Intended for healthcare professionals

Letters Gradual loss of vision in adults

Author’s reply to Gilchrist and Artes

BMJ 2015; 351 doi: (Published 14 July 2015) Cite this as: BMJ 2015;351:h3747
  1. Shyamanga R Borooah, clinical research fellow in ophthalmology1
  1. 1Princess Alexandra Eye Pavilion, University of Edinburgh, Edinburgh EH3 9HA, UK
  1. shyamanga{at}

As Gilchrist noted in his response, our article was intended as guidance for GPs in the management of gradual loss of vision in adults, with a particular emphasis on cataracts and subsequent management and referral.1 2

In our experience, most cases of gradual loss of vision in the UK are reviewed by optometrists, although referral rates vary across regions and with respect to different ocular conditions. For instance, the proportion of referrals for glaucoma seems to be similar in different areas of the country, with about 90% of referrals coming from optometrists.3 4 In …

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