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Friday, 21 November 2008

Eye care

By having a regular check-up and wearing glasses or contact lenses if you need them, you can prevent problems with your eyes in the future.

Having a sight test

Sight tests are an important way of identifying any problems early on. They:

  • should be taken at least every two years (depending on your age and medical history, it may be necessary to have them more frequently)
  • are carried out by an optometrist or an ophthalmic medical practitioner
  • usually take place in high street opticians or hospital eye departments
  • take between 20 to 30 minutes
  • involve checks for eye diseases, like glaucoma or cataracts, or general health problems, such as diabetes or high blood pressure
  • enable you to be referred to your local doctor or a hospital consultant ophthalmologist (specialist eye doctors who diagnose and treat eye disorders) if you have a problem that requires investigation or treatment
  • can be carried out at home if you are unable to leave home unaccompanied due to physical or mental illness or disability

You may be entitled to a free National Health Service (NHS) sight test.

Sight prescriptions

If you need glasses or contact lenses, a prescription will be given to you by an optometrist or ophthalmic medical practitioner, this prescription will be valid for two years. Opticians will supply and fit glasses or contact lenses according to your prescription.

Getting glasses or contact lenses

All glasses and contact lenses are provided privately. However if you fit into any of the following categories, you may be entitled to an NHS optical voucher to help toward the cost - and in some cases, repairs or replacements if the glasses are broken or lost:

  • you are aged under 19 and in full time education
  • you are an adult on certain benefits
  • you are prescribed complex lenses

You can find out more about optical vouchers on the Department of Health website.

Common eyesight problems

The following eye problems are the most common.

Problems corrected by glasses or contact lenses

  • long-sightedness (hyperopia)
  • short-sightedness (myopia)
  • astigmatism

Problems not necessarily related to vision loss

  • dry eye
  • conjunctivitis
  • blepharitis (inflammation of the eye lids

Problems associated with vision development in children

  • lazy eye (amblyopia)
  • squints or turns in the eye (strabismus)

Problems that cause vision loss

  • cataract
  • glaucoma
  • macular degeneration

More information on conditions can be found on the Royal National Institute of Blind People (RNIB) website, in booklets available from The Royal College of Ophthalmologists and in the Health A-Z on the NHS Choices website.

Dealing with serious eye problems

NHS consultant ophthalmologists and other professional staff provide a wide range of treatments for eye problems. If you need to be referred for treatment your optometrist or doctor will arrange this.

Refractive eye laser surgery, used to correct short-sightedness, long-sightedness and astigmatism is not considered an essential medical treatment and is therefore not generally available through the NHS.

Getting low vision aids

If you are experiencing sight loss, various aids may help you make use of your remaining vision. Low vision aids (LVAs) are prescribed and loaned through the NHS. The service might be provided by the Hospital Eye Service or, in some parts of the country, local opticians' practices. Some opticians provide LVAs privately, but there will be a charge. Talk to your optometrist or family doctor first, they will be aware of the local arrangements.

Help from your local council

If you are experiencing problems with your vision that is affecting your ability to do things at home, work or school your local council may provide services including:

  • social workers to support you and your family
  • training in how to get about independently
  • help and advice concerning health, education, rehabilitation and employment issues
  • equipment and alterations in your home
  • machines for playing audio books
  • training in the use of Braille or Moon (simplified raised print)

Your local council may have a contract with a voluntary organisation to provide these services rather than providing all these services itself.

Are you registered sight impaired/blind?

If a hospital consultant ophthalmologist certifies that you are severely sight impaired/blind or sight impaired/partially sighted, you can ask to be registered with the local council. If you are registered as blind it entitles you to help in a number of ways, including the Blue Badge parking scheme and a discount on your TV licence.

Paying for, or getting free, NHS treatment

You may be entitled to a free sight test or help with paying for glasses or contact lenses on the NHS. You can find out more about charges in the HC12 leaflet published on the Department of Health website.

Getting a second opinion

If you want a second opinion about your condition or treatment at any stage, then ask your local doctor. They can refer you to another specialist if you both agree it is necessary.

Making a complaint

Anyone who has received goods or services from an optician using the services of an optometrist or a dispensing optician registered with the General Optical Council can make a complaint.

It should be possible to sort out the problem straight away by making a complaint direct to the optician concerned. However, if the matter cannot be resolved, then you should write to the Optical Consumer Complaints Service. They will deal with concerns where spectacles and/or contact lenses have been supplied within the last twelve months.

Additional links

Health advice

Visit NHS Choices for health information and local health services in England

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