We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Current Challenges of Ophthalmology in France

Isabelle Audo, MD, PhD
Arch Ophthalmol. 2010;128(10):1358-1359. doi:10.1001/archophthalmol.2010.216.
Text Size: A A A
Published online


To comprehend the current challenges that French ophthalmic care is facing, one has first to appreciate the system and the changes that have occurred over the years leading to the current situation. French ophthalmic care is organized differently from its British and American counterparts and resembles its European neighbors. It follows a basic principle of the French medical practice, which should guarantee a strict separation of medical care and prescription from commercial sales. Ophthalmologists and orthoptists provide care to a patient, on one hand. Pharmacists and opticians, on the other hand, enter commercial transactions with a client. The ophthalmologist is the center of the ophthalmic care, performing regular ophthalmic examination, prescribing glasses and contact lenses and supervising their tolerance, and performing ophthalmic surgery. The French ophthalmologist works closely in relation with orthoptists, who can provide additional examinations, such as visual field tests and strabismus or low-vision aid rehabilitation, and opticians, who provide glasses and contact lenses on medical prescription. French patients are free to choose their practitioner and the National Health Insurance, la Sécurité Sociale, covers about 70% to 80% of the ophthalmologists' and orthoptists' fees whereas fees for optics and even more for low-vision aid devices have never been well reimbursed and would be covered by optional private insurances. During recent years, optometrists have been trained through schools of optics and master's programs delivered by 2 scientific universities. However, their status is not well defined by the Health authorities, their potential fees for private consultations resulting in glasses prescription and delivery would not be covered by the National Health Insurance, and their role in the scheme of French eye care is a recurrent and often passionate matter of debate.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles