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bbgr

компания мок

прогрессивные линзы

офисные линзы

астизматизм

очковые линзы

ббжр

lencor

ленкор

00:00:04

good morning

00:00:05

my name is sir harry na richarda na I am a

00:00:07

doctor ophthalmologist

00:00:08

medical consultant of the center

00:00:11

prescription optics baby j&r today we will

00:00:14

talk about the areas of persecution,

00:00:16

what is astigmatism and the main question is

00:00:19

how

00:00:21

we will treat mine, what is astigmatism, the

00:00:26

definition is such a defect in the optical

00:00:29

system of the eye in which the retina

00:00:32

never forms a clear

00:00:34

image of an object,

00:00:36

what is astigmatism from Greek,

00:00:41

yes, this is the Greek word in translation, and

00:00:43

stigma is. that is, the absence of a point on

00:00:47

the retina, a clear image is never formed

00:00:50

in case of astigmatism,

00:00:53

when diagnosing the patient’s vision in one

00:00:56

eye, astigmatism cannot be detected as a type of

00:00:57

combination, or rather,

00:01:00

astigmatism can be detected as a combination of

00:01:03

different types of refraction in two mutually

00:01:06

perpendicular meridians, which we

00:01:09

call the main meridians these

00:01:12

main meridians are located

00:01:15

in relation to each other from 90 degrees

00:01:17

or a combination of refraction of the

00:01:20

same type but of different degrees, here in the

00:01:24

picture it very well shows how the

00:01:27

astigmatic eye sees, that is, the

00:01:30

letters appear to have such double vision background background

00:01:36

this can be or in the direction of Harry beyond the

00:01:39

horizontality of the letter to expand, that is,

00:01:42

double vision will be towards

00:01:43

horizontality

00:01:44

or double vision will be towards the vertical or

00:01:48

double vision, but along the oblique this is our oblique

00:01:50

of course astigmatism, that is, here

00:01:54

you are please, examples of pictures in this

00:01:57

picture you can very clearly see how the

00:01:58

two main meridians are located and

00:02:01

what two

00:02:03

focal lengths two focal points

00:02:05

are at different distances

00:02:10

in the planes, that is, these planes

00:02:13

are located at different distances and

00:02:16

this leads to 1.

00:02:20

for example, crossed and formed on

00:02:24

the retina another one in front of it, or vice versa,

00:02:27

this point now and another behind it, that

00:02:30

is, you and I have

00:02:33

quite a lot of variations of astigmatism and here are the variations of the

00:02:38

classification of stigmatism, well, how to

00:02:41

talk about astigmatism and not

00:02:43

talk about the classification because

00:02:45

when you understand classification you, I

00:02:49

think that you will very well begin

00:02:50

to understand and understand this very

00:02:54

astigmatism, the

00:02:55

first thing we sort of divide into is

00:02:58

what type of astigmatism is

00:03:00

astigmatism, it can be corneal and the lens is new, that

00:03:06

is, the cornea is only there, it

00:03:08

has grown like this,

00:03:10

asymmetrical, not round like us we talk

00:03:13

like a ball to a football and they look like a

00:03:15

rugby ball, well, there’s nothing to be done about

00:03:18

the site of the cornea in it and it will be

00:03:21

corneal astigmatism 2 astigmatism you and I have the lens of the ova it is

00:03:24

also sometimes

00:03:26

called internal astigmatism, but this is

00:03:30

astigmatism of the moisture of the anterior and posterior

00:03:32

chambers vitreous body astigmatism

00:03:37

retina, that is, all visual zones

00:03:40

can give the phenomenon of stigmatism, well,

00:03:45

we are somehow accustomed among ourselves to call the

00:03:47

organ eternal and the lens astigmatism of the

00:03:50

cornea eternal most often has some direct

00:03:54

direction, that is, it is a direct crunch of the

00:03:57

eyelids and most often reverse astigmatism

00:04:00

here, by the way, is very well on

00:04:04

our checks, which we then

00:04:08

get when we take

00:04:12

objective studies and refractions of

00:04:14

our patient very well, it

00:04:16

shows astigmatism of what direct type,

00:04:18

this is corneal astigmatism,

00:04:21

this one that I am now showing you

00:04:24

is astigmatism, as it were, general corneal

00:04:28

we can understand how according to which

00:04:30

according to which dimension qirata mitre so

00:04:33

again I tirelessly urge you when

00:04:35

you make an autoref always turn on

00:04:38

the function and pirates 3 to understand what kind of

00:04:42

astigmatism in the patient predominates here

00:04:44

of course corneal astigmatism we have

00:04:47

125

00:04:49

and you here you see only 0 5 that is

00:04:52

partially it which I say

00:04:55

is inactivated by the shank of astigmatism,

00:04:58

his true corneal is 125

00:05:01

so far he can cope with 05, but then over

00:05:05

time it may increase and here

00:05:10

the number will be higher, so in theory, if a

00:05:13

patient asks you a question that the doctor has

00:05:15

increased my astigmatism, you will say that

00:05:18

true astigmatism, I for example always

00:05:20

when I print it out for the first time to a patient and

00:05:23

when I explain to him what he has, I always

00:05:26

say that your true astigmatism is

00:05:28

corneal 125, but for now it is a certain

00:05:31

function of the eye, they

00:05:35

inactivate it and it turns out that for now it is our

00:05:37

vision that is affected by

00:05:40

them 05 astigmatism, well, it’s clear, yes, this

00:05:43

printout Again, I urge you once again to

00:05:46

make a printout with not only refraction

00:05:50

but also Kir this Dmitry,

00:05:52

by the way, there is an auto refractometer where

00:05:56

the counting and crunching of centuries

00:05:59

of astigmatism is carried out below, so you and I are

00:06:03

very lucky now that we are not doing

00:06:06

constant cleaning of the scopine, we are exposing

00:06:09

ourselves to our ocular unfortunate zone our

00:06:12

author's abstract is of course a huge stick that

00:06:15

helped us out in our work and

00:06:19

Tomi 300 is an optometrist, and that is,

00:06:22

in addition to

00:06:23

the classification where it is divided into

00:06:25

eternal horns, Cruz Novikova, it is also divided

00:06:28

into right and wrong, wrong, I’ll

00:06:31

tell you right away that this is most likely

00:06:33

of a traumatic nature, astigmatism,

00:06:36

corneal injury, burns corneas after

00:06:40

kira tatami and it happens before the

00:06:43

cornea there are healed scars with the wrong tension

00:06:46

please we get a curve it is

00:06:49

impossible to correct the cornea

00:06:52

also irregular astigmatism when

00:06:54

when the patient has

00:06:56

keratoconus correct astigmatism when

00:06:59

throughout the entire meridian the

00:07:00

patient has the same dioptres the

00:07:03

same type of ametropia

00:07:05

in appearance it can be simple complex and mixed

00:07:09

simple simple example this is when in one

00:07:13

meridian he has our patient with them therapy and in

00:07:17

another meridian some kind of ametropia

00:07:20

for example simple myopic astigmatism

00:07:22

means in one meridian he is and meters in the

00:07:26

other opposite meridian

00:07:28

he is meow if simple and perm

00:07:32

tropical astigmatism, then in one

00:07:33

meridian and meters in the other there is a hyper miter of varying

00:07:36

degrees of hypermetropia,

00:07:39

complex astigmatism is when in two

00:07:42

mutually perpendicular meridians

00:07:44

we have one type of ametropia of

00:07:47

varying degrees, complex myopic

00:07:51

astigmatism, complex hyper non-tropical

00:07:54

astigmatism, for example, in

00:07:57

one meridian - 2 in another -4 in one

00:08:00

meridian + 3 in another + 1 here you

00:08:03

go complex myopic death

00:08:06

hyper my tropical stigmatism

00:08:08

mixed astigmatism when

00:08:12

there are

00:08:14

two types of ametropia in mutually perpendicular meridians most often

00:08:17

naturally this one type will be

00:08:20

myopic refraction the other hyper my

00:08:23

tropical that is mixed

00:08:25

astigmatism is not very pleasant astigmatism I want to

00:08:28

tell you and who the work of thematism is, you and I

00:08:32

know that we don’t really like it like

00:08:36

direct reverse with oblique axes if

00:08:40

direct astigmatism is well here if you

00:08:43

take it on the printout you and I see

00:08:45

direct astigmatism this is the

00:08:47

horizontal axis that is, plus 125

00:08:51

is located under the axis 125 a plus 125

00:08:58

minus 0 5 + but 75 will be located

00:09:01

171 -90 well, count the edge of the axis will be

00:09:06

located plus 0 75, this is just how to

00:09:10

calculate this printout of direct

00:09:14

astigmatism, the vertical meridian will be

00:09:17

stronger refractions, horizontal ones

00:09:19

are weak in on the contrary, on the contrary, a stronger

00:09:23

refraction will be on the horizon on the

00:09:26

vertical there will be weaker astigmatism

00:09:29

with oblique axes,

00:09:30

also unpleasant astigmatism in general, the

00:09:33

human eye and everything and everything in general, not

00:09:36

only the human eye looks at part of the eye,

00:09:38

but everything that is in our world,

00:09:41

we have it or a vertical position

00:09:44

or horizontal, that is,

00:09:46

we do

00:09:50

n’t have any oblique objects like this, but unless, of course, some cool

00:09:53

architect builds some kind of

00:09:54

oblique house there, but basically we have everything

00:09:58

vertical, I arrange the surfaces

00:10:02

vertically or horizontally, so of

00:10:04

course I touch and

00:10:05

touching this is our favorite up to 45

00:10:09

135 and plus plus, in my opinion there is 10 15 cream at

00:10:16

the top at the bottom according to the degree of astigmatism

00:10:20

is divided into a weak degree to one of a

00:10:23

medium degree from one to three and a

00:10:26

high degree over three diopters but

00:10:31

this is a European division but I

00:10:34

think this is correct and division

00:10:36

because astigmatism, which is even

00:10:39

more than three diopters, is, of course, already

00:10:43

high-degree astigmatism, and what

00:10:46

I wanted to say here is the frequency of

00:10:48

occurrence

00:10:50

in the world,

00:10:53

astigmatism and weak degrees are most common, thank God, then the

00:10:55

average is somewhere around

00:10:59

20 percent weak degree of

00:11:04

sixty-five percent and a high

00:11:06

degree of percent in my opinion 6 somewhere like this, well, I

00:11:09

could be wrong in the numbers, so

00:11:13

what else did I want to say about

00:11:16

physiological astigmatism when I

00:11:20

graduated from our Soviet school of

00:11:23

ophthalmology, we had such slang that

00:11:26

there is astigmatism,

00:11:29

physiological astigmatism, that is, up to 0 75 and we

00:11:31

considered it physiological and simply did not

00:11:34

react

00:11:36

to physiological astigmatism more often refers to

00:11:38

astigmatism of direct axes, that is, of the

00:11:41

direct type,

00:11:42

and sometimes in fact the patient does not

00:11:46

feel it does not affect the quality of vision in any way,

00:11:49

this stigmatism 050 75

00:11:53

when we correct

00:11:55

stigmatism when it improves quality of

00:11:57

vision, yes, that is, for a more complete

00:12:01

correction, then of course the

00:12:03

reverse braid and the mustache, we always try,

00:12:05

of course, to correct as

00:12:07

much as possible, that is, as much as possible, but we give the

00:12:09

cylinder as much as possible

00:12:15

but tolerable, that is, you will

00:12:21

look at it for example with 175,

00:12:24

it seems to be good to see, but life

00:12:27

lie on them he can’t, so

00:12:28

naturally you can give him

00:12:30

one and a half there, 125, that is, not immediately give

00:12:34

the maximum because it is very important for us

00:12:36

that it all be gradual, not

00:12:38

everyone’s head works right away before they give a new

00:12:41

collection and at once he sees everything there well

00:12:44

and well feel that is,

00:12:46

all this is gradual, sometimes through

00:12:48

intermediate correction, but the patient

00:12:52

must explain your

00:12:53

actions why at intervals during

00:12:55

correction, why you don’t immediately give

00:12:57

maximum astigmatism, we have a

00:13:00

transition rule when we change the prescription and

00:13:02

that we have a cylinder of no more than 0 0 5

00:13:05

in my opinion,

00:13:09

we are increasing the sphere 075 angle from

00:13:13

3 to 10 degrees, we can and the angle and we, that

00:13:17

is, the axis, we change from 3 to 10, that is, the

00:13:20

less astigmatism forces naturally

00:13:23

this and the smaller the angle there we can of course

00:13:27

vary and more for example than 3

00:13:30

degrees sometimes have to be changed from 5 to 7,

00:13:32

but if the astigmatism is already approaching you and

00:13:34

me, that is, to a medium

00:13:37

degree, it is high, naturally, here you need

00:13:40

to be very careful in changing the axes

00:13:44

that the patient is used to, it is very important that the

00:13:48

patient’s habit of his old glasses is the

00:13:51

next thing I wanted to pay attention to

00:13:53

how to talk about the news about

00:13:55

stigmatism

00:13:56

and not talk about the symptoms of astigmatism,

00:13:59

here is the picture on the right you see here

00:14:01

when driving in the evening, on the left the

00:14:05

picture is a normal eye looking,

00:14:07

but these rainy weather is like this and the

00:14:10

headlights we have such a small goal effect

00:14:14

but on the right the picture is an eye

00:14:16

astigmatic and you see such rays

00:14:19

from these headlights and the

00:14:23

patient was asked, haven’t you

00:14:25

noticed that everything is not right with your

00:14:27

eyes and he simply answered I think that

00:14:31

everyone sees it like that, I think that this is normal, that’s

00:14:33

why when we find

00:14:37

astigmatism in patient, if you

00:14:40

love him, then every second patient

00:14:42

you will probably have astigmatism and we have

00:14:45

all the conditions to determine it,

00:14:48

here are the symptoms of decreased

00:14:51

acuity and quality of vision, especially

00:14:53

patients suffer at dusk in the evening

00:14:55

astronomical sting character Astana

00:14:58

Pechersk complaints he is such there will be a

00:15:00

switching nature and

00:15:02

headaches and fatigue and pain in the cervical region of

00:15:06

Maigret and similar headaches, we

00:15:09

leave the class especially at the end of the day, that is,

00:15:13

he had to imagine, he

00:15:14

has to overcome these

00:15:16

switching forces, there is no one

00:15:20

plane, if it were just

00:15:22

spherical with refraction then this is one one

00:15:26

. accommodation has shifted a little there

00:15:29

with efforts, and here there are two focal points, and that is, two

00:15:32

lazy accolas 2 2 focal points, and the

00:15:35

poor eye is trying, this fluctuation is

00:15:38

like this, that is, of course the eye will get more

00:15:40

tired in general, all these complaints are

00:15:45

comparable to when there is no one,

00:15:48

correction of hypermetropia the patient and the

00:15:51

patient also voices the same complaints,

00:15:54

but monocular diplopia

00:15:56

is typical of course for

00:15:58

astigmatism, I already told you that

00:16:01

this shadow can be located either

00:16:03

towards the horizontal or towards the vertical or

00:16:07

a little while its photophobia and

00:16:09

lacrimation frequent blinking often

00:16:12

blinks How does a compensatory patient

00:16:15

want to relieve tension with this frequent blinking of

00:16:17

his evil eye for the flow of the

00:16:20

Lord and sushi eyes and photophobia?

00:16:24

By the way, you know the symptom of photophobia and how

00:16:27

can you understand the patient comes to a large

00:16:30

shopping center for example yours on when

00:16:33

she worked in optics

00:16:34

your not and the center came from Auchan and

00:16:40

says Lord I just dream about the edges of my eyes,

00:16:42

just like this color is annoying, I just

00:16:44

want to close my eyes and you start

00:16:47

checking and sometimes you find astigmatism somewhere

00:16:49

0 25 05 07 5 diopters, that is, there is a

00:16:55

small astigmatism, but these are the complaints they have

00:16:58

about

00:17:00

blepharitis, we treat it, we treat blepharitis,

00:17:03

they forgot to check the refraction, please

00:17:06

check if the patient suffers from

00:17:07

blepharitis me

00:17:09

if the patient has something

00:17:13

going on with the eyelids from the eyelash part

00:17:17

to the scales redness and itching

00:17:21

also blepharitis is a terribly unpleasant

00:17:23

disease and of course if blepharitis

00:17:26

depends on the nickname I react to ametropia and

00:17:29

you can just give him the right glasses

00:17:31

and don’t these endless ointments, these

00:17:34

endless massages, I don’t know what

00:17:37

else is there for treatment of blepharitis, so of

00:17:40

course, of course, there must be a complete

00:17:43

correction and astigmatism must be corrected, you and I

00:17:46

should not be afraid to

00:17:49

correct astigmatism, the

00:17:52

severity of these symptoms depends, but I have

00:17:54

already partially said, of course it depends on the

00:17:56

degree of astigmatism in each eye

00:17:58

is different, that is, they themselves treat

00:18:00

astigmatism in the

00:18:02

direction of the main world of demons in each

00:18:04

eye. It’s not for nothing that we told you that

00:18:06

the reverse is touching and we need to

00:18:08

correct with you because of course there

00:18:12

is a risk of big complaints from our

00:18:15

patient

00:18:16

if the patient does not correct with

00:18:19

childhood, this is astigmatism, that is,

00:18:22

this astigmatism will not be

00:18:24

corrected, and amblyopia may develop in the

00:18:28

mutual orientation of the cylinder axis of the 2 eyes,

00:18:31

but this is naturally understandable, the

00:18:33

individual characteristics of the patient, well, I

00:18:37

can say that in the world in the realities of

00:18:39

our time, when excessive strain

00:18:43

on the eyes is just, well, just like ours

00:18:46

poor eyes are pulling this locomotive

00:18:49

to say that patients

00:18:56

will not complain, no complaints will increase,

00:18:58

problems will increase for our patients and of

00:19:00

course there will be more appeal to us and

00:19:03

now even after the first wave

00:19:05

it is much higher and you and I, of course,

00:19:14

must help our patients

00:19:15

as we can identify this astigmatism,

00:19:18

of course, the author is frag tucker, this is mitriy, and

00:19:21

here in the picture, of course, it shows

00:19:24

such a modern author's abstract

00:19:27

here is a computer one, I worked on

00:19:31

this, well, you just sit on it as I speak and

00:19:33

you press the buttons, of course, here

00:19:36

we have kir, this is the topography operas 3

00:19:39

and that is, these are modern methods of

00:19:41

studying refraction, studying the

00:19:44

cornea, and how can you and I help

00:19:47

our patients?

00:19:49

Now we are just

00:19:52

getting down to the topic of how to treat our

00:19:56

astigmatism,

00:19:58

of course, first of all, since you and I are

00:20:02

engaged in spectacle correction,

00:20:04

we help for our patients with the help of glasses,

00:20:07

of course, the first point I put

00:20:09

spectacle lenses is

00:20:11

ours from the shapes in the sphere to as well pdm this is

00:20:16

individually one focal lens

00:20:18

pulse, but what about without a pulse his

00:20:22

contact lenses

00:20:24

but naturally they have the right to be this is

00:20:28

one of the methods for correcting astigmatism

00:20:31

and of course surgical treatment of

00:20:36

intraocular astigmatism, you and I have

00:20:39

all sorts of classic lenses surgically, but 8

00:20:41

surgical treatment, as I say,

00:20:43

surgery also does not stand still, just like

00:20:46

spectacle correction, just like

00:20:48

contact log does not stand still if we

00:20:52

talk about correction of astigmatism,

00:20:54

now how can we treat so today I

00:20:57

should tell you that we can

00:20:59

treat with 1 fatal lenses sphere a

00:21:02

sphere k or individual 1 fatal lenses

00:21:05

unloading lenses binocular us

00:21:08

bifocal lenses non-bifocal and

00:21:14

of course our favorite

00:21:16

progressive and office lenses

00:21:19

then we would only talk to you

00:21:22

today for hours so a little about how we

00:21:25

can correct astigmatism and

00:21:27

all glasses with all the lenses that are on

00:21:30

our market, but today I would like

00:21:34

to talk about the correction of astigmatism

00:21:37

specifically for a group of young patients,

00:21:40

that is, from childhood to about 40 years old,

00:21:45

why because this It

00:21:49

seems to me that this layer of this young population is the most

00:21:57

susceptible to all these negative

00:22:00

nuances, this is endless work with

00:22:06

gadgets and digital devices,

00:22:09

this is remote work when you sit

00:22:12

for 12-14 hours, sometimes more at the

00:22:15

computer in an uncomfortable position without observing

00:22:18

correct ergonomics of the body, of course,

00:22:21

and one more thing, I think that you

00:22:26

will support me, our patients who come to us

00:22:29

at this age rarely do

00:22:32

you see that it is corrected

00:22:35

correctly, what needs to be corrected

00:22:37

correctly, not only as if in the sphere,

00:22:42

not to mention the fact that they ignore our colleagues

00:22:46

astigmatism, that is, do not open

00:22:48

German our comrade in astigmatism,

00:22:50

why burden yourself with some complex

00:22:54

lenses, of course the patient will need to

00:22:58

adapt, why should I stress and you and I

00:23:01

should

00:23:02

correct astigmatism correct the

00:23:05

sphere our road now ours this

00:23:09

direction is exclusively

00:23:11

maximum vision correction to our

00:23:14

patients in Japan and, of course, our careers, we are with

00:23:18

you with all possible means of glasses available,

00:23:21

one focal lens is

00:23:27

simple and individual and like a gentle

00:23:33

pulse, and we also classify it as a

00:23:37

focal lens, although well, you can argue,

00:23:42

whether it is one focal lens or not is

00:23:45

more of a marketing ploy

00:23:47

lens as for lens a sphere k in

00:23:52

fact, I really love the aspheric design,

00:23:56

but I want to say that in the beginning, of course,

00:24:00

there was a sphere, a spherical lens, as we say, in the

00:24:03

beginning there was a word, so at the beginning

00:24:06

of optics there was a sphere, you and I know very well

00:24:09

this is a physiological line, why

00:24:13

because our corneas are spherical,

00:24:15

spherical

00:24:16

and spherical, and the lens, if, as we say,

00:24:23

extend this lens, that is, draw

00:24:27

this circle, that is, it turns out that it is

00:24:29

spherical and the lenses are like part of a circle,

00:24:33

what else did I want to say about the spherical

00:24:37

lens, it’s good for everyone, it works, but

00:24:41

it works when when our

00:24:44

patient does not have large

00:24:48

refraction values, if your patient is already going into a

00:24:51

more complex refraction, I am not talking about the

00:24:55

fact that astigmatism is already added,

00:24:57

but we know with you that this is already a complex recipe

00:25:00

from 4, astigmatism is already from one, this is already

00:25:03

considered a complex recipe,

00:25:05

but for someone -05 to minus zero 25, this is

00:25:08

also a complex recipe, and we know

00:25:12

perfectly well that with an increase in diopters,

00:25:15

what changes in a spherical lens, the

00:25:18

base curvature of this lens changes,

00:25:21

it becomes more convex, so

00:25:25

if we take the plus as an example, it changes

00:25:27

what this itself is important and why our

00:25:29

patients with high ametropia mini

00:25:32

comfortably tolerate these

00:25:35

spherical designs because the

00:25:39

ratio of the vertex distance in the

00:25:43

center of the lens and on the periphery changes and of course

00:25:46

the number of operations increases the next

00:25:50

lens is one focal it could not help but

00:25:52

appear because our patients

00:25:55

need vision and to see qualitatively in

00:25:59

these lenses and for more esthetics, so a

00:26:03

lens comes to their aid with a spherical

00:26:06

surface, a lens with a spherical

00:26:09

design, what kind of lens do we have,

00:26:12

this is a flatter, thinner lens,

00:26:17

it enlarges or reduces the eyes, but

00:26:21

compared to a spherical lens

00:26:23

Naturally, it seems to be expressed

00:26:26

significantly less, that is, the

00:26:28

esthetics thickness of this lens and of course

00:26:34

it rightfully has now taken a very high

00:26:38

position in sales,

00:26:39

I urge you not to be afraid, but the spherical

00:26:42

design is a wonderful lens, if you

00:26:46

recommend 1 focal lens for children, then

00:26:49

please do not forget about the sphere children

00:26:52

should be given the best lens

00:26:54

the price is an issue, I think that parents will not be

00:26:57

upset, these are quite budget

00:27:00

options, there are also warehouse positions of

00:27:03

aspherical lenses,

00:27:06

so about 1 focal lenses, of

00:27:11

course, I told you about the sphere, now we

00:27:14

are continuing the conversation with you about the spherical

00:27:17

lens,

00:27:18

which also helps us correct

00:27:20

astigmatism

00:27:21

specifically 1 vocal lenses, but in order for

00:27:28

our patient to feel comfortable in

00:27:31

spherical lenses, you must comply with

00:27:34

three conditions,

00:27:35

I simply urge you to comply with these 3

00:27:39

conditions, you understand, we work in the

00:27:42

very precise science of

00:27:45

optics, so if the manufacturer

00:27:48

says you have to do this, then you have to

00:27:51

do it like this you don’t have to hope that the patient

00:27:54

will blink there before, what

00:27:56

if he’s not used to it and won’t come to you,

00:27:58

no, I ask you for comfort in the sphere of ki,

00:28:02

three conditions must be met:

00:28:03

standard fit of the frame on the face; about

00:28:07

the standards of fit, it seems we’ve already

00:28:09

set our teeth on edge here decentration you

00:28:12

must remember here you remember according to

00:28:15

the standards that decentration is up to five

00:28:17

millimeters in the sphere of ki is not so

00:28:20

decentration two and a half three

00:28:22

millimeters is the maximum for each eye

00:28:25

look for the frame

00:28:28

markings installation adjusted for pontos

00:28:31

copy chelic angle of the frame do not

00:28:34

forget to make the correction and here

00:28:37

please give me this hint, there are two

00:28:40

ways to mark aspheric lenses, the

00:28:42

first way you ask

00:28:45

patients to take a natural position, that is,

00:28:47

it is the head and posture, make

00:28:50

markings under the center of the pupil, that is, as

00:28:53

I say eye to eye, measure the panda

00:28:56

scopic from and corner in the natural

00:28:58

position of the body, head posture and that

00:29:03

lower the marking by one millimeter, that

00:29:09

is, for every

00:29:10

one or two degrees, one millimeter, that is,

00:29:13

if you have a pandas cube of 4 degrees, then you

00:29:15

lower this point by 2 millimeters, you did

00:29:19

n’t forget everything very simply, and from the point

00:29:25

that you lowered,

00:29:26

you put it on with a cross,

00:29:30

you must erase the top point and when you place an

00:29:33

order,

00:29:34

write what to install according to the markings,

00:29:37

why because if the master is a master, they

00:29:41

warn him, he himself will omit something there for you

00:29:44

or just take it and install it

00:29:47

along the middle line, the next option is

00:29:52

this simplest, that is, you ask

00:29:55

patients raise your head like this so

00:29:57

that the frame is perpendicular to

00:30:01

the floor, that is, the vertical

00:30:04

position of

00:30:05

the frame and you mark the pupil and

00:30:11

then when the patient lowers his head,

00:30:14

the scouts become a little lower and the

00:30:17

master sets these dimensions according to

00:30:20

these two very simple methods, so I will tell

00:30:24

you I ask you to take them into service, do not be

00:30:27

afraid, but in the sphere of ki, in fact,

00:30:30

follow the three rules, make a competent

00:30:32

installation and marking and installation, and

00:30:36

you will have problems with the lenses, and there

00:30:39

will be no spherical design, what are the possibilities of

00:30:42

manufacturing our as for a as shape to an

00:30:47

aspheric lens more a thin, more

00:30:51

aesthetic lens

00:30:53

gave her an operation on the extreme

00:30:57

periphery, but if you follow some

00:31:00

nuances, if the prescription is

00:31:06

also quite simple, that

00:31:10

aspheric lens

00:31:12

will work for us easily, so we offer our

00:31:17

patients materials from 15 to 17 4

00:31:20

we We offer photos in addition to the transition

00:31:23

eighth generation brown gray don’t

00:31:26

forget that the transition protects not only from

00:31:28

ultraviolet radiation

00:31:29

but also from blue light, this is

00:31:32

such comprehensive care for your

00:31:35

patient and look at the range of

00:31:38

proposed

00:31:40

diopters in 174 from plus 10 to -18

00:31:44

cylinder to plus four

00:31:46

diameter 55 to 80

00:31:49

coloring is possible this is a coating from the

00:31:53

diameter I glue we do it max

00:31:56

innocent drive boost even there is a max

00:31:59

secret but I want to say separately

00:32:02

just sell the compulsory medical insurance it’s already stock with us,

00:32:06

find out availability exclusively from

00:32:08

managers or in the call center because

00:32:11

it’s leaving the market

00:32:13

that is, we offer more modern coatings to

00:32:15

our patients; in general,

00:32:18

patients need to be offered

00:32:19

the best solution for their eyes, whatever their

00:32:25

favorite Konami sphere is,

00:32:27

and in fact, the sales figures for this sphere are

00:32:30

quite high in Russia, well,

00:32:35

excuse me, when looking through the

00:32:37

peripheral part, it still

00:32:40

exists changes in both optical power,

00:32:43

that is, the higher the dioptre of the lens, the

00:32:46

greater the change and as a result,

00:32:49

the image on the patient’s retina is in the form of an

00:32:53

ellipse,

00:32:54

such an ellipse is scattered around

00:32:57

the patient’s periphery and the image is also not clear

00:33:00

standard to the focal lens

00:33:02

is optimized only one focal

00:33:04

standard lens

00:33:06

is optimized only for one

00:33:08

direction of view,

00:33:09

now we are talking about the sphere, yes,

00:33:12

it is thin and beautiful, but still

00:33:16

the image is optimized only for

00:33:18

one direction of view through the

00:33:20

optical center perpendicular to the

00:33:23

surface of the lens,

00:33:25

so you

00:33:28

know what the risk is of not adapting, what

00:33:34

could be another reason for not adapting to the

00:33:37

sphere does not forgive a non-standard fit,

00:33:40

but the right on the face, that is, if you

00:33:44

choose a frame and it fits you in a

00:33:47

non-standard way, then the sphere will not forgive you for this;

00:33:51

the patient sees all the operations that it is

00:33:53

only

00:33:54

possible for him to see and in general we have a law with you

00:33:56

if you remember this is you that you

00:33:59

disappearance of all the laws of optics you know

00:34:01

better than me that we try to put my sphere

00:34:03

in some frame with a minimum

00:34:07

angle, that is, the angle of bending of the wound is up to

00:34:09

eight, if you see that the angle is greater than

00:34:12

eight, then the aspherical design

00:34:15

cannot be put in this right to the patient and

00:34:18

tell me that is You and I have

00:34:20

certain standards and please

00:34:23

don’t forget about this, but you see here before

00:34:25

centering it is written up to 5, but this is the standard

00:34:28

for they will exclude ASV rivers,

00:34:31

this is the standard for you and me for up to

00:34:33

focal lenses for progressive lenses for

00:34:37

office lenses for what other unloading

00:34:40

lenses Well, the sphere of k does not tolerate

00:34:43

such a high decentration, see two and a half three

00:34:46

millimeters for each class and a standard

00:34:49

fit so that our patient

00:34:54

still feels comfortable in a pre-focal

00:34:56

lens,

00:34:57

we will ask the manufacturers

00:35:03

to individualize this lens, what

00:35:06

method will they use to individualize it

00:35:08

namely, in-line processing with the so-called

00:35:12

freeform or digital phishing technologies

00:35:15

like the French, that is, it

00:35:18

will be individually individualized

00:35:21

on the inner surface of the lens, that is,

00:35:23

calculated individualization in the inner

00:35:26

surface and the front surface of this

00:35:29

lens, which persuades it to

00:35:31

be further spherical,

00:35:32

that is, it will be more physiologically this

00:35:34

ASV lens rezation goes along the inner

00:35:38

surface, that is, the calculation of ours from

00:35:40

this recipe to each point in the direction of

00:35:44

gaze, wherever the gaze turns, there

00:35:46

will be the diopter that is needed when

00:35:48

directing this gaze, this is of course

00:35:52

using digital

00:35:54

surfacing technology, calculated by this technology

00:35:58

and now I’m approaching your favorite tape

00:36:03

to your favorite design

00:36:05

as well PDM what these three

00:36:09

letters d d m tells us is that here in this

00:36:14

design the non-standard

00:36:17

fit of the frame on the face is taken into account, that is, this is

00:36:20

digital film technology, this is the

00:36:23

computational technology that will make it possible

00:36:27

to make a lens and what the

00:36:33

non-standard fit will not be felt right on the face to

00:36:37

whom this design is shown, of course,

00:36:40

of course, hyper my paths, who has

00:36:45

a sphere larger than 2 from 2 and above it

00:36:49

somewhere from 3 and above and of course, first of all,

00:36:53

do not forget about astigmatism

00:36:57

this ds technology, it will allow us to

00:37:00

get rid of unnecessary cylinders;

