ophthalmologists can give to patients to take home. The kit<br />

contains Blink Intensive Tears Plus gel eye drops, Blink lid-clean<br />

cleansing eyelid wipes and a booklet about dry eye and dealing<br />

with dry eye, including diet and menopause, in a handy little<br />

pack.<br />

“It’s a little tool to help the optometrist or ophthalmologist<br />

engage with their patient about dry eye,” says Liuzzo. “It’s also<br />

for the patient to understand why they should be talking to their<br />

eye health professional and not just go to the pharmacy and buy<br />

drops that might not be suitable for dry eye. The progression of<br />

dry eye drops (artificial tears) has come a long way yet sadly that<br />

hasn’t translated into the pharmacies.”<br />

The kits are free, in return for a little bit of feedback on the<br />

patients’ progression, says Liuzzo.<br />

CONTINUED ON PAGE 12<br />

10 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


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<strong>May</strong> <strong>2017</strong><br />

NEW ZEALAND OPTICS<br />

11


SPECIAL FEATURE: CCLS<br />

Elaine Barling, Ross Hardy, Brian Naylor, Tracy Thompson, Dr Rasha Altaie, Claire Martin and Kathryn<br />

Steeman all ready for the ‘Best of British’ dinner<br />

Sean Mahendran, Annie Wang and Bridget Field<br />

J&J’s Damien Liuzzo and Emma Gillies flank Jasha Morarji<br />

Nick Matthew and Elaine Barling<br />

Precision Contact Lenses<br />

Kathryn Steeman from long-time, Christchurchbased<br />

specialty and custom contact lens<br />

manufacturer, Precision Contact Lenses (PCL)<br />

went the extra mile at the CCLS conference<br />

donning one of the best outfits, the Queen of<br />

Hearts, for the ‘Best of British’ dinner. What<br />

was attracting interest on her stand, however,<br />

was the company’s proudly displayed message<br />

reminding Kiwi optometrists of PCL’s promise to<br />

provide free diagnostic lenses to their patients.<br />

Every one of our soft and rigid gas permeable<br />

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OCT Angiography image taken with a Topcon OCT Triton<br />

Courtesy OCT of Dr. Angiography Carl Glittenberg, MD image Karl Lansteiner taken Institute with for a Topcon Retinal Research OCT and Triton Imaging<br />

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John Grylls and Dr Rasha Altaie Alastair Thompson, Brian Gifford, Neil Robertson and Murray Rogers Julia Saulsbury, Precision CL’s Kathryn Steeman and Claire Martin DFV’s Ralph Thompson and Brian Nayler<br />

and peripheral curve (TSP) and quadracurve<br />

lenses, says Steeman. “We know that<br />

fitting these lenses can be a bit difficult for<br />

optometrists so we’re willing to make trial<br />

lenses to the design of that individual patient<br />

free of charge. It may take more than one trial<br />

pair of lenses, some people have had up to four<br />

or five pairs, but until we get it to exactly what<br />

you want, and your patient is happy with it,<br />

then we can transfer it into the material of your<br />

choice.<br />

“That’s been our motto right from the<br />

beginning. We’ve always gone out of our way to<br />

make it easy for New Zealand optometrists to<br />

be able to try things at no cost.”<br />

Swept Source OCT now with OCT Angiography<br />

See. Discover. Explore.<br />

OCT Angiography image taken with a Topcon OCT Triton<br />

Courtesy of Dr. Carl Glittenberg, MD Karl Lansteiner Institute for Retinal Research and Imaging<br />

The Topcon Swept Source DRI OCT-1 Triton Series 1 features a 1 micron, 1050nm light<br />

source with a scanning speed of 100,000 A Scans/Sec., providing multi-modal fundus<br />

imaging.The DRI OCT-1 Model Triton rapidly penetrates all ocular tissue without being obscured by<br />

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Alcon<br />

Helen Gleave, optometrist and professional<br />

training manager for Alcon, introduced Alcon’s<br />

new Air Optix plus HydraGlyde contact lenses in<br />

Alcon’s sponsor presentation. The new lenses bring<br />

together Alcon’s Smartshield and HydraGlyde<br />

Moisture Matrix technologies, so are designed to<br />

give long-lasting moisture and deposit resistance,<br />

she explained.<br />

In a short, but detailed presentation, Gleave<br />

explained how the different technologies worked<br />

and shared the results of Alcon’s patient studies<br />

which favorably compared the new lenses to other<br />

silicone hydrogel lenses and demonstrated the<br />

effectiveness of the technologies in a number of<br />

different in vivo and in vitro studies.<br />

CooperVision<br />

Joe Tanner, proud Kiwi and Auckland-trained<br />

optometrist and professional services manager for<br />

CooperVision ANZ described the company’s new<br />

Digital Zone Optics (DZO) lens design for contact<br />

lenses in his sponsor presentation.<br />

Tanner says research both locally and<br />

internationally is showing what a problem digital<br />

eye fatigue is among those of us who use digital<br />

devices at least two hours a day, with 88% of<br />

millennials (aged 18 to 29) reporting symptoms<br />

and 70% of all adults. “While there are a variety<br />

of spectacle-based solutions, contact lens wearers<br />

have not had any dedicated designs to address the<br />

visual challenges of the ‘digital lifestyle’ so many<br />

lead.” Until now, he says.<br />

The Biofinity Energys range are aimed at all nonpresbyopes<br />

who use digital devices more than two<br />

hours a day. The lenses’ DZO design incorporates<br />

“multiple front-surface aspheric curves…[to]<br />

10/21/15 12:07 PM<br />

distribute power evenly to simulate more positive<br />

power in the centre of the lens, [which] helps<br />

ease accommodative burden without impacting<br />

distance vision.”<br />

In CooperVision studies, eight out of 10 wearers<br />

“agreed Biofinity Energys lenses…made their eyes<br />

feel less tired.”<br />

Designs for Vision<br />

Again, mirroring the thrust of the opening talks,<br />

dry eye was the main focus on Designs for Vision’s<br />

(DFV’s) stand, particularly the company’s dry<br />

eye treatment tools, including its Blephasteam<br />

googles, a moisture and heat therapy device that<br />

helps unclog blocked meibomian glands, and its<br />

Oculus Keratograph 5M to help assess the tear<br />

film more accurately. The keratograph also formed<br />

part of the equipment donated by DFV for use in<br />

the dry eye workshop conducted by Ally Xue, a<br />

third-year doctoral student at the University of<br />

Auckland who’s investigating the effectiveness of<br />

intense pulsed light (IPL) therapy for the treatment<br />

of MGD.<br />

The company’s Oculus EasyGraphs, a portable<br />

combination corneal topographer and built in<br />

keratometer are also great for practices, says<br />

DFV’s Ralph Thompson, as they are very, very price<br />

competitive, high resolution, easy to mount on<br />

a slit lamp and simple to connect to your PC. “All<br />

those practices wanting to get into ortho-k, this is<br />

a great tool for them.”<br />

OIC<br />

Also tying in with the dry eye theme was Ophthalmic<br />

Instrument Company (OIC), which distributes TearLab’s<br />

Tear Osmolarity System. The system measures the<br />

osmolarity of human tears to aid in the objective<br />

diagnosis of dry eye disease. OIC’s Tim Way says<br />

increasing interest in osmolarity (driven by talks such<br />

as Dr Marc Bloomenstein’s) is helping to increase the<br />

understanding and use of the TearLab system in New<br />

Zealand, not only for dry eye disease but also as an<br />

important test prior to cataract and refractive surgery.<br />

The OCT market continues to rapidly grow in<br />

optometry and is now considered by many as the<br />

standard of care, he says, highlighting the Nidek RS-<br />

330 Retina Scan Duo which, with 3D auto-tracking<br />

and auto-shot functions, allows easy imaging and<br />

documentation of the fundus simultaneously.<br />

The Nidek RS-330 Duo OCT, Medmont E300<br />

Corneal Topographer and Tearlab system were<br />

generously provided by OIC for use in many of<br />

the workshops at the <strong>2017</strong> CCLS conference,<br />

giving attendees the opportunity for hands on<br />

experience. The Medmont E300 is the market<br />

leader in anterior corneal topography, says Way,<br />

offering superior accuracy and ease of use to<br />

assist in contact lens fitting, dry eye assessment,<br />

refractive surgery, ortho-k and general assessment<br />

and observation of the cornea.<br />

CLC<br />

The Corneal Lens Corporation (CLC) stand was joined<br />

by Australian optometrist, CCLS conference delegate<br />

and Innovative Technology co-founder Lachlan Scott-<br />

Hoy who was showing his support for CLC as it’s now<br />

the official Kiwi distributor and support provider<br />

for Innovative Technology’s EyeSpace platform and<br />

specialty lenses (see full story p4).<br />

As well as the EyeSpace technology, CLC was<br />

also demonstrating its sMap 3D precision<br />

surface mapping system and fluorescence-based<br />

structured light topographer, which pairs well<br />

with EyeSpace’s software to allow practitioners<br />

to accurately design and order specialty contact<br />

lenses, says CLC general manager Graeme Curtis.<br />

“It’s all about data capture - the more and better<br />

data you collect, the more accurate and better your<br />

contact lens fitting will be.”<br />

B+L<br />

Radiant’s Yvette Beattie was on hand to explain<br />

Sparkle, the company’s innovative new sales and<br />

ordering programme for patients using Bausch<br />

+ Lomb lenses, which allows optometrists to<br />

maintain their relationship with the customer and<br />

make a 25% margin on sales they would previously<br />

have lost, she says. “Optometrists are excited<br />

about having something new to offer to patients<br />

and to bring them back into their practices for<br />

regular eye checks….as it includes their prescription<br />

expiry date and reminders.”<br />

Patients can’t just Google Sparkle, Beattie<br />

explains, they have to be registered by their<br />

optometrist who puts in their prescription for them.<br />

“So it gives the control back to the optometrist.”<br />

Also on the stand were B+L’s new monthly Ultra<br />

contact lenses with its unique MoistureSeal<br />

technology, and the multifocal Biotrue disposable<br />

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© CooperVision <strong>May</strong> <strong>2017</strong> NEW <strong>2017</strong> ZEALAND OPTICS<br />

13


Papakura heroes need help<br />

Barry Thrupp<br />

from Lions<br />

Papakura<br />

runs the Lions Eye<br />

Glass Recycling<br />

Team with the<br />

support of his<br />

wife Pat and<br />

several local<br />

members. The<br />

team’s efforts<br />

help hundreds<br />

of people across<br />

the Pacific to see<br />

and read properly.<br />

This is no easy<br />

feat as the small<br />

Papakura team<br />

constantly faces<br />

the challenge of<br />

not having enough glasses to meet demand or<br />

having enough overseas field teams to distribute<br />

the glasses.<br />

The Lions Eye Glass Recycling story began in<br />

1996 when Lions’ member Trevor French saw the<br />

desperate need for glasses while in Fiji. French<br />

helped raise the capital needed to purchase the<br />

equipment required to recycle used glasses and<br />

organised for the Papakura Lions Club to run the<br />

project.<br />

“Unfortunately there were no retired members<br />

at the time [so] no one wanted to work for the<br />

project on the weekends,” says Thrupp. “We had<br />

to hand it over to the Papakura Pakeke Lions Club<br />

(Senior Lions Club) who had retired members that<br />

could run it. It operated successfully for 11 years<br />

until a lack of members forced it into recess in<br />

2007.”<br />

Thrupp joined the Pakeke glasses team in 2006,<br />

when it became obvious they were going to<br />

close, and learned how to run the operation. In<br />

July 2007, Thrupp and his wife Pat launched the<br />

new Lions Eye Glass Recycling Team and, with the<br />

kind help of several dedicated members, run the<br />

time-consuming operation of sorting and washing<br />

glasses one day and calibrating and packing them<br />

the next.<br />

“Our team in Papakura has glasses couriered<br />

to us from all over the North Island from Lions<br />

Sunglasses are popular but it’s difficult to determine who to give them to. The elderly who need to conserve whatever<br />

vision they have left or the young to protect their vision before it is damaged.<br />

