The Perfect Fit
- dollareyeclub
- Mar 22, 2019
- 2 min read

When I got back into the prescription eyewear business three years ago, within a few weeks of being back on the sales floor I developed, what I believe to be, the most efficient and pleasant process to help my patients select their frame or frames.
A perfect fit for a prescription pair of glasses is one where a patient's pupils are well centered in the lenses, the temples (arms) are going back straight, and if the frame is plastic, the bridge of the frame touches the patient's nose contiguously, thus evenly distributing the weight of the frame. When I first look at a patient's face and the frame they are wearing, I look at how well the frame is meeting these three criteria.
If everything looks good, then all I have to do is look at the inside of the temples and find the measurements and this will be the size I will begin looking for on the frame boards. If the temples on the patient's frame are bowing out, then I will look for frames with a slightly bigger eye size. For instance, I would look for frames that are a 54 or a 55. (see picture below)
I will hand frames that I think will look good on the patient and also meet my criteria for perfect fit. I listen and watch their face. I am listening to see if they say, "I like this frame," or better yet,

"I love how this looks."
I am looking at their face for smiles or frowns.
I will keep handing the patient frames until they have responded positively to at least three frames, but maybe as many as seven.
Then I will gather up all of the "positive" frames and take them to my desk and ask the patient to have a seat.
I then explain that we have been using the left side of our brains to examine which frames

would fit best, and that now we are going to access the right side or the patient's brain to find which frame that they are going to feel the best about wearing for the next couple of years.
I have the patient put all the frames on again quickly, assess how they fill, and put the most positive ones on one side of the table, and the least positive on the other side.
Usually one or two stand out as the very best. Sometimes this final step has to be repeated a few times, but about 98% the time this process determines which one is best for them.
I examine the frames to make sure they are perfect, and also I have find time to examine the prescription to check for high powers or high astigmatism which in some cases would rule some frames out. I am always looking for the perfect fit!
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