Prescriptions for glasses or lenses, issued by opticians without a direct consultation with an ophthalmologist, are being closely examined by the National Syndicate of Ophthalmologists (Snof). The Snof is calling for stricter regulations, arguing that these practices may bypass important medical and ethical standards meant to protect patient safety. Dr. Vincent Dedes, president of the Snof, has urged authorities to regulate a process known as optical tele-expertise, where opticians can obtain prescriptions for lenses or glasses based on a visual exam, but with the final approval of a remote ophthalmologist. According to the Snof, these prescriptions are most common in large cities, as shown by billing data from the complementary insurer Alan. Recently, some companies have enabled opticