GOS Sight Test Protocol

The GOS Sight Test Protocol was agreed with NHS Leeds in December 2008

A GOS sight test should normally include:

• Ocular history and symptoms, including relevant general health and family ocular history

• Determination of best spectacle correction and visual acuities.

• Binocular vision assessment.

• External ocular examination.

• Intra-ocular examination through undilated pupils

• Field screening for at risk groups

• Tonometry for at risk groups

• Maintaining records that show the results of the examinations

• Issuing signed copy of the prescription or patient’s statement

• Giving verbal advice

• Writing a referral letter if required including a copy for patient.

This list is not intended to affect a practitioner’s professional freedom or to be prescriptive.

Examples of further procedures beyond a GOS sight test include:

• Repeat fields and (and/or) tonometry in borderline cases

• Diabetic Screening

• Glaucoma monitoring

• Fundus photography and digital image capture for at risk groups

• Red eye assessment, dry eye and supplying and fitting punctal plugs

• Pre referral cataract assessment

• Post Cataract surgery follow up

• Delivering Choose and Book to patients.

• Low Vision Assessment

• Cycloplegic refractions.

• Vague GP requests to “Have a look at this patient eye”