“…With the introduction of optometrist-led community services for minor eye conditions (MECS) and COVID-19 urgent eyecare (CUES), and the decline in ophthalmology teaching at undergraduate level [3], optometrists have become de facto gatekeepers to NHS secondary eyecare services. Yet, concerns about missing sight-or life-threatening diagnoses, like papilloedema, has meant referral thresholds have decreased since Honey Rose.…”