When is a change not a change?

How do you decide whether or not an apparent change you find in the patient's prescription is clinically necessary or not?

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Published: Winter 2013

It is very common to find a small change in the refraction, but when do you prescribe it and when do you leave well alone? With peer review and peer discussion meetings becoming more popular this could be something that you may wish to discuss with your colleagues. Factors that you may wish to discuss as influencing your prescribing decision could include the improvement in VA with the new prescription, the actual change in prescription you found and whether or not this was related to the patient's symptoms.

When considering VA improvement then is the improvement you have found really significant?

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