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BE PERSISTENT. What should you do if you have trouble prying your prescription out of your doctor''s hands? Your state attorney general''s office should be able to tell you whether your state requires doctors to give out prescriptions. If yours doesn''t, try reassuring your doctor that you will not neglect necessary follow-up visits, or ask him or her to match prices you''ve found at an online or mail-order source.When comparing prices, be sure to factor in any shipping charges that add to your mail-order costs. And ask what a discounter''s policy is on replacing damaged or missing lenses; many doctors replace them free. Also check the expiration date when you get your lenses to make sure they haven''t expired

The lenses Council reports that 26 million Americans wear contact. Among lenses wearers, approximately 80% wear the soft type and 18% wear rigid gas-permeable lenses. The Council reports that about 11% of lenses wearers, approximately 2.8 million people, are under 18.InfantsThere are few instances when corrective lenses--lenseses or contacts--are prescribed for infants. However, when an infant develops cataracts , a condition known as infantile aphakia, contact may be prescribed following surgery. In 1993, the Journal of the American Medical Association reported that contact were safe and effective for use with infants following cataract surgery. Routine care of the lenses was easily learned by the baby''s parents or caregivers.

One, he didn''t think they were available from any other source," "and two, he had heard they weren''t as highly controlled as those dispensed through doctors."Neither assertion is true. got on the Internet and found her lenses on several Web sites for $35.95 for a box of six pairs. (Her doctor was charging $50 a box.) says her doctor told her that lenses offered by places like may have failed manufacturers'' quality checks. Bausch contacts and other lensmakers say there''s no difference in quality between the lenses sold through doctors and those sold directly to consumers. STATES CRACK DOWN. Attorneys general in 32 states have sued the American Optometric Association and two of the top contact-lens manufacturers (Vistakon, a division of contacts, and Bausch), alleging that the AOA tried to get manufacturers to agree to selllenses only through optometrists or other eye-care professionals. The attorneys general say they also have evidence that doctors agreed to withhold prescriptions from people who sought to buy lenses from other sources, despite the fact that at least 22 states have laws requiring eye doctors to give out contact-lens prescriptions upon request.Although the AOA says patients should be able to buy their lenses anywhere, the organization has reservations about mail-order purchases. "The difficulty when someone goes through mail order is that they don''t come back for regular checkups," says AOA president Dr. Harvey Hanlen.

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