Investigation of the causes of non‐tolerance to optometric prescriptions for spectacles

摘要: Objectives:  To study non-tolerance to spectacle prescriptions in a busy community optometric practice, with several practitioners. Methods:  A was defined pragmatic way, as patient who had collected spectacles from the practice and subsequently returned because they were either having problems with, or unable wear, their new spectacles. Patients over 16 years of age, met above definition sequentially recruited 6 month period. experiencing adaptation first seen by dispensing optician any issues resolved. If felt be correct, if persisted, then re-examined an optometrist results analysed. Results:  Non-tolerance examinations accounted for 62 3091 eye during The average rate non-tolerance, averaged across practitioners, 1.8%, varying 1.3–3.3% individual practitioners. Gender not factor however age was, presbyopes accounting 88.1%. most common reasons were, order decreasing frequency: prescription related (61.0%), (22.0%), pathology (8.5%), data entry error (6.8%) binocular vision anomalies (1.7%). Of errors, gauging spherical element majority inaccuracies, followed near/intermediate addition. In every case, final within 1.00 D tolerated, prescription; 84.4% ±0.50 D. Conclusions:  Spectacle forms small, but important, form adverse reaction clinics. Most non-tolerances can resolved small changes, 0.50 D, prescription.