Eye Examinations

Regular eye examinations are important for everyone, even for those of us who have no known eye problems.

Mr Iain Macnish  our resident optometrist & skilled clinician, has many years experience in hospitals such as The Royal Liverpool & Alder Hey Children’s hospital as well as independent practice. Qualified as a Dry Eye Consultant at Moorfields London he has further qualifications in therapeutics, constantly refreshing his skills and knowledge to keep up with the latest theories and research. He will take the time to listen to your reasons for visiting us and tailor the examination to your needs.

At Eden Eyecare, we want to give the most comprehensive eye examination but also must ensure it is conducted within a timeframe that is conducive to modern life, such as, within a patients’ lunch break.

There are regulations that specify certain tests that have to be carried out by the Optometrist which are helpful to practitioner and patient so that they know to what to expect during a consultation. However, technology has progressed, in the last 30 years, since the regulations were written. Our profession now feel there are many more tests that should be included in a consultation to ensure all possible eye diseases can be detected at a stage where treatment may save sight or even life.

Since July 2020 Eden Eyecare has introduced additional tests to its consultations for adults as advised by NICE. (National Institute for Clinical Excellence). These guidelines are in place to ensure a more comprehensive examination.

These measures mean that all consultations could now take up to 40 minutes and will include some or all of the following tests in addition look to the standard examination as regulated in the 1989 Opticians Act.

OCT Optical Coherence Tomography

 – a non-invasive scan that can detect early optic nerve damage as well as other conditions such as Macula holes and Macula Degeneration.

Corneal Tomography 

  • a computer assisted scan that creates a 3D map of the cornea for use in several conditions such as dry eye, and corneal dystrophies.

Goldman Application Tonometry 

– considered the gold standard in measuring intra ocular pressures.

*The Goldman Application Tonometry exam requires drops to be instilled before being undertaken. These drops do not blur vision or dilate the pupil so driving after the consultation will not be affected.


Fluorescein slit lamp examination

– a more comprehensive examination at the front of the eye.

Van Herrick technique 

– a technique to quantify the anterior chamber angle, used in Glaucoma assessment.

Smith’s technique

– a technique to help identify if a patient is at risk of developing angle closure. More common in long sighted patients.


– a medical device used to measure the thickness of the cornea. This is used is patients with keratoconus, corneal dystrophys and suspect glaucoma’s.

A private consultation is priced at £60

For those who are entitled to an NHS examination we include these additional tests for a £20 fee.


In addition to these tests ,if a patients’ condition requires me to further consult with other specialists this will be undertaken at no extra charge with results of that consultation emailed to that patient with weeks.

If other examinations are advised as necessary, these will be discussed with the patient at the time and may result in an additional charge.

All children’s eye examinations are free for those aged 18 and under.

If as a patient you do not wish to have these additional tests, we will book you for a standard NHS test covered by your NHS exemption.

Other optical services include :

Contact Lens Services

  • Ortho K
  • Gas Permeable Lens fitting including Toric/Multifocal
  • Scleral Contact Lens Fitting including for astigmatism/Multifocals

We also fit lenses for Dry eye & Keratoconus

Paediatric Services

  • Coloured Overlays consultation for Dyslexia & Visual Stress
  • Cycloplegic Refraction
  • Stereopsis Investigation

Eden Eyecare also specialises in Dry Eye Management. Dry eye is the most common eye compliant presenting itself in practice. Many opticians advocate drops to elevate dry eye symptoms. These symptoms include watery eyes, blurred vision that clears on blinking, burning, gritty and red eyes. Eden Eyecare have a comprehensive dry eye clinic to treat this common complaint using blephex, steam goggles as well as providing the correct drops, gels, ointments and eyebags.

Dry Eye Lids & Lashes

  • Punctal Plug Implants
  • Punctal Syringing
  • Dry eye treatment
  • Blephex
  • Meibomian Gland Expression

Eye Tests Penrith

Eden Eyecare Penrith

Step inside Eden Eyecare

Have a sneak preview of Eden Eyecare, we aim to make your visit an enjoyable one we offer bright, spacious and airy surroundings, sit and have a coffee and read the newspaper whilst you wait for your appointment. We are fully equipped with disabled facilities and pride ourselves in making your experience a pleasant one.