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Pivot to Patience: Managing the Emotionally Elevated Child in Pre-Testing

Managing anxious children optometry pre-testing

By Jade Bodzasy

When a child arrives for pre-testing already in a state of “high alert”, whether it’s a full-blown tantrum, silent freezing, or vibrating with anxiety, the clinical data usually becomes secondary to emotional regulation. If you try to force a measurement now, the “noise” from their stress will likely yield inaccurate results anyway.

Here is how to apply EQ to de-escalate the situation and salvage the appointment.

1: The “Neutrality” Reset

When a child is elevated, the environment often becomes high-decibel and high-stress. As the professional, your first move is to introduce Neutrality.

  • Lower the Volume: Speak at a volume just above a whisper. This forces the child to quiet down to hear you and breaks the cycle of “shouting over” the noise.
  • Minimize the Audience: If the pre-test room is crowded or visible to the waiting area, close the door or move to a quieter corner. Reducing sensory input is the fastest way to lower cortisol.

2: Narrative Labeling (The “I See You” Technique)

High EQ doesn’t mean “fixing” the emotion; it means acknowledging it. Children often escalate because they feel misunderstood or out of control.

  • Acknowledge the Feeling: Instead of saying “Don’t be scared,” try: “It looks like you’re feeling really overwhelmed right now. This room has a lot of big machines and that can be a lot for anyone. What should we do to help your body calm down?”
  • Give Permission: Tell them it is okay to be nervous. By removing the pressure to “be brave,” you often remove the resistance.

3: Tactical Agency: Give Them the “Off” Switch

Anxiety is rooted in a lack of control. To get the data you need, you have to give some power back to the child.

  • The “Stop” Signal: Give them a physical signal (like raising a hand) that means you will stop the test immediately. When they know they have an “exit,” they are far more likely to stay in the chair.
  • The Choice Illusion: Ask, “Do you want to do the ‘balloon machine’ (autorefractor) first, or should we take the ‘eyeball picture’ (fundus photo)?” The order doesn’t matter to your data, but it matters immensely to their sense of autonomy.

4: Utilization of “Collaborators”

In these moments, the parent is your most important Collaborator.

  • Indirectly regulate the Parent: If the parent is frustrated or embarrassed by the child’s behavior, it will escalate the child. Calmly tell the child, so that the parent can hear: “It’s okay, lots of people feel this way about this space. Let’s just give you a minute to calm your body. Maybe your parent could help show you how the chin rest works?”
  • Physical Grounding: If the child is small, have them sit on the parent’s lap for the pre- testing. The physical proximity to their “safe person” can calm them down enough to get a good reading.

5: The “Pivot” Strategy

Sometimes, the EQ move is knowing when to stop. If you have tried de-escalation for five minutes and the child is still in a “fight or flight” state, pushing forward will only create a traumatic association with eye care.

  • Reschedule with Intent: Pivot the conversation. “I can see today is a big day for your eyes. Why don’t we try one small thing, and then we’ll save the rest for another visit when you’re feeling more like a scientist?”
  • The “Win” Ending: Always end on a successful note, even if it’s just the child successfully sitting in the chair for five seconds. Give the sticker anyway. You are “playing the long game” for their future eye health.

Summary for the Team

When a child is elevated, your job title shifts from Technician to Regulator. By focusing on their emotional safety first, you aren’t “wasting time”, you are ensuring that when you finally do get that measurement, it is accurate, and the patient is willing to come back next year.