Clubs and optometrists. We sort out the incoming<br />

glasses for missing or broken arms; missing,<br />

scratched or disfigured lenses; missing nose cones;<br />

and bi-focal and progressive lenses, which must be<br />

done [using the equipment].”<br />

When the initial sorting is done, says Thrupp,<br />

the glasses are put into an ultrasonic washer and<br />

dried. Next they are tested on a lens meter, which<br />

prints out their prescription on a slip that’s then<br />

placed with the glasses in a resalable plastic bag.<br />

“Thanks to the wonderful support of the field<br />

teams, the glasses are then safely distributed even<br />

to the most remote locations.”<br />

In 2014, Lions’ field teams ran 41 clinics in six<br />

countries, fitted more than 2100 glasses and gave<br />

away more than 500 pairs of sunglasses on behalf<br />

of the Recycle for Sight programme run by Lions<br />

Clubs Australia and the Papakura Lions Club in<br />

Auckland. “Without Thrupp and his team at Lions<br />

there would be more than 2000 people who in all<br />

probability would never been able to read again,”<br />

said one of the field team members.<br />

When fitting the glasses, field team members<br />

are often greeted with cries of “halleluiah” and<br />

“wow”. The oldest person fitted with glasses was<br />

102 years old!<br />

To support the Lions Eye Glass Recycling Team,<br />

visit www.lionsclubs.org.nz/What-Do-We-Do/<br />

Projects/Eyeglass-spectacles-Recycling ▀<br />

2.5 6 8 30+<br />

DAYS<br />

INTENSIVE THEMES SPEAKERS<br />

WORKSHOPS<br />

GET IN TOUCH<br />

http://icclc-<strong>2017</strong>.cclsa.org.au/<br />

facebook.com/CCLSAus/<br />

twitter.com/cclsaaustralia<br />

Save Sight Society – save<br />

the date!<br />

Registration is now open<br />

for the annual Save Sight<br />

Society conference on the 15<br />

September <strong>2017</strong> at the Langham<br />

Hotel in Auckland. All eye health<br />

care professionals are invited to<br />

participate in this event, which<br />

is known for its collegiality, lively<br />

discussion and unique Aotearoa<br />

flavour.<br />

Convened by Dr Shuan Dai and<br />

Samantha Simkin, the theme of<br />

this year’s conference is ‘The Eye<br />

Through the Ages’. This year’s<br />

conference will have a range of<br />

stimulating speakers to take you<br />

on a journey from birth to old-age<br />

and everything in between. Topics<br />

such as myopia control, diabetic eye<br />

disease, glaucoma, and keratoconus<br />

will be tackled during the day,<br />

with something to suit everyone<br />

including scientific presentations,<br />

case scenarios and panel discussions,<br />

covering the latest research through<br />

to clinical pearls. All of this, while<br />

enjoying a day of networking with<br />

colleagues.<br />

The Save Sight Society conference is the<br />

Society’s main fundraising event of the year,<br />

allowing it to continue to promote research into<br />

the causes of eye diseases and their treatment by<br />

being one of the key, non-government funders in<br />

Soft, for irregular<br />

corneas?<br />

Soft lenses are not normally a preferred option for irregular<br />

corneas, but there are some cases where there is certainly no<br />

better alternative, says Paul Rose.*<br />

Paul Rose, now adding a soft lens to his Rose K range<br />

I<br />

always considered a soft lens for irregular<br />

corneas would have a very limited application.<br />

However, after developing the Rose K2 Soft lens<br />

over the last five years and then putting it out to<br />

an international trial with several expert rigid lens<br />

fitters, I must admit, I now believe there is a much<br />

wider application for these lenses than I had first<br />

envisaged.<br />

The driving motivating factor to choose a soft<br />

lens over a rigid one is of course comfort, which<br />

is why soft lenses have become so popular over<br />

the last few decades and have largely replaced<br />

rigid lenses for regular corneas. It certainly was<br />

never about superior vision! Soft lenses in many<br />

cases will provide patients with the comfort that<br />

unfortunately cannot be achieved with rigid lenses<br />

no matter how well they are fitted.<br />

Primary indications for Rose K2 soft include:<br />

intolerance to gas permeable (GP) lenses; new<br />

contact lens wearers with irregular corneas;<br />

early to moderate irregular corneas, where acuity<br />

with conventional soft lenses or spectacles<br />

is unsatisfactory; where the environment is<br />

unsuitable for GP wear; and where a GP lens may<br />

be unstable, for example in sport.<br />

The downside of using soft lenses for the irregular<br />

cornea, however, is they may not provide the same<br />

level of visual acuity (VA) that you obtain from a<br />

BY THE SAVE SIGHT SOCIETY BOARD*<br />

Dr Shuan Dai and Samantha Simkin, convenors of “The eye through the ages”<br />

<strong>2017</strong> Save Sight Society conference<br />

this area.<br />

The Save Sight Society Conference <strong>2017</strong> is not<br />

to be missed! For more information visit www.<br />

savesightsociety.org.nz. ▀<br />

*The Save Sight Society board is chaired by Associate Professor<br />

Dipika Patel<br />

rigid lens, as in some cases some aberrations are still<br />

not completely neutralised. Some patients though<br />

are happy to accept a slightly decreased level of VA<br />

because of the vastly improved comfort factor. This<br />

is something I had not given sufficient importance<br />

to as a fitter of irregular corneas, as my primary<br />

goal has always been to achieve the best possible<br />

vision for the patient, even if the comfort was not<br />

absolutely optimal.<br />

Developing Rose K2 Soft has reinforced to me<br />

that, for some patients, comfort is their driving<br />

criteria for successful lens wear.<br />

Rose K2 Soft follows the same simple, five-step<br />

fitting method common to all Rose K designs.<br />

It features an aspheric back optic zone, reverse<br />

geometry, front surface toricity and front surface<br />

aberration control for optimal VA. The peripheral<br />

fit (edge lift) can be independently adjusted to<br />

the base curve or central fit. Best acuity is the<br />

optimal driver for choosing the correct base curve<br />

and the peripheral fit is then adjusted to achieve<br />

the optimum fit. Because this lens behaves<br />

somewhere between a rigid and soft lens, it is<br />

imperative the fitting guide is closely followed. It<br />

cannot be fitted like a regular soft lens or it will<br />

not be successful!<br />

Parameters<br />

• BC range: 7.40 to 9.00 in 0.20 increments<br />

• Diameter range: 14.30 to 15.30mm in 0.10<br />

increments. Standard diameter: 14.80 mm<br />

• Centre thickness: 0.25mm to 0.60mm in 0.01<br />

steps. Standard centre thickness: 0.35mm<br />

• Edge lifts: 5 options<br />

• Materials- Lagado silicone hydrogel –<br />

recommended three-monthly replacement;<br />

Contaflex 75 – recommended six-month<br />

replacement lens<br />

The Rose K2 Soft lens is now available in New<br />

Zealand. It is fitted from an eight-lens trial set<br />

which can be loaned or purchased from CLC. Fitting<br />

guides are also available from CLC or online at<br />

www.roseklens.com. ▀<br />

For more see ad on p7.<br />

*Paul Rose CNZM is a Hamilton-based optometrist and the<br />

inventor of the Rose K contact lens range. He was awarded<br />

the NZ Order of Merit in the <strong>2017</strong> New Year’s Honours list for<br />

services to optometry and ophthalmology.<br />

Untitled-1.indd 1<br />

14 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong><br />

30/3/17 2:18 pm


NZAO awards<br />

The annual New Zealand Association of<br />

Optometrists (NZAO) Student Awards in<br />

April was a well-attended friendly affair.<br />

Students, NZAO councillors and staff, together<br />

with University of Auckland representatives,<br />

enjoyed the opportunity to exchange experiences<br />

and views over drinks and nibbles at the Langham<br />

Renita Martis, Winnie Ye, Leila Zhuang, Bianca Davidson, Carla Sy with NZAO President Callum Milburn<br />

Hotel in Auckland.<br />

Dr Lesley Frederikson, NZAO national director,<br />

welcomed everyone and said the evening is as<br />

much a recognition of successful students as a true<br />

celebration of optometry and optometry success<br />

in New Zealand. For NZAO to be able to continue<br />

its crucial work impacting legislation and working<br />

with DHBs and<br />

universities<br />

to ensure<br />

optometrists’<br />

skills are used<br />

in the best<br />

possible way,<br />

she strongly<br />

encouraged new<br />

optometrists<br />

to continue to<br />

support the<br />

association<br />

through<br />

ongoing<br />

membership.<br />

Guests also<br />

enjoyed hearing<br />

from Jason<br />

Dhana, an<br />

optometrist<br />

at Greenlane<br />

Clinical Centre<br />

and professional<br />

teaching fellow at the<br />

University, and Hans<br />

Vellera, an Aucklandbased<br />

optometrist<br />

and PhD student,<br />

who both gave<br />

entertaining insights<br />

on how important the<br />

awards and NZAO’s<br />

support has been for<br />

their careers. Vellera,<br />

described how it had<br />

opened many doors for<br />

him along the way and<br />

given him the confidence to get not just one, but<br />

several articles published this early on in his career.<br />

Renita Martis, an optometrist, fellow PhD student<br />

and this year’s HC Russel Scholar, also expressed<br />

her sincere thanks to NZAO and encouraged<br />

everyone to continue to support the vital work of<br />

the organisation.<br />

The awards, as follows, are the result of a<br />

collaboration between NZAO and the University of<br />

Auckland and this year were presented by NZAO<br />

councillor Rochelle van Eysden and President<br />

Callum Milburn.<br />

• Most improved student entering B. Optom part<br />

Celebrating student success at the Langham<br />

IV – Leila Zhuang<br />

• Most improved student entering B. Optom part<br />

V – Ernest Oh<br />

• Top student entering B. Optom part III – Winnie Ye<br />

• Top student entering B. Optom part IV – So Yon<br />

Shin<br />

• Top student (1st) entering B. Optom part V –<br />

Bianca Davidson<br />

• Top student (2nd) entering B. Optom part V –<br />

Carla Sy<br />

• Peg Wood Award (Top student in Optom 441:<br />

clinical optometry) – Bianca Davidson<br />

• HC Russel Scholar – Renita Martis ▀<br />

ODMA vs Silmo<br />

The battle between the old and the new Australasian optical<br />

fairs continued this month with several press releases and<br />

emails from both camps.<br />

ODMA celebrates anniversary<br />

Held every second year since 1979, and owned by members of the<br />

Australian optical industry, this year’s ODMA Fair is celebrating<br />

its 20th anniversary, with organisers promising the “most<br />

comprehensive and dynamic conference” since its inception almost<br />

40 years ago.<br />

Taking place from 7-9 July at the International Convention Centre<br />

in Sydney, ODMA17 will host an array of new interactive features,<br />

networking events and strong educational content, including<br />

revamped masterclasses and spotlight seminars, they said.<br />

“Providing valuable constructive feedback via surveys, ODMA<br />

members have helped reshape and improve outcomes of<br />

participation in the industry fair. These gathered insights are why<br />

ODMA17 will be the best event to date,” said Robert Sparkes, ODMA<br />

chair and chief executive of OptiMed.<br />

On the education side, ODMA17’s Vision Summit on the Friday,<br />

features a number of international and Australian speakers<br />

including UK professor and inventor of the excimer laser, John<br />

Marshall; Dr Rolando Toyos (USA); Associate Professor Chew Tec Juan<br />

Paul (Singapore); and, from Australia, Professors Minas Coroneo,<br />

Fiona Stapleton, Peter McCluskey and Paul Mitchell.<br />

As well as the Vision Summit, ODMA17 will also be hosting<br />

a series of Masterclass sessions, covering a mix of practical<br />

dispensing and the latest industry insights to help practice owners<br />

improve their business strategies and functions. Masterclass<br />

speakers include Elaine Grisdale from the Association of British<br />

Dispensing Opticians, Steve Daras, optical dispensing course<br />

coordinator for TAFE NSW (OTEN), and Leigh Plowman, a clinical<br />

optometrist and online marketer.<br />

A new feature of ODMA17 is Design Junction, showcasing a range<br />

of premium international and Australian eyewear brands, including<br />

Tom Ford, Ermenegildo Zegna, Balenciaga and Roberto Cavalli.<br />

For more visit www.odma<strong>2017</strong>.com.au.<br />

Silmo confirms for 2018<br />

In an email to its <strong>2017</strong> exhibitors (swiftly followed by a press release<br />

to the media as word got out), Silmo Sydney organiser Expertise<br />

Events confirmed it would hold the event again in 2018 at the<br />

slightly later date of 20–22 July at the International Convention<br />

Centre in Sydney.<br />

Gary Fitz-Roy, Expertise Events’ managing director, said the new<br />

dates make sense as they separate Silmo Sydney from other major,<br />

international optical trade events. “Following the successful launch<br />

of Silmo Sydney and positive feedback from the industry, the fair<br />

is set to return to Sydney in 2018. We have listened to the industry<br />

to determine when to run next… the shift in dates allows a greater<br />

inclusion of exhibitors specifically in the sunglasses market.”<br />

According to figures from the post-show report, contained in the<br />

email to exhibitors, there were 2,264 visitors over the three days<br />

of the inaugural Sydney Silmo fair in March, about 1,000 less than<br />

pre-registered. Nearly two-thirds, however, said they’d purchased<br />

product at the show. Around 90% of visitors and 75% of exhibitors<br />

from the <strong>2017</strong> event said they would be likely to attend again in<br />

2018. ▀<br />

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<strong>May</strong> <strong>2017</strong><br />

NEW ZEALAND OPTICS<br />

15


Focus<br />

on Business<br />

What is my practice worth?<br />

BY STU ALLAN*<br />

Orewa Optics reinvented<br />

Planning your business exit is a critical process. In a series of two columns NZ Optics has asked Stu<br />

Allan from OpticsNZ to revisit and expand on his advice of more than a year ago regarding valuing your<br />

