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Issues and News from your Association

By Mary Field

Of Special Note
An issue concerning the community of francophone opticians, and by extension all Canadian opticians, has come to our attention. In early April the Superior Court of Québec issued a judgment that has instructed the respondent, l’Ordre des opticiens d’ordonnances du Québec, to rescind a Standard of Practice document (referred to in the judgment as the Guide) that it published and distributed to its members. This document lays out the recommended practices for dispensing contact lenses.

The present Guide is designed to outline the conditions under which professional services for contact lenses should be performed by members of l’Ordre des opticiens d’ordonnances du Québec. It applies to the site of the service, to the equipment utilized and to the profession’s activities required in the professional practice of fitting contact lenses. Those activities include observing under magnification the sclera and surface blood vessels, the limbus and neighbouring blood vessels, the eyelids and conjunctiva, the corneal integrity and the epithelium and tear flow.

The petitioner in this case is the Québec optometric association and, acting as intervener, l’Ordre des optométristes du Québec. In the reasons for judgment, Justice Marie-France Courville stated she had been swayed by the argument made by l’Ordre des optométristes that in examining the tissue of the eye under magnification, opticians have been performing an act restricted to optometry.

It is beyond the recollection of many opticians today but this situation is a duplicate of a case that took place in the 1950’s in Saskatchewan in the early days of contact lens fitting. Manitoba optician Peggy Grey was one of the few people in Western Canada, including opticians, optometrists and ophthalmologists, acknowledged as an expert contact lens fitter. Ms. Grey traveled from Thunder Bay (at that time Port Arthur/Fort William) to Saskatchewan, working with ophthalmology to provide contact lens fitting services. In those days not many people were too interested in contact lens fitting because the only lenses available were large scleral lenses. Fitting required huge amounts of patience, was time consuming work and the return on investment was not a great incentive.

With the advent of the more forgiving soft contact lens, which made fitting easier, an increasing number of optical professionals began offering the service. Saskatchewan optometrists challenged Ms. Grey’s right to fit contact lenses based on her use of the slit lamp biomicroscope and claimed that in doing so she was performing an examination of the eye – an act which it was claimed, was outside her scope of practice. The judgment in that case was in favour of Ms. Grey.

It is our understanding l’Ordre des opticiens d’ordonnances du Québec will appeal the decision of Justice Marie-France Courville.

Refracting Opticians in France
We have reported previously on proposed legislation in France and England that would allow opticians in those countries to provide refracting services under specified circumstances. Some of the conditions set out in the new legislation, as we understand it, are:
• The optician may perform refraction provided that the client has originally received a prescription that is less than three years old.
• The refracting optician must advise the original prescriber if the refraction reveals a change in prescription so that the prescriber’s records can be kept up-to-date.
• The refracting optician must wear an identifying badge and must perform the refraction in a suitable environment using appropriate equipment.
• Suitable candidates must have a prescription that is no more than three years old and must be no younger than 16 years of age.

Canadian Safety Eyewear Program
In January of 2007, the OAC began administration of the Canadian Safety Eyewear (CSE) program, which has been active in Alberta for several years. Since January the administrative office has gone through the process of learning existing procedures and modifying them to suit a national rather than a provincial focus. We are now confident in offering this service to all OAC members across Canada. In essence the CSE program provides negotiated member prices on safety frames from On-Guard Safety Corp., Titmus Optical and TEK Canada Optical and provides a safety lens price list, which may be adopted, upon formal agreement, by a laboratory of the member’s choice.

OAC members who wish to access the program are paid a generous fitting fee and can receive a finder’s fee incentive for bringing new industry contracts to the program. All invoicing and payment is done through the OAC administrative office. So there is a terrific opportunity for any optician who wishes to augment business with the steady income a safety contract can provide. Whether the industry is large or small, employers must provide a safe work environment so safety eyewear is a natural fit. All you have to do is look around you and identify potential sources of business. For more information about the OAC Canadian Safety Eyewear program contact the OAC office.

Vision Canada Optical Services Buying Group
The Vision Canada Optical Services (VCOS) Buying Group is not restricted to OAC members. Over 40 industry suppliers including frame, lens, contact lens and laboratory suppliers now service VCOS. Not only do you benefit from the purchasing power of the buying group but also at the end of the year you get a rebate based on your volume of purchases. When you do your purchasing through the VCOS Buying Group it is easy to manage your cash flow because you pay a single statement that combines your purchase from all companies rather than making out a cheque to each individual supplier.

Vision Canada 2007 Features Special Workshop for Business Owners
Here’s a heads up for business owners wishing to sign up for the three-hour business workshop Vision Canada is hosting in conjunction with its 2007 conference in Kelowna. What better theme to address than the perils of doing business in today’s competitive dispensing market? Grady Lenski, director of marketing for Transitions Optical, is facilitating the workshop entitled “Navigating Uncharted Waters”. Mr. Lenski has special expertise in strategy development, planning and organizational development. He will assist registrants in more clearly understanding how the game is played under today’s rules and how to develop a winning strategy. The workshop will take place on Sunday afternoon from 1:00 until 4:00 so you won’t have to miss the Sunday morning keynote presentation at this year’s conference. The workshop is limited to 30 participants so send in your registration now.