Want to learn more about Emotional Intelligence?
Find more resources at www.emotionalintelligenceconsultinginc.com

About The Author:

Jade Bodzasy - Emotional Intelligence Facilitator

Jade Bodzasy

Curious about Emotional Intelligence and how it can support your team?
Hi, I’m Jade Bodzasy, an Emotional Intelligence Facilitator based in Kingston, ON. I love collaborating with business owners who care about creating workplaces where people can:
•Enjoy their work again: with less stress, tension, and miscommunication.
•Evolve into emotionally intelligent leaders: who inspire, engage, and bring out the best in others.
•Earn more together: by keeping great people, building stronger client relationships, and fostering a culture where everyone thrives.
If this resonates with you, I’d love to connect and learn more about your team: www.emotionalintelligenceconsultinginc.com

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Dilli Dalli – Now Available in Canda

Voila July-August Optik 2026 Centennial DILLI DALLI 7111

Designed for infants, toddlers, and children, Dilli Dalli is a fit-focused collection created to help young patients successfully adapt to wearing eyewear. The broad assortment of styles is crafted in SoftTouch materials, TR-90, and lightweight metal constructions, offering ECPs multiple solutions for pediatric dispensing.

Featured image: Birthday Cake

Distributed by Centennial Optical: www.centennialoptical.com  

About Centennial Optical

Centennial Optical is a Canadian company distributing ophthalmic frames and lenses, sunglasses, lab supplies, cases and accessories, nationally and internationally. Founded in 1967, Centennial sells optical goods and services to Eye Care Professionals, optical laboratories and optical retailers. Centennial is fully licensed by Health Canada to sell Class I medical devices. With corporate headquarters and central distribution located in Toronto, Centennial also has local customer service in Montreal and Vancouver.

Centennial Optical is a sponsor and supplier of exclusive products to members of the Canadian Association of Optometrists. Centennial Optical is also a member of The Vision Council, an international association representing suppliers of vision care products and services.

Eyewear (Frames)

Centennial Optical began as a distributor of ophthalmic frames, selling its own exclusive brands. Today, in addition to being the Canadian distributor for several international designer brands of eyewear, such as Ann Taylor, BCBG MAXAZRIA, Champion, Christian Lacroix, Hackett, London Fog, Jones New York, Nicole Miller, Paradigm, TLG, Vera Wang and 2BB. Centennial works closely in developing and bringing to market the indigenous brand IO:KEN as well as Canadian fashion icons Alfred Sung, Roots and Beaver Canoe.

Lenses and Lab Supplies

Centennial is the Canadian wholesale distributor for HOYA, Rodenstock and Kodak Lenses, plus other ophthalmic lenses from Signet Armorlite, Vision Ease, and lens products from a number of other manufacturers. Centennial’s house lens brands, CHOICE and Centoptic, offer customers an exceptional combination of performance and value in a wide selection of materials and treatments. Centennial is also pleased to offer a full range of lab supplies from 3M, BPI, DAC Vision and other suppliers.

Sunwear

Centennial is proud to distribute ROOTS, Serengeti, Bollé, and REVO Sunwear, both plano and Rx, to Canadian ECPs. As the maker of the world’s finest driving sunglasses, Serengeti utilizes only the latest technologies and premium materials. Bollé constantly refines their trademark combination of fit, fashion and comfort, for high-quality performance and protection. REVO sunglasses blend sleek design, tailored fit and legendary lens protection.

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AYA Optical: Where Art Meets Eyewear

AYA Optical logo and Carla DAngelo photo 2026

By Shan Khan, RO

Carla D'Angelo
Carla D’Angelo

There is something special about discovering an eyewear collection with a story behind it. AYA Optical is one of those collections. Created by Canadian designer and entrepreneur Carla D’Angelo, AYA brings together eyewear, Indigenous art and design in a way that feels contemporary while remaining deeply connected to the artists behind each collection.

The idea for AYA began in 2001, when Carla was vacationing in Mexico and thinking about the kind of business she wanted to create. She had always been good at recognizing niche opportunities, but this idea was about more than business.

She wanted to create something beautiful that could stand out in the eyewear market while also giving back and carrying meaning.

Corrine Hunt
Corrine Hunt

It was several years before the idea became a reality. Carla continued to learn about the optical industry and Indigenous artists while raising her family and pursuing other projects.

Meeting artist Corrine Hunt became an important turning point and ultimately gave Carla the confidence to move forward with AYA.

