Eyes Wide Open Podcast Host, Dr Glen Chiasson explores the field of myopia management, particularly the use of new spectacle lens options from ZEISS that are specifically designed to reduce myopic progression in children.

Glen interviews Dr. Jeff Goodhew, who launched their optometric practice into myopia management four years ago. Along the way, Jeff and business-life partner Dr. Tina Goodhew, learned about the new technologies and evolved their practice protocol to optimize how patients and parents were educated about treatment options for myopia control.

Best Quote:

“We can’t think that glasses are simply a fix for the refractive error, they are a therapeutic option to treat myopia.”


Dr. Jeff Goodhew

About the Guest

Dr. Goodhew graduated from the University of Waterloo with his Optometry degree in 1993 and became therapeutically licensed in 2000. He enjoys being an active part of his profession, having served as the President of the Ontario Association of Optometrists from 2014 through 2016. Dr. Goodhew also served as the co-chair of the National Public Education Committee for the Canadian Association of Optometrists. Dr. Goodhew has served as a consultant/speaker for ZEISS, Alcon, Johnson & Johnson Vision Care and Cooper Vision.


Episode Notes

The Brien Holden Institute predicts that ½ the world’s population will be myopic by the year 2050 and the linkage of severe juvenile-onset myopia to later-in-life serious eye diseases is well-known.

Jeff offers tips on integrating myopia management into your practice, and the need for well-defined processes to optimize patient care and define a practice protocol.

He discusses ZEISS spectacle lens options for myopia management, and what role these more benign treatment options play in myopia management, including their mechanism of action, which lens option to use for various cases and what results might be expected.

Dr. Goodhew stresses the opportunity in myopia control for Optometry and shares an interesting anecdote about an encounter with a Family Physician on the role of Optometry versus Ophthalmology.



Dr. Glen Chiasson

Dr. Glen Chiasson

Dr. Glen Chiasson is a 1995 graduate of the University of Waterloo School of Optometry. He owns and manages two practices in Toronto. In 2009, he co-hosted a podcast produced for colleagues in eye care, the “International Optometry Podcast”. He is a moderator of the Canadian Optometry Group, an email forum for Canadian optometrists. As  a host of  “Eyes Wide Open”, Glenn  looks forward to exploring new new technologies and services for eye care professionals.

Dr. Chiasson enjoys tennis, hockey, and reading. He lives in Toronto with his wife and two sons.

Dr. Chiasson splits EWO podcast hosting duties with Roxanne Arnal.


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According to the Brien Holden Institute the number of global myopes will reach 2.5 billion by 2020.  While the alarming incidence rates, severity and sight-threatening consequences are often reported in the context of Asian populations, Canada is not immune to the myopia epidemic. Myopia is not just an issue in the high Asian populations in our urban centers.

A Canadian pilot study in a suburban area by M. Yang et al. (Univ. of Waterloo) reports an increasing rate of myopia from 6% in 6-8 year olds and 29% in the 11-13 year cohort, and that 35% of myopic children were uncorrected.  Canadian Optometry needs to be ready to answer the call.

Scott Mundle, makes the case for Optometry to take the lead in Myopia Control before others do.

Click Here to View Article.

Historically, the treatment options included the use of specialized contact lenses using Ortho keratology, atropine eye drops and lifestyle counselling. Ortho-K has garnered loyal advocates and remains a very useful tool in the armamentarium of the eye care practitioner.

New Convenient Modalities are Welcomed Additions
More recently newer medical device options, specifically indicated for myopia management, offer more familiar choices device options in the form of spectacle lenses and soft contact lenses.  Do these new treatment options offer a possibility of broadening the number of optometrists that engage in myopia management? Only time will tell. But the addition of well researched, clinically effective, practical, and well-accepted modalities is a welcome development. addition.

Bifocal and Progressive spectacle lenses have, of course, been widely used by practitioners for many years, and there are many studies which have evaluated their efficacy.

Dr. Farah Sunderji, Calgary, has done an excellent job of summarizing the historical use and clinical results of traditional spectacle lenses in a recent article in Clinical & Refractive optometry.

Her review of studies using traditional bifocal and progressive spectacle lenses shows a limited efficiency in the use of such lens designs, except in a relatively small sub-set of children with near esophoria.

New Specifically Designed Spectacle Lenses Now Available
Dr. Sunderji also documents the extensive design analysis and clinical assessments of new lens designs for myopia management.

These new spectacle lens designs have their basis in the widely accepted causal theories of myopia, including the accommodative lag (AL) theory and the peripheral defocus theory that hyperopic blur on the periphery of the retina stimulates myopic onset and progression.

ZEISS MyoKids Pro, a customized PAL design specifically for myopia management, was developed from extensive design analysis of various PAL designs. This analysis points to lens design with more negative horizontal mean power gradients adjacent to the near zone are more effective. Also, beyond standard PALs, this new lens design coupled with advanced technology facilitates optimization for children’s unique facial characteristics.