business and preparing it for sale.<br />

Determining a fair market value for any<br />

business is not a precise science, but all<br />

paths lead back to the business’ ability<br />

to generate consistent profits, so the answer is<br />

always in your financials. That said, however, what<br />

your business is ultimately worth is what someone<br />

is prepared, willing and able to pay for it! How<br />

you can influence that is subject to how well the<br />

business proposition is shaped and prepared. It’s<br />

a process OpticsNZ believes requires imagination.<br />

As Mark Twain said, “You cannot depend on your<br />

eyes, if your imagination is out of focus.”<br />

Optometry practice owners have typically built<br />

the practice from nothing over a 30 to 40-year<br />

period. Commonly, there is a deep emotional<br />

attachment to the business, which is often an<br />

extension of self and a strong reflection of who<br />

the owner is. For this reason, at OpticsNZ, we<br />

always recommend owners use an external<br />

broker, preferably with strong industry<br />

knowledge, to help separate yourself from the<br />

emotional turmoil involved in selling what you<br />

have created and driven for often a lifetime.<br />

There is no simplistic, one-size-fits-all rule to<br />

calculate the asking price for a business. Over<br />

the years, I have found the best process is to<br />

value the business using a variety of valuation<br />

methodologies. There are future potential<br />

earnings-based methodologies and asset-based,<br />

cashflow-based and market-based valuation<br />

approaches. The most common option used is<br />

market-based methodologies.<br />

Nearly all optometry practices are considered<br />

SME’s (small to medium-sized enterprises) and are<br />

often sold on a going concern basis. For profitable<br />

practices, we use an EBIT methodology – basically<br />

bottom line earnings before interest and tax.<br />

We then add a multiplier (often subjective and<br />

sometimes the main cause of disagreement<br />

between buyer and seller) to that bottom line<br />

figure to arrive at what can be considered the<br />

current market value of the business.<br />

Arriving at the EBIT value is easy, while most<br />

people with an understanding of the industry<br />

will advise a multiplier of between two and<br />

three. Though, based on OpticsNZ experience, a<br />

multiplier between zero and five is more accurate<br />

for SME’s in NZ. At OpticsNZ, we use up to 12<br />

factors to provide rankings to help us value<br />

the business and the multiplier, for example,<br />

quality of equipment, need for immediate capital<br />

expenditure, level of competition, known subspecialities,<br />

the business’ ability to consistently<br />

earn, the attractiveness of the proposition and<br />

more. EBIT also allows us to compare practices<br />

against previous sales and compare ratios for<br />

practices in similar market positions.<br />

Be aware, however, that EBIT as a methodology<br />

usually excludes shareholder income but due to<br />

the very nature of what you do, a professional<br />

optometrist is a fundamental requirement<br />

to enable patient throughput. OpticsNZ will<br />

always allow for an average level salary in<br />

our calculations and make clear how we have<br />

presented our findings.<br />

For multiple practice sales, with a sizable<br />

management structure in place, EBITDA<br />

(earnings before interest, tax, depreciation and<br />

amortisation) can be used as it provides a better<br />

indicator of how well multiple business units are<br />

being operated.<br />

When a practice shows little, or no profit, we<br />

revert to an older historical methodology of plant<br />

(fixtures and fittings), stock, assets and goodwill.<br />

Many customers also wonder if it’s appropriate<br />

to compare value against the cost of start-up? It’s<br />

possible, but should only be used as a reference<br />

point. What your business is worth will always be<br />

reflective of your ongoing financials.<br />

Be wary of anyone creating or using any<br />

valuation methodology outside of those<br />

commonly accepted. Any purchaser will complete<br />

due diligence together with their own accountant.<br />

Stepping away from convention will only create<br />

doubt and could destroy potential purchaser<br />

interest levels.<br />

Today, the role of OpticsNZ is very much a<br />

case of preparing a business proposition which<br />

presents your company in its best light. No two<br />

practices are exactly alike. ▀<br />

ABOUT THE AUTHOR:<br />

*Stu Allan is director of OpticsNZ,<br />

a company which specialises in<br />

human resources, recruitment,<br />

practice brokering and business<br />

development for the optics industry.<br />

Over the years, OpticsNZ has<br />

brokered dozens of practices and<br />

with each engagement refines its<br />

processes. For more, contact Stu on<br />

027 436 9091, email stu@opticsnz.<br />

co.nz or visit www.opticsnz.co.nz<br />

Orewa Optics revealed their new look store on 21 March while celebrating<br />

30 years in business. Third generation dispensing optician and owner Petra<br />

Hewitt reflects on the past and future of the practice.<br />

Orewa Optics was founded 30 years ago<br />

by my parents, Guenther and Margareta<br />

Lammer, the same year they immigrated<br />

to New Zealand – 1987. Guenther was a trained<br />

dispensing optician (DO), the second generation<br />

from Austria, and Margareta had owned her own<br />

fashion boutique in Austria. I joined them in 1993<br />

and did the dispensing optician apprenticeship<br />

becoming the third generation DO in the family.<br />

It’s in my blood. Ever since I was a little girl, I<br />

knew that’s what I wanted to do. Even after 24<br />

years of doing the same thing, in the same shop,<br />

it’s never been boring. Every client is different and<br />

I love finding the perfect frame-lens combination<br />

and solution for them. Orewa Optics has many<br />

longstanding, loyal clients and it’s such a privilege<br />

to be able to serve them for so many years, often<br />

several generations from the same family.<br />

After 20 years of running Orewa Optics, Margareta<br />

and Guenther decided to retire in 2007 and I took<br />

the opportunity and bought the business from<br />

them. My good friend and fellow DO, Angela<br />

Mitchell, who trained at the same time as me,<br />

joined the practice when I took over and we worked<br />

alongside each other for about six years. Angela<br />

wanted to spread her wings and see the “other side”<br />

of optics and briefly went to work for a lens supplier,<br />

but she missed the client contact and returned to<br />

the practice as my partner. We’ve been working to<br />

grow Orewa Optics into its full potential ever since.<br />

This is a big year for Orewa Optics, celebrating<br />

30 years in business; 20 years for both Angela and<br />

I being fully-qualified dispensing opticians; 10<br />

years of owning the business for me; and having<br />

doubled Orewa Optics’ floor space.<br />

We are very privileged to have three outstanding<br />

optometrists working for us. Grant Dabb with his<br />

vast experience, talent and passion with children;<br />

Helen Hynes with her kind and caring manner,<br />

and the only low vision specialist this side of the<br />

bridge; and Erin Tan with her bubbly and caring<br />

personality, enthusiasm, accuracy and passion for<br />

people of all ages.<br />

Along with Angela and myself, Christine Rae is<br />

our other DO, having passed her DO course with<br />

distinction and just waiting for the final sign-off<br />

and registration to come through.<br />

What we love about this extra space is being able<br />

to give out clients a better experience in a more<br />

relaxing and spacious environment, as many of our<br />

loyal clients said it could feel busy and overcrowded<br />

very quickly in the small space we had.<br />

We are so excited having all this extra space and<br />

question how on earth we could have managed it<br />

in the old space for so long. We love how the shop<br />

feels and the work and client flow and hope all our<br />

loyal longstanding and new clients will love it as<br />

much as we do. ▀<br />

EVF: an update<br />

The Essilor Vision Foundation (EVF) screened<br />

nearly 2000 students at 25 low decile<br />

primary schools during 2016. The screening<br />

of year 5-7 students resulted in 553 referrals of<br />

which 225 students were provided free glasses<br />

through the charity.<br />

Louisa Wall, Manurewa MP and patron of EVF,<br />

says she is grateful the needs of so many children<br />

are being addressed through this initiative. “There<br />

is a growing body of evidence, from the hundreds<br />

of Kiwi children screened to date, that indicates<br />

on average 30% of school students need specialist<br />

optometrist assessment and intervention to<br />

address undiagnosed vision issues. I’m pleased<br />

that more children from our communities<br />

of high need will have the opportunity to be<br />

Robert Ng helping the EVF and Kiwi kids<br />

assessed and receive the specialist optometrist<br />

treatment needed to maximise their educational<br />

opportunities.”<br />

Without the generous support from the<br />

country’s independent local optometrists, Essilor<br />

staff and students at the Optometry and Vision<br />

Science School at Auckland University, the<br />

screenings wouldn’t be possible, says Kumuda<br />

Setty, EVF trustee and Essilor NZ marketing<br />

manager. “When a child’s vision is not functioning<br />

properly, education and participation in sports can<br />

suffer. We must remove all barriers to learning and<br />

I thank all the volunteers for their commitment.”<br />

The 2016 supporting optometrists are Campbell<br />

& Campbell Optometrists, Eyestyle, Frederick<br />

Swain Optometrists, Grant & Douglas Optometry<br />

& Eyewear Hastings, Martin & Lobb Optometrists,<br />

Mt Albert Optometrists, Occhiali Optometrists,<br />

Otahuhu Eyecare, Ross Gordon Optometrists,<br />

Parker & Co, the Paterson Burn Group, Stenersen<br />

Kain Opticians, Visique Frith & Laird Optometrists,<br />

Visique Hawkins and Westgate Optometrists.<br />

The foundation has kicked off the new year with<br />

the same optimism and passion, hoping to help<br />

even more Kiwi kids this year, says Setty. Finlayson<br />

Park School in South Auckland was first up,<br />

resulting in more than 600 students screened. The<br />

next screening is due in Christchurch on 12 <strong>May</strong>.<br />

New study starts<br />

A Massey University study to investigate<br />

the impact of poor vision on the<br />

education potential of low decile primary<br />

school students is currently underway.<br />

The research was initiated after the<br />

Essilor Vision Foundation low decile school<br />

screening project found up to one-inthree<br />

students had an undiagnosed eye<br />

condition. Similar research in the US<br />

showed 25% of all children have some<br />

form of vision problem that can negatively<br />

impact on their learning.<br />

The purpose of the New Zealand<br />

research is to investigate how the<br />

provision of corrective lenses impacts<br />

students’ learning, behaviour and<br />

friendships, said Associate Professor<br />

Alison Kearney from Massey University<br />

who’s co-leading the study with lecturer,<br />

Julia Budd.<br />

The comprehensive study programme will<br />

survey students, teachers and family members<br />

and compare the academic record of students<br />

before their eye conditions were identified with<br />

improvements once corrective lenses were<br />

provided by the foundation, said A/Prof Kearney.<br />

She says she hopes the research will raise<br />

awareness of the significance of vision for<br />

learning, engagement and social development and<br />

MP Louisa Wall, patron Essilor Vision Foundation, A/Prof Alison Kearney and Julia<br />

Budd from Massey University with Kumuda Setty, trustee Essilor Vision Foundation<br />

and Lois Hawley-Simmonds, vice principal, Rowandale Primary School<br />

the importance of identifying students with vision<br />

impairment early and providing the necessary<br />

corrective intervention. “I believe that the costs<br />

associated with providing these children with<br />

corrective lenses would pale in comparison to<br />

the costs associated with learning and behaviour<br />

interventions that may be required further down<br />

the track.” ▀<br />

Read how another optometrist is helping her<br />

local school on p22.<br />

16 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


NZ Optics.half page ad<strong>2017</strong>.indd 1<br />

6/04/<strong>2017</strong> 11:39:05 AM<br />

Insight from Auckland Eye<br />

The first Auckland Eye Insight educational<br />

event for <strong>2017</strong> was held at Orakei Bay in<br />

Auckland on 4 April. Sponsored by Alcon,<br />

the event had a good turnout of guests despite<br />

the stormy weather and torrential rain. Attendees<br />

enjoyed time to chat with their colleagues, a<br />

seated meal and engaging presentations from<br />

Auckland Eye’s Drs Justin Mora, Paul Rosser and<br />

Sarah Welch.<br />

Grave concerns<br />

Working as a tag team, Drs Justin Mora and Paul<br />

Rosser discussed the complications and treatment<br />

of thyroid eye disease or Graves’ disease.<br />

Dr Mora opened by outlining the characteristics<br />

of thyroid eye disease, reminding the audience<br />

it affects mostly women in their 30s through to<br />

their 50s. In males, the disease is usually more<br />

severe and affects them later in life. Smoking is the<br />

biggest modifiable risk factor so Dr Mora urges all<br />

his patients to stop smoking.<br />

While only a quarter of those with<br />

hyperthyroidism will develop thyroid eye disease,<br />

10% of thyroid eye disease patients have normal<br />

thyroid function, so the two conditions occur in<br />

parallel, but are not cause and effect. Symptoms<br />

include proptosis, exposure keratopathy, muscle<br />

swelling together with double vision, optic nerve<br />

compromise and glaucoma.<br />

Optometrists can use the ‘NO SPECS’ acronym to<br />

help classify the ocular involvement of thyroid eye<br />

disease from no visual signs to significant vision<br />

loss due to optic nerve involvement. Investigations<br />

using CT scans can be useful to identify swollen<br />

muscles. Management of thyroid eye disease<br />

includes using selenium supplements (or eating<br />

brazil nuts!) medications, radiotherapy and surgery<br />

for the thyroid, and supportive treatments for<br />

exposure and congestion.<br />

Dr Rosser then outlined other factors involved in<br />

thyroid eye disease, including genetic and racial<br />

factors, and alternative classifications such as the<br />

VISA system (vision, inflammation, strabismus,<br />

appearance/exposure).<br />

He discussed three lines of therapy: oral steroids,<br />

which give a rapid response in a large proportion<br />

of patients; radiotherapy, as the second line<br />

of therapy; and third, surgery. Types of surgery<br />

include orbital decompression, strabismus, lid<br />

David Lee, Weng Li Keng and Jacqueline Ling<br />

retraction and blepharoplasty. While orbital<br />

recompression surgery is rarely undertaken, Dr<br />

Rosser gave an interesting pictorial example<br />

of a young male patient who received orbital<br />

surgery, which successfully reduced his significant<br />

monocular proptosis.<br />

Dr Mora concluded the talk by discussing<br />

strabismus surgery, commenting that his patients<br />

must first be ‘patient’ before undertaking this,<br />

explaining their condition must have been<br />

stable and quiet for at least six months before<br />

he will operate. He gave an example of a patient<br />

with significant double vision, who had a large<br />

exotropia, hypertropia and associated cyclotropia.<br />

Following surgery, Hess testing showed that his<br />

double vision was immediately alleviated.<br />

Drs Mora and Rosser closed their session<br />

by discussing thyroid eye disease associated<br />

glaucoma and examples of eyelid surgery.<br />

In the nick of time<br />

Dr Philip Polkinghorne kindly stepped up to start<br />

Dr Sarah Welch’s talk on ‘retinal detachment,<br />

flashes and floaters’ as Dr Welch was held up,<br />

somewhat ironically, by some complicated retinal<br />

detachment surgery. However, no sooner had Dr<br />

Polkinghorne introduced himself, than a dedicated<br />

Dr Welch raced into the room and was handed the<br />

baton.<br />

Dr Welch outlined the different types of retinal<br />

detachments and the level of urgency for each.<br />

The common horse shoe tear, for example, will<br />

usually be treated with laser the next day, while an<br />

Auckland Eye’s Drs Philip Polkinghorne, Paul Rosser, Justin Mora<br />

and Stephen Best<br />

atrophic retinal hole, such as those associated with<br />

lattice degeneration, is treated with less urgency.<br />

She shared some very clear retinal photography to<br />

illustrate the different types of retinal tears, noting<br />

that 15-20% of retinal tears progress to retinal<br />

detachment, with laser treatment reducing the risk<br />

to a mere 1-2%. Rhegmatogenous detachments<br />

were further classified to macula-on and maculaoff,<br />

with the latter giving significantly reduced<br />

vision. Macula-on detachments are treated within<br />

24 hours, while macular-off detachments are<br />

treated within one week.<br />

Treatment options have historically included<br />

scleral buckles, but today treatment usually<br />

includes vitrectomy, with techniques vastly<br />

improved though new technology and smaller<br />

gauge ports.<br />

Dr Welch concluded her talk by discussing retinal<br />

detachment complications. She showed images of<br />

proliferative vitreoretinopathy, which occurs when<br />

the retina has been detached for some time and<br />

causes the flexible nature of the retina to be lost.<br />

Scar tissue forms over the retina making it difficult<br />

to operate on – the exact condition that Dr Welch<br />

was operating on before she gave her talk.<br />

Next Insight<br />

Many braved the weather to join Auckland Eye’s Insight seminar at Auckland’s Orakei Bay venue<br />

Janice Yeoman, Auckland Eye CEO Deb Boyd and Amanda Snedden<br />

Auckland Eye’s next educational Insight event will<br />

be held in Takapuna on 16 <strong>May</strong> at Auckland Eye<br />

North Shore, 3 Fred Thomas Dr, Takapuna from<br />

5.30-7.30pm, exclusively for optometrists based<br />

north of the harbour bridge. Another general<br />

Insight evening will take place later in the year on<br />

17 October. ▀<br />

Auckland Eye<br />

We love changing lives<br />

A full range of ophthalmic services<br />

with world-renowned specialists<br />

NOW OPEN:<br />

Clinic and<br />

Surgical Suite<br />

in TAKAPUNA<br />

0800 AKL EYES | www.aucklandeye.co.nz<br />

<strong>May</strong> <strong>2017</strong><br />

NEW ZEALAND OPTICS<br />

17


Facing the feedback<br />

Dealing with online customer reviews is a matter of when, not if. So how<br />

should you handle the growing world of online reviews? Cait Sykes asked<br />

those in the know to share their secrets.<br />

If you’re thinking about checking out a new<br />

restaurant, it’s likely you’ll jump online to scan<br />

the reviews before making your reservation.<br />

Likewise, with hotels. With so many options to<br />

choose from, reading a few reviews online from<br />

past customers is now commonplace before<br />

sealing the deal with many service providers.<br />

The phenomenon of customers writing and<br />

posting reviews of products and services online<br />

may currently be more pervasive in some sectors,<br />

such as accommodation and hospitality, but<br />

Wendy Thompson, founder and CEO of social<br />

media marketing firm Socialites, says if your<br />

business is not currently engaging with online<br />

customer reviews, it’s a matter of when, not if.<br />

“That applies to every single business in the<br />

world, and eyecare and eye health businesses<br />

are not immune to this. At one stage, it will<br />

happen, so it’s a matter of understanding that it<br />

will happen and being prepared and comfortable<br />

with that idea.”<br />

Thompson points to several factors driving<br />

the growth in online customer reviewing –<br />

primarily that New Zealanders are spending<br />

more time online and on mobile devices. Every<br />

day, for example, around 2.7 million Kiwis are<br />

on Facebook and more than a million are on<br />

Instagram, she says.<br />

“And people are spending a lot of time on<br />

mobiles; around two hours a day is the average<br />

in New Zealand, so it’s massive, and half an hour<br />

of that is spent either on Facebook or Instagram…<br />

Social media has become the new water cooler.<br />

It’s where people like to hang out and talk about<br />

stuff, including talking about their positive and<br />

negative experiences with businesses.”<br />

Another reason Thompson cites for the rise of<br />

online reviews, particularly those with a negative<br />

bent, is that customers often find they’ll get a<br />

better response from a business than if they<br />

approach them via traditional methods, such as<br />

a phone call.<br />

“That’s because [social media] is public and it<br />

does need to be addressed. It does put a bit more<br />

power back in the customer’s hand.”<br />

Danielle Ross, director and principal<br />

optometrist at optometry practice Ocula<br />

in Wanaka and Queenstown, is one Kiwi<br />

optometrist who’s embracing the advent of<br />

online customer reviews.<br />

“We didn’t used to put a lot of weight on them,<br />

but now we’ve seen how powerful they can<br />

be, we’re driving them a lot more. And on the<br />

other side, I think more generally – as disruptive<br />

innovations like TripAdvisor become the norm<br />

– people are becoming more comfortable with<br />

reviewing online.<br />

“I’ve always attributed word-of-mouth as<br />

our single biggest driver of business, so we do<br />

everything we can to drive that… Because these<br />

reviews are online and they’re relatively unbiased<br />

– we’re not telling people what to say, they’re<br />

saying what they want – they are a part of that<br />

word-of-mouth push. Testimonials have always<br />

been quite powerful but now they can be online<br />

and in a very public forum.”<br />

Ocula sends out an email to each customer<br />

around two weeks after their consultation or<br />

purchase to ask how they found the products or<br />

services they received. If the customer responds<br />

positively, the practice sends a standard email<br />

reply asking them to review the business with<br />

links to its Facebook and Google Plus pages<br />

embedded in the message.<br />

The firm directs customers to review the<br />

business via those two channels because<br />

Facebook is the social media platform where<br />

the majority of Ocula’s clients are active, while<br />

positive Google Plus reviews are valuable<br />

because they help boost a business’ search<br />

rankings, says Ross. However, she notes, reviews<br />

on the latter site can be more difficult to post,<br />

particularly if the customer doesn’t have a<br />

Google Gmail account.<br />

Ross grew up in the online world, so admits<br />

engaging with social media might come more<br />

naturally to her than to those who didn’t. But,<br />

like Thompson, she says burying your head in the<br />

sand and ignoring online customer reviews is not<br />

an option for today’s business owners.<br />

Positive online reviews can be a crucial<br />

differentiator when potential customers are<br />

deciding which firm they’ll try, she says, and they<br />

can also reinforce to existing customers that<br />

they’ve made a good choice in their provider.<br />

Human nature also dictates customers will<br />

be more motivated to write a review if they<br />

feel they’ve had a negative experience, which<br />

is another reason why the business has taken a<br />

proactive approach to garnering positive reviews,<br />

says Ross.<br />

No matter how hard you try, you won’t please<br />

Tips for handling<br />

online reviews<br />

1. Respond to all reviews, positive and negative: “Even if it’s<br />

just as simple as saying ‘thank you’, it’s about acknowledging<br />

that someone has taken their time to engage with the<br />

business,” says Jim Blakeley of Woodward Optical in<br />

Wellington.<br />

2. Respond to reviews in a timely manner: “We check Facebook<br />

every day, so we do expect to acknowledge all reviews within<br />

a day. Some of our reviews are just a star rating, so those ones<br />

we tend to just ‘like’, but if they’ve written a personal comment<br />

or review we definitely give them a personal response in<br />

writing as well,” says Anna Megaffin of Bell Neuhauser<br />

Matthews Optometrists.<br />

3. Acknowledge negative reviews online, but deal with the<br />

issues raised directly with the customer offline: “For more<br />

delicate matters and negative reviews, show your willingness<br />

to make it right with a simple message ‘we would like to<br />

remedy the situation, please call us’,” advises Robert Springer<br />

of OptomEdge.<br />

4. After any negative feedback has been resolved offline, close<br />

the loop online: “Something that many businesses forget to<br />

do is once you’ve got any issues sorted you go back to that<br />

negative comment online and write something like, ‘it was so<br />

good to talk to you, I’m glad we got that sorted out’ and ideally<br />

write a few details about how it was sorted. That closes the<br />

loop publicly,” says Wendy Thompson of Socialites.<br />

18 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


Anna Megaffin: the pros of online reviews outweigh<br />

the cons<br />

Danielle Ross, embracing the power of online reviews Wendy Thompson: “social media, the new water cooler” Robert Springer: “Practices should establish patient<br />