AYA globe and mail-oct16-2009 Olympic medals Corrine Hunt
The Globe and Mail, Oct. 16, 2009: Olympic medal designer Corrine Hunt

What makes AYA particularly interesting is the relationship between the artwork and the frame. Carla is deliberate about translating an artist’s work onto eyewear while maintaining the integrity and character of the original art. The goal is not simply to place artwork on a frame, but to create a design in which the frame and the art complement one another.

“I want someone to love the frame first because it is beautiful—and then discover the deeper story behind it,” Carla explains.

Video from August 10, 2009

Aya Eyewear on Urban Rush:

Inspiration comes from many places. Carla looks to traditional and contemporary Indigenous art, sculpture, carved masks and colour, while also following international eyewear trends in shapes, materials and design. It is that combination that gives AYA its distinctive identity.

Donald Chretien
Donald Chretien

Colour plays an especially important role. Carla points to artist Donald Chrétien, who has worked with the Pantone Color Institute and brings a sophisticated understanding of colour to his work. Shape and fit are equally important, particularly as AYA continues to serve a significant Indigenous customer base while creating collections with broader appeal.

Technology has also expanded what is possible. Advances in materials, printing, inlays and manufacturing have created new opportunities to translate artwork onto eyewear in ways that would have been difficult when AYA first began.

One of AYA’s most meaningful creative relationships is with Chrétien. Their connection began when Donald was an AYA customer. After purchasing several frames, he reached out to Carla and invited her to look at his artwork. What began as a customer relationship developed into a long-term creative collaboration.

That relationship recently found a striking new expression in Toronto with the unveiling of Chrétien’s Roots of Hope mural at the Church of the Redeemer.

Installation Wall Church of the Redeemer
Installation Wall – Church of the Redeemer

Installed along the avenue roadside of the church, the large-scale work draws on Indigenous beadwork traditions as a form of communication while reflecting the long history of Indigenous presence on the site. Flowing roots change to blue as they reach downward, referencing an ancient creek beneath the church. Shifts in colour across the mural evoke the four stages of life, the four seasons, the cardinal directions and the colours of the Medicine Wheel.

The mural forms part of the Church of the Redeemer’s ongoing commitment to reconciliation and demonstrates how Indigenous art can connect history, place and contemporary expression.

For Carla, the project carried particular meaning because of both her relationship with Donald and her own connection to Toronto. She studied fashion at what is now Toronto Metropolitan University and lived downtown during the 1980s, remembering the city as an exciting centre of fashion, music and creativity.

There is even an unexpected connection between their Toronto stories. Years later, Carla and Donald discovered that they had both spent time at Nuts & Bolts, a well-known fixture of Toronto’s alternative creative scene.

Jim Yellowhawk
Jim Yellowhawk

Looking at where AYA is today, the brand has developed well beyond Carla’s original vision. Collaborations have taken her across Canada and into the United States, including the Wind Warriors Collection with South Dakota artist Jim Yellowhawk. Independent optical stores have also become an important part of the AYA story, creating opportunities for artists, communities and consumers to come together through events and pop-ups.

For Carla, one of the most rewarding parts of the journey is seeing an artist’s reaction when they first see their finished eyewear. That moment captures much of what AYA is about: collaboration, respect and the opportunity to introduce exceptional artwork to a new audience.

As AYA looks toward 2027, new artists, collaborations and international opportunities are already on the horizon. The possibilities continue to expand, but the foundation remains the same: wearable eyewear with a story, created with authenticity and respect.

As an independent Canadian designer, Carla has created something that is visually distinctive while also reflecting the creativity and diversity of the Canadian eyewear landscape. AYA is a reminder that a frame can be more than an accessory. It can be a canvas, a conversation and a connection to a much larger story.

