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Adjustment of Frame 1

Frame

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809 views20 pages

Adjustment of Frame 1

Frame

Uploaded by

chiamaka anthony
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Adjusting the Frame he purpose of this chapter isto convey the Fun= damental principles required for the mastery of on art Gtting the frame properly. Ifthe material covered! here is not mastered, many of the other princi- ples learned in other sections of the text will not work because the spectacles may not be worn as intended. CAUSES OF COMPLAINT The role of the physical features of a pair of spectacles and how well they are fit to the individual is erucial vo satisfaction and the ability of the individual to adapt to the new prescription. Kintner in his study of the rela tive role of the physical features serving as factors affect ing the wearing comfort of spectacles, concluded that the overwhelming majority of complaints were related to the fit of the frames—a direct result of the frame selection and spectacles adjustment. Many wearers seem more likely to tolerate spectacles in which the prescrip- tions are slightly awry if the frames fit comfortably. A wearer is not as likely to tolerate spectacles ifthe frames fit poorly even if the prescription is correct. The comfort and suitability of the fitting seem to be the most significant criteria for satisfaction, SECTION A Overall Frame Adjusting THE FITTING PROCESS A new frame should be in standard alignment (refer to Chapter 8) when it is received by the fitter. As discussed previously, however, this is not always the ease, so st wise to check the frames and put them into standard alignment, ifnecessary, before attempting to adjust them to the wearer's face. All rules applying to the fitting of new frames for a first dispensing will also apply to che readjustment of frames that have been worn over a period of time and have come out of alignment. Putting the Frames On It is preferable to begin the fitting procedure by having the fiter put the frame on the wearer's face for the first If the frame requires 2 ood deal of additional acjustment, the fitter should recognize this and remove the frame’ immediately so that the wearer does not become falsely concerned that the glasses may not be 1 for him or her. ‘To place the spectacles on che wearer, hold them by the temples, pulling slightly outward to facilitate slip= ping the glasses on easily, and guide the ends of the temples just over the ears and down (Figure 9-1) Ifthe temples must be spread a great deal to get them on, use fone of the methods outlined in Chapter 8 vo adjust the temple spread. This will allow the temples to open wide enough to permit the frame to rest on the nose without pressure against the side of the head. Triangles of Force The fitting triangle described by Stimson’ is composed of the three points where the spectacles contact oF put pressure against the head. The apex of the triangle isthe contact point on the crest ofthe nose, and the endpoints, of the base of the triangle are the two pressure points just above the roots of the ears, one on each side of the ince pads are often used for frames, two resting points to the apex of there may actually the triangle, Achieving the Proper Temple Spread ‘The temple-spread angle of the frame should be such that the shafts of the temples exert no pressure, even if touching, on any area of the face or temple before the point of the head at which they should exert pressure— just above the roe of the ears. This position is usually the ‘widest portion of the head. ‘Temples Not Spread Enough Ifthe temples are not spread far enough, there will be too much pressure on both sides of the head, causing the temples to bow out (Figure 93). This forces the frame forward until the temples are opposive a narrower part of the head. When the frame slides forward, the pressure that tends to bend them is somewhat relieved Figure 9-4) ithe glasses are fitted in this manner and the temple spread is never corrected, the glasses will not only tend to slide down, but as they do so, the hent-down portions of the temples will pull against the backs of the ears. 175 Figure 9-2. The fitter holds the spectacles by the temple: ‘usally spreading them bic more than they areset for 1 a forcing them on the head, Figure 9-2. ‘The fitting triangle is the connection of only three points upon which “pressure” maybe exerted, These are the crest of the nose and the sides of the head just above the rocty ofthe ears. The prearers.on the nose fs frum the weight ofthe frame. Then not only do the glasses slip down as if they were loose, but they hurt beiind the ears as well. ‘The wearer experiences the disadvantages of both loose and glasses at the same time: “The first sep in the entire adjustment proceare isto achieve the temple-spread angle that permits the front rest easily on the nose without being forced forward. ‘This is done by adjusting the endpieces so that che temples do not exert pressure against the sides of the head at any point in front of the ears. The temple shafts may touch the sides of the head, but should not exert pressure. The adjustment should be such that the corner of a sheet of paper may be slipped between the temple shaft and the side of the head. ‘The only place where pressure is allowable is above the root of the If the head is very round or is wider in front of the cars than above the ears, it may be necessary to bend the temples into an arc that follows this wider portion of the head, but eventually presses the head only at the desired point Gi ely above the root of the ea). 176 Ophthalmie Dispensing PART ONE Figure 9-3. Exen though the illustration is exaggerated, ican be seen how pressures exerted an the head and a negative bow in the temples created. Figure 8-4, In an artempe to return to their original shape, the temples cause the glasses to slip. ‘This ereates a situation with the worse characteristics of both tight- and loose-firing lasses, Not only dothe glasses slip forward, but they ray also hurt behind the ears ‘Temples Spread Too Far Ifthe temple angle is too wide for the pationt’s head, the lasses will tend to slide down the nose. More often this ‘oceurs if the frame has been worn for some time. The specific methods used to reduce the temple-spread angle can be found in Chapter 8, Equality of Lens Vertex Distance At this point, it is advisable 10 check the glasses for equality of vertex distance. ‘This is done by having the wearer tilt his head forward while the dispenser views the glasses from above (Figure 9-5) If the glasses have been properly aligned and the wearer’s head is symmetri- cal, both lenses will be the