feedback processes”<br />

everyone all of the time and, although the firm is<br />

yet to receive a negative review, Ross says having<br />

a solid track record of positive reviews would<br />

mitigate the impact of a negative review should<br />

it occur.<br />

Anna Megaffin is an optometrist and<br />

part-owner at Hamilton-based practice Bell<br />

Neuhauser Matthews Optometrists, which has<br />

a number of customer reviews posted on its<br />

Facebook page.<br />

While occasionally a staff member might<br />

mention to a customer on the shop floor who’s<br />

had a positive experience that they could write a<br />

review on the practice’s Facebook page, Megaffin<br />

says almost all the company’s reviews are posted<br />

without any prompting.<br />

When assessing the broader pros and cons of<br />

online reviews, Megaffin sees more of the former<br />

than the latter. She echoes Ross’s view that<br />

positive reviews can influence potential clients<br />

to choose a business. They also offer potential<br />

customers greater insights into the business and<br />

the service they’re likely to receive before they<br />

walk in the door.<br />

At the time of writing, Bell Neuhauser<br />

Matthews Optometrists had an average fivestar<br />

customer review rating (the highest) on<br />

its Facebook page, with no negative reviews.<br />

However, Megaffin says the occasional negative<br />

review can also have a positive spin.<br />

“When I look at a business’ Facebook page<br />

and I see they have a negative review among<br />

mostly good reviews, I’m not looking so much<br />

at the content of the negative review itself,<br />

but more at the way the company responds. If<br />

they acknowledge the review respectfully and<br />

show evidence that they’re trying to remedy the<br />

situation, then I think that can turn a potentially<br />

negative situation for a business into a positive.<br />

It’s all in the way you handle it.”<br />

Jim Blakeley, dispensing optician and codirector<br />

of Woodward Optical in Wellington,<br />

also broadly views online customer reviews in a<br />

positive light.<br />

“With positive reviews it reinforces that the<br />

business must be doing something right, and<br />

a bad review gives a business an opportunity<br />

to find out what’s going wrong. It’s hard to<br />

objectively criticise what you do, and if you don’t<br />

know something is wrong, you can’t put it right.”<br />

Blakeley says younger people seem to place<br />

greater weight on customer reviews when<br />

choosing a potential provider for the goods<br />

and services they’re after, as do those whose<br />

purchasing decisions are driven more by service<br />

than price.<br />

Woodward Optical also has an average fivestar<br />

rating from customers reviewing it on the<br />

company’s Facebook page, however Blakeley says<br />

the number of customer reviews the company<br />

has received online represents only a small<br />

fraction of its customer base.<br />

Robert Springer, technical director at<br />

optical industry practice marketing specialist<br />

OptomEdge, says that while online review sites<br />

force greater transparency, it’s often only a few<br />

reviews that dominate the overall online profile<br />

of a practice.<br />

“Therefore we advocate proactive measures<br />

for practices to implement patient satisfaction<br />

processes, and ensure that a larger and more<br />

representative number of their patients are able<br />

to share their experience and provide a more true<br />

reflection of the service that is being delivered.<br />

“In general, our recommendation for<br />

all practices is to have a patient feedback<br />

mechanism established within the practice as<br />

a standard process through a post-visit survey,<br />

which can be easily done via SMS or email. This is<br />

the primary mechanism to capture the patient’s<br />

feedback, and can often catch any issues before<br />

they enter the public domain and are shared via<br />

word-of-mouth or online.”<br />

One optometry practice owner spoken to for<br />

this story who didn’t wish to be named talked<br />

about the potential pitfalls posed by fake or<br />

malicious reviews. While he hadn’t heard of<br />

specific instances of this occurring among<br />

optometry businesses in New Zealand, he said he<br />

and his staff were cognisant that this did occur<br />

more broadly in the world of online reviewing.<br />

Wendy Thompson of Socialites, however, says<br />

such instances are rare. “And if it does come up<br />

there are steps you can take to address it. [In the<br />

case of a false, malicious review] get the person<br />

to remove it or call them out on it – for example,<br />

‘I totally understand your review, but I also<br />

happen to know you’re married to one of our key<br />

competitors, so please stop it’. You just have to<br />

handle things as you would personally.”<br />

Ultimately, Thompson sees few downsides for<br />

businesses when dealing with online reviews.<br />

“As a business you should always be looking for<br />

things you can improve on, and things you’re<br />

doing well that you can talk about.”<br />

“Personally I think every bad customer review is<br />

gold to a business because it gives you a chance<br />

to address a problem, handle it really well and<br />

make yourself a stronger business…. And if you’re<br />

worried about what people are going to say<br />

about you online then you’ve probably got bigger<br />

problems to sort out in your company.”<br />

Ophthalmologists:<br />

a different view<br />

While there are currently no specific regulations, restrictions or guidelines around<br />

optometrists and opticians engaging with online reviews as part of their practice<br />

marketing (while obviously still adhering to broader professional ethical and marketing<br />

standards), the situation differs for ophthalmologists. President of the Royal Australian<br />

and New Zealand College of Ophthalmologists (RANZCO), Associate Professor Mark Daniell,<br />

responds on the issue of online reviews.<br />

What is RANZCO’s stance on online reviews?<br />

RANZCO does not encourage involvement in online forums by its members and urges all<br />

members to exercise appropriate caution when considering any public comments.<br />

We understand that patient feedback is a cornerstone in the development and evaluation<br />

of appropriate treatment, which makes online forums, at least theoretically, a potentially<br />

rich resource. However, online forums can be problematic in the context of medicine,<br />

particularly in relation to online reviews. This is because posts are often submitted<br />

anonymously and can have the potential of being misconstrued or taken out of context.<br />

There are a number of relevant factors that impact on how ophthalmologists, as doctors,<br />

operate their businesses. This includes:<br />

• Ophthalmologists are not permitted to discuss individual cases given appropriate<br />

confidentiality and privacy restrictions<br />

• Ophthalmologists are bound by advertising rules, which pose a challenge when<br />

participating in online forums<br />

• Ophthalmology is a complex medical specialty, which does not lend itself well to typical<br />

online discussion formats<br />

• Ophthalmologists practise evidence-based medicine, which requires appropriate<br />

observations and reliable data (not opinions)<br />

• Genuine patient grievances and complaints cannot be appropriately investigated in<br />

online forums<br />

What advice would you give members about online reviews?<br />

Ophthalmologists, like other medical specialists, use online resources on a daily basis.<br />

RANZCO and others in the eye healthcare sector also use social media and other online<br />

forums to provide general education content to build community awareness around eye<br />

health. The use of and engagement with online forums in order to deliver real patient<br />

outcomes is, however, questionable. RANZCO members are mindful of the pitfalls<br />

associated with online forums and, as such, participation in the online forum space is<br />

rightly limited. ▀<br />

SHOW<br />

silmoparis.com<br />

<strong>May</strong> <strong>2017</strong><br />

NEW ZEALAND OPTICS<br />

19


with<br />

Prof Charles McGhee<br />

& A/Prof Dipika Patel<br />

Series Editors<br />

Ocular manifestations of<br />

systemic neurological disease<br />

Introduction<br />

DR HANNAH KERSTEN*<br />

Ophthalmic findings, particularly abnormalities of<br />

the optic nerve and retina, are common features<br />

of a number of neurodegenerative disorders. In<br />

addition to being a significant cause of disability in<br />

affected patients, anterior visual system changes<br />

can be a clue to diagnosis.<br />

Multiple sclerosis<br />

Multiple sclerosis (MS) is an inflammatory<br />

autoimmune neurodegenerative disorder that<br />

affects the brain and spinal cord 1 . Four subgroups<br />

of MS are currently recognised: clinically isolated<br />

syndrome, relapsing remitting MS, primary<br />

progressive MS, secondary progressive MS 2 . Vision<br />

loss is an important cause of reduced quality of<br />

life in MS and it has been well-established that the<br />

anterior visual pathway is affected. Post-mortem<br />

studies show optic nerve lesions in 94-99% of<br />

patients with MS 3 .<br />

For at least 15-20% of individuals with MS, optic<br />

neuritis (immune-mediated inflammation of the<br />

optic nerve) is the initial presentation of the disease<br />

and up to 80% of MS patients will develop visual<br />

impairment of some kind during the course of<br />

the disease 4 . In MS optic neuritis, the severity of<br />

vision loss is highly variable, ranging from mild to<br />

devastating. However, most patients will experience<br />

good functional recovery 5 .<br />

Optical coherence tomography (OCT) assessment<br />

is routinely used in the evaluation of the anterior<br />

visual pathway in patients with MS, both with and<br />

without a history of optic neuritis. Thinning of the<br />

retinal nerve fibre layer (RNFL), compared to healthy<br />

age-matched controls, has been documented in<br />

a large number of studies. The most predictable<br />

finding is thinning of the temporal quadrant of<br />

the peripapillary RNFL 6,7 . Additionally, thinning of<br />

retinal layers in the macular region, including the<br />

RNFL, ganglion cell, inner plexiform, outer nuclear<br />

and photoreceptor layers has been observed 8 . Eyes<br />

with a history of optic neuritis have the greatest<br />

reduction in RNFL (and other retinal layer) thickness.<br />

It is, however, important to note that patients with<br />

MS and no history of optic neuritis also have reduced<br />

peripapillary RNFL and macular layer thickness values<br />

compared with controls 9 (see Fig 1).<br />

OCT examination can also be useful in detecting<br />

other retinal changes associated with MS.<br />

Microcystic macular oedema can be visualised<br />

on OCT scans in approximately 5-10% of patients<br />

with MS 10 . These scans show small cysts which<br />

predominate in the inner nuclear layer at the<br />

macula (Fig 2). The microcysts can be bilateral, but<br />

more commonly occur in one eye. In patients with<br />

microcystic macular oedema, the inner nuclear layer<br />

is significantly thicker. Microcystic macular changes<br />

have been found to predict recurrence of optic<br />

neuritis and are associated with increasing disease<br />

severity and poorer visual acuity 11 . Microcystic<br />

macular oedema is not unique to MS and has been<br />

observed in a number of other conditions including<br />

glaucoma, neuromyelitis optica, dominant optic<br />

atrophy and Leber’s hereditary optic neuropathy 12 .<br />

Fig 2. Microcystic macular oedema in a patient with multiple sclerosis and<br />

a history of optic neuritis. The microcysts can be seen (yellow arrow) at<br />

the level of the inner nuclear layer. Image from Kaufhold et al 13<br />

Fingolimod is an immune-modulating agent<br />

used in the treatment of relapsing remitting<br />

MS. Approximately 0.5% of patients taking this<br />

medication will develop cystic macular oedema (Fig<br />

3). Fingolimod-associated macular oedema is more<br />

likely to occur in patients on a higher daily dose 14 .<br />

The majority of cases occur within four months<br />

of treatment initiation. The diagnosis is based on<br />

changes in visual acuity, fundus examination and<br />

OCT assessment. It is recommended that all patients<br />

commencing fingolimod therapy should have a<br />

baseline ophthalmic assessment and macular OCT<br />

scan, with a repeat assessment at six months and<br />

then annual reviews thereafter 14 . Patients with<br />

uveitis or diabetes mellitus have an increased risk<br />

of fingolimod-associated macular oedema. Visual<br />

acuity and macular oedema generally improve with<br />

cessation of therapy 14 .<br />

Fig 3. Fingolimod associated macular oedema in the right eye of a<br />

51-year-old female with relapsing remitting multiple sclerosis. Visual<br />

acuity at presentation (two weeks following treatment initiation) was<br />

6/30, and improved to 6/6 two months following cessation of fingolimod<br />

therapy. The left eye also had evidence of macular oedema secondary to<br />

fingolimod. Image courtesy of Dr Narme Deva<br />

A number of other ocular abnormalities are<br />

also associated with MS, including reduced<br />

Fig 1. Retinal nerve fibre layer and ganglion cell complex thinning in a 39-year-old male patient with relapsing remitting multiple sclerosis and a<br />

history of optic neuritis in the left eye. Note the gross retinal nerve fibre layer and ganglion cell complex thinning in the left eye and less marked, but<br />

still significant, thinning of the retinal layers in the right eye. The patient had not had a previous episode of optic neuritis in the right eye<br />