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The Vision Council Foundation Expands “See What Matters” with New Back‑to‑School Eye Health Toolkit

The Vision Council Foundation logo

The Vision Council Foundation has launched its 2026 back‑to‑school campaign, “See What Matters – Empowering Education,” encouraging families to prioritize comprehensive eye exams and healthy vision habits as students prepare to return to the classroom. The initiative expands the Foundation’s growing library of free educational resources designed to support families, schools and eyecare professionals.

This year’s campaign places particular emphasis on conditions and behaviors that can hinder learning, including digital eye strain, dry eye linked to screen use, and the rising prevalence of childhood myopia, which now affects an estimated 30% of children and adolescents in the United States.

Research from Focused inSights: Provider Approaches to Myopia Management shows that 91% of eyecare providers recommend annual myopia screening, with excessive screen time, genetics and limited outdoor activity identified as the leading risk factors.

New Toolkits for Providers, Schools, Families and Media

To support the campaign, the Vision Council Foundation has released a series of free, downloadable toolkits tailored to different audiences:

  • Eyecare Providers — Printable materials and social media content to help keep eye health top‑of‑mind for patients, both in‑office and online.
  • Schools and Parents — Resources to help families and educators prioritize vision health, including information on myopia, a family eye exam checklist and a postcard for school nurses to share screening results.
  • Media — Background data on children’s vision health and childhood myopia, including research from The Vision Council.

These toolkits represent the second major release under the See What Matters initiative, which promotes the importance of vision health across all ages through accessible educational materials.

Eye Exams as a Back‑to‑School Essential

“Eye exams belong on every family’s back‑to‑school checklist, right alongside shopping for new clothes and school supplies,” said Ashley Mills, CEO of The Vision Council and The Vision Council Foundation. “Children deserve the best possible chance to learn and thrive in school, and that starts with making sure they go into the school year seeing their best.”

The full “See What Matters – Empowering Education” toolkit is available at: thevisioncouncilfoundation.org/see-what-matters/

Source: The Vision Council

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Bausch + Lomb Advances Two First‑in‑Class Eye Health Therapies Following New Clinical Results

Bausch + Lomb

Bausch + Lomb is advancing two investigational therapies in its pharmaceutical pipeline after reporting new clinical results, including a dual‑action dry eye drop entering Phase 3 and a topical TRPV1 antagonist showing early efficacy in reducing ocular pain.

Dual‑Action Dry Eye Drop to Enter Phase 3

The company confirmed that its lifitegrast + PFHO combination eye drop will progress to Phase 3 trials. The therapy is designed to target both inflammatory and evaporative components of dry eye disease — two mechanisms typically treated separately.

A Phase 2 study involving 443 patients did not meet its Day 29 primary endpoint but showed a statistically significant improvement at Day 15, a timepoint accepted by the FDA for corneal staining outcomes. At Day 15, 41.6% of patients using the combination achieved a ≥3‑unit improvement in corneal staining, compared with 18.8% on lifitegrast alone.

Safety findings were consistent with the known profiles of XIIDRA® and MIEBO®, with no new signals reported. Phase 3 trials will use Day 15 as the primary endpoint.

TRPV1 Antagonist Shows Strong Early Pain Reduction

Bausch + Lomb also reported positive Phase 1b results for BL1332, a first‑in‑class topical TRPV1 antagonist being developed for ocular surface pain. In a capsaicin‑challenge model, BL1332 produced a statistically significant reduction in pain intensity versus vehicle and shortened pain duration from 37.8 seconds to 1.6 seconds.

Exploratory findings showed complete pain resolution in 68.2% of treated eyes, compared with 0% in the vehicle group. No severe pain was reported among BL1332‑treated participants.

BL1332 is currently being evaluated in a Phase 2 study in patients experiencing pain after photorefractive keratectomy, with topline results expected in the coming months.

Next Steps

Both programs are expected to continue through late‑stage development. Bausch + Lomb has indicated that future studies will explore broader applications for BL1332 across multiple ocular pain conditions.

Source: Bausch + Lomb

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