What action should be taken first if a patient has scratched their lenses?

The appropriate first action when a patient has scratched their lenses is to discuss the option for anti-reflective (AR) coating. This step is vital for several reasons.

Firstly, when a patient presents with scratched lenses, it often indicates they may need a new pair of glasses. During this discussion, it is essential to address the benefits of an AR coating, which can enhance visual comfort, especially under various lighting conditions. Furthermore, AR coatings can also help prevent future scratches by providing a harder surface layer on the lenses, making them more durable and resistant to damage.

Moving onto other options, simply replacing the lenses might be a necessary step later but could be premature without understanding the full context of the patient’s needs. Muscle fit adjustments wouldn’t address the scratched lenses directly and wouldn’t impact the lens’s visual qualities. Applying a buffing compound is not advisable, as it can potentially damage the lens further or alter its optical quality. Thus, initiating a conversation about AR coating is the correct first step to consider the long-term needs of the patient's eyewear.