Read through the scenario below, think about what you would do and then check our expert advice to see if we agree.
A 65-year-old patient has attended a sight test in response to their recall. They are asymptomatic, with good visual acuity (RE 6/6, LE 6/7.5) a stable spectacle prescription and good general health with no medications. However, there is also mild to moderate nuclear sclerotic cataract in each eye. They smoke and work outdoors as a gardener. Should their recall interval be shortened, given that the cataract is likely to progress?
The College’s Clinical Advisers are here to help you with the professional, clinical, and ethical issues you may encounter daily in practice. This month, we explore whether the presence of early cataract, alongside recognised risk factors, should influence sight test recall intervals. We highlight the importance of balancing clinical findings, patient risk factors and professional judgement, while keeping patient education and self‑care at the centre of ongoing eye health management.
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These cases are based on member calls or emails made to our clinical advisers. We do not share any personal details of those seeking advice and have modified the cases to ensure confidentiality. This clinical file is intended to help members understand how the existing Guidance for Professional Practice (GfPP) can be applied in everyday practice, this clinical file is not intended as supplementary or additional annex to the GfPP.
If you have a question or need advice, you can contact the College's clinical advisers during office hours.