contrast sensitivity, colour vision defects, uveitis<br />

(particularly intermediate uveitis and periphlebitis)<br />

and ocular motor defects (including internuclear<br />

ophthalmoplegia, saccadic abnormalities and<br />

nystagmus) 15 .<br />

Alzheimer’s disease<br />

Alzheimer’s disease (AD) is a progressive<br />

neurodegenerative disease affecting the brain, and is<br />

the most common cause of dementia in the elderly<br />

population. Symptom onset is usually after 65 years<br />

of age 16 . Signs of visual dysfunction, including loss<br />

of best-corrected visual acuity, reduced contrast<br />

sensitivity, ocular motility abnormalities and colour<br />

vision defects are common in patients with AD, and<br />

complaints related to vision can be reported early in<br />

the disease process 17 .<br />

RNFL loss was first visualised in AD using<br />

red-free fundus photography. More recently<br />

advances in ocular imaging, including scanning<br />

laser ophthalmoscopy and, particularly, OCT, have<br />

enabled the quantitative analysis of optic nerve<br />

and retinal changes. Compared with age-matched<br />

controls, individuals with AD have greater cup-todisc<br />

ratios and decreased neuro-retinal rim area 18 .<br />

There is now a large body of literature<br />

concerning retinal changes in AD measured with<br />

OCT. Peripapillary RNFL thinning, compared<br />

with healthy controls, is a unifying finding<br />

across studies, although there is variability in<br />

the degree and pattern of RNFL loss in patients<br />

with AD. The superior and inferior quadrants are<br />

most frequently affected 19 . It is interesting to<br />

note the predilection for inferior and superior<br />

RNFL thinning is also a feature of glaucoma,<br />

the most common optic neuropathy. It has<br />

been reported that the incidence of glaucoma<br />

is higher in patients with AD and that if both<br />

AD and glaucoma are present in the same<br />

individual, there is more rapid progression of<br />

optic nerve head damage and corresponding<br />

visual function 20 . The relationship between<br />

glaucoma and AD is not fully understood. In<br />

addition to peripapillary RNFL thinning, macular<br />

layer thinning has also been reported, with the<br />

inner retinal layers (RNFL, ganglion cell layer)<br />

being preferentially affected. Although some<br />

authors have reported a significant correlation<br />

between RNFL thinning and cognitive dysfunction<br />

in patients with AD 21 , OCT assessment is not used<br />

in the routine assessment these patients.<br />

Parkinson’s disease<br />

Parkinson’s disease (PD) is a common<br />

neurodegenerative disorder. It is characterised by loss<br />

of dopaminergic neurons, predominantly from the<br />

basal ganglia of the brain. A broad range of motor<br />

and non-motor ocular changes are associated with<br />

PD 22 . Reduced visual acuity, loss of contrast sensitivity<br />

and colour vision defects are prevalent in PD 23 .<br />

Dopamine plays an important role in retinal function<br />

as the retina contains dopaminergic neurons. These<br />

neurons modulate ganglion cell receptive fields to<br />

provide colour vision and spatial contrast sensitivity 24 .<br />

A number of studies have found reduced<br />

peripapillary RNFL and macular layer thickness,<br />

compared with age-matched controls, at specific<br />

sites in PD cohorts. However, the results are highly<br />

variable and some investigators found no significant<br />

difference between patients and controls 25 . There is<br />

not a clear relationship between either peripapillary<br />

RNFL or macular findings and PD severity.<br />

Abnormalities of the efferent visual system,<br />

particularly poor saccadic performance, are also<br />

frequently reported. Spontaneous blink rate is<br />

significantly reduced and this is more marked<br />

in advanced disease 26 . Ophthalmic involvement<br />

extends to the ocular surface; dry eye symptoms<br />

and signs suggestive of ocular surface irritation are<br />

prevalent in patients with PD, including those who<br />

are in the early stages of the disease 27 . The cause<br />

of these ocular surface changes is thought to be<br />

due to the disease itself and the medical therapies<br />

used to treat the condition (dopamine therapy and<br />

psychiatric mediation used in the treatment of the<br />

disease can lead to symptoms of dry eye) 27 . ▀<br />

References<br />

1. Frohman EM, Racke MK, Raine CS. Multiple sclerosis--the<br />

plaque and its pathogenesis. N Engl J Med. 2006;354(9):942-<br />

955.<br />

2. Lublin FD, Reingold SC, Cohen JA, et al. Defining the clinical<br />

course of multiple sclerosis: the 2013 revisions. Neurology.<br />

2014;83(3):278-286.<br />

3. Toussaint D, Perier O, Verstappen A, Bervoets S.<br />

Clinicopathological study of the visual pathways, eyes, and<br />

cerebral hemispheres in 32 cases of disseminated sclerosis.<br />

Journal of Clinical Neuro-Ophthalmology. 1983;3(3):211-220.<br />

4. Di Maggio G, Santangelo R, Guerrieri S, et al. Optical<br />

coherence tomography and visual evoked potentials: which<br />

is more sensitive in multiple sclerosis? Multiple Sclerosis.<br />

2014;20(10):1342-1347.<br />

5. Petzold A, de Boer JF, Schippling S, et al. Optical coherence<br />

tomography in multiple sclerosis: a systematic review and<br />

meta-analysis. Lancet neurol. 2010;9(9):921-932.<br />

6. Albrecht P, Balk L, Oberwahrenbrock T, Petzold A, Paul F.<br />

Retinal segmentation to demonstrate hyperplasia in ataxia<br />

of Charlevoix-Saguenay: critique on study methodology and<br />

results. Invest Ophthalmol Vis Sci. 2014;55(8):4728.<br />

7. Klistorner A, Sriram P, Vootakuru N, et al. Axonal loss of<br />

retinal neurons in multiple sclerosis associated with optic<br />

radiation lesions. Neurology. 2014;82(24):2165-2172.<br />

8. Garcia-Martin E, Polo V, Larrosa JM, et al. Retinal layer<br />

segmentation in patients with multiple sclerosis<br />

using spectral domain optical coherence tomography.<br />

Ophthalmology. 2014;121(2):573-579.<br />

9. Walter SD, Ishikawa H, Galetta KM, et al. Ganglion cell<br />

loss in relation to visual disability in multiple sclerosis.<br />

Ophthalmology. 2012;119(6):1250-1257.<br />

10. Burggraaff MC, Trieu J, de Vries-Knoppert WA, Balk L,<br />

Petzold A. The clinical spectrum of microcystic macular<br />

edema. Invest Ophthalmol Vis Sci. 2014;55(2):952-961.<br />

11. Saidha S, Sotirchos ES, Ibrahim MA, et al. Microcystic<br />

macular oedema, thickness of the inner nuclear layer of the<br />

retina, and disease characteristics in multiple sclerosis: a<br />

retrospective study. Lancet neurol. 2012;11(11):963-972.<br />

12. Gelfand JM, Cree BA, Nolan R, Arnow S, Green AJ.<br />

Microcystic inner nuclear layer abnormalities and<br />

neuromyelitis optica. JAMA Neurology. 2013;70(5):629-633.<br />

13. Kaufhold F, Zimmermann H, Schneider E, et al. Optic<br />

neuritis is associated with inner nuclear layer thickening<br />

and microcystic macular edema independently of multiple<br />

sclerosis. PLoS ONE [Electronic Resource]. 2013;8(8):e71145.<br />

14. Jain N, Bhatti MT. Fingolimod-associated macular edema:<br />

incidence, detection, and management. Neurology.<br />

2012;78(9):672-680.<br />

15. Chen L, Gordon LK. Ocular manifestations of multiple<br />

sclerosis. Curr Opin Ophthalmol. 2005;16(5):315-320.<br />

16. Goedert M, Spillantini MG. A century of Alzheimer’s disease.<br />

Science. 2006;314(5800):777-781.<br />

17. Sadun AA, Borchert M, DeVita E, Hinton DR, Bassi CJ.<br />

Assessment of visual impairment in patients with<br />

Alzheimer’s disease. American Journal of Ophthalmology.<br />

1987;104(2):113-120.<br />

18. Danesh-Meyer HVF, Birch HF, Ku JYFM, Carroll SM, Gamble<br />

GM. Reduction of optic nerve fibers in patients with<br />

Alzheimer disease identified by laser imaging. Neurology.<br />

2006;67(10):1852-1854.<br />

19. Berisha F, Feke GT, Trempe CL, McMeel JW, Schepens CL.<br />

Retinal abnormalities in early Alzheimer’s disease. Invest<br />

Ophthalmol Vis Sci. 2007;48(5):2285-2289.<br />

20. Bayer AU, Ferrari F. Severe progression of glaucomatous<br />

optic neuropathy in patients with Alzheimer’s disease. Eye.<br />

2002;16(2):209-212.<br />

21. Ascaso FJ, Cruz N, Modrego PJ, et al. Retinal alterations in<br />

mild cognitive impairment and Alzheimer’s disease: an<br />

optical coherence tomography study. Journal of Neurology.<br />

2014;261(8):1522-1530.<br />

22. Jankovic J. Parkinson’s disease: clinical features and<br />

diagnosis. Journal of Neurology, Neurosurgery & Psychiatry.<br />

2008;79(4):368-376.<br />

23. Archibald NK, Clarke MP, Mosimann UP, Burn DJ. Visual<br />

symptoms in Parkinson’s disease and Parkinson’s disease<br />

dementia. Movement Disorders. 2011;26(13):2387-2395.<br />

24. Altintas O, Iseri P, Ozkan B, Caglar Y. Correlation between<br />

retinal morphological and functional findings and<br />

clinical severity in Parkinson’s disease. Documenta<br />

Ophthalmologica. 2008;116(2):137-146.<br />

25. Bodis-Wollner I, Miri S, Glazman S. Venturing into the noman’s<br />

land of the retina in Parkinson’s disease. Movement<br />

Disorders. 2014;29(1):15-22.<br />

26. Karson CN, LeWitt PA, Calne DB, Wyatt RJ. Blink rates in<br />

Parkinsonism. Ann Neurol. 1982;12(6):580-583.<br />

27. Biousse V, Skibell BC, Watts RL, Loupe DN, Drews-Botsch<br />

C, Newman NJ. Ophthalmologic features of Parkinson’s<br />

disease. Neurology. 2004;62(2):177-180.<br />

Dr Hannah Kersten<br />

About the author<br />

*Dr Hannah Kersten is a<br />

therapeutically qualified<br />

optometrist, currently working<br />

as a lecturer in the School of<br />

Optometry and Vision Science,<br />

and a research fellow in the<br />

Department of Ophthalmology<br />

at the University of Auckland.<br />

She completed her PhD in 2016.<br />

Her main area of research is the<br />

role of ophthalmic imaging in<br />

neurodegenerative disorders.<br />

20 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


Summer student symposium <strong>2017</strong><br />

BY JAI BREITNAUER<br />

This year, 17 students presented the<br />

findings of their summer research projects<br />

showcasing a diverse range of knowledge<br />

across the School of Optometry and Vision Science<br />

and the Department of Ophthalmology at the<br />

University of Auckland. With just four minutes<br />

each to share the gist of their achievements, it was<br />

also a great way to hone those all important public<br />

speaking skills!<br />

Hosted by the NZ National Eye Centre on Tuesday<br />

21st February, head of ophthalmology Professor<br />

Charles McGhee stepped up as chair offering a<br />

humorous and encouraging opening message.<br />

Distinguished Professor Ian Reid and Professor<br />

Alan Merry, deputy dean and head of the School<br />

of Medicine respectively, were introduced as the<br />

‘distinguished’ judges for the evening proceedings,<br />

while Associate Professor Dipika Patel kept time<br />

with a handy bell.<br />

Student supervisors and colleagues crammed the<br />

lecture theatre in Grafton, making the event read<br />

like a who’s who of eye health research in New<br />

Zealand. Professor Steven Dakin, Dr Ehsan Vaghefi,<br />

Dr James McKelvie and Associate Professor Jennifer<br />

Craig were just a few familiar faces. Also noted<br />

were the summer projects’ sponsors: Eye Institute,<br />

the Faculty of Medical and Health Sciences,<br />

the New Zealand Association of Optometrists<br />

Education and Research Fund, the New Zealand<br />

Association of Optometrists, the Tom Cat Trust,<br />

The Ombler Trust, the Betty Bennett Trust and the<br />

School of Optometry and Vision Science.<br />

The research projects on offer ranged from Don<br />

Laing’s look at the management and diagnosis of<br />

eye conditions in emergency medicine to Chloe<br />

Li’s project around facial recognition. Charisse Kuo<br />

offered an insightful overview of her work around<br />

the epithelium in diseased corneas, while Louisa<br />

Howe took us into the world of physics, with a<br />

look at fluid dynamics and lens structural changes<br />

in the aging eye. Ultimately, the judges admitted<br />

every project was a winner and they found it<br />

exceptionally hard to choose the three prize<br />

recipients, though they eventually agreed on three<br />

who they said had that ‘slight edge’.<br />

1st Prize – Muthana Noori<br />

Overall winner Muthana Noori, from the School<br />

of Optometry and Vision Science, looked at ‘The<br />

effect of feedback on measures of visual acuity<br />

(VA)’. The study looked at two different procedures<br />

for measuring VA; the staircase method and<br />

methods of descending limits. The descending<br />

method, where the letters on the chart decrease<br />

in size until the patient cannot read them, is<br />

considered the quicker of the two methods. In<br />

the staircase method, the letter sizes may go up<br />

or down in cycles depending on the participant’s<br />

response. This may take longer, but it is considered<br />

more accurate.<br />

Noori also looked at two electronic charts;<br />

the Early Treatment Diabetic Retinopathy Study<br />

(ETDRS) chart and the Amblyopia Treatment Study<br />

(ATS-HOTV) chart. The charts and procedures<br />

were compared with each other under three<br />

different feedback conditions. The first condition<br />

was no feedback, where participants were not<br />

told anything in regards to their responses in<br />

reading the acuity charts; the second was minimal<br />

feedback, where participants were only told if their<br />

response was correct or incorrect; while the third<br />

was maximum feedback, where participants were<br />

told the correct letter on the chart if their response<br />

was incorrect.<br />

Results showed there was no significant<br />

difference between the two different procedures or<br />

between the two charts used to measure VA. Noori<br />

found considerable correlation between these<br />

methods and there was no significant change in VA<br />

Lize Angelo, Professor Colin Green and Sarah Bould<br />

measures over time<br />

using these methods.<br />

He also found there<br />

was no difference<br />

between the minimal<br />

and no feedback<br />

conditions. However,<br />

when participants<br />

were provided with<br />

maximum feedback<br />

and corrected<br />

when they missed<br />

a letter, there was a<br />

significant difference<br />

in the average VA<br />

measured. This<br />

significant difference<br />

was consistent across<br />

all different methods<br />

and was estimated<br />

to be about a<br />

0.0425 logMAR<br />

point increase on<br />

the logMAR scale,<br />

which translates to<br />

approximately half<br />

a line on the letter<br />

chart. There was<br />

also a statistically<br />

significant<br />

difference in<br />

VA scores when<br />

comparing minimal<br />

and maximum<br />

feedback conditions,<br />

with a 0.049 logMAR<br />

point improvement<br />

on the chart.<br />

Noori suggested<br />

the study could<br />

be expanded in<br />

the future to fully<br />

investigate the effects on real patients in a clinical<br />

setting and was useful in showing the importance<br />

of being consistent and systematic in measuring VA.<br />

2nd Prize – William Cook<br />

Ophthalmology student William Cook’s project<br />

was entitled ‘Reproducing and comparability of<br />

wavefront sensing devices’. He opened by saying<br />

his research wasn’t just optometry – it was rocket<br />

science. The more complicated higher order<br />

aberration Cook was referring to was, in fact, being<br />

studied by the military and NASA to ensure pilots<br />

had optimum visual capabilities.<br />

In his project, Cook used four machines – the<br />

Abbott iDesign, the Nidek OPD-scan III, the Ziemer<br />

Galilei G2 and the Bausch+Lomb Zywave – to<br />

scan 23 eyes under similar, but not reproducibly<br />

identical conditions (due to factors beyond his<br />

control) to measure spherical aberration to see<br />

what statistical differences occurred between the<br />

machines and whether that mattered.<br />

In conclusion, Cook said even a 10th of a<br />

micron could make a difference – and some of<br />

the differentials were much bigger than that. If<br />

you performed laser surgery using one machine,<br />

having measured on another, you could have<br />

a clinically different outcome, he said, as the<br />

machines, despite being designed for the same<br />

purpose, are not interchangeable.<br />

3rd Prize – Aimee Aitkin<br />

Head of ophthalmology Professor Charles McGhee with the summer project students<br />

Prize winners’ Muthana Noori, William Cook and Aimee Aitkin<br />

This project may have come in third but it<br />

was definitely a talking point in the atrium<br />

afterwards. Aimee Aitkin looked at the ‘Optical<br />

plasticity of the jumping spider’. These types of<br />

spiders – T. planiceps – jump on to their prey; a<br />

finding Aitkin was also able to confirm for the<br />

first time in relation to the New Zealand variety.<br />

Jumping spiders have four functional cameratype<br />

eyes, explained Aitkin. Two<br />

of these are high acuity principal<br />

eyes. They have a long focal<br />

length and a narrow field of<br />

view, with a layered retina. Other<br />

studies have found that jumping<br />

spiders accurately hit their mark<br />

under green light, but fall short<br />

of their prize – a fruit fly, in this<br />

case – under red light. Aitkin<br />

hoped to discover if the spider,<br />

exposed to red light conditions<br />

for an extended period, would<br />

adjust their jump to get the fruit<br />

fly – and if so, was this due to<br />

optical plasticity or changes in<br />

the brain?<br />

She undertook two<br />

experiments: the first was to<br />

replicate previous experiments<br />

and confirm jumping spiders<br />

Professors Alan Merry and Steven Dakin<br />

fell short of their target under red light; while the<br />

second was to see if the spiders can adapt to red<br />

light. Aitkin left the spiders in constant red light<br />

for seven days – the audience was assured the<br />

spiders were well fed! On retesting the spiders, she<br />

LEAVE A LEGACY<br />

OF VISUAL FREEDOM.<br />

TECNIS ®<br />

PRESBYOPIA-CORRECTING IOLs<br />

noticed a significant reduction in the jump error,<br />

suggesting the spiders can adapt either through<br />

ocular plasticity or learned behaviour. More<br />

research is required to confirm if this behavioural<br />

change is ocular or brain led. ▀<br />

TECNIS is a trademark owned by or licensed to Abbott Laboratories, its subsidiaries or affiliates. All other trademarks are the intellectual property of their respective owners.<br />

AMO Australia Pty. Limited. Level 3, 299 Lane Cove Road, Macquarie Park, NSW 2113. AMO Australia Pty. Limited (Incorporated in Australia) PO Box 401, Shortland Street, Auckland, 1140.<br />

© <strong>2017</strong> Abbott Medical Optics Inc. | www.vision.abbott | PP<strong>2017</strong>CT0286<br />

