Professor Bruce Evans: Expert witness

 

Professor Bruce Evans carries out his expert witness work through Evans Optometric Consultancy Ltd (EOC). Professor Evans has been involved as an expert witness in over 60 cases over the last 15 years. These have included civil litigation, complaints brought before the General Optical Council Disciplinary Committee, and NHS tribunals and fraud cases. He has taken instructions from solicitors (for both prosecution and defence), the Association of Optometrists, and from NHS organisations. In 2016 Professor Evans provided expert advice on the first criminal prosecution involving an optometrist.

General allegation

Explanation

Did the optometrist fail to detect and treat or refer strabismus (squint) in a child?

Professor Evans has provided expert advice in several cases of this type. Often, the issue revolves around whether the optometrist took adequate steps to detect the main risk factor for a convergent squint: long-sightedness.

Did the optometrist fail to detect and treat or refer amblyopia (lazy eye) in a child?

The amblyopia usually results from either strabismus or anisometropia, which may not have been detected by the optometrist.

Did the optometrist fail to adequately treat amblyopia (lazy eye)?

Amblyopia is usually treated by patching before the age of 7-8 years. Optometrists can treat the condition or refer, but treatment needs to be appropriate.

Did the optometrist carry out an adequate eye examination of a child?

Children can be difficult to examine. The clinical records are of paramount importance in these cases. The decision about whether to use cycloplegic drops can also be pivotal.

Did the optometrist fail to detect a decompensating binocular vision anomaly in an adult?

The binocular vision anomaly might be a long-standing muscle weakness or heterophoria. Decompensation should be detected because early intervention might be most effective.

Was an optometrist negligent for failing to detect a retinal detachment?

Professor Evans has been involved in research evaluating the content of optometric eye examinations for patients with symptoms suggestive of a retinal detachment. He can comment on the eye examination that should be expected of a reasonably competent optometrist.

Was an optometrist negligent for failing to detect a choroidal melanoma?

Professor Evans can comment on the eye examination that should be expected of a reasonably competent optometrist.

Is an optometrist making inappropriate claims from the NHS for children’s spectacles?

Professor Evans has experience of cases where it is alleged that optometrists over-prescribe low prescriptions and/or prisms.

 

Enquiries

For enquiries about Professor Evans’ expert witness work please contact his Personal Assistant, Lesley Barnett: lesley@cmt-optometrists.co.uk (01277 211164). Professor Evans only accepts instructions from legal professionals and please do not send bundles of documents until availability to act has been confirmed.