Acuity aims to stimulate thought and engage readers in a wide range of topics that impact optometric practice, and this edition is no exception, posing the provocative question: “Should we stop using Snellen?” Our article debates the limitations of this 150-year-old chart and asks if it is time to move on and adopt logMAR acuity measurement more widely. Read the views of clinicians, academics and researchers – public understanding and legal definitions of visual standards need consideration too.

While visual acuity measurement is part of every eye examination, measuring contrast sensitivity is not necessarily routine. In our article, experts explain how this measurement enhances our understanding of visual function, and can be a crucial additional measure in helping give the best possible patient care. We are reminded we do not live in a high-contrast world, and technology can help some patients with daily living.

As technological innovations in optometry advance at pace, it is easy to overlook simple yet effective treatments such as the humble eye compress. It is 20 years since Professor Teifi James invented the first commercial reusable hot compress in the UK. Our cover article reviews the mechanisms for both hot and cold compresses and their value in bringing symptomatic relief of certain eye conditions, both chronic and acute.

If acute help is needed, are you one of those who moves in quickly, or hides at the back hoping someone else will step forward? Do you know what DRSABCD stands for and could you confidently follow this process if a patient or staff member collapsed in your practice? Read our article to refresh your first-aid skills and understand your professional and legal responsibilities. 

Thinking of moving on in your career? Be inspired by our career article featuring Dr Vijay Anand MCOptom, who has championed expanded scope for optometrists as Head of Optometry at Moorfields. It is encouraging to read that the parts played by optometrists in this hospital are no longer considered extended roles – more like business as usual.

I have been reflecting on my 40 years as an optometrist with varied roles in clinical practice, research and education. Each facet of my career has offered me a new perspective, deepening my understanding of vision care and pushing me to grow in unexpected and rewarding ways. As I move on to the next chapter of my life, I take with me the lessons learned, the friendships forged, and the profound sense of purpose that comes from sharing expertise and caring for others. Thank you to all who have been part of my professional journey; your support and collaboration have made these four decades so rewarding.

So it is with a mix of pride and sadness that I sign off my final editorial for Acuity. It has been a real privilege to carry out the role of Clinical Editor – creating and shaping articles, and giving space for the plurality of voices, alongside championing evidence-based practice. 

I wish my successor and the Acuity team every success in moving this journal on as the profession advances, and I look forward to reading future editions as I continue to benefit from College membership in my retirement. Signing off with one of my favourite quotes: “Think before you speak. Read before you think.” Happy reading!

Image credit | Caroline Andrieu