00:37:02

our patient has astigmatism,

00:37:05

but these operating rooms

00:37:07

distort the image for our patient even more,

00:37:09

so of course, lenses 1 focal

00:37:11

individually, do not forget that

00:37:14

you have this product and recommend it to

00:37:19

ours and our patients, that

00:37:23

is a complex recipe is understandable a

00:37:25

non-standard fit a complex frame is

00:37:27

big to get away with decentering Lisa

00:37:31

will work out all these non-standards for those

00:37:34

who are not satisfied with the quality of vision in

00:37:36

simple 1 focal wedges,

00:37:38

he wants wide fields of view because

00:37:40

you and I know that the technology dealer

00:37:43

tales are facing freeform technologie

00:37:45

expands the fields vision up to thirty-five

00:37:48

to more than thirty percent

00:37:51

compared to a simple 1 focal lens,

00:37:56

of course you will have to fill out a form, but

00:37:58

that’s further, so technology as well

00:38:03

spots a premium lens is considered of

00:38:06

course it will not cost as much as a budget one

00:38:08

and but here we are paying of course for

00:38:11

the technology because of comfort because of the quality of

00:38:14

vision, a complex recipe and a complex fit,

00:38:19

optimization of parameters for

00:38:22

individualization of data recipes on the

00:38:24

inner surface, I already told you,

00:38:26

yes, on the inner surface there is

00:38:28

design optimization for precise

00:38:30

surface treatment plus socialization of the inner

00:38:33

surface and we get the neutralization of

00:38:36

peripheral operations then it turns

00:38:38

out it looks and everything, wherever

00:38:42

our patient looks, as you say,

00:38:44

there will be a clear picture and an

00:38:48

expansion of the field of view compared to

00:38:50

one focal lens by about 35

00:38:53

percent, we know with you such a phrase

00:38:57

as a keyhole, so

00:39:00

imagine when the eye to the

00:39:02

keyhole and the field of view expands

00:39:04

very widely, so clear

00:39:08

vision always helps you, gay, this is guaranteed to

00:39:11

you precisely by the technology of the computational

00:39:14

technology of manufacturing this lens,

00:39:17

I already told you that in addition to the

00:39:21

fact that the field of view expands and the

00:39:23

clarity of vision increases by 30 percent

00:39:26

Compared to a standard pre-

00:39:28

focal lens, it has clear advantages

00:39:31

with the active use of peripheral

00:39:33

zones, but you and I are all drivers, most

00:39:35

likely, who else is a teacher, a broker, who

00:39:39

needs a wide one, who has several monitors,

00:39:41

that is, who exactly has classes,

00:39:44

so that you need to see all this like I do I

00:39:46

say the space around us, we will

00:39:49

recommend, of course, this design is a

00:39:53

complex recipe for astigmatism gray from plus

00:39:57

2 and above from minus 3 and above we will of course

00:40:00

be a river, that is, I recommend that you take

00:40:05

this lens as the first to

00:40:07

recommend one of the first and now we

00:40:10

see that the field of view is they

00:40:14

expand to the top picture, this is what

00:40:17

the patient sees in simple 1

00:40:20

focal and driving lenses -6 in my opinion

00:40:24

and in the lens as well, look how wide

00:40:28

what wide are the peripheries and of course the

00:40:32

hyper metro gets a plus in width,

00:40:38

expansion of the periphery and of course meow

00:40:42

gets a plus in the expansion of the periphery

00:40:45

what parameters are taken into account as well before

00:40:49

all the parameters vertex will give cop the angle of

00:40:53

inclination of the frame the angle of bending of the frame

00:40:56

rc that is, pedi installation height

00:41:00

thickness optimization is already included here,

00:41:03

that is, digico here will already be, as it were,

00:41:05

priori included in this design, so I

00:41:12

I just want to say that I had a

00:41:14

patient with -10, this was what I had 9

00:41:17

years ago, cylinder -1, she couldn’t wear any

00:41:21

spectacle lenses at all, although she wore them

00:41:24

and did 1 7 4 in the q sphere and suggested that

00:41:27

this was the only thing they offered me, but the angles were knocked out

00:41:31

and now she comes to me and I

00:41:33

recommend the lens as well

00:41:37

she wore it to the doctor wore contact

00:41:40

lenses but the age numbers the tear is

00:41:42

no longer the same as I was the eye is not so moist the

00:41:45

lens dries out during the appointment she

00:41:48

talks about the lens pops out of my

00:41:50

eye and that’s why final glasses and here I

00:41:53

am with this recipe made with fil d m

00:41:58

at that moment I was just as well and

00:42:01

when I gave these glasses another frame

00:42:04

she of course wanted more, I always

00:42:08

dreamed it turns out I was up with a high

00:42:10

degree of

00:42:11

big glasses and when she she received these

00:42:15

glasses, she said wow, so she did

00:42:19

n’t see with glasses, that is, as well as the lenses

00:42:23

removed all the distortions in the periphery and

00:42:27

increased the clarity of the images, as we are

00:42:30

already talking to you, by 30 percent,

00:42:31

the quality of vision and

00:42:35

this lens works in every

00:42:38

direction of view, that is wherever

00:42:41

the patient looked in this feed there is a

00:42:44

clear picture everywhere I think it’s

00:42:48

worth a lot to order fill out the form we

00:42:51

have it in an online format it’s not very

00:42:55

easy to fill out you can

00:42:57

outline you can be offered what

00:43:02

is the name of the proposed lens format

00:43:06

lens shape we have several forms

00:43:10

lenses, you can simply choose this lens, be sure to

00:43:12

fill out this form

00:43:15

very carefully,

00:43:17

do not forget to double-check it so that all

00:43:21

the parameters are indicated and the numbers

00:43:23

correspond to those that you measured,

00:43:26

because this is the form that

00:43:29

will be used to manufacture this individual

00:43:32

lens; indicate to this company

00:43:34

the name of the characteristics of the lenses, frame parameters

00:43:37

and centering the natural beads of

00:43:39

the system or you choose I have already said

00:43:42

the shape of the lens from those proposed and of course

00:43:45

the thickness along the edge is necessary,

00:43:46

this is if you are making a frame without a

00:43:50

rim or a screw frame as we

00:43:54

say volumes right on a fishing line for example

00:43:56

you need an edge

00:43:58

to designate this of course not without the help of a

00:44:00

master they we have, as we say, a golden

00:44:04

head, golden hands,

00:44:05

that is, team work is always

00:44:08

welcome and opportunities as field

00:44:12

ideas, well, here I should already talk about

00:44:15

opportunities, and

00:44:16

here is the material from 15 to 17 4

00:44:20

in fact, of course, my favorite

00:44:23

material is 1 of 6

00:44:24

I’m working in pharmacies, as I

00:44:27

say, they always started with it

