- When deciding whether to prescribe for the patient, you should consider:
- whether there is a significant change in prescription
- whether there is an improvement in functional vision with the change in prescription
- the serviceability of their current spectacles
- the dangers of large changes in prescription for patients at risk of falling50
- whether they currently use their spectacles
- their ability to make a choice about having a new prescription made up, and
- their desire for a new pair of spectacles.
- You must only prescribe a tint where it is clinically justified and in the best interests of the patient.51
- You should advise the patient and their relative or carer about the benefits and disadvantages of:
- appropriate spectacles
- low vision aids, and
- relevant environmental factors, such as lighting.
- You may need to manage the patient’s expectations about what is, and what is not, possible with spectacles.
50 College of Optometrists (2011) The importance of vision in preventing falls [Accessed 26 Oct 2017]
51 General Optical Council (2016) Standards of practice for optometrists and dispensing opticians para 7.6 [Accessed 22 Oct 2017]