American Board of Ophthalmology (ABO) Practice Exam

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Which adjustment can be made to improve fit if a patient's glasses pinch their head?

Widen the nose bridge
Loosen the temple screws
Bend the temple ends outward
Replace with larger frame size

The correct answer is: Bend the temple ends outward

To improve the fit of glasses that pinch the head, bending the temple ends outward is an effective adjustment. This action helps relieve pressure on the sides of the head, which is where the glasses are likely causing discomfort. By moving the temple ends outward, the frame can better accommodate the width of the person's head, allowing for a more comfortable fit without the tightness that leads to pinching. Widening the nose bridge would primarily affect the fit over the nose rather than alleviate pressure on the sides of the head. Loosening temple screws might make the frames feel somewhat less tight, but it won't fundamentally change their shape or how they sit against the head. Replacing with a larger frame size could potentially resolve the issue, but it is generally a more drastic measure compared to simply adjusting the existing frame. Bending the temple ends outward is a specific and often effective modification for addressing pinch points on the head, making it the most appropriate choice.