5/18/2015
Course # P310
Optometry’s Meeting 2015
Seattle, WA
Tools of the Trade: Frame Adjusting Workshop
Saturday June 27, 2015 10:00 am - 12:00 pm
Irwin M. Shwom, O.D., RDO
421 Broadway
Everett, Massachusetts 02149-3435
617-387-1904
Fax 617-387-2781 Email: [email protected]
Adjusting Mindset
“Scoping Out” Your Patient
1
5/18/2015
Choosing Frames That Have
an “Even Chance”
Tools
2
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Needle Nose Pliers
Nosepad Pliers
Fiberjaw Pliers
3
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Straight Cutting Pliers
Pin Vice (Screwdriver)
Rimless Adjusting Tools
4
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Angling & Bracing Tools
Retroscopic / Pantoscopic
Twin Fiber Jaw & Bracing
Face Form Adjusting
5
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Bushing Crimpers
Bushing Service Tools
Primary Adjustment
Techniques
6
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Snug All Screws / Fastners

No Loose Screws Here…(Tight is Tight
Too Tight is ………..)
Primary Adjustment Technique

Start in the Middle...Frame “X-ing”
Frame “X-ing”
7
5/18/2015
Primary Adjustment Technique

Every Face Has It’s Form…Frame Round
Face Form
Primary Adjustment Technique

Are You Retro…Panto or Neutral…(More
Importantly, What do you want to be?)
8
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Pantoscopic Tilt
Retroscopic Tilt
Primary Adjustment Technique

90 or So….or Bust (Frame Front to
Temple splay)
9
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90 Degree
Primary Adjustment Technique

Don’t You No Touch (Temporal Artery)
Temporal Clearance
10
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Primary Adjustment Technique

We Will Craft No Bend…Before It’s Time
(Apex of the Ear)
Temple Bend
Primary Adjustment Technique

Lean on Me…(Mastoid)
11
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Mastoid Rest
Primary Adjustment Technique

Flare for Comfort…(Temple Tip)
Temple Tip Flare
12
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Performance Adjustment
Technique

The Dreaded…Nose Pads!
Flare
Splay
 Vertical Angle
 Pad Arm Length


Nose Pads
Performance Adjusting
13
5/18/2015
Performance Adjustment

I See My Eyes with These new A/R,
Polarized Sunglasses
Performance Adjustment
 Eyelashes
Lenses
Smudge both of my
Performance Adjustment

My Eyebrows Smudge the Tops of
both my Lenses
14
5/18/2015
Performance Adjustment

Frame Fits Too Close to my Right Eye
Performance Adjustment

I Have “Ski Trails” on Both Sides of My
Head
Performance Adjustment

People Tell Me that My Glasses are
Sitting Too Low on the Left side of My
Face
15
5/18/2015
Performance Adjustments

The Glasses Don’t Slip Anymore
But…Why Am I Bleeding?
Performance Adjustments

I always Trip & Fall With These Fixed
Bridge Plastic Frame Lined Bifocals You
Made Me, Other than that I Love Them!
Performance Adjustments

I See So Much Better at the Computer
with these PAL’s when I pick Them Up
Like this.
16
5/18/2015
Performance Adjustments


What will it take for you To “Set Me Up
Right” the first time…This Time!
Thanks…From all of Your Patients!!!
Tools of the Trade:
Frame Adjusting Workshop
Thank You!
Irwin M. Shwom, O.D.,RDO
Private Practice of Optometry
421 Broadway
Everett, Massachusetts 02149-3435
617-387-1904
Fax 617-387-2781 Email: [email protected]
17