Your ability to win over dissatisfied patients correlates with the enthusiasm and confidence you convey in your ability to address their issues.Ĭonditions such as allergic conjunctivitis can hinder success and must be addressed to ensure patient comfort and continued multifocal lens wear.
Instead, reinforce your understanding of the patient’s limitations with their current contact lens brand and prescription, then highlight your plan to assess their vision and find opportunities for improvement. This can leave the patient feeling as if they invested in a process that will yield meager results. While having appropriate expectations is important, avoid trying to immediately lower the patient’s expectations after a disappointing initial experience. Patients with specific multifocal complaints such as distance blur, glare or inadequate near vision may be disappointed in the performance of the lenses. For example, limiting contact lens use to only evenings or weekends generally indicates a problem with vision or comfort that limits contact lens wear in the workplace. These questions may help you realize that even if your patient’s current contact lenses are “fine,” their pattern of contact lens wear may highlight deficiencies. What do you wish you could see better with your contact lenses?.How often do you use reading glasses over your contact lenses?.How well can you see your phone and computer?.How is your vision when driving or looking far away?.At what time do your contact lenses begin to feel uncomfortable?.Would you like to wear your contact lenses longer each day?.Why don’t you wear your contact lenses every day?.
In addition to the typical, “When and how long do you wear your lenses?” question, some others you can ask to help uncover room for improvement include: When asked about their comfort or quality of vision, they may shrug and remark that they are doing “fine.” This short, nondescript answer is unhelpful and means you need to do more digging to get the real picture. Click to enlarge.Ĭontact lens wearers are not always forthcoming about problems. With today’s advances, soft multifocal lenses present many benefits to patients, and it’s worth the extra time it takes to fit them successfully. Here we discuss strategies for identifying dissatisfied patients, improving communication regarding lens wear and optimizing lens performance. Changing how you communicate and re-structuring how you troubleshoot can flip your failures into successes. However, a successful multifocal fit doesn’t have to be a rarity. Vision and comfort issues can make multifocal fitting complex and, too often, unsuccessful. At times you may also feel unhappy and frustrated yourself. Also, I am deliberately not divulging my aperture, though it is the same for every image.If you work with multifocal contact lenses, you also deal with unhappy, frustrated patients. The focal lengths used for all the example shots are (on a full-frame body) 16mm, 35mm, 70mm, and 150mm note that I backed up with each shot to keep the framing constant. This first set of images was taken with my subject about two feet away from the front door of the house. To demonstrate the factors affecting background blur, I’ve created some example photos of a friend’s daughter (she was a more willing subject than my husband!). Make sense? The background blur factors: a quick demonstration You just have to carefully control the other background blur factors. So even if you have a lens with a relatively narrow maximum aperture, such as f/5.6, you can get the look you’re after. If you use a wide aperture, you’ll get a blurry background, sure – and this is what most photographers think of when they see beautiful background bokeh.īut you can use a relatively narrow aperture and achieve the same look with a longer focal length, or by increasing the subject-background distance, or by getting closer to your subject. the distance between your camera and the subject.the distance between the subject and the background.
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