{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T14:17:11Z","timestamp":1767795431765,"version":"3.49.0"},"reference-count":49,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T00:00:00Z","timestamp":1681862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmic Physiologic Optic"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Evidence supports the clinical decision\u2010making ability of primary care optometrists with additional qualifications in the identification of eligibility criteria for the certification of vision impairment (CVI). Welsh Government policy is driving pathway change to enable these optometrists to perform CVI. This qualitative study explores the views of people with VI due to dry age\u2010related macular degeneration (AMD) on this pathway change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Nine people with VI due to dry AMD, attending Macular Society support groups, participated. Individual semi\u2010structured interviews were conducted and analysed concurrently using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five major themes were identified: (1) living with dry AMD, (2) experience of eye care provision, (3) knowledge of CVI, (4) provision of information and (5) CVI in primary care. Participants consistently highlighted the need for the provision of accessible information regarding the certification pathway, dry AMD and the optometrist's role in the provision of eye health care. Information needs to be available prior to the diagnosis of an eye disease, rather than only from the point of diagnosis or where the vision reaches the level required for certification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings support the provision of CVI within primary eye care while highlighting areas of importance in pathway development. These include the provision of accessible information prior to, at the point of and following the diagnosis of an eye condition. Information provided needs to extend to the awareness of the role of the optometrist in the provision of eye care, and public health awareness of modifiable risk factors, which will influence the possibility of disease development in later life. The findings provide information that will be useful to those responsible for the provision of CVI within primary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.13137","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T03:29:10Z","timestamp":1681874950000},"page":"738-751","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["People with dry age\u2010related macular degeneration; views on certification of vision impairment in a primary care setting: An explorative qualitative study"],"prefix":"10.1007","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9785-5520","authenticated-orcid":false,"given":"Rebecca","family":"Bartlett","sequence":"first","affiliation":[{"name":"Primary Care Services NHS Wales Shared Services Partnership  Torfaen UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7160-5985","authenticated-orcid":false,"given":"Heather","family":"Davies","sequence":"additional","affiliation":[{"name":"Swansea University  Swansea UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,4,19]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Low Vision Services Consensus Group.Low vision services recommendations for future service delivery in the UK.Vision 2020;1999[cited 2022 Dec 2]. Available from:https:\/\/www.lowvision.org.uk\/publications.html"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30393-5"},{"key":"e_1_2_11_4_1","unstructured":"RNIB.RNIB: sight loss data tool. 2020 [cited 2020 Jan 3]. Available from:https:\/\/www.rnib.org.uk\/professionals\/knowledge\u2010and\u2010research\u2010hub\/key\u2010information\u2010and\u2010statistics\/sight\u2010loss\u2010data\u2010tool"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-020-0864-6"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010014\u20100181\u20107"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.06-0761"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010018\u201020374\u20105"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.16-19345"},{"key":"e_1_2_11_10_1","volume-title":"Falls \u2013 costs, numbers and links with visual impairment","author":"Boyce T","year":"2011"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2010.60"},{"key":"e_1_2_11_12_1","volume-title":"Falls in older people with sight loss: a review of emerging research and key action points","author":"Trust TP","year":"2013"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/152.7.633"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264315624909"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.12-10701"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955\u2010019\u20101096\u2010y"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5237"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.17-23224"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/09286586.2017.1281426"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010018\u20102836\u20100"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2013-303578"},{"key":"e_1_2_11_22_1","unstructured":"DoH.Certificate of vision impairment. Department of Health. 2020 [cited 2020 Oct 16].https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/637590\/CVI_guidance.pdf"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2004.059915"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.78.10.736"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2013.82"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102012\u2010001496"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-020-01126-0"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/09273948.2018.1441874"},{"key":"e_1_2_11_29_1","unstructured":"Sensory Health: Eye Care and Hearing Statistics 2017\u201318 & 2018\u201319 \u2013 Revised (Welsh Government).Wales:Welsh Government;2019[cited 2023 Jan 3]. Available from:https:\/\/www.gov.wales\/sensory\u2010health\u2010eye\u2010care\u2010and\u2010hearing\u2010statistics\u2010april\u20102019\u2010march\u20102021\u2010html"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-020-0860-x"},{"key":"e_1_2_11_31_1","unstructured":"Welsh Government.NHS Wales eye health care future approach for optometry services: Welsh Government.Wales:Welsh Government;2021[cited 2022 Dec 2]. Available from:https:\/\/www.gov.wales\/nhs\u2010wales\u2010eye\u2010health\u2010care\u2010future\u2010approach\u2010optometry\u2010services"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102013\u2010004319"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2010.01272.x"},{"key":"e_1_2_11_35_1","unstructured":"Mental Capacity Act.UK Government. 2021 [cited 2021 Feb 15]. Available from:https:\/\/www.legislation.gov.uk\/ukpga\/2005\/9\/section\/3"},{"key":"e_1_2_11_36_1","volume-title":"Qualitative research and evaluation methods","author":"Patton M","year":"2002"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_38_1","unstructured":"Welsh Government.A healthier Wales: our plan for health and social care. Welsh Government.Wales:Welsh Government;2018[cited 2022 Dec 2]. Available from:https:\/\/www.gov.wales\/healthier\u2010wales\u2010long\u2010term\u2010plan\u2010health\u2010and\u2010social\u2010care"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-1313.2010.00729.x"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2012-302416"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2008.144329"},{"key":"e_1_2_11_42_1","unstructured":"NICE.Age\u2010related macular degeneration: NICE guideline [NG82]: National Institute for Health and Care Excellence. 2021 [cited 2021 Mar 14].https:\/\/www.nice.org.uk\/guidance\/ng82"},{"key":"e_1_2_11_43_1","unstructured":"SheenN.Eye Health Examination Wales (EHEW) service: a clinical manual with protocols for optometrists ophthalmic medical practitioners (OMPs) and contractors: NHS Wales.Cardiff:NHS Wales;2018[cited 2023 Apr 12]. Available from:https:\/\/www.nhs.wales\/sa\/eye\u2010care\u2010wales\/professionals\/eye\u2010health\u2010examination\u2010wales\u2010ehew\/"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874364101913010090"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102013\u2010003306"},{"key":"e_1_2_11_46_1","first-page":"55","article-title":"Anxiety and depression in patients with advanced macular degeneration: current perspectives","volume":"10","author":"Cimarolli VR","year":"2016","journal-title":"Clin Ophthalmol"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12159"},{"key":"e_1_2_11_48_1","unstructured":"The Royal College of Ophthalmologists.Commissioning guidance age related macular degeneration services: The Royal College of Ophthalmologists.London:Royal College of Ophthalmologists;2021[cited 2022 Dec 2]. Available from:https:\/\/www.rcophth.ac.uk\/wp\u2010content\/uploads\/2021\/08\/AMD\u2010Commissioning\u2010Guidance\u2010Full\u2010June\u20102021.pdf"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010012790"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315576699"}],"container-title":["Ophthalmic and Physiological Optics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/opo.13137","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T11:23:45Z","timestamp":1767785025000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/opo.13137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,19]]},"references-count":49,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1111\/opo.13137"],"URL":"https:\/\/doi.org\/10.1111\/opo.13137","archive":["Portico"],"relation":{},"ISSN":["0275-5408","1475-1313"],"issn-type":[{"value":"0275-5408","type":"print"},{"value":"1475-1313","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,19]]},"assertion":[{"value":"2022-11-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}