ZEISS MyoVision Pro, based on the peripheral defocus principles, is a good choice for childing currently wearing single vision lenses looking for the easy wearing and adaptation properties of Single Vision Lenses.

The use of new spectacle lens designs provides a familiar and comfortable option to eye care practitioners wishing to engage in myopia control and offer an opportunity to bring more ECPs into the arena and supports long-term benefits to patients and their families.


New Spectacle Lens Designs Specifically for the Management of Juvenile-Onset Myopia
Farrah Sunderji, OD

This article is available as a complimentary COPE-Accredited Course online at Clinical & Refractive Optometry made possible by an unrestricted education grant from Carl Zeiss Canada Ltd.


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Despite the fact that most of your clients own numerous pairs of gloves and shoes, several hats or caps and many other accessories that serve to improve their comfort and enhance their appearance, getting them to buy a second pair of glasses is often a real challenge. And yet, glasses serve a dual function as a medical/well-being necessity and a fashion accessory. Both functions provide excellent starting points for selling multiple pairs of glasses.

Why do some wearers own more than one pair of prescription glasses? A survey of about 10,000 Americans conducted by Vision Council[1] has some answers. For 39.3% of respondents, it is important to have an extra pair of glasses as a back-up. 36.9% of people gave convenience as the reason: a different pair of glasses in different locations (home and office). The third reason given was functionality; 34.2% of multiple pair eyewear owners have different pairs for different activities. This reason was popular among men over the age of 45.  Finally, a handful of people stated fashion as their reason (to complement their wardrobe). A more recent survey conducted by VuePoint IDS also found that the “fashion accessory” aspect was one of the least popular arguments used by Canadian eye care professionals to encourage the sale of multiple pairs.

VuePoint research indicates, that Function trumps Fashion, when it comes to advocating a second pair sale.

Over the last few years, pollsters have not seen any major swings in the intentions of wearers. It is therefore up to eye care professionals and the industry as a whole to educate the client to associate visual comfort with wearing a different pair of glasses for different activities.

The Power of Advice

Of course, clients have access to information everywhere, namely on the Web. Are they well informed? Not necessarily, but they are willing to listen to advice. One of the main influences on consumers when choosing their glasses is the recommendation of their eye care professional. It is well known that advice provided in the examination room is golden. That’s the first key to success, according to a recent poll by VisionWatch,[2] followed by appearance and affordability.

Considering that only 20% of patients[3] own a second pair of glasses, the potential is enormous. Manufacturers are doubling their efforts to help you give the best advice, to increase sales and to encourage people to purchase multiple pairs of glasses.

In our December survey, 60% of our readers stated that they need more training to perfect the technique of selling multiple pairs. On top of reducing the cost of lenses, that’s what ZEISS proposes with its marketing material and training to encourage the sale of multiple pairs. At the same time, ZEISS has launched a DriveSafe ad campaign targeting consumers. The lenses are designed to provide the best vision while driving in all conditions. Compelling safety arguments are likely to positively influence clients and convince them to purchase a second pair of glasses.

Oakley has also launched its prescription sun lenses with Prizm technology to enhance vision for people who enjoy outdoor recreation activities. These lenses facilitate outdoor activities such as golf, baseball, hiking and cycling. Essilor recently introduced a line of lenses for connected people. The Eyezen lens won the Silmo d’or 2015 award and is designed for most patients who are worried about the effects of blue light from digital devices.

Room for Education

“Did you know that 25% of consumers are willing to invest in a second pair of glasses when they are told it’s the best visual solution? Informing the client about available products is educating them, advising them, and guiding them to make an immediate or future purchase. Various concrete actions can be implemented to create opportunities to recommend a second pair,” says Arnaud Reichenbach of Essilor’s client service department.

Reichenbach believes that you can spend a great deal of time and money developing new strategies to attract clients, but often the potential is already in your office. With the right tools, you can take advantage of that potential. Initiating the discussion in the examination room, keeping the message consistent, knowing your offer well, and identifying the advantages and benefits for consumers are all marketing elements that will help you sway them. Ask questions that give you an idea of your clients’ individual needs. The questionnaire will provide valuable information to help you make the sale. Using open-ended questions to identify needs and closed-ended questions to confirm them creates an opportunity to reinforce the validity of purchasing multiple pairs.

“Everyone can benefit from owning multiple pairs, each tailored to a specific visual need: Crizal® No-Glare lenses, Xperio® sun lenses, Essilor® Junior lenses, Transitions® lenses, Essilor® EyezenTM lenses, Varilux® DigitimeTM specialized lenses, protective eyewear for sports, lenses that filter blue light such as Crizal® PrevenciaTM, not to mention current promotional programs such as Perfect Pair or Multi-Pair PlusTM. Of course, you need to automatically tell consumers about these products,” concludes Arnaud Reichenbach.

