Some five years later further progress was achieved when, in 1976, Joseph's elder daughter, Gillian, graduated in Optometry with Honours from City University, London. To his great delight she agreed to join the practice. Gillian rapidly achieved a growing list of patients and in the early 1980s the practice changed from Joseph Mayer Ophthalmic Optician to Mayer & Mayer Optometrists. (Optometrist means ophthalmic optician; a professional practitioner who both examines eyes and dispenses spectacles). Today Gillian is aided in the general administration of the practice by her sister, Deborah, leaving her to concentrate on optometry and the attendance of CET (continuous education training) courses run by the College of Optometrists. These, along with optical journals, manufacturers' information and the World Wide Web, keep her and her staff conversant with the latest advances in technology, treatments and diagnosis.