AMO20530 Tecnis PCIOLs Adv_JJ_A4_FP.indd 1<br />

<strong>May</strong> <strong>2017</strong><br />

NEW ZEALAND OPTICS<br />

31/3/17 5:12 pm<br />

21


Focus on<br />

Eye Research<br />

Should patients stop taking<br />

glucosamine and brush their teeth?<br />

EFFECT OF GLUCOSAMINE ON INTRAOCULAR<br />

PRESSURE: A RANDOMISED CLINICAL TRIAL.<br />

Esfandiari H, et al<br />

Eye 2016; available online 21/10/2016.<br />

Glucosamine is a commonly-used, over-thecounter<br />

supplement used to treat osteoarthritis.<br />

It is an amino monosaccaride and is a component<br />

of glycosaminoglycans found in cartilage.<br />

Glycosaminoglycans also contribute to the<br />

morphological and functional characteristics of<br />

the trabecular meshwork. Because it is a substance<br />

found naturally in cartilage, it is often assumed<br />

that it is safe and benign. However, there is some<br />

evidence that it may increase the intraocular<br />

pressure (IOP) in some individuals.<br />

In this randomised, double-masked trial, 88 patients<br />

with osteoarthritis were randomised to either<br />

glucosamine sulfate (n=44) or placebo (n=44).<br />

Intraocular pressure (IOP) was measured at baseline,<br />

month 1, and month 3. Mean IOPs at baseline for<br />

glucosamine vs. placebo were: 12.4 ±2.7 vs. 13±2.8<br />

mm Hg (P=0.3), at 1 month 12.6 ±2.7 vs. 12.9<br />

±2.4 (P=0.89), and at 3 months were 13.5 ±2.3 vs.<br />

13±2.7 mm Hg (P=0.002). At final follow up, 34.1%<br />

in glucosamine group compared to 12.5% in the<br />

placebo group had a rise of ≥2 mm Hg (P=0.02).<br />

Comment: In this study, there was a statistically<br />

significant rise in IOP in the group receiving<br />

glucosamine. Further study is required to determine<br />

the clinical significance of this finding. In particular,<br />

is it repeatable in another study population? Does<br />

the IOP increase with longer duration of treatment?<br />

Does the IOP return to baseline when glucosamine<br />

is discontinued? Are these findings repeatable<br />

in patients with glaucoma? Are there certain<br />

individuals who are “glucosamine responders”<br />

similar to steroid responders. While at this point,<br />

these questions are unanswered, it may be worth<br />

considering a trial off glucosamine for any patient<br />

with worsening glaucoma despite treatment if they<br />

are taking this supplement. In addition, it may be<br />

worth developing the habit of documenting nonprescription<br />

supplements that patients are taking in<br />

addition to their medications.<br />

PROSPECTIVE STUDY OF ORAL HEALTH AND RISK<br />

OF PRIMARY OPEN-ANGLE GLAUCOMA IN MEN.<br />

Pasquale LR, et al<br />

Ophthalmology 2016; 123:2318-27.<br />

Periodontitis is a common bacteria-induced oral<br />

inflammation that has been associated with<br />

systemic endothelial dysfunction. Periodontal<br />

BY DR JAY MEYER*<br />

disease has been related to systemic diseases such<br />

as diabetes, cardiovascular disease, rheumatoid<br />

arthritis, cancer and neurodegenerative diseases. It<br />

is speculated that bacteria-induced inflammation<br />

could induce a systemic inflammatory response,<br />

leading to endothelial dysfunction and impaired<br />

vasodilation, affecting the blood flow to the optic<br />

nerve.<br />

This study evaluated an association between oral<br />

health history and risk of primary open angle<br />

glaucoma (POAG). A prospective cohort study, it<br />

evaluated health professionals (40,536 men) with<br />

biennial questionnaires regarding their health<br />

between 1986 and 2012. Participants reported<br />

number of natural teeth, teeth lost, periodontal<br />

disease with bone loss and root canal treatments.<br />

During the follow-up, 485 incident cases of POAG<br />

were confirmed with medical records. A report of<br />

tooth loss within the past two years was associated<br />

with a 1.45-fold increased risk of POAG (95% CI:<br />

1.06-1.97). The risk was 1.85-fold higher (95% CI:<br />

1.07-3.18) in those with both tooth loss within<br />

two years and a previous diagnosis of periodontal<br />

disease. There was no association between POAG<br />

and number of natural teeth, periodontal disease or<br />

root canal treatment.<br />

Comment: This study relied on participants’<br />

self-report of glaucoma, which may introduce<br />

some reporting bias. While oral health measures<br />

and glaucoma diagnoses were self-reported,<br />

the glaucoma diagnoses were confirmed with<br />

medical records. Nonetheless, the study has<br />

many strengths, including its prospective design<br />

over a 26-year period. This interesting study may<br />

stimulate further research into possible associations<br />

between systemic inflammation and glaucoma.<br />

Patients often ask whether there is a dietary or<br />

lifestyle change they can make to reduce their risk<br />

of glaucoma or worsening glaucoma. If this study’s<br />

findings are confirmed, there may come a day when<br />

we say, “yes, brush and floss your teeth!”. ▀<br />

ABOUT THE AUTHOR:<br />

* Dr Jay Meyer is an anterior<br />

segment and glaucoma<br />

specialist and senior<br />

lecturer at the University of<br />

Auckland.<br />

Tackling local problems<br />

Research shows that as many as<br />

64% of children experiencing<br />

learning difficulties have an<br />

undiagnosed vision problem, says<br />

behavioural optometrist Danielle Ross,<br />

co-owner of Ocula in Queenstown and<br />

Wanaka.<br />

Ross is working with local primary<br />

schools to help children overcome<br />

learning and behavioural challenges<br />

and is spreading the word among local<br />

media that getting kids’ eyes tested is<br />

key to fixing many behavioural problems.<br />

“Vision is critical to learning and is the<br />

most dominant system for getting<br />

information. It is responsible for 80% of<br />

our information intake,” she says.<br />

In addition to checking the eyesight, a<br />

behavioural optometrist considers how the two<br />

eyes work together as a team and how the brain<br />

makes sense of what is seen, she says. “When<br />

needed, vision therapy helps re-wire and re-teach<br />

visual pathways and visual patterns using a<br />

variety of techniques over a 12-16-week course of<br />

treatment.” In some cases, when a fully-integrated<br />

approach is required, Ross also works as part<br />

of a team with speech-language therapists,<br />

occupational therapists and educational<br />

psychologists to solve the problem.<br />

Teacher Nicole Fawcett, Piper McChlery, Danielle Ross, special education needs<br />

