The College of Optometrists

I understand that patients requiring 'complex lenses' are entitled to a NHS eye exam. However, what must the Rx be in order to be classed as a 'complex prescription' e.g -10.00DS and over???

you are correct - those with a complex Rx are entitled to a NHS paid eye test. The Rx must be a 10ds or over and/or 6dc or over to qualify for a C voucher and the above exemption. You can download the vouchers and bands from The AOP site. -hope it helps. steve

Last time I checked it was any meridian greater than or equal to 10.0 D (plus or minus). It can be worth transposing, as it can be missed sometimes.

I understand that anyone who has a complex voucher is entitled to a contribution from the NHS.

Am i right in thinking that this is irregardless of financial circumstances? Is this allowance given in addition to the voucher to those entitled to a voucher?

Finally,would you reccommend yearly eye examinations for those with a complex prescription. The GOS sight interval guidelines don't specifically have a reccomended time interval for those regarded as complex prescriptions, however it does have a code (4.1) to justify an earlier test. Does this mean that it is the practioners choice as to when to retest, or does it serve as some guideline?

Stephen, it appears that we've replied at the same time!

Can you elaborate on what you mean by "The Rx must be a 10ds or over and/or 6dc or over to qualify for a C voucher and the above exemption."

Would it not be a D voucher if over 6DC??

Hi entropY

I liked yr answer : better than mine - !

Yes - the eye test and reduced voucher is for everyone who qualifying of Rx grounds alone.

Yes you can test them annually, if it can be clinically justified (ie: if the Rx was changing rapidly, or there was a risk of PVD or glaucoma, as there is in these groups.

It is 'C' band or greater, so includes 'D' etc.

-steve

Similar to my earlier question, I was wondering if over 70's should have an annual eye examination. The GOS allows an annual eye examination for over 70's. Again, should I have to be able to explain why I have reccomeneded annual eye examination for any particular patient over the age of 70??

Because I do come across many patients (over 70) whose Rx is stable, and has been for many years, there is no changes to the visual status, and so consequently have advised 2 yearly eye examination, explaining that they may attend anytime earlier if required. I mean if in this instance a practioner still advised an annual GOS eye examination, would it be regarded as fraudulent?