To celebrate our 40th year, Eyecare Business reached out to our board members and past #EBGameChangers for their thoughts on how eyewear and eye care have changed since our launch in 1986. Here are reflections from EB editorial advisory board member, Andrew S. Bruce, LDO, ABOM, NCLEM, FCLSA, of ASB Opticianry:
“While I have not been working in this wonderful profession for as long as Eyecare Business has been around—40 years—over my 25-plus years practicing as a licensed master optician and contact lens fitting specialist, and my 6-plus years as a formal educator and industry consultant since retiring from private practice, I have watched eye care move from a largely hands-on, craft-based profession into one that is supported by remarkable technology without losing the personal judgment that great vision care still requires.
“Back then, fitting eyewear often meant relying solely on manual measurements, and lens design, material, and enhancement options were very limited. Today, however, digital measuring systems, freeform lens designs, thinner and lighter premium high-index materials, advanced coatings, and sophisticated progressives allow us to customize eyewear with a level of accuracy and comfort that once felt out of reach. And don’t forget the FDA’s recent approval of a spectacle lens designed for myopia control.
“Over the years, patients’ expectations have also changed. They now expect corrective lenses to keep pace with their frequent use of computer screens, mobile devices, and other lifestyle-specific needs. And thankfully, due to advancements in lens designs, materials, and enhancements, we are equipped with the necessary tools to satisfy their expectations.
“Contact lenses have also changed just as dramatically. I remember when many fittings centered on yearly conventional products. Since then, advanced lens materials have been introduced to promote high oxygen transmission to the cornea, enhanced wearer comfort, and long-term ocular health. In addition, daily disposable lenses are now the preferred modality among prescribers—again, not only promoting long-term ocular health but also satisfying the demands of today’s patients who want greater convenience.
“And while contact lens options for your presbyopic patients used to be extremely limited, nowadays, a plethora of multifocal options are at your disposal in both soft and rigid designs. We also now have FDA approved soft contact lenses for myopia management. Such options have expanded what we can offer and whom we can successfully fit.
“However, what has not changed over the years, is the importance of listening to the person in the chair. The best technology still depends on understanding a patient’s eyes, habits, work, health, and expectations. As I look back, I am more convinced than ever that the future of eye care is not simply about providing sharper vision; more so, it is about providing a personalized experience for every patient.”