same distance from the wear= es fave. If, however, the temple spread is unequal with fone temple angling farther in or out than the other, oF if one side of the wearer’s head is somewhat wider than Pere Ths bea boon ora ee sion because one temple is pressing harder on the side of the head than the other, the other, one lens will be closer to the face than the other, “The necessary vorrecting procedures for this inequal- ity will be directly indicated by the way the frame posie tions itself If, asin Figure 9-5, the wearer's right lens is farther from the face, there is more pressure over the wearer's right ear than the lef, forcing the right side out, (The principle is the same as was described in Figure 9-4, except that one temple is under more stress than its partner, forcing that side forward) The remedy to the problem can be approached two ways. 1. It may be that the right temple is not spread far enough, making this side ft too tight. The solution is to ‘open the temple out farther. This is done in the same manner as for standard alignment. 2. Ie could also be that the right temple is correctly fiteed, but the left temple is too loose. The right only has the effec of pushing its side forward because of the lack of counteracting pressure on the left side, Here the solu tion is to bring this left temple inward, decreasing the spread. Again, the techniques used are the same as those deseribed for Standard alignment of the frame. {In practice,often both temples are adjusted somewhat, fone being brought in, the other opened out. As stated before, regardless of whether the problem lies with the glasses or the head shape, the solution is the same, and is indicated by the way the frame positions itself. Table 9-1 presents simple way to remember these adjustments IF the glasses should be dispensed incorrectly, with fone temple not spread sufficiently, after being worn for some time the eat on this same side and the opposite side ‘of the wearer's nose will hecome sore, This results from the clothespinlike effect of the tighter side of the frame pinching the face (Figure 9-6). Therefore if a person complains of the frame hurting, one side of the nose, an improper temple-spread angle might be suspected. I shoul be nosed that in approaching the problem of vertex distance inequality, itis good idea to first check to see if one of the temples is not straight, but bowed in oor out. Ifthe temple is bowed or bent, straighten it first — GHAPTER 9 Adjusting the Frame Figure 9-6. If the wearer compl ne side of the nose, unequal teil suspected. of the frame hurting spread angles might be TABLE oa ‘To Move One Lens Closer to the Face (IN With IN, OUT With OUT) Problem Solution lef lens is IN ‘ring lee temple IN fend) right lens is OUT Bring right temple OUT Ie right lens is IN Bring righe temple IN and) lef lens is OUT Bring left temple OUT. A single bowed temple can cause a vertex distance inequality in the same way as differences in temple= spread angles. THE FRONT. ‘The adjustment of the frame front takes place after making certain the temple spread angles are right. Here isthe two step overview: * First, the proper pantoscopic angle or tlt of the frame front is set + Next the straightness of the frame on the face, when Viewed from the front, is adjusted. It is clear that proper pantoseopic angle and frame straightness should precede any bridge adjustments. ‘This is because changes in the angle of the frame front will directly affect how the nosepads rest on the nose. If the nosepads areadjusted so they sit lat on the nose frst, and then the whole frame front is reangled for a new pantoseopic angle, a problem has been created-—the pads will no longer be sitting Hat on the nose. 178 Ophthalmic Dispensing PART ONE Pantoscopic Angles ‘The usual tlt of the frame front may be anywhere from 440 18 degrees from the vertical It will only approach the upper (18 degree) extreme in the case of exception- ally protruding eyebrows. In evaluating the pantoscopic angle, the lenses or rims of the frames should touch neither the brows nor the cheeks (The optical reasons for varying amounts of panto= scopic tilt were deseribed in Chapter 5) Straightness of the Frame on the Face If the frame is crooked on the face, adjustment of the pantoscopic angle at each endpiece will allow the frame to be leveled when viewed from the front. ‘The first possible eause of a crooked frame is incom- plete standard alignment. Ifthe temples are not parallel and fail the lat surface touch test, then the frames cannot be expected to sit straight on the face. However, even if the temples are parallel, there may still be a problem, Most heads are not symmetrical. One ear is often slightly higher than the other. In such instances, even previously standard-aligned glasses with temples parallel will appear tilted on the fice when viewed from the front. “The solution is the same whether the cause is the frame or the face. The pantoscopic tilt* or more con- cisely, the angle the temple makes with the frame front) needs to be changed on one or both sides If the right side of the frame is too high, the right temple must be angled up. Thisallows the frame to drop, down farther on that side before the temple contacts the top of the ear. However, it may not be advisable to decrease the pan- toscopic angle on the higher side. Sometimes this will cause the frame front to have too little pantoscopic tilt when viewed from the side. If this i the case, the oppo site temple may be angled down instead. This inerease in the pantoscopie tilt of the opposite side accomplishes the same result because it raises the side that is too low. Ofien beth raising one temple and lowering the other are required, One bend alone may be insufficient to level the frame. Stated simply, if the right side of the frame front is up, bend the right temple up. Or looking at it from the other side—if the left side is down, bend the left temple down. ‘Table 9-2 shows this in an easy-to- memorize chart ‘When the ears are at unequal heights on the head, changing the pantoscopic angle to straighten the glasses “The primary dofrition of partoscopie angle that relates to fiting ts ‘tne angle thatthe fame font mies uth the fonts) plane of the weerers face when the lover rims are closer tothe face than ‘the upper tims” (sce Glossary). However, cuing te standard align 5s. partoscopic angle usually eters to “that angle by me font deviates fom the vertical... whonthe spec tacles are held with the terete horizontal” TABLE ©. To Move One Lens Higher on the Face (UP With UP, DOWN With DOWN) Problem left lens & UP: Solution ———$Bend left temple UP ‘and Uf eigh ns iy DOWN tnd igh ple DOWN Ueghe nein UP

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