Paediatric dispensing

About the session

All ophthalmic lens designs must maintain accurate positioning in order to be optically effective. This includes lenses designed for reducing myopia progression, multifocal and single vision designs which may be prescribed for our youngest patients. Clinical experience shows us that children’s spectacle frames are often poorly fitting, arising from their design characteristics which induces movement of the spectacle lens on the face, reducing the desired optical effect. 

This session explores the potential resultant effect of a poor fitting frame and the relationship between the frame parameters and facial measurements. Facial development will be explored utilising data from a recent study, along with differences found in facial characteristics due to ethnicity and Down’s syndrome. Understanding the developing face will help a more informed selection of frame features or modifications required to accommodate the needs of children, resulting in a stable and more comfortable fit for the child whilst delivering the intended correction and/or intervention more effectively.

Learning outcomes

Learning outcomes and CPD information to be confirmed.


Dr Alicia Thompson

Alicia's career in optics began over 35 years ago where she gained various qualifications in dispensing, manufacturing and lens design. Helping optometry students improve their dispensing knowledge moved Alicia into Aston University for 15 years before she moved to help the ABDO with qualification development. 

In 2021, Alicia was awarded a PhD for her work on paediatric facial anthropometry. This part-time study involved measuring over 1300 three-dimensional images of children aged from birth to sixteen years, capturing differences in ethnicity and Down's syndrome. The aim of which is to improve the design and ultimately the fit of spectacle frames for paediatric patients. 

Alicia still practices regularly in her paediatric dispensing referral clinic.