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    Saving on Eye Care: Bargains and Risks

    Why cutting costs on eye care sometimes goes too far.

    Caution When Shopping for Glasses Online

    Skimping on routine care is not the only place where budget seekers can run into trouble. Where and how you get your glasses can also be a problem. Pierce points to online eyeglass retailers in particular. They may offer low prices, but he says that too often, what you get for your money are cheap, inaccurate, and unsafe glasses.

    For a study published last year in the journal Optometry, researchers ordered 154 pairs of glasses from the 10 most heavily trafficked Internet eyewear retailers. Nearly half of the lenses either failed to match the prescription submitted or did not meet impact safety standards, meaning they would be more likely to shatter if something hit them.

    The study authors found other problems as well. Some vendors did not bother to verify prescriptions with the prescribing doctor before filling them, even though some states to which they were being shipped require such verification. Finally, the authors point out that, as far as they could learn, no one is overseeing the online eyewear industry.

    The Proper Way to Get a Proper Fit

    Safety and accuracy are not the only considerations when shopping for glasses. A proper fit is also important. Some sites offer customers the ability to upload pictures of themselves, which can then be used to create a virtual image of the customer wearing a selected pair of glasses. But, Pierce points out, that doesn't give customers a complete picture.

    "How can you look at a computer monitor and know how well the glasses will fit and how heavy they will be?" asks Pierce, founder and senior partner of Trussville Vision Care.

    Richard Schoen, OD, says that certain essential measurements, such as the distance from the center of one pupil to that of the other pupil, should only be made by an experienced eye care professional.

    "You want a real human being to work with you," says Schoen, an optometrist at the Wilmer Eye Center at Johns Hopkins University in Baltimore.

    Schoen is also concerned about what recourse online customers will have if things go awry.

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