Features

Chris Kerr (Letters, July 18) calls for comments from the GOC and the College of Optometrists. I am happy to say that the positions he outlines are already supported by published material from both bodies.

Plano lenses can only be sold under the supervision of a registered optometrist, dispensing optician or medical practitioner. The College's guidelines make it clear that it is in the interest of public safety that this is only done following a fitting: 'While there is no legal requirement to fit a person with zero-powered contact lenses, it is in the best interests of the patient to do so. Therefore, before supplying any patient with zero-powered lenses who does not have a valid written specification, the patient should be fitted with appropriate lenses by an optometrist/contact lens optician and issued with a written specification where appropriate. Any optometrist/dispensing optician who is responsible for supervising the sale and supply of zero-powered lenses where the patient does not possess written specification should ensure that the supervisee refers the patient for fitting.'

Supervision is also covered in the guidance, which states: 'The supervisor must be on the premises, aware of the procedure and in a position to intervene if necessary to ensure that no untoward consequences to the detriment of the patient can arise from the actions of such a person who is being supervised.'

All practitioners taking professional responsibility for sales must satisfy themselves that they are able to meet these requirements.

Unfortunately, the second letter on this subject (Ron Hamilton, 'Summing up contact lens rule confusion') confuses a number of issues. Corrective contact lenses may be sold either under supervision, or under the 'general direction' of a registered practitioner. To meet the legal requirements for generally directed sales, the seller must either have the original of the patient's specification or a copy or order which is verified with the prescribing practitioner. The registrant under whose general direction the sale takes place must ensure that clear written procedures are in place, covering issues such as verification and providing advice on aftercare. I urge all practitioners to read in full the updated professional guidance provided by the College of Optometrists and ABDO on these issues.

Peter Coe
Chief Executive and Registrar, GOC

I've just overheard a wonderful malapropism from the waiting area and I need to share it with you. But first, a couple from the archives:

Elderly lady: 'I want those radioactives again!'

Gentleman waiting his turn on the fundus camera: '-Course I have the ophthalmography done at the eye clinic.' (Actually I rather like this one - could the term be adopted please?)

And today's gem:

First elderly lady: 'You know Vera, don't you?'
Second elderly lady: 'Yes.'
First lady: 'Well, she's got that immaculate regeneration, you know.'
Second lady: 'Ooo!'

Priceless!

Nick Kinna, Rayleigh, Essex

Providing exclusive eye care news, information and educational needs every week, including a FREE CET programme. Subscribe to Optician Print Edition.