16 CFR Part 456 ; Agency Information Collection Activities: Review; Comment Request Ophthalmic Practice Rule (Eyeglass Rule): FTC Project No. R511996
I agree that patients should be given their eyeglasses prescriptions after a refraction. The pupillary distance (PD), however, should not be a requirement for the eyeglasses prescription itself because it is part of the measurements taken at the sale of a pair of eyeglasses that ensures that the glasses themselves will provide the vision and comfort, both in terms of visual acuity and ocular motility, which can be affected by induced prism and inaccurate assessment of the pair of glasses that are purchased. At my practice, I provide a prescription check for visual discomfort if there is truly a change in prescription. In the event that it is the eyeglasses seller's mistake that the vision is not comfortable, there is another charge for a refraction b/c the glasses were not provided by me and services/time was provided for the assessment. The pupillary distance is an important measurement that should be measured/assessed by the providing eyeglass seller depending on each patient and their facial structures (e.g. facial symmetry, nose bridge alignment) and should be the responsibility of the seller to make the eyeglasses prescription correctly dependant on the frame chosen.