Encourage Trying Different Lenses

Consumers may think that, due to the fact that they darken when exposed to sunlight, photochromic lenses are a substitute for sunglasses, reducing the possibility of selling multiple pairs of glasses. “This is not the case,” says Isabelle Tremblay-Dawson, marketing director at Transitions Optical. “According to our research, 33% of Canadians, independent of whether or not they wear Transitions lenses, buy a second pair of glasses. This shows that proposing Transitions lenses does not hinder the sale of a second pair of glasses and reinforces the main advantage of photochromic lenses as a first pair, which is to generate higher profits on the first pair of glasses, while leaving the door open to the sale of a second pair.”

But the Transitions study also shows that 38% of Canadians do not wear or stopped wearing (32%) Transitions lenses because they prefer sunglasses. This means that they were not informed of the differences between Transitions lenses and sunglasses.

There are numerous opportunities to promote the sale of a second pair of glasses during a patient’s visit. While discussing the patient’s visual needs, the optometrist can mention the advantages of Transitions lenses and talk about the additional benefits of polarized sunglasses for when the patient spends time in bright sun or in conditions where the sunlight is bouncing off surfaces such as water or snow.

“At the end of the consultation in the examination room, the optician should join the conversation. The optometrist can summarize the discussion with the patient about multiple pairs, thus opening the door for the optician to continue providing the patient with information about available products,” says Isabelle Tremblay-Dawson.

Incentives and Promotions

Stephanie Gingras, marketing and promotions specialist, points out that “when an eye care professional orders two Rx for the same patient with the same prescription, the ECP receives a 60% discount on the standard price listed for the second pair of lesser value. For independent offices, we offer a program that allows the ECP to easily offer a second pair.”

In addition, since April 2015, Hoya has developed an iPad app––HVC Viewer––which allows patients to experience the lenses before they wear them. In a few seconds, the patient can see the benefits of lenses and comes away with a highly motivating and personalized experience. This is a wonderful way to stay ahead of the game!

Lens design is another advantage when it comes to promoting multiple pairs. In particular, lenses designed with iD FreeForm Design Technology are progressive lenses supported by the Integrated Double Surface Design that provide a wider field of vision. Another example is the Array free-form progressive lens, which features variable length corridors for better adaptability and acuity, even when the wearer is in motion.

The Reading Corner

Most of the time, people in their forties start having a hard time reading restaurant menus or their smart phones.

Presbyopia affects 1.7 billion people worldwide today, and that number is expected to soar to 2.1 billion by 2020. A U.S. study showed that nearly half of young presbyopic patients avoid wearing reading glasses for fear of appearing old.[4]

These clients are therefore likely to be open to purchasing multiple pairs of glasses for reasons associated with appearance. Reading glasses aren’t what they used to be and manufacturers know how to design styles that are original and attractive. This is the case with Read Loop, a unique French company with a collection of about 60 extremely stylish and very colourful frames… Attractive to young (and not so young) presbyopic patients! ThinOptics recently introduced a line of ultra-lightweight, thin frames that can easily fit in your suit or jacket pocket, and its universal case can even be attached to the back of a smartphone.

Finally, a new study has confirmed that of the 77% of Canadians that require a prescription to see, 10% of them use reading glasses that they change every year or so. Over 3.4 million pairs were sold in the last year![5] This market, along with single vision sunglasses and protective eyewear, are key markets for starting a conversation about multiple pairs.

Some Keys for Multiple Pair Success: 

  • Understand the needs of each patient
  • Start the conversation about multiple pairs of glasses in the examination room
  • Sell the second pair before the first
  • Discuss eyewear designed for outdoor activities before indoor glasses
  • Talk about safety and visual advantages
  • Transfer information to the optician to ensure consistency in your message
  • Improve training in selling multiple frames for your sales team
  • Use available marketing tools to prominently display promotions
  • Identify frames that are part of a promotion to reduce the time it takes to select a second frame
  • Offer payment options, if any
  • Update the client’s file for the next visit. This will help you remember the last discussion you had, validate any changes in the client’s visual needs and adjust your recommendations accordingly.

Source: Inspired by our VuePointIDS survey, by Arnaud Reichenbach of Essilor and by the Review of Optometric Business (several articles by Mark Wright, O.D., FCOVD, and Carole Burns, O.D., FCOVD).


[1] http://www.theopticalvisionsite.com/marketing-trends/the-vision-council-report-fashion-v-s-function-in-eyewear/

[2] http://www.visionmonday.com/business/dba/article/doctorretailer-recommendations-among-top-reasons-consumers-cite-for-lens-choice/

[3] https://www.2020mag.com/CMSDocuments/2010/1/2ndPair_Guide_LR.pdf

[4] http://www.reviewob.com/new-study-nearly-half-of-americans-want-to-avoid-reading-glasses.aspx

[5] Study published by VuePoint IDS together with VisionWatch and VisionWatch Canada. https://infoclip.ca/en/insights-into-canadian-and-us-vision-consumers/


Isabelle is a longtime observer and chronicler of the optical industry and the Editor-in-Chief of OPTIK Magazine and Tmag Optical Trends, VuePoint Publications.


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