The lenses keep falling out of a patient's frame. What should be done to prevent this from happening again?

• A. Review the position of the lens and replace the screw if needed
• B. Increase the lens thickness
• C. Replace the frame
• D. Replace the lenses entirely

Answer: (A)

Lenses falling out is usually due to a loose or missing retention screw and the lens not being seated securely in the frame. To prevent this from happening again, check how the lens sits in the rim and then secure the hardware. Start by verifying the lens is properly seated in the groove or rim, then tighten the retention screw or replace it if it’s loose or stripped. Using the correct screw for that frame and ensuring the threads grip firmly will hold the lens in place and prevent it from popping out during wear. If the screw is fine but the threads are worn or the rim is damaged, you’ll need to address that hardware issue, but the first and most effective fix is ensuring proper seating and secure screws. Increasing lens thickness or replacing the frame or lenses won’t address the underlying issue of loose retention.