Best Practices for Lens Selection

Listening to Steve Alexander’s conversation with Adam Cherry in the most recent episode of Best Practices made me think about how lens decisions quietly shape the way an optical is experienced. Lens selection rarely creates a single defining moment, but it leaves a trail. It shows up in how glasses feel at the end of the day and how assured an optician sounds when questions come up. This episode helped me see how those small moments accumulate into something much bigger.
Before brands, upgrades, or marketing language enter the picture, the foundation of a lens sets the tone for everything that follows. Weight, thickness, and material choice create a physical experience patients register immediately. They may not articulate it, but they feel whether their glasses disappear into their day or demand constant attention. Simply put, patients respond differently when recommendations begin with how something will feel and perform throughout their day rather than how it compares on a price sheet.
Check out the episode here

Comfort Becomes the Benchmark
As Adam talked through material selection, I kept coming back to how comfort can become a standard. Lightweight lenses change the way glasses sit on the face, how they balance, and how long they can be worn without fatigue or irritation. That comfort doesn’t fade into the background. It stays with patients and influences what they expect the next time they’re in the optical.
This expectation often goes unspoken, but failure to meet it does not. Patients may not always ask for lighter lenses explicitly, but once they’ve experienced them, heavier or bulkier options feel like a step backward. That shift in perception reinforces how important it is to treat material selection as a decision that drives the relationship forward moreso than a line item on a receipt.
Frames Shape the Outcome More Than We Admit
I loved how Adam referenced frames as active participants in lens performance. Frame depth, proportions, and how a frame sits on the face all influence thickness and visual balance, particularly as prescriptions increase. These factors don’t operate independently. They interact, sometimes subtly, sometimes decisively.
What resonated with me is how much smoother the process becomes when those relationships are considered and articulated early. When frames and lenses are chosen together, the final result feels cohesive. Patients sense that cohesion even if they can’t name it. It shows up in how confident they feel wearing their glasses and how little explaining needs to happen after the fact.
When Vision Feels Effortless
Adam’s discussion around anti-reflective coatings reminded me how much progress has been made in this category. Today’s coatings contribute meaningfully to comfort across different environments, from screens to nighttime driving to everyday wear. The benefits accumulate throughout the day rather than presenting as a single dramatic improvement.
What I appreciate about this perspective is how it centers the lived experience. Treatments and coatings do increase the patient’s out of pocket cost in your practice, but the return on that investment is immeasurable. When vision feels easier, patients stop thinking about their glasses or how much they cost and are simply able to be in them.
A patient’s trust doesn’t come from a single feature or product; it is built upon an accumulation of decisions in collaboration with your practice that all work together to support how they actually use their eyes.
Setting Expectations That Hold Up Over Time
One of the points of discussion I found to be most valuable was the importance of how lens decisions are framed at the point of sale (no pun intended). Clear explanations around performance, care, and realistic outcomes help patients contextualize their experience long after they leave the office. That context becomes especially important as lenses age, lifestyles change, or prescriptions need updating.
When expectations are grounded and complete, patients are better equipped to evaluate their eyewear fairly. That reduces friction and creates continuity. Future conversations build on shared understanding, which strengthens the relationship with the practice.
Reflecting the Way People Live
As the conversation shifted toward retail strategy, I found myself thinking about how differently people use their vision throughout the day. Work, leisure, screens, and movement all place distinct demands on the eyes. Your lens offerings would do well to reflect that reality such that you can provide patient solutions where they are needed most.
While supporting multi-pair solutions helps expand options, the real value is recognizing that vision changes with context. When patients understand the reasons behind building their eyewear collection over time, their relationship with your practice shifts from transactional to collaborative. That continuity benefits both the patient and the practice, deepening trust with each visit and increasing the likelihood of friends and family referrals.
Where It Landed for Me
What stayed with me after this conversation is how much lens selection influences the rhythm of an optical without drawing attention to itself. Thoughtful choices create steadiness. They make the experience feel intentional, consistent, and quietly confident.
The best lens strategies should rely on understanding how people wear their glasses, how they move through their days, and how expectations form over time. When those factors are respected, lens selection becomes less about selling and more about setting the standard of comfort and quality that patients can rely on.


