{
  "url": "https://openlegislation.uk/national-health-service-general-ophthalmic-services-scotland-amendment-regulations-2010/schedule-1",
  "json_url": "https://openlegislation.uk/national-health-service-general-ophthalmic-services-scotland-amendment-regulations-2010/schedule-1.json",
  "legislation": "ssi/2010/86",
  "legislation_title": "The National Health Service (General Ophthalmic Services) (Scotland) Amendment Regulations 2010",
  "legislation_url": "https://openlegislation.uk/national-health-service-general-ophthalmic-services-scotland-amendment-regulations-2010",
  "path": "schedule/1",
  "kind": "schedule",
  "number": "1",
  "heading": null,
  "text": "“SCHEDULE 3\nPRIMARY EYE EXAMINATION\nRegulation 2(1)\nTABLE A\nTHE TESTS AND PROCEDURES SPECIFIED FOR THE PURPOSE OF THE DEFINITION OF PRIMARY EYE EXAMINATION IN REGULATION 2(1)\nThe taking of a detailed history and symptoms, including relevant medical, family, or ocular history\nThe recording of unaided vision, visual acuity or pinhole vision as appropriate\nSight test – appropriate to the presenting signs, symptoms, and aided / unaided acuity\nA pupillary assessment including testing for relative size, shape, direct, consensual and near responses\nAn examination appropriate to the reason for referral from a medical practitioner or other carer\nAn eye health assessment appropriate to the patient’s needs and presenting signs and symptoms\nAn internal eye examination using direct ophthalmoscope and/or slit lamp / head mounted biomicroscopy\nThe external examination of the eyes using slit lamp biomicroscopy and appropriate diagnostic agents\nA relevant assessment of extra ocular motor function; oculo-motor balance and ocular motility\nA visual field assessment\nThe communication of the clinical findings, including preparation of a referral letter and clinical report (where appropriate), results and diagnosis to the patient, his or her carer (where appropriate), and other appropriate health professionals as agreed by the patient and/or his or her carer.\nTABLE B\nTHE TESTS AND PROCEDURES SPECIFIED FOR THE PURPOSE OF THE DEFINITION OF PRIMARY EYE EXAMINATION IN REGULATION 2(1)\nColumn 1\nColumn 2\nChildren aged under 16 years (where the optician or ophthalmic medical practitioner which is carrying out the eye examination does not have access to or means to access the patient’s records)\nOn first appointment stereopsis and, where clinically appropriate, colour vision\nChildren aged under 16 years (where the optician or ophthalmic medical practitioner carrying out the eye examination does have access to or means to access the patient’s records)\nColour vision and stereopsis where clinically appropriate\nAdults aged 40 and over\nIntra ocular pressure measurement\nAdults aged 40 years and over who have a close family history of Glaucoma\nIntra ocular pressure measurement, automated suprathreshold visual field tests, and assessment of the optic nerve head\nAdults aged 60 years and over ((i) where the optician or ophthalmic medical practitioner which is carrying out the eye examination does not have access to or means to access the patient’s records or (ii) where the optician or ophthalmic medical practitioner does have access or means to access the patient’s records and it is the patient’s first examination after having reached his or her 60th birthday)\n(i)\nAutomated Supra-threshold fields\n(ii)\nThe performance of slit lamp / head mounted biomicroscopy with mydriasis\n(iii)\nDigital Fundus imaging\nSubject to the provisions of the row above, adults aged 61 years and over (where the optician or ophthalmic medical practitioner carrying out the eye examination does have access to or means to access the patient’s records)\n(i)\nAutomated Supra-threshold fields as clinically indicated\n(ii)\nThe performance of slit lamp / head mounted biomicroscopy with mydriasis\n(iii)\nDigital fundus imaging\nPatients discharged from an ophthalmic hospital following a cataract operation\nPostoperative cataract examination and sight test\nPatients presenting with suspect vitreo retinal disorder aged 60 years and over\nVitreous examination and fundus assessment by dilated slit lamp biomicroscopy (with condensing lens) and/or indirect headset and/or gonio fundus lens\nPatients with suspect glaucoma or ocular hypertensives\nIntra ocular pressure measurement, automated supra-threshold visual field assessments, and assessment of the optic nerve head\nPatients with suspect macular disorders aged 60 years and over\n(i)\nInternal Eye examination with mydriasis, using slit lamp biomicroscopy\n(ii)\nTest to investigate sudden onset of visual distortion in one or both eyes\nPatients with cataract aged 60 years and over\nInternal Eye examination with mydriasis when a clear view of the fundus cannot be obtained without mydriasis, using slit lamp biomicroscopy or head mounted indirect ophthalmoscopy\nDepending on the patient’s presenting signs and symptoms\n(a)\nStandard tests such as binocular function and stereopsis, amplitude of accommodation, colour vision, confrontation fields and other appropriate tests excluding the following tests and procedures when undertaken as part of a supplementary eye examination on the same day:\ncycloplegic refraction;\ndilated slit lamp biomicroscopy for patients aged under 60 with suspect cataracts, suspect macular disorders, suspect diabetic retinopathy, suspect vitreo retinal disorders, suspect glaucoma, suspect neurological symptoms, suspect tumour risk, small pupils measuring 2 mm or under\n(b)\nIssue advice and instruction to patients prior to referral into a care pathway, shared care scheme or a level 2 optometric examination\n(c)\nDirect referral, where clinically appropriate, to an ophthalmic hospital, to the patient’s General Practitioner, or to another Optometrist\nTHE FREQUENCY OF PRIMARY EYE EXAMINATIONS FOR THE PURPOSE OF REGULATION 22(3A) AND (3B)\nTABLE C\nCategory of Patients\nMaximum frequency at which primary eye examinations are to be carried out\nPatients under 16 years\nAnnually\nPatients aged between 16 years and 59 years\nBiennially\nPatients aged 60 years or over\nAnnually\nPatients with glaucoma\nAnnually\nPatients aged 40 years or over with a close family* history of glaucoma\nAnnually\n*father, mother, brother, sister, son, daughter\nPatients with ocular hypertension\nAnnually\nPatients with diabetes\nAnnually\n”",
  "extent": null,
  "status": null,
  "version": "current",
  "annotations": [],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/ssi/2010/86/schedule/1",
    "retrieved_at": "2026-10-28T21:57:02.373955+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}