coordinator Shirley Forrest and Kobus Delport<br />

Ross says her services have been well received by<br />

local primary schools. Arrowtown School special<br />

education needs coordinator Shirley Forrest says<br />

having an easily-accessible specialist that teachers<br />

can refer parents to is helpful. “It is wonderful that<br />

we now have a behavioural optometrist working<br />

in this area who we can refer parents to if we have<br />

concerns,” she says. ▀<br />

For more about tackling Kiwi kids’ vision<br />

problems, see the Essilor Vision Foundation story<br />

on p16<br />

BOOK REVIEW:<br />

Cornea, 4th edition,<br />

by Mark J Mannis, MD, FACS and Edward J Holland,<br />

MD. Published by Elsevier, <strong>2017</strong>.<br />

REVIEWED BY PROFESSOR CHARLES MCGHEE *<br />

I approached the fourth edition of Cornea,<br />

edited by Mark J Mannis and Edward J Holland,<br />

with enthusiasm since previous editions have<br />

been an excellent staple of my bookshelf, and<br />

the ophthalmology department library, for two<br />

decades.<br />

Cornea is an exceedingly comprehensive<br />

textbook, encompassing the entire breadth of<br />

anterior segment diseases and the expanding<br />

portfolio of surgical techniques that have become<br />

standard in the last decade. This new edition<br />

comes some six years after the publication of the<br />

last edition and offers a myriad of clinical pearls<br />

displayed over 170 chapters, with a sumptuous<br />

2,300 illustrations and 60 videos. Additionally,<br />

by using a personal code supplied in the cover,<br />

the owner of the publication has access to the<br />

complete contents and illustrations online at the<br />

Expert Consult ebook website.<br />

Originally launched as three volumes of text<br />

with a fourth volume atlas, the publication is now<br />

in two, more manageable, volumes: the first on<br />

“Fundamentals, Diagnosis and Management”,<br />

and the second on “Surgery of the Cornea and<br />

Conjunctiva” with colour illustrations throughout.<br />

The volumes are robust in red covers with black<br />

spines and the quality of the paper and print<br />

is superb, with easy to read text, regular tables<br />

and key highlights emphasised. This edition<br />

also features an additional 20 chapters covering<br />

the latest surgical advances in the field, such as<br />

Descemet’s membrane endothelial keratoplasty<br />

(DMEK), endothelial cell transplantation, collagen<br />

cross-linking, SMILE and keratoprosthesis<br />

implantation. Usefully this new edition also<br />

showcases “key point” overviews at the beginning<br />

of each chapter for easy access to the crucial<br />

information contained within the text.<br />

Approaching 2000 pages, this is not a<br />

publication one reads from cover to cover (unless<br />

you are currently completing a Corneal Fellowship<br />

– then it is an absolute must-read) but rather<br />

one that is easy for the corneal specialist or<br />

general ophthalmologist to dip into for a quick<br />

consultation in relation to a presenting case or to<br />

consume a few chapters at leisure to consolidate<br />

VOSO update<br />

Last year VOSO had three trips to the Pacific<br />

– Nukalofa inTonga, Savai’i in Samoa and<br />

Taveuni in Fiji.<br />

VOSO volunteers undertook 100 surgeries in<br />

Tonga and Fiji with most of the surgical cases<br />

being cataract. Around 230 people were examined<br />

in ophthalmology clinics and more than 500 in<br />

optometry clinics. In Samoa, screening was done<br />

for the Fred Hollows Foundation, whose volunteers<br />

operated the following week. In total, VOSO<br />

distributed about 850 pairs of glasses and donated<br />

further recycled frames for glazing in Samoa. VOSO<br />

worked alongside local teams, organising training<br />

and offering ongoing collegial support to the New<br />

Zealand-trained staff based there.<br />

Board changes<br />

Dr Andrew Riley is the new president of VOSO.<br />

Andrew has been a trustee for some time, has<br />

led many trips to Tonga and is the key coordinator<br />

for surgical supplies for the region.<br />

This year, with money raised at Merediths’ Dine<br />

by Donation dinner, Andrew has organised an<br />

emergency surgical kit that will travel with the<br />

lead ophthalmologist on each trip, as well as the<br />

surgical supplies for all three trips.<br />

Andrew says he’s looking forward to continuing<br />

VOSO’s good work and building stronger<br />

relationships in the Pacific. He will work closely<br />

with myself, as VOSO secretary, and outgoing<br />

president Richard Johnson whilst he establishes<br />

himself in the role. Richard has been the president<br />

for 10 years and they are big shoes to fill!<br />

On standing down, Richard said, “It has been<br />

an enjoyable and rewarding 10 years as chair of<br />

VOSO, but I feel it is now time to hand over the<br />

reins. I am still looking forward to being involved<br />

in VOSO, both as a trustee and on the ground in<br />

trips to the islands. I’d also like to thank all the<br />

other trustees and, in particular, the co-ordinators<br />

for each of the trips for all the planning that goes<br />

into running them.”<br />

BY KYLIE DREAVER*<br />

knowledge in a particular area. The chapters<br />

in the book are written by more than 200<br />

international experts and are clearly presented<br />

in a succinct and logical manner. In keeping<br />

with previous editions, the book has kept a clear<br />

clinical focus with high-quality illustrations<br />

and exceptional, sometimes unique, clinical<br />

photographs. The series now also showcases a<br />

range of surgical videos highlighting state-ofthe-art<br />

surgical techniques, including advanced<br />

anterior segment and corneal lamellar surgery.<br />

My only minor reservation, worth noting in<br />

the era of high-quality video and multimedia<br />

presentations, is that some of the videos are quite<br />

short in duration, occasionally poorly edited and<br />

sometimes without narration. However, this does<br />

not detract from the overall excellence of the<br />

publication.<br />

In summary, the 4th edition of Cornea has<br />

substantially evolved compared to its predecessor<br />

and without doubt, in the opinion of this<br />

reviewer, remains the number one reference<br />

textbook for corneal specialists and general<br />

ophthalmologists who regularly encounter<br />

corneal and external eye disease. It is certainly a<br />

must-have for training institutions and outshines<br />

its counterparts in the field. ▀<br />

*Professor Charles NJ McGhee PhD DSc FRCS FRCOphth is<br />

Professor of Ophthalmology at the University of Auckland in New<br />

Zealand and Director of the New Zealand National Eye Centre<br />

Dr Andrew Riley with a grateful patient in Tonga<br />

VOSO has three trips planned this year: a twoweek<br />

trip to Samoa in June; a two-week trip to Fiji<br />

in July-August; and a week trip to Tonga in late<br />

September.<br />

VOSO has identified a need for more<br />

ophthalmologists to be volunteers, but is keen<br />

to hear from anyone interested in volunteering.<br />

To volunteer or to find out more, please visit the<br />

VOSO website at www.voso.org.nz and/or fill in<br />

the volunteer form at http://www.voso.org.nz/<br />

volunteer-form.html. ▀<br />

* Kylie Dreaver has been secretary of VOSO since December 2014<br />

and is a co-owner of Victoria Street Optometrists in Auckland<br />

22 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


Eye Doctors: Grand Round<br />

Lorraine Beattie, Theresa Novak, James Park and Dr Penny McCallum<br />

Tomo Konishi and Alicia Han<br />

Bruce Watson, Ray Wong, Radiant’s Yvette Beattie and Dennis Oliver<br />

The first Eye Doctor’s Grand Round took place<br />

at the Novotel Ellerslie on 29 March with<br />

more than 70 enthusiastic attendees.<br />

Cataracts and double vision<br />

Dr Shuan Dai opened the evening with<br />

characteristic humour and zeal, talking about what<br />

causes double vision after cataract surgery and<br />

how it can be treated. “It’s usual for the patient to<br />

blame the surgeon, however surgery is rarely the<br />

cause of diplopia.” He urged optometrists in the<br />

audience to alert the cataract surgeon if there’s<br />

a history of previous or existing ocular motility<br />

abnormalities that may be useful for their surgical<br />

planning.<br />

Common causes of diplopia after cataracts<br />

surgery include: decompensating of existing<br />

strabismus; age-related neuromulscular changes,<br />

associated with poor central control of ocular<br />

balance; and, rarely, iatrogenic injury to the<br />

eye muscle from sub-Tenon’s anaesthesia.<br />

By far the most common cause is a sagging<br />

extraocular muscle, said Dr Dai, which shouldn’t<br />

be unexpected given most cataract patients<br />

are over 60. Patients usually present with small<br />

angle distance esotropia with diplopia, and full<br />

abduction and eye muscle surgery is usually very<br />

successful in curing the diplopia in these patients.<br />

Dr Dai concluded his talk recommending a<br />

complete ocular motility examination for patients<br />

with a history of amblyopia or strabismus prior to<br />

them having cataract surgery.<br />

Dealing with diabetes<br />

Dr Andrew Riley took the floor next with an<br />

interesting overview of diabetes. Some diabetic<br />

patients will know more about diabetes than we<br />

do, he said, and we can learn from them even<br />

though some won’t know or accept they have<br />

diabetes.<br />

When he left medical school, there were two<br />

widely accepted diabetes diagnoses, he said, but<br />

these days there are many more, and the American<br />

Diabetes Association has (for the first time since<br />

2002) recently updated its guidance around<br />

diabetes diagnosis and treatment.<br />

Diabetes type 1 is the classic form of the<br />

condition, usually diagnosed in childhood and<br />

caused by cell destruction in the pancreas.<br />

However, there is now also LADA (latent<br />

autoimmune diabetes in adults) from where<br />

the loss of insulin production is slower than in<br />

children. Dr Riley said a 92-year-old patient who<br />

visited him had been diagnosed with type 1<br />

diabetes just three months prior to their meeting,<br />

demonstrating how this autoimmune condition<br />

can come on at any age for those with the right<br />

genetic susceptibility.<br />

Type 2 diabetes, strongly associated with obesity,<br />

accounts for more than 90% of diagnoses, but a<br />

new group of type 2 diabetics are emerging who<br />

do not fit the traditional picture – young, typically<br />

around 25, and fit and have not responded to<br />

prescribed medication. These may represent<br />

MODY’s (maturity onset diabetes of the young)<br />

where patients have specific genetic problems<br />

leading to diabetes. Eleven different variants are<br />

now described and more are likely.<br />

Much research is being done into the genetics<br />

of the different types of diabetes, particularly for<br />

the classic type 1 sufferer, said Dr Riley, and while<br />

lifestyle changes can help prevent type 2, there is<br />

also scope for identifying genes and personalising<br />

medications to help this group as well.<br />

Vitreomacular traction<br />

After a short sponsor’s talk from Bausch + Lomb<br />

representative Yvette Beattie and a break for<br />

nibbles and wine, Dr Mark Donaldson kicked off<br />

the second half of the evening with an update<br />

around vitreomacular traction (VMT).<br />

He started with<br />

a case study of a<br />

74-year-old myopic<br />

man who presented<br />

with blurred vision<br />

and visual acuity<br />

of 6/12 in August<br />

2010. By June 2012,<br />

however, his VA had<br />

returned to 6/6.6<br />

with no intervention.<br />

This spontaneous<br />

resolution<br />

of idiopathic<br />

vitreomacular<br />

traction is common,<br />

said Dr Donaldson,<br />

quoting a relatively<br />

recent study which<br />

looked at 168 eyes<br />

with symptomatic<br />

vitreomacular traction,<br />

where 20% resolved spontaneously and only 4%<br />

needed a vitrectomy.<br />

A larger UK vitrectomy review in 2016 looked at<br />

1254 patients with an average age of 72. It found<br />

that conservative management of vitreomacular<br />

traction kept the condition stable over two to five<br />

years, with those in the early vitrectomy group<br />

reporting worse visual acuity post-surgery, with<br />

slow improvement over one to two years. Quoting<br />

another study, Dr Donaldson noted that pneumatic<br />

vitreolysis, using gas, could result in spontaneous<br />

resolution of a macular hole. This study looked at<br />

50 patients and concluded that 86% of them didn’t<br />

need a full vitrectomy after having pneumatic<br />

treatment.<br />

Cornea Society update<br />

The final speaker of the evening, Dr Penny<br />

McAllum, provided a review of the <strong>2017</strong> Australian<br />

and New Zealand Cornea Society meeting in<br />

Brisbane in February. Research covered at the<br />

event included studies relating to the importance<br />

of omega-3 for dry eyes. The overarching medical<br />

opinion is that omega-3 has a positive impact<br />

on dry eye symptoms, however, the best source<br />

of omega-3 is still up for debate. Dr McAllum<br />

noted some sources of omega-3, such as animal<br />

products, are also very high in omega-6, which<br />

we need far less of. Salmon and flaxseeds are the<br />

best source of omega-3, with krill oil, which also<br />

contains astaxanthin (see NZ Optics’ April issue)<br />

possibly showing additional benefits over fish oil.<br />

Another topic of discussion at the meeting was<br />

the idea that corneal transplantation should<br />

be gender matched, said Dr McAllum, referring<br />

to a UK study that showed female-to-female<br />

transplants in particular, were most effective.<br />

However, an Australian Corneal Graft Registry<br />

review of its data, showed gender matching was<br />

Dr Penny McAllum<br />

FRANZCO<br />

Dr Shuan Dai, Trevor Skinner and Linda Zhang<br />

inconsequential in Australia.<br />

The final topic from the<br />

meeting covered by Dr McAllum<br />

was corneal endothelial<br />

transplantation. A common<br />

intervention for Fuchs’ dystrophy<br />

is Descemet’s stripping<br />

endothelial keratoplasty<br />

(DSAEK), with the next iteration<br />

of treatment, Descemet’s<br />

membrane endothelial<br />

keratoplasty (DMEK) also gaining<br />

in popularity as techniques<br />

evolve.<br />

Dr McAllum noted “the<br />

exceptionally interesting<br />

work” being undertaken into<br />

the injection of proliferated<br />

endothelial cells into the<br />

anterior chamber to heal corneal<br />

endothelial damage. Professor<br />

Shingeru Kinoshita, from the<br />

Kyoto Prefectural University<br />

of Medicine in Japan, is at the<br />

forefront of developing this new<br />

technique.<br />

Dr McAllum closed the evening<br />

with some images from the<br />

Gallery of Modern Art (GOMA) in<br />

Brisbane, where the event was<br />

held and encouraged everyone<br />

to visit.<br />

The next Eye Doctors’ Grand<br />

Round will be held at Ormiston<br />

Hospital on 28 June by invitation<br />

only, given the space constraints.<br />

The final Grand Round for the<br />

year will be held at Novotel in<br />

Green Lane on 8 November. ▀<br />

Eye Doctors Grand Rounds <strong>2017</strong><br />

. Wed 28th June, Ormiston Hospital . No registration fee<br />

. Wed 8th November, Novotel, Ellerslie . CPD points available<br />

. www.eyedoctors.co.nz<br />

ASCOT CLINIC (09) 520 9689 - BOTANY JUNCTION (09) 277 6787<br />

Dr Shuan Dai<br />

FRANZCO<br />

Dr Andrew Riley<br />

FRANZCO<br />

Sally Adams and Dr Mark Donaldson<br />

Martin Boase and Yonus Bhikoo<br />

Donald Klaassen, Melinda Nordin and Dr Penny McAllum<br />

Dr Mark Donaldson<br />

FRANZCO<br />

EYE 0810<br />

<strong>May</strong> <strong>2017</strong><br />

NEW ZEALAND OPTICS<br />

23


Style-Eyes<br />

Framing a face<br />

Despite being in the fashion industry,<br />

the only item I ever spend decent<br />

money on is eyewear. Glasses are<br />

the easiest way to make a style statement;<br />

there are few things so intrinsically part of an<br />

identity that forge such an immediate visual<br />

link between the wearer and their personality.<br />

That is what’s so great about glasses as<br />

a fashion accessory – they can be a true<br />

expression of who you are with the added<br />

bonus of helping you see. But just like people,<br />

faces come in all sorts of shapes and sizes and<br />

understanding which optic frames fit best can<br />

be the difference between a look being sleek<br />

or flop.<br />

If you can’t determine face shape, brush<br />

hair back and snap a picture directly facing<br />

the camera (or phone) and work it out<br />

by tracing around the outlines. There are<br />

various variations but generally there are five<br />

common face shapes.<br />

Square<br />

Square-shaped faces have a strong jawline,<br />

broad forehead, wide jaw and square chin.<br />

The right frames for square shaped faces are<br />

all about softening angles with curved shapes<br />

to lengthen the face and downplay sharpness<br />

of the jaw. Avoid boxy frames and those with<br />

colour emphasis on the bottom rim.<br />

Rectangle<br />

Lengthier and more tapered than square, the<br />

rectangular face is defined by a shape that is<br />

longer than it is wide and angular features<br />

such as high<br />

cheekbones,<br />

strong nose and<br />

tall forehead.<br />

Like a square,<br />

look for curvy<br />

styles and<br />

accentuated<br />

top rims to add<br />

width. Avoid<br />

small, square<br />

shapes that<br />

accentuate facial<br />

length.<br />

A fan of grunge<br />

and nineties<br />

fashion, blogger<br />

Robecca Leyden<br />

(pictured) has a<br />

rectangle face<br />

she counters<br />

with an<br />

oversized oval<br />

or round shape.<br />

“I have made<br />

them part of<br />

my signature<br />

style,” she says.<br />

“Sometimes I<br />

think an outfit<br />

looks better with glasses.”<br />

Round<br />

Round faces are pretty easy to spot, with<br />

broad foreheads, full cheeks and a curved chin.<br />

Angular or geometric styles that are wider<br />

than they are tall make the face look longer<br />

and thinner. Look for something equal to or<br />

slightly wider than the broadest part of the<br />

face and avoid small, oval or round frames,<br />

which can make a face look rounder.<br />

Style Blogger Rachel Gronback has a round<br />

face and says she naturally gravitates to more<br />

vintage style glasses because they seem to<br />

be universally flattering. “I generally wear<br />

oversize cateye frames to cover my brows and<br />

because I think they are effortlessly stylish,”<br />

she says. “I throw on some lippy and I am<br />

good to go.”<br />

BY MIRANDA LIKEMAN*<br />

Oval<br />

Those who are lucky enough to have an<br />

oval face look great in most styles. Evenly<br />

proportioned and softly rounded, oval faces<br />

are longer than they are wide and have<br />

balanced features. The oval-shaped face can<br />

wear almost any frame, so experiment with<br />

more structured shapes to soft curves… just be<br />

sure to steer clear of anything wider than the<br />

broadest part of the face.<br />

Heart<br />

Sweet, heart-shaped faces like Reese<br />

Witherspoon or Taylor Swift (pictured above)<br />

are the most feminine of all, featuring a wide<br />

forehead, high cheekbones and a delicate,<br />

narrow chin. Bottom heavy frames without<br />

decorative detail on the temples are the way<br />

to go. Stay away from wraparounds that are<br />

wider at the top, as these will echo the face<br />

shape rather than balance it.<br />

Men have different shaped faces too<br />

Don’t forget men – they don’t all necessarily<br />

have square or rectangle shaped faces. The<br />

current trend for males are key shapes from<br />

the sixties and seventies which fit most faces<br />

and are easy to wear, like the panto lens<br />

(round shape slightly wider at the top), classic<br />

Wayfarers or aviators.<br />

Round-faced actor Will Hall says “I’m<br />

an aviator man because they sit so nicely<br />

above the moustache.” He is also a great<br />

example of the importance of proportion,<br />

choosing frames that sit on the outside of his<br />

cheekbones because small lenses make him<br />

look awkward. “I ask for the biggest aviators<br />

they have.”<br />

Another famous fan of aviators is model,<br />

presenter and New Zealand’s most stylish<br />

man, Colin Mathura-Jeffree, who has an oval<br />

face. “I just think they are easily the most<br />

timeless design, effortlessly chic on both men<br />

and women,” he says.<br />

Rule of thumb<br />

In summary, a useful rule of thumb to<br />

determining suitably-shaped glasses is to<br />

maintain balance by finding a pair that<br />

contrasts face shape. If you have a client with<br />

a more angular face, suggest softening curved<br />

shapes: conversely if a face is round, a more<br />

square-shaped frame may suit.<br />

While not definitive, this should give you a<br />

good idea of what frames to consider when<br />

advising customers. However, remember<br />

these are guidelines – as with anything in<br />

fashion, confidence usually means you can<br />

pull off anything. ▀<br />

* Miranda Likeman has commented on style and the stylish as<br />

a fashion journalist for 15 years, including seven years running<br />

a successful designer clothing and accessories PR agency.<br />

Fashion update<br />

This month in the world of frames, there’s something<br />

for everyone – women, men and children. Although<br />

our days are getting shorter, new sunglasses are being<br />

launched in the northern hemisphere, so there’s also some<br />

sunny inspiration to consider for the seasons ahead.<br />

Blackfin<br />

Blackfin’s new<br />

sunglass range<br />

introduces three new<br />

models, two for women and the Oyster<br />

Bay BF779 (featured here) for men. The Oyster Bay has<br />

a chunky yet light look accentuated by the contrasting<br />

colour outer edge. This model is also available in black/<br />

silver with tinted grey lenses and dark grey/yellow with<br />

tinted gold lenses. Distributed by Beni Vision.<br />

Calvin Klein<br />

Calvin Klein Collection eyewear has taken the minimalist<br />

design aesthetic to the next level having all branding<br />

removed with no visible logo on the outside of the<br />

frame. The recognizable reverse hinge is now fully<br />

integrated throughout both the sun and optical<br />

collections. The CK8041, pictured here in black and gold,<br />

has a timeless feel to it and is, according to the company,<br />

inspired by industrial forms and surfaces accentuated by clean,<br />

sharp lines. Distributed by General Optical.<br />

La Matta<br />

Bold brand La Matta is releasing a new exclusive<br />

capsule collection made from new acetates where La<br />

Matta’s traditional animal print patterns are paired<br />

with small roses and other floral motives in fresh and<br />

bright summer colours. The LM 3210 is available in<br />

three different colour combinations. Distributed by BTP<br />

International Designz.<br />

Theo Eyewear<br />

Belgian brand Theo’s new series Kamasutra is inspired<br />

by the famous book and, just like its namesake, it’s<br />

all about what feels right for you. Titanium frame<br />

‘Rowing Boat’, featured here, is one of five differently<br />

shaped models which all come with two<br />

different coloured pieces,<br />

creating one original<br />

style. The two parts<br />

cross at the nose<br />

bridge and click into<br />

one another.<br />

Havaianas<br />

Stars and their eyes:<br />

Steve Buscemi<br />

Little Paul & Joe<br />

Xavier Garcia<br />

In 2014 a meme trend took the internet by storm. ‘Steve Buscemi<br />

eyes’ started with a tumblr feed where pictures of female celebrities<br />

were photo shopped with Steve Buscemi’s characteristic ‘wild eyes’,<br />

and the results were terrifying. Soon everyone from Michelle Obama<br />

to Disney’s Cinderella had suffered the Steve Buscemi treatment, with<br />

Buscemi himself commenting, “I think they look a bit hotter,” when<br />

asked what he thought about the trend. Although he didn’t find it that<br />

funny himself, he admitted his wife thought it was hilarious.<br />

A well-decorated actor, Buscemi has strabismus. He often gets cast<br />

in the role of the slightly unhinged – from Mr Pink in Reservoir Dogs to<br />

Carl Showalter in Fargo. His distinctive, dishevelled look is accented by<br />

those infamous eyes. ▀<br />

Little P&J Tommy<br />

Little P&J Lola<br />

Little Paul & Joe models Tommy 04-DE68 and Lola<br />

02-E373, are new additions to the Paul & Joe family.<br />

With 14 models for girls and four for boys, these<br />

colourful styles with quirky details don’t just suit<br />

little people’s faces but work for anyone in need of<br />

something small, says the company. All models are<br />

designed with spring hinges and are available in<br />

sizes 42 to 49. Distributed by Little Peach.<br />

Xavier Garcia’s colourful new collection is inspired<br />

by Garcia’s native city, Barcelona. The new<br />

sunglass collection, with models Bomba, Croqueta<br />

and Sifon, are made from acetate with their<br />

shapes and colours referencing the 60s, says the<br />

company. Sifon, featured here, has a boxy shape<br />

and strong detailing. Distributed by Cardinal<br />

Eyewear.<br />

C-Zone<br />

Combining classic style and state of the art<br />

technology, C-Zone’s new Crystal Spark models are<br />

inspired by the famous Murano glass work, says the<br />

company. The craquelure finish seen on the model<br />

P2204-60 featured here, is handmade through an<br />

epoxy process where transparent icy colours are<br />

applied to the bright surface of the hypo-allergenic<br />

stainless steel. Crystal Spark is also available in a<br />

panto shape and both come in a variety of bright<br />

colours. Distributed by Little Peach.<br />

The new collection of Havaianas Eyewear, made by Safilo for the<br />

famous Brazilian jandal company, features four distinct shapes in<br />

different sizes and, true to the spirit of the brand, are available in<br />

every colour under the rainbow. The models, named after Brazilian<br />

beaches, Paraty, Noronha, Rio and Trancoso, are made from acetate,<br />

polyamide and rubber. The lenses offer UVA/UVB protection with<br />

various finishes such as gradient, mirrored and solid. Each frame<br />

comes with a neoprene pouch. ▀<br />

24 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


Frame: Miramar<br />

Originals Collection is for creators.<br />

Because we like people who seek and find, the ones that<br />

never give up. Because we like people who are capable of<br />

transforming things, of giving beauty and value to a raw<br />

material. People who dress the world in poetry and art.<br />

<strong>May</strong> <strong>2017</strong> NEW ZEALAND OPTICS<br />

General Optical NZ Toll Free: 0800 141 444 customerservice@genop.co.nz www.generaloptical.co.nz<br />

25


To refer or not to refer?<br />

by<br />

Chalkeyes<br />

I<br />

had an enlightening conversation recently.<br />

A -9.00D myope in glasses who had some<br />

disquiet after an experience with a shopping<br />

mall optometry store (no qualms with the glasses<br />

– just the examination) had approached his GP<br />

to recommend an optometrist that was more<br />

“thorough”.<br />

The GP refused to make any recommendation<br />

and, “under siege,” copped out by suggesting<br />

he approach an ophthalmology practice for a<br />

recommendation. The poor patient did as suggested,<br />

but the ophthalmology practice also refused to<br />

recommend an optometrist. This left the patient<br />

wondering whether the people he’d spoken too felt<br />

it was unethical to recommend someone. But then,<br />

he pondered, how are you supposed to find this sort<br />

of thing out if you are new to an area, like he was?<br />

This annoyed me, of course! The aforementioned<br />

patient ended up in my chair because the<br />

receptionist of one practice he’d visited had finally<br />

said, quietly, that she came to us and felt we did<br />

a good job, but it was policy not to recommend<br />

anyone specific. Ethics or commercial reasons?<br />

Fear of perceived favouritism, probably…<br />

Why was the GP prepared to recommend a<br />

specific ophthalmology practice and not, more<br />

appropriately, one of several well-tooled up<br />

optometry practices in the area who see a lot of<br />

tricky cases? If I was being charitable, I suppose<br />

a GP can’t be expected to appreciate the specific<br />

needs of a high myope, so we’ll call it ignorance.<br />

But this brings us to the changing world of<br />

optometry and what this might mean for those<br />

more dedicated to selling healthcare services as<br />

opposed to the retail aspects of the business –<br />

both worthy of course. I admire the courage of<br />

colleagues who’ve unshackled themselves from<br />

retail opticianry and gone to a service-only model.<br />

They are going to need a lot of recommending if<br />

they are to thrive, but I suppose you don’t need<br />

to pay prime retail rent or tie up as much working<br />

capital in frames, so the model does make sense.<br />

But I do wonder if they are going to enjoy the<br />

support of their colleagues that they should? It’s<br />

going to be an interesting test of the collegiality<br />

between what, are in many situations, commercial<br />

competitors both amongst individual optometrists,<br />

different models of optometry and increasingly<br />

between ophthalmology and optometry.<br />

Getting back to the high myope who’d initiated<br />

this pondering. His question was how was he<br />

to know where to go? He was new to the area?<br />

Google sent him everywhere. My quick search<br />

of the Google domain left me reminded that the<br />

bigger the budget the better the website and the<br />

search function, but that didn’t help with knowing<br />

the quality of what you were looking for. Despite<br />

everything, word-of-mouth advertising is still by<br />

far our best marketing tool, even today and even<br />

when it goes against company policy.<br />

Looking at it from the other side, a career<br />

practicing urban optometry, in an area where<br />

there is no shortage of ophthalmologists, has me<br />

pondering who to recommend or refer a patient to.<br />

We have a good gender spread, a good age spread<br />

and a good spread of subspecialties – so there’s<br />

plenty of choice in and around my area. Yet, this is<br />

a choice that should be made with care, because<br />

it will reflect on me and it’s never nice to hear that<br />

you got something wrong.<br />

I think the godlike status medical specialties<br />

enjoyed in the past has slowly given way to one<br />

where patients feel they need to both like and to<br />

trust the person with all the letters behind their<br />

name, which I believe, overall, is a good thing.<br />

Some, of course, do this much better than others.<br />

And some, such as anaesthetists, simply don’t<br />

have to worry about it as much, if at all!<br />

I do get a bit irritated, however, when I refer<br />

someone for phako and they are then discharged<br />

and left having to deal with unsuitable reading<br />

glasses as their primary vision correction. Really!<br />

In this day and age? Have you tried those things?<br />

I have some in the car that I bought (after a fit of<br />

forgetfulness) while away on holiday. I got the<br />

good $35 dollar ones too, but they are just nasty to<br />

read in, full of chromatic aberration. Not everyone<br />

is cheap and not everyone minds wearing glasses<br />

that give them comfortable vision at near, middle<br />

and distance vision. Some folks do make their<br />

way back in, complaining they aren’t coping<br />

and usually wondering why they were denied a<br />

more elegant visual solution in the first place.<br />

Prescriptions don’t change much after phako,<br />

but eyes do. Surely the occasional contact with<br />

optometry isn’t a bad thing after cataract surgery,<br />

so being able to recommend one, two or three<br />

good optometrists in an area is something we<br />

should all know how to do and we should do! ▀<br />

See p18-19 for how to deal with tricky customer<br />

reviews<br />

The views expressed by Chalkeyes are his, or<br />

hers, alone and not necessarily the views of NZ<br />

Optics . If you wish to comment on Chalkeyes’<br />

views, please email a brief letter to the editor at<br />

info@nzoptics.co.nz for consideration.<br />

MORE CLASSIFIEDS ON PAGE 28<br />

PART-TIME OPTOMETRIST<br />

HAMILTON<br />

Part-time optometrist wanted for weekend work, split between<br />

two practices in Hamilton. One of the days would be working<br />

with one of New Zealand’s top ophthalmologists assisting with<br />

the running of his clinic. The other day would be testing at a<br />

high-end fashion practice located in Te Awa mall.<br />

The work would be varied and educational, working with qualified<br />

staff and state of the art equipment. Remuneration based on<br />

experience.<br />

Please forward applications to info@insighteyecare.co.nz<br />

FULL-TIME OPTOMETRIST<br />

WHANGANUI<br />

Our client is seeking to employ a full-time optometrist. The<br />

practice is open seven days a week and you will be testing initially<br />

Monday to Friday, weekend work maybe be included in the future.<br />

The practice operates with fields, fundus, Tonoref and one fully<br />

automated refractor heads and one manual.<br />

The team within the practice is highly experienced (including<br />

three Dispensing Opticians) and looking forward to the<br />

introduction of a new senior team member.<br />

Start date is as soon as possible but remains subject to finding<br />

the right person, their experience and skill set. The package terms<br />

remain negotiable, but for the right candidate, the terms will be<br />

strong and there may be an opportunity to buy into the practice.<br />

Applications for this position (V332) close at 5pm Thursday 25<br />

<strong>May</strong> <strong>2017</strong>. Applications, CV and cover letter to stu@opticsnz.co.nz<br />

For more information, please call (03)5466 996 or 027 436 9091.<br />

Naomi Meltzer BSc, Dip Opt, PostGrad.Dip.Rehab.<br />

Low Vision Optometrist<br />

Ph: (09) 520 5208<br />

0800 555 546<br />

Fax: (09) 520 5515<br />

PO Box 28486<br />

Auckland 1541<br />

info@lowvsionservices.nz<br />

www.lowvisionservices.nz<br />

low vision<br />

services<br />

Low Vision Consultations available at<br />

REMUERA, TAKAPUNA, MANUKAU and PUKEKOHE<br />

An Optometrist dedicated to Low Vision support.<br />

DISPENSING<br />

OPTICIAN<br />

HAMILTON<br />

We are a small, busy practice<br />

requiring a dispensing<br />

optician. Based in rapidlygrowing<br />

Hamilton, we are a<br />

fun team who pride ourselves<br />

on delivering quality eyecare,<br />

eyewear and exceptional<br />

customer service.<br />

This role encompasses frame<br />

stock purchasing and has the<br />

potential for management<br />

responsibilities in the future.<br />

We consider our dispenser<br />

to be an integral part of our<br />

team so if you are looking for<br />

a position with variety, job<br />

satisfaction, and flexibility in<br />

a strong team environment<br />

please forward your application<br />

(CV and cover letter) to<br />

ghampton@visique.co.nz<br />

SALES<br />

PROFESSIONAL<br />

REQUIRED<br />

NZ frame distributor is looking<br />

for a sales professional with a<br />

passion for fashion.<br />

The successful candidate needs<br />

to be self-driven with a desire<br />

to build relationships and add<br />

value within all ranges and<br />

products for the independent<br />

market. Lens experience would<br />

be an advantage.<br />

Package to be discussed at<br />

interview only. Please forward<br />

expressions of interest and CV<br />

in strict confidence to<br />

info@nzoptics.co.nz, quoting<br />

code SPR05.<br />

NEED TO REPLACE YOUR LETTER CHART?<br />

AcuityKit has a comprehensive range of digital eyecharts for eye-care<br />

professionals. Ideal for low vision and domiciliary work.<br />

Visit our website www.acuitykit.com or email john@acuitkit.com<br />

DREAM OF<br />

TRAVELLING<br />

At OPSM, we are passionate about opening eyes to<br />

the unseen. Our advanced technology enables us to look<br />

deeper to ensure we give the best care to every customer.<br />

OPSM in New Zealand is looking to expand their Locum<br />

Optometrist network.<br />

LOCUM OPTOMETRISTS – NEW ZEALAND<br />

As a locum you will be your own boss, you will have<br />

the flexibility to set your own hours and will be exposed<br />

to lots of different patients and locations across New<br />

Zealand all while gaining lots of skills and experience.<br />

We are looking for Optometrists who share our passion, are<br />

willing to learn quickly and want to join our customer focussed<br />

teams in making a difference to how people see the world.<br />

WHAT’S ON OFFER:<br />

• Great working environment<br />

• Fantastic locum rates $$<br />

• Accommodation and flights<br />

• Latest technology<br />

• Luxury brands<br />

• New friends and having fun<br />

JOIN OUR TEAM<br />

For a chance to be your own boss and part of an amazing<br />

team, contact us for a confidential, no obligation chat.<br />

CONTACT:<br />

Hirdesh Nair<br />

hirdesh.nair@opsm.co.nz or call +64 21 523 282<br />

OPSM.CO.NZ/CAREERS<br />

26 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>


SHIRLEY &<br />

LOWER HUTT<br />

OPPORTUNITIES<br />

AVAILABLE<br />

TODAY!<br />

ISLANDS<br />

THE BEST OF BOTH WORLDS.<br />

OPPORTUNITY KNOCKS IN<br />

WELLINGTON & CHRISTCHURCH<br />

As <strong>2017</strong> gathers pace, so too do the opportunities for optometrists at all stages<br />

of their careers in and around both Wellington and Christchurch.<br />

A number of Specsavers stores are available for you to choose from – and we have multiple positions available, depending on your experience.<br />

We have graduate positions, full-time roles, locum opportunities – and we can even discuss the pathway to partnership if you believe you are ready to<br />

look at store ownership.<br />

Whatever your situation, there has never been a better time to talk to our team about what roles are available now and what is in the pipeline. While 2016<br />

was another year of strong growth for Specsavers stores across New Zealand, <strong>2017</strong> promises just as much for those looking to develop their careers.<br />

Talk to us now and we can tell you about great rates of pay and our unrivalled professional development program.<br />

Contact Chanelle Coates on 0800 717 350 or chanelle.coates@specsavers.com<br />

SEE OUR SHIRLEY AND LOWER HUTT OPPORTUNITIES ON SPECTRUM-BLOG.COM<br />

Millward Brown<br />

Research<br />

No.1 for eye tests<br />

2016<br />

Excellence in<br />

Marketing<br />

Award<br />

2016<br />

Retail<br />

Store Design<br />

Award<br />

2016<br />

Retail<br />

Employer<br />

of the Year<br />

2015<br />

Overall<br />

National<br />

Supreme Winner<br />

2015<br />

Franchise<br />

Innovation<br />

Award<br />

2015<br />

NZ Franchise<br />

System of<br />

the Year<br />

2014<br />

Retail<br />

Innovator<br />

of the Year<br />

2014<br />

Roy Morgan<br />

Research<br />

No. 1 for eye tests<br />

2014<br />

FCA Social<br />

Responsibility<br />

Award<br />

2014<br />

<strong>May</strong> <strong>2017</strong><br />

NEW ZEALAND OPTICS<br />

27


MORE CLASSIFIEDS ON PAGE 26<br />

RECEPTIONIST/OPTICAL ASSISTANT<br />

AUCKLAND<br />

Experianced optical assistant required for independent practice<br />

in Auckland. Option of part or full-time for the right person, no<br />

late nights or weekends. Must genuinely enjoy providing special<br />

service with a smile!<br />

Please send application (CV and cover letter) to Jenny Ogier at<br />

jenny@gp-optom.co.nz<br />

OPTOMETRIST LOCUM/CONTRACT<br />

HAMILTON<br />

Paterson Burn Optometrists is looking for an experienced<br />

Optometrist to join our team on a locum/contract basis.<br />

Paterson Burn Optometrists is one of the largest independent<br />

optometry practice groups in New Zealand. Our core purpose is<br />

to improve people's lives by providing the best visual solutions<br />

available. We value respect, integrity, accountability, enjoyment,<br />

continuous improvement, freedom for initiative and teamwork.<br />

The position is flexible and requires you to provide cover at any<br />

of our nine branches during extremely busy periods and covering<br />

staff holidays. To apply, please email your CV and a cover letter to<br />

sandri@patersonburn.co.nz<br />

DISPENSER/OPTICAL ASSISTANT<br />

We are looking for a Dispensing Optician or an experienced Optical<br />

Assistant who has a passion for eyewear and a keen eye for detail<br />

to join one of our stores in Hamilton.<br />

The position is 30 hours a week with the possibility of full time<br />

for the right candidate. You must be available for a late night and<br />

either a Saturday or Sunday.<br />

Please send application (CV and cover letter) to<br />

info@flagstaffeyecare.co.nz<br />

OPTOMETRISTS, DISPENSING<br />

OPTICIANS & OPTICAL ASSISTANTS<br />

TAURANGA<br />

New practice in Mt Maunganui, open seven days a week, seeking<br />

optometrists, dispensing opticians and optical assistants. All staff<br />

will share an equal rotation of working days. The practice has the<br />

very latest optometry equipment and is (excitedly) building faster<br />

than expected.<br />

Applications for the above-listed positions are welcome (from<br />

experienced candidates only) via email, pre-deadline of 5pm<br />

Thursday 18 <strong>May</strong> <strong>2017</strong>. You must be able to work in New Zealand<br />

to apply for these positions. Position reference V330.<br />

Like the idea of moving to Tauranga? For more information, please<br />

contact Stuart Allan at OpticsNZ on (03) 5466 996 or 027 436<br />

9091 or email stu@opticsnz.co.nz<br />

PRACTICE FOR SALE<br />

CHRISTCHURCH<br />

Unique opportunity to acquire long established practice in the busy<br />

Riccarton suburb of Christchurch. The spacious premises are fitted<br />

out to a high specification custom design and have an excellent<br />

high profile location on Riccarton Road opposite Westfield Mall. The<br />

client base is large, extremely loyal and appreciates the individual<br />

and personal clinical service that the practice offers alongside<br />

high quality optical dispensing. With scope for further growth this<br />

practice offers an exceptional opportunity to practice your own<br />

brand of independent optometry.<br />

For a confidential discussion email Julia Saulsbury:<br />

js.visoncare@xtra.co.nz<br />

DISPENSER/PRACTICE CO-ORDINATOR<br />

DUNEDIN<br />

Stewart Caithness Gray Optometrists is a highly respected<br />

independent practice in Dunedin. Our experienced team provides<br />

a high level of eye care and eye wear to our patients, complimented<br />

by our on-site lab.<br />

We are looking for a practice co-ordinator who ideally would be a<br />

dispensing optician, or someone with equivalent experience, who<br />

has a passion for independent optometry. Your communication,<br />

interpersonal and management skills must be excellent. The<br />

position is full time but 0.8 FTE may be considered.<br />

We pride ourselves in providing excellence in eye care and are<br />

excited to be able to offer you this opportunity to join us. Please<br />

email Paul Gray paul@scgeyes.nz for further details.<br />

CHOOSE YOUR<br />

AUSSIE ADVENTURE<br />

WE SEE YOUR<br />

FUTURE WITH US<br />

At OPSM, we are passionate about opening eyes to<br />

the unseen. Our advanced technology enables us to look<br />

deeper to ensure we give the best care to every customer.<br />

At OPSM, we are passionate about opening eyes to<br />

the unseen. Our advanced technology enables us to look<br />

deeper to ensure we give the best care to every customer.<br />

OPTOMETRISTS<br />

QUEENSLAND & NORTHERN TERRITORY<br />

WITH ATTRACTIVE SALARY PACKAGES<br />

We are looking for Optometrists who share our passion<br />

and want to make a difference to how people see the<br />

world. Whether you like the city, the surf or the outback,<br />

we’ve got the role for you with our teams in:<br />

• Bundaberg<br />

• Cairns<br />

• Darwin<br />

• Katherine<br />

• Mackay<br />

• Mt Isa<br />

• Toowoomba<br />

• Townsville<br />

JOIN OUR TEAM<br />

You can look to take on a fixed period role or even<br />

consider a more permanent move – who knows,<br />

you might fall in love with the place. Depending on<br />

the location, salary packages up to 175K including<br />

superannuation, accommodation, annual return<br />

flights to visit family and friends and relocation<br />

support for the right candidate. Start your journey<br />

with us today! Graduates or recent graduates<br />

are very welcome to apply.<br />

CONTACT:<br />

Brendan Philp<br />

brendan.philp@luxottica.com.au or call +61 418 845 197<br />

Kim Shepherd<br />

kim.shepherd@opsm.com.au or call +61 408 763 575<br />

OPSM.COM.AU/CAREERS<br />

OPTOMETRISTS<br />

NORTH & SOUTH ISLAND, NEW ZEALAND<br />

Our New Zealand business is looking for passionate<br />

Optometrists to join the team.<br />

Riccarton – full time<br />

Willis St – full time<br />

Merivale – full time<br />

Bayfair – full time<br />

Whangarei – full time<br />

Wellington Float – full time<br />

Thames – full time<br />

Dunedin – full time<br />

The Plaza – full time<br />

Napier/Hastings – 32 hours per week<br />

When you join OPSM, you work within a team who<br />

are committed to providing the best possible eyecare<br />

solution with exceptional customer service. You will work<br />

with world class technology including our exclusive<br />

Optos Daytona ultrawide digital retina scanner. You<br />

will have many opportunities for continuing professional<br />

development and can enjoy career flexibility through<br />

our extensive store network. You can also make a<br />

real difference in the way people see the world by<br />

participating in our OneSight outreach program.<br />

JOIN OUR TEAM<br />

Start your journey with us today! Recent graduates are<br />

very welcome to apply.<br />

CONTACT:<br />

Hirdesh Nair<br />

hirdesh.nair@opsm.co.nz or call +64 21 523 282<br />

OPSM.CO.NZ/CAREERS<br />

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28 NEW ZEALAND OPTICS <strong>May</strong> <strong>2017</strong>

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