Wednesday, August 29, 2018

TD Tom Davies Factory Tour - Part 2

First point of call was a large expanse of shelves with adjacent machinery. These shelves contained the banks of acetate material in varying sizes for the spectacle frame fronts and temples. Tom explained how each acetate sheet has a natural curve which dictates the front and rear of the material. “If you go against the curve that frame will continually loosen as it ages” Tom explained. “So if you’ve ever wondered why your sample colours can only be used one way, this is the reason.”


Next to Tom was a large industrial jigsaw to cut the plates into usable sizes and a shaper machine to reduce the thickness of the plates for various designs. Behind him stood a large industrial looking, stainless steel box fronted by a hefty looking steel door. This was his acetate oven. Once the acetate had been stored for a period it was then pre-aged to reduce shrinkage. Excess water was removed from the acetate so that once crafted into the final spectacle frame it maintained it’s design as closely as possible. Tom expressed that when this care is taken the finished eyewear is much improved in its quality and requires less adjustment after dispensing by the Optician. “It’s part of the reason you pay for quality over quantity. “Tom continued.



Next on the agenda was a high rendered wall with a rather solid, heavy looking locked door. We all waited patiently as Tom revealed this was his champagne tasting experience. The door opened with a small muted fanfare and we all eagerly edged forward to discover a large empty store room. Tom elaborated that the room would be filled with stock once the factory was running at full capacity, hence the champagne experience, and we were getting a taste of what was to come.

Our next introduction was to what Tom referred to “as our first real machine on the tour.” This was “TD Bespokeanator 6.” A very sophisticated one of a kind, custom-made, programmable CNC machine. Unlike other CNC spectacle machines, this one had Toms magic bestowed on it. It has enhanced programming and Tom has “bespoked” the tool to his own design.


This enables its tools to be changed efficiently and programming altered frequently to produce bespoke, one-of-a-kind product with a minimum of down time. “This enables a much more affordable bespoke experience for our customers.” Tom enthused. Side by side with “Bespokeanator 6” was a second CNC machine set up to produce the “ready-to-wear” frame fronts. These would produce Tom’s stock supplies and would run with only the change in colour palette required after each set up.

Throughout the tour Tom emphasized his ambition to grow the talent in his business introducing us to his three new apprentices. One of these, John, had started just three days earlier and his first job was learning how to hand-polish the spectacle frames. John elaborated that it was expected to take a minimum of three months of training before Tom was confident an apprentice was competent at hand-polishing to his exacting standards.

Part 3 ... /

By Dr. John Wilson

Thursday, August 2, 2018

TD Tom Davies Factory Tour - Part 1


We were over in London, UK, in January, visiting our homeland for 100% Optical. Dr. Euan and myself (Dr. John) had been invited to give a lecture on our experiences of practicing optometry in Canada and the UK. Whilst over the pond Tom Davies of TD Tom Davies invited us to visit his new Bespoke London factory. Well this was an opportunity not to be missed!

It was Friday afternoon when we jumped in a “Black Cab” to head to the factory which is close to Heathrow Airport. Talk about interesting. London Cabbies know something about everything and our Cabbie was no exception. Suffice to say we put the world to rights.

Before we knew it, we pulled up at some large white industrial units surrounded by tall black railings. There were numerous damaged Mercedes cars in the parking lot (we later found out that this was the storage compound for the Mercedes repair centre) to our left, but we needed to find number 1. The security guard directed us to the right and told us we needed to be at the other end of the building.

Up the final steps we went, only an hour early, and pressed the buzzer for the intercom. “Euan and John from Ocean. We’re early.” Our reply was prompt and welcoming, “No worries, I’ll be right down.” The chap that met us was tall, slim and stylish. He showed us through what seemed a maze of corridors past rooms with names like “The Lego Room” and the “Staff room of tranquillity,” then up some black, rugged and industrial looking steps onto the mezzanine.


Immediately in front of us there were doors to the factory offices and two retro arcade machines. One had an impressive array of 80’s video games and the other being an original Star Wars slot machine. Adjacent to these an impressively stocked black coloured, mirrored bar complete with a couple of draft ales on tap and fancy bar stools. On the bar was a huge Bluetooth speaker and “bean to cup” coffee machine.

To the right of the bar was the staff area. This consisted of numerous fitted kitchen units, microwave, large side-by-side refrigerator, central prep island with large chef’s oven and three large tables and associated chairs. At the furthest of these was Tom, Allister and another man engaged in a meeting. To the left of us where the toys. Large air-hockey table covered with a huge artists canvas, a bar football game, another arcade game and a full-size, two-person Sega Rallye game, the ultimate console arcade game IMHO.

At this point we were introduced to some of the staff, graphic designers, sales and admin support. As we were early it was suggested that we should sample a few drinks at the bar and practice on the Sega Rallye game, well it would be rude not too! After only a short period we got our recognisable, robust welcoming from Tom.

For anyone who’s never see or met Tom, he’s a decent sized chap, probably 6’ 2’’, with an athletic to heavy build, strawberry blonde, short cropped hair and sporting a reasonable amount of designer stubble. His greeting is becoming of his stature but often involves a hug and this was no exception. He’s a very warm, welcoming and giving man whom we are honoured to call a friend. Immediately Tom challenged Euan to the Sega Rally game. This was too much fun not to post live on FaceBook but unfortunately Tom was well practiced, and Euan was beaten!!!! (Only just if you ask Euan.)


After just a short wait we were joined by Dr. Michael Johnson from Johnson & Furze Opotmetrists, another Independent Optometrist and fellow TD Tom Davies stockist. Now the tour was ready to begin!

Part 2 ... /

c

Wednesday, August 1, 2018

TD Tom Davies Factory Tour - Part 5

We were then led along a narrow corridor beside the elves grotto to what can only be called “the staff enrichment region” of the factory.

Through the first door we were treated to a room full of Lego. Not just bright coloured bricks, although there was a huge number of these, but multiple specialized models from airports to zoo’s. My favourite was the Millennium Falcon and Star Wars collection, which, if you follow us on Social Media will be no surprise, as that morning both Euan and I had attended a fully immersive VR Star Wars game in a nearby shopping mall. Euan had worn his Rebel Alliance Tee shirt especially. Really, he did!!!!!


The next door was the Room of Tranquillity. As we entered it was dimly lit with LED mood lighting.  There was a small atomiser emitting calming scent and towards the back a large, rather comfortable -looking, very padded chair. Tom announced his attendance into the room which brought the chair to life via a Google Alexa device. Once in the chair you can select your desired massage through voice activation. Very cool, and relaxing.

These two rooms were to both challenge and relax staff through the day to improve their creativity and mood.

As the work day was coming to a close Tom invited us to stay for a spot of dinner and a drink before returning to our hotel ready for our Independent Optometry Conference the following day. Little did we know that the tour was not yet over. We were then shown up to the roof.

The entirety of the factory roof had been turned into a roof-top patio area, fully equipped with a fully functioning bar, a BBQ that Tom’s good friend Heston Blumenthal had presented him as a gift on the opening of the factory, which was massive, a raised performance area for invited bands/musicians to play and a life-size ceramic, multicoloured Zebra. Everyone needs a multicoloured Zebra, don’t they?


Dusk had fallen but this being London, the street and building lights filled the night sky with an ambient glow that only a large conurbation can. In the distance were planes taking off and landing at Heathrow Airport but with the music playing you could easily have imagined being in a trendy Mediterranean bar, that is, if there wasn’t a frigid breeze reminding you that, “this, my friend, is London in January and don’t you forget it!”

Part 4 ... /

By Dr. John Wilson


Wednesday, June 27, 2018

Dry Eye - a new approach

Dry Eye - a new approach

Dry Eye Disease is a chronic, or long term condition which can cause ongoing discomfort, poor vision and at its worst serious permanent damage to the eyes.  With our current lifestyle and environment, it is also a condition which we are encountering more and more often.

Dry Eye is perhaps a poor name for a multi-factor condition, there may be not enough tears present, or the tears could be of a poor constitution with too much oil or protein in them.  At times we can even have too much tears, but they are watery and not very good at lubricating the eyes.

Surely tears are just tears?

Tears are a very complex structure:
They are designed to ensure the front surface of the eye is properly hydrated, protected from infection, environmental irritants and foreign bodies.  They are essential for good vision, when light enters the eye the tear film is the first layer that it must go through.  A poor quality tear film will interfere with our overall quality of vision, just think how bad it is to look through a car's windshield when it is smeared with greasy/muddy water.

In the past all we could really recommend to alleviate this condition was artificial tears to lubricate the eyes.  With continuing understanding of the tear film and the factors that affect it, though, we are now much better able to look at the causes of tear film and ocular surface issues and recommend personal regimes to restore balance to them.

Proper diagnosis is key.

Our TFOS (Tear Film and Ocular Surface) appointments will gather many different assessments of the eye, including the volume and osmolarity (saltiness) of the tear film.
Establishing baseline measurements and creating personal wellbeing programs ensures that as the condition is brought under control, not only does vision and comfort improve, but we can appropriately measure the success of the different steps that we take.

Dr. Euan McGinty and Dr. John Wilson have undertaken hours of specific training and education in this field to ensure that they are able to offer appropriate advice and care.  To book a TFOS assessment, please contact our office for an appointment.

Thursday, March 1, 2018

MiSight Myopia Control contact lenses - part 2



MiSight lenses were launched at the beginning of 2018, but the technology behind them has been thoroughly tested.

Firstly the lens material has been around for over a decade, we know that it performs well on the eye.  It is comfortable to wear and stable.  We also know that single use daily disposable lenses are the safest way to wear contact lenses.

When studying the lenses, CooperVision choose children from age 8 - 15 years old.  One factor they looked at was how successful the children were in taking care of their contact lenses, and after a month of wear with the contact lenses 100% of the children could easily remove their contacts, 85% also found them easy to insert.  Over the three year study, 100% of those that remained with using the contact lenses reported that they were "happy" with the overall experience.

In the same study, the myopia progression for those wearing the lenses was 59% less than those wearing regular one day single use lenses of the same material, but without the ActivControl Technology.  Importantly this coincided with the measurements of the elongation of the eye, which was 52% less.

It is this eye elongation which we think leads to many of the risks of ocular side effects including retinal detachment and glaucoma.  To be clinically successful in protecting the health of the eyes, the contact lenses don't just need to manage the focus of the eyes, but also the elongation.


The lenses work by providing the retina with different focusing zones, this use of peripheral de-focus has been an emerging concept which we have followed with interest over the last few years.  It completely changes some of our thoughts and models relating to how myopia develops, but it also provides an exciting opportunity to start to understand how we can slow myopic progression.

It must be noted that this may provide some minimal ghosting or a soft-focus type effect on the overall vision, studies have found that this is not unacceptable and doesn't impact on the overall quality of vision experienced by children wearing the lenses.

If you are interested in finding out more about this exciting development in the world of contact lenses and children's vision then don't hesitate to make an appointment.  We will go through all of the information about the contact lenses, starting with a comprehensive eye examination to assess the prescription and the health of the eyes.

Thursday, February 8, 2018

MiSight Myopia Control contact lenses - Part 1

A brand new contact lens has been launched onto the market with some pretty bold claims, we wanted to find out more about it.

There is no doubt that myopia (or nearshightedness) is becoming increasingly common.  Studies have shown that in the US over 40% of the population are nearsighted and in some Asian countries this level can be over 80%.  With the current trends, these numbers seem set to continue to rise.

Myopia doesn't just inconvenience someone by requiring them to wear glasses or contact lenses to see distant objects clearly, but also makes the eye more prone to serious sight threatening conditions.  It is this concerning aspect of myopia which makes controlling its development of particular interest.  If we can reduce the risk of retinal detachment, glaucoma, cataract development and myopic macular degeneration then we can make a real impact on the health of our patients' eyes.

Currently we do not fully understand why myopia develops, although we are aware of various risk factors.  It is also common to find that once myopia starts in childhood, it tends to continue to progress developing throughout the teenage years and even in to the early twenties.

There have been various different systems for slowing myopia progression used over the years including rigid contact lenses, orthokeratology, bifocal and multifocal spectacle lenses, bifocal contact lenses and even specific eye drops.

Studies have also shown that if children spend consistent time outdoors in natural daylight, myopia progression is significantly reduced, so we do encourage making lifestyle changes to try to minimise myopic changes.

All of the various systems that have been used previously have advantages, but significant hurdles, which has kept their use to a minimum before.  CooperVision's new single use daily contact lens, MiSight, has the possibility of being a real game changer!



So our first piece of advice is to ensure plenty of outdoors time for children!

Our next post will look more at the actual technology of the lenses themselves.