16 CFR Part 456 ; Agency Information Collection Activities: Review; Comment Request Ophthalmic Practice Rule (Eyeglass Rule): FTC Project No. R511996
In accordance to the Affordable Care Act it only seems reasonable to modify the existing rules to enable the patient (consumer) to make decisions on where to spend their money. As a physician that treats hearing loss we do not put a termination date on hearing tests. We do recommend a repeat test if there is a perceived decrease in the hearing, or if the hearing aids are not performing appropriately. I don't see the eye exam as being any different. The standard examination should include all the necessary measurements to obtain glasses from the retail place of choice for the consumer. The intent should be to improve the patients vision and not delay obtaining glasses. As a physician we are acutely aware that all medical information belongs to the patient and not proprietary to the physician or medical practice. The existing rules are antiquated and should be modified. It is the physicians responsibility to assure the heath and well being of the patient. If there is a clear medical reason to require frequent testing of visual acuity then the patient should be clearly informed of that need. If that is not the case, then repeat exams should be left up to the patient if they feel the vision has deteriorated and the prescription should not expire. A repeat exam without a subjective decrease in the vision is just not cost effective care.