Intended for healthcare professionals

Letters The waste in NHS sight tests

Containing escalating referrals by bringing optometrists into the NHS

BMJ 2014; 348 doi: (Published 08 May 2014) Cite this as: BMJ 2014;348:g3044
  1. Vishal Shah, medical student1,
  2. Laurence Leaver, general practitioner2,
  3. Muir Gray, consultant in public health3
  1. 1Green Templeton College, Oxford, UK
  2. 2Jericho Health Centre, Oxford. OX2 6NW, UK
  3. 3Better Value Healthcare, Oxford, UK
  1. laurenceleaver{at}

We agree with Clarke that current screening for intraocular pressure (IOP) would fail the Wilson criteria owing to high false positive rates for pneumatic tonometry as much as cost effectiveness.1 In Oxfordshire (2013), 141/182 patients (77%) with raised IOP on pneumatic testing were normal when re-checked by applanation tonometry, and similar data are available from elsewhere.2 3 Before the 2009 National …

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