What adjustment should be made if a patient's frame fits too tightly at the temples?

When addressing a situation where a patient's frame fits too tightly at the temples, the most effective adjustment is to widen the frame. This adjustment increases the overall width of the frame, which directly alleviates pressure at the temples, providing a more comfortable fit. A wider frame allows the temples to rest at a more natural position on the head without pinching or causing discomfort for the wearer.

Although lengthening the temple arms might seem like a potential solution, it primarily alters the angle and position of the temples rather than addressing the width of the frame itself. Similarly, adjusting the pantoscopic tilt or the nose pads does not address the tightness at the temples, as these modifications make changes to different aspects of the frame fit. Consequently, widening the frame directly targets the source of discomfort effectively.