00:44:29

or with some top coating photo

00:44:31

temple transit 8th generation we have

00:44:36

colors here brown gray

00:44:39

range 174 from 10 plus to -14

00:44:43

look cylinder hd six

00:44:48

lens diameter from 60 to 80 coloring

00:44:53

also perhaps the top coatings are

00:44:55

also at dean's glue like night drive

00:44:59

boost on the lens

00:45:01

ac fel we see here they will already be

00:45:04

individual lenses so

00:45:07

laser engraving markings will be applied here

00:45:10

they will not be erased and these markings are

00:45:14

for ease of installation then they will of course

00:45:17

be erased the print of the oral part is with us

00:45:19

engraving under the circle s.v.

00:45:22

we all know this designation single

00:45:24

vision one focal lens and

00:45:28

this trefoil is happiness for our patient in

00:45:32

the design of these lenses, marking and installation

00:45:35

according to the position of the pupil is all very simple,

00:45:41

so you and I generally have a very

00:45:44

large selection of what we can

00:45:47

offer to our patients, the main thing is to

00:45:50

offer and offer a choice to our

00:45:53

patients,

00:45:54

well, now I’m going to start

00:45:59

talking about my favorite product

00:46:04

from one of my favorite products, of course,

00:46:08

Lizzie Pulse and what kind of Pulse lens is this

00:46:12

and we call it the unloading

00:46:15

lens before the prince support for accommodation

00:46:21

why I included this lens in this one

00:46:24

webinar yes because I

00:46:27

say again the amount of time our eyes stay with

00:46:32

smartphones, not only the amount of

00:46:35

time and also the changed distance, that

00:46:38

is, they always hold not at 40

00:46:40

centimeters at which we usually teach them to

00:46:43

hold thousand at a standard distance,

00:46:46

of course the work is too much for our

00:46:49

eyes to do this new generation 1 focal

00:46:52

lens with functional support, once again

00:46:55

I say accommodation is specially

00:46:57

designed here the figure will

00:46:59

sound like for consumers aged

00:47:02

18 to 45 years

00:47:04

I know medical centers

00:47:07

where doctors or optometrists work and

00:47:10

who have the right to work with children

00:47:13

children who are 14 teenage these are 14

00:47:17

15 16 17 years because if the children are of a

00:47:22

younger age, progressive correction will most likely be

00:47:24

used,

00:47:27

so the age of the patients is from 18 to 40 years old,

00:47:31

I also always add the following phrase, to which

00:47:35

I learned this phrase from the training of the

00:47:39

wondrous Roman lion and so this phrase

00:47:42

somehow stuck with me, you don’t

00:47:44

think about it, well, computers were so

00:47:47

different now, but you and I

00:47:50

got a computer when they appeared

00:47:52

in our country in the 90s, I still remember

00:47:56

the time when we didn’t they knew the words

00:47:58

computer, there were huge

00:48:01

units and these tapes stretched out in

00:48:04

some dots,

00:48:06

well, that is, everything was very mysterious,

00:48:09

and then computers appeared and what

00:48:12

currency appeared computers, well, these

00:48:15

gadgets since the 90s, yes, yes, now the

00:48:19

twentieth year and what will happen next when

00:48:23

we already have transparent televisions,

00:48:26

telephones and transparent ones,

00:48:27

I think that if in the nineties

00:48:29

we were offered this gadget which

00:48:32

now we would say that this is clearly

00:48:35

some kind of alien invasion, that is, this is how

00:48:38

evolution happened so

00:48:41

quickly, like this one avalanche

00:48:44

improvement of these gadgets

00:48:46

our eye caught up with it, of course no, he didn’t

00:48:50

have time, that is, we offer him a

00:48:52

job that is

00:48:55

too much work for him,

00:48:58

you know, as I say, pull this

00:49:01

steam locomotive or climb somewhere

00:49:04

on Everest sometime in a month, just not I know

00:49:08

how long they are preparing to

00:49:10

climb to this peak, they make

00:49:13

this ascent, then descend, then go

00:49:16

a little further again, descends from these,

00:49:19

this is backbreaking work for our

00:49:21

commutation occlusion muscles for

00:49:24

our eye apparatus, which is responsible

00:49:26

for comfortable work near and

00:49:31

so the unloading lens is an individual,

00:49:34

it is an ideal lens for distance, but

00:49:37

thanks to the fact

00:49:38

that with the help of the active booster system

00:49:42

they have what additional force

00:49:46

here, what are the three forces 03 06 09

00:49:51

I always say 03 you can now give

00:49:54

almost everyone

00:49:57

the conditions for prescribing a unloading lens I

00:50:00

can’t help but tell you

00:50:02

tell the product pulse the most

00:50:05

complete correction

00:50:06

at a distance and of course under the control of a headlight

00:50:09

near or calculation,

00:50:12

yes, but what about switching convergence

00:50:14

as an emanation, that is, without these

00:50:18

additional tests, the

00:50:20

unloading lens is prescribed by you, so you

00:50:23

risk it, so full correction and control of a headlight

00:50:27

near soft accommodation thanks to

00:50:31

this system activator Of course, this is

00:50:33

digital surfacing

00:50:34

technology also on the inner

00:50:36

surface, and one more thing I want to say is

00:50:40

variable incet due to what it is

00:50:42

variable due to the fact that when

00:50:45

writing a prescription, for example, I write

00:50:47

binocular or monocular, here it is necessary to

00:50:50

indicate

00:50:51

pedi for distance, for example, 64 to another

00:50:55

patient I write 68 to the next patient I

00:50:58

write 58 that is, for each pedi there will be

00:51:04

its own convergence, and this will be

00:51:10

taken into account in our pulse design, and the

00:51:13

variable tweezers take into account the plus

00:51:18

additive and take into account convergence, that is, the

00:51:22

greater the strength of the plus additive, as I

00:51:25

say, the closer to the nose the incet will be

00:51:28

located, as a result, the

00:51:30

pulse lens relieves the eyes of our

00:51:34

young users,

00:51:35

but young users are not necessarily

00:51:38

students, not necessarily office workers,

00:51:41

but young teachers who are now

00:51:46

fighting remotely sit endlessly for hours at a time

00:51:51

at this computer,

00:51:53

and our teenagers, who are from the sixth

00:51:56

grade and are students in remote learning,

00:52:00

so it’s not like you and I I’m talking about

00:52:04

the beginning of the work and we have an

00:52:08

uncultivated field

00:52:09

for recommending lenses pulse l of course a

00:52:13

complex prescription of course astigmatism we

00:52:16

wouldn’t forget about it the better the

00:52:21

higher the design you give the more

00:52:23

universal design you give the more

00:52:26

comfortable you will feel and the more

00:52:28

This patient will see qualitatively and

00:52:30

of course will be more grateful to you.

00:52:33

Naturally, when you give a competent

00:52:36

lens, a competent design, your patient

00:52:39

receives that he gets the freedom to live in

00:52:45

these glasses,

00:52:46

he is comfortable in these glasses,

00:52:49

he does not notice that he is wearing these glasses,

00:52:53

our recommendations are from 18 to 30

00:52:57

this is the pulse lens l03 30-40 the pulse lens for

00:53:01

06 and 40 45 you see the pulse lens and for 09

00:53:06

it also says lenses for young

00:53:09

frisbees having fallen when you assign a lens to

00:53:12

young press range here, well, here after all and

00:53:14

although I say it seems like young people are here

00:53:17

now patients but young ones would

00:53:20

also produce young lenses his pulse 09 when you

00:53:24

give I kindly ask you to say these

00:53:27

words

00:53:28

dear comrade patient 1 year please

00:53:31

come to me for diagnostics

00:53:35

give him free encouragement

00:53:38

see if his

00:53:40

plus is increasing up close why because if he has

00:53:43

you will disappear and he most often disappears

00:53:46

for 5 to 6 years,

00:53:47

then when you come back after these 5-6 years you

00:53:51

see that his resentment is no longer 0 there

00:53:54

90 75 there is one, but he has it for one and a half

00:53:58

sometimes even 175 I have known him for almost

00:54:02

ten years I walked in unloading, but of course

00:54:07

I was afraid to give a progressive

00:54:10

lens, why because of course, after such a

00:54:14

one focal lens,

00:54:16

the pulse was so small,

00:54:18

like a plus additive, you prescribe

00:54:21

progressive lenses

00:54:23

with a doubled plus additive,

00:54:25

you get that there is a patient of yours who

00:54:28

receives a narrowing of the field of view near,

00:54:31

that is, this is the risk, but with the French

00:54:34

press range these lenses are prescribed to young people

00:54:37

and there are no problems, why because the

00:54:40

progressive lens is already 61 years old and

00:54:42

this is already the third generation of press be up of

00:54:45

which came for glasses of opportunity

00:54:51

which ones here I want to emphasize the

00:54:53

possibility of what, well, yes 1 and 5 174 here

00:54:58

we already have three transition colors and of course I can’t help but

00:55:01

say about graphite green, a wonderful

00:55:04

color, the color is green, gray-green,

00:55:08

Rybinsk, this color is very comfortable,

00:55:11

soft on the eyes, so I recommend it to

00:55:14

anyone - some people like brown, some people like

00:55:16

gray, so patients should be given a

00:55:18

choice, of course, and look, of course,

00:55:20

how it will be arranged, well, that is, the color

00:55:23

of the frame, of course, you also need to know this, then

00:55:26

you know

00:55:27

what color is more comfortable for the patient, this also

00:55:29

needs to be looked at, because at the appointment I feel

00:55:32

comfortable with gray

00:55:34

I can’t stand it at all, it’s too brown, it’s too bright,

00:55:37

but the green graphite is calming, which is

00:55:41

necessary in our time

00:55:43

174 range, look at what an awesome

00:55:48

range the sphere is from plus 13 to -18 and the

00:55:53

cylinder is offered to you right up to mid + 6, but

00:55:57

much more for 1 focal lens

00:56:00

unloading pulse and with additives 0306

00:56:04

and 09, it seems to me that this lens should now

00:56:08

be the subject of first choice for our

00:56:11

patients in this age group,

00:56:13

as I say, but if I can

00:56:16

recommend it to teenagers, then 14 years old,

00:56:19

of course, I would already give 14 if you don’t

00:56:23

have rights to work with children then this is from

00:56:25

18 to 45 years old

00:56:28

ok

00:56:29

ours is not possible possible of course

00:56:31

diameter from 60 to 80 and

00:56:35

Adams coating adhesives like our top in

00:56:38

night drive boost on the cores thickly what I want to

00:56:43

say about metal and only coatings for

00:56:45

driving do not limit this wonderful

00:56:47

driving frame coating is a

00:56:50

universal coating with a beautiful

00:56:53

golden pinkish tint, I’m now

00:56:56

reading a webinar in it max blue love, it’s

00:56:59

much better to protect your eyes from

00:57:04

harmful blue light and of course I really

00:57:08

love our max juve of course the offer

00:57:12

here is very well from the budget dia glue

00:57:15

we do our top ones from the family,

00:57:19

of course, this lens will be individually for you and

00:57:22

me, and you and I will have engravings and

00:57:25

stamp markings on the oral part,

00:57:28

here is the additive, well, here it is written 03

00:57:30

and here is the pulse of LPS, that is,

00:57:34

engraving markings are applied for identification,

00:57:38

so when to you a patient comes with an

00:57:41

unknown frame, then look for

00:57:44

engravings because there

00:57:47

will be no markings, they will be erased markings

00:57:49

installation we have with you according to the position of the

00:57:52

pupil

00:57:53

standard fit of the frame on the face

00:57:57

these are the nuances with this I

00:58:04

kind of end our webinar

00:58:08

with you today we talked about such

00:58:12

as an independent attack on an

00:58:16

independent problem

00:58:18

before the refractive error is

00:58:21

astigmatism, discussed the types of symptoms how to

00:58:28

diagnose how what to offer for

00:58:31

treatment and

00:58:33

options for this very treatment in the form of 1

00:58:36

focal lenses with full name and

00:58:40

individual lenses 1 focal and

00:58:44

unloading lenses pulse and that is, you

00:58:47

there is a choice, so of course my advice

00:58:50

offers the best solution and you have

00:58:53

something to treat astigmatism

00:58:58

with this I’m ending our webinar I

00:59:03

wish everyone good health and optimism and after

00:59:09

that I’ll turn on

00:59:10

our chat

Description:

Обследуя пациентов в оптике, специалисты сталкиваются с такой аномалией рефракции, как астигматизм. Астигматизм, является достаточно распространенным дефектом оптической системы глаза, при котором на сетчатке отсутствует единая фокусная точка. Из нашего вебинара вы узнаете о видах астигматизма, правилах его коррекции и о том, какие линзы из ассортимента компании BBGR наилучшим образом подходят для пациентов с астигматизмом.

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