Contact Lenses and Optical Dispensing
Contact lenses
A contact lens is a prescription device. Fitting, evaluating, and prescribing contact lenses is optometry. After a fitting is complete, the patient is entitled to the prescription; the prescriber cannot condition release on buying lenses from that office. The prescription should include parameters, expiration, and any required verification information. Federal contact lens rules and NC law both prohibit unfair barriers to third-party sellers.
Optical dispensing
- Dispense only on a valid, current prescription unless law allows an exception.
- Do not substitute lens type, material, or parameters without prescriber authorization.
- Measure, adjust, and verify eyewear; document dispensing and any problems.
- Price advertising for lenses or contacts must be truthful; “free” offers must disclose conditions.
- Keep prescription and dispensing records.
Worked example
A patient completes a contact lens fitting and asks for the prescription to order lenses online. The office says it will release the prescription only if the patient buys a year’s supply. That is improper. The fitting is complete, the prescription is the patient’s, and the office may charge for the fitting or service but cannot use prescription release as leverage.
Traps that cost marks
- Treating a contact lens prescription as an office secret.
- Setting an unreasonably short expiration solely to force repeat visits.
- Letting a frame stylist change the prescribed add power without authorization.
- Assuming online sellers need no verification; prescribers must respond within applicable rules.