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The Role of Orthoptists in Refraction
Miriam L Conway1, Rakhee Shah1,2, Elizabeth Chapman3
1City St George's, University of London, UK.
The British and Irish Orthoptic Journal
|February 17, 2025
Summary
Orthoptists are already performing refraction in hospital eye services. Expanding their role to issue optical prescriptions could improve efficiency and patient care, with appropriate training and supervision.
Area of Science:
- Ophthalmology and Optometry
- Allied Health Professions
Background:
- The General Optical Council sought evidence on the Opticians Act in 2022.
- Research was commissioned to explore orthoptists' role in refraction services.
Purpose of the Study:
- To investigate the current and potential future involvement of orthoptists in refraction.
- To assess the feasibility of orthoptists issuing optical prescriptions.
Main Methods:
- Online virtual focus groups were conducted with eye care practitioners.
- Discussions were audio-recorded, transcribed, and thematically analyzed.
Main Results:
- Orthoptists currently perform refraction, particularly cycloplegic retinoscopy for children in hospital settings.
- Participants supported orthoptists conducting refractions and issuing prescriptions under specific conditions, including training and supervision.
- Potential benefits include reduced waiting times and improved assessment of accommodative dysfunction.
Conclusions:
- Orthoptists are well-positioned to expand their role in refraction services.
- Implementing supervised refraction and prescription issuance by orthoptists could enhance eye care delivery within hospital settings.
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