If you do not qualify for an NHS sight test you can be seen for a sight test privately.
What is required in a sight test
The Sight Testing (Examination and Prescription) (No. 2) Regulations 1989 (SI 1230 of 1989), (which apply to both NHS and private patients) say:
… when a doctor or optician tests the sight of another person, it shall be his duty-
(a) to perform, for the purpose of detecting signs of injury, disease or abnormality in the eye or elsewhere-
(i) an examination of the external surface of the eye and its immediate vicinity,
(ii) an intra-ocular examination, either by means of an ophthalmoscope or by such other means as the doctor or optician considers appropriate,
(iii) such additional examinations as appear to the doctor or optician to be clinically necessary;
In layman terms this means we check power of eyes to see if spectacles are required.
Then we look at front of the eye to see if it is healthy.
Then we look at back of the eye to see if it is healthy.
We then check that both eyes work together correctly. This is a Binocular vision test.
In patients who are deemed in certain risk categories, such as a family history of glaucoma, we will then check if the pressure in the eye is not too low or too high. This uses a puff of air to check the eye pressure.
In patients who are deemed in certain risk categories, we will assess the visual field using a machine which flashes lights onto a screen.
If the visual fields are failed we can either refer you to your doctor or repeat it again. There will be a fee for any additional appointments.
Dilation & Goldmann Eye Pressure Test as standard. 40min appointment.
Special drops are used to dilate the pupil. This allows a much more comprehensive examination of the retina and optic disc. Eye pressures are taken using the gold standard Goldmann Tonometer. In addition at the Thornaby Practice retinal photographs are taken.
Do you get sore, tired eyes?
Do they feel like there is something in them when there isn't?
Does your vision cloud up or mist over after reading for a while?
All of these are symptoms of dry eye and we would recommend you book in for a dry eye assessment.
An examination of the anterior eye looking specifically at the lid margin and meibomian glands. Special diagnostic dyes are used to assess the tear film.
A Schirmer test is done to assess tear production.
Do your eyes water excessively?
This also is common sign of dry eyes.
Another cause can be a blocked tear duct. This may need onward referral to an ophthalmologist for surgery to the tear duct.
At the Thornaby practice we can provide a service for acute problems with your eyes. If you have had new symptoms such as a painful eye, red eye or sudden vision loss within the last 48hrs we can assess you under the NHS.
The criteria for inclusion of patients may include the following:
Loss of vision including transient loss
Systemic disease affecting the eye
Differential diagnosis of the red eye
Foreign body and emergency contact lens removal (not by the fitting practitioner)
Epiphora (watery eye)
Trichiasis (in growing eyelashes)
Differential diagnosis of lumps and bumps in the vicinity of the eye