Archive for April, 2022

How prescription glasses are made

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Watch how your glasses are made after your sight test.

This is what happens behind the scenes once you have your prescription ready and you have picked your frames and lenses.

Things may vary depending upon your prescription, requirements and location, but the general practice is the same.

There are two types of lenses that your prescription will be, Stock lenses, or Surfaced lenses.

Stock lenses are mass produced and are available in thousands of different prescriptions and lens types. They are pre made and ready to use which makes the turn around time quicker and these types of lenses can also be held in stock by your eyewear or manufacturer. There are limitations to these stock lenses in terms of what prescriptions and labs types that are available.

This is where Surfaced lenses come in to play, these lenses are custom made, specifically to your prescription, measurements, frame type and other important factors. Varifocals, Bifocals, complex or higher prescriptions are all examples of surfaced lens. As they are custom made, they do take longer, depending where you are in the world.

The blocking and tracing process is standard procedure for all types of eyewear manufacturing, albeit changing ever so slightly depending upon what type of lenses and/or frame you are ordering.

The tracer scans the inside rim of the frame to take various measurements, it also tells the other glazing/edging machine what shape to cut the lenses.

The second element is to “block” the lens. This is the process of applying a special plastic block with an adhesive pad to help it stick to the lense. It’s this block that holds the lens in place in the chucks (where the lens is held) during the cutting/edging/glazing process. The location of the pad on the lens is crucial as it is apparent to the various elements of your prescription and personal measurements.

When the lens is ready for cutting, the information is sent over from the other machine so it knows what shape to cut the lenses to.

The edging/glazing machine will use various process and tools within the machine, depending upon what the lens type and frame are. Times will vary during this process but the process for most lenses is under 5 minutes per lens. Complex lenses such as rimless (with holes that need to be drilled) or special lens materials such as polycarbonate normally take longer.

When the lenses are cut, they are then ready to be assembled with the frame. Plastic frames (not all) may require a frame heater to make the plastic softer and easier to work with when inserting the lense. A metal frame that requires screws, simply requires and optical screwdriver for assembly.

I always use a thread lock on the screw thread as it prevents them from falling out or coming loose over time. I do not use this type of thread lock when using polycarbonate lenses as the chemicals from the thread lock can damage the lens.

Once the glasses are assembled, it’s then time to put them through quality control. Here lots of different aspect are checked, such as the prescription, measurements, order details and much more. Here is where I also inspect the lenses and coatings for quality. The glasses are only able to leave the lab once they are checked off and they have passed all checks.

Thank you for taking the time to watch and read my content.

If you found this useful then please let me know by giving the video a thumbs up.

Stay up to date with my content by subscribing to my channel where I take you behind the scenes and show you everything about eyewear and lenses.

As usual, any questions at all, please let me know in the comments and I’ll get back to you.

#eyewear #howglassesaremade #glassesmakingprocess
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Healthcare Bluebook

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Healthcare Bluebook protects patients by exposing the truth about healthcare cost and quality so they can make smart choices. If you’re a physician, watch the video to discover how your referral patterns impact your patient’s total cost-of-care and how that affects your Patient Savings Rating. Then, you can claim and complete your Bluebook profile and take the pledge to become a Value Certified Provider. Together we’ll help patients get quality care at a Fair Price.
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Understanding Health Economics

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James Shearer is our Health Economics Methods Lead at Research Design Service London. Here he talks about health economics and how we can help.
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Hi, my name is Dr. Sanjay Sharma. I am a Professor of Ophthalmology and Epidemiology at Queen’s University. As a researcher, I am very interested in a particular area of epidemiology called health economics. Part of the goal of health economics is to work out the cost-benefit numbers for new interventions in a way that can help doctors and policy makers make the often difficult decisions on which interventions to pay for and which may be too expensive for public healthcare to fund.

I want to give you a high level overview of how we do this…

The key thing is being able to put a value on a new drug or procedure.  In healthcare we measure value in a unit called the QALYs or quality adjusted life years. One QALY is equal to living for one year in perfect health.

So how do we work this out? Well, what we do is we look at the average person with a specific disease and then we look at all the outcomes of that disease both with and without the intervention that we are evaluating.

For each possible outcome, we assign a probability and a utility score. The utility score is a measure of how much your quality of life would decrease with a certain outcome. For example, someone with wet macular degeneration might say that if they went blind, their quality of life would decreases by 55% – this would mean a utility score of 0.45.

Using a mathematical model called a Markov model, we combine the utility scores and probabilities and other factors to determine the average benefit to someone with a disease who takes the drug we are evaluating. We calculate that benefit over the course of the treatment, and end up with the increase in QALYs caused by the drug.

The next thing we do is look at the costs to society as a result of each outcome. Most obviously we have to look at the cost of paying for the drug treatments, but then we also have to take into account the total cost of each possible outcome associated with both receiving treatment and not receiving treatment.

For example, in eye-care, we also have to consider the costs to the healthcare system if a patient went blind, including personal assistance, patient education and continuing medical care. In this case, the blindness could have been caused by adverse effect of the drug or through not taking the drug at all.

Once we have determined the costs we can calculate the cost per QALY, or, how much does it cost us to gain the equivalent of a year in perfect health for a patient. This cost per QALY becomes a standardized metric to evaluate new interventions

The typical scenario is that a new intervention provides an improvement in the length or quality of life, but costs money. Then health economists and doctors argue it out as to whether government should pay for the intervention. Most governments fund things that cost less than ,000 per QALY and do not pay for others that are more costly.
It is a complex analysis and we have only brushed the surface, but I hope I have been able to give you a small glimpse into how health economists work and how their analysis helps us run our healthcare system with a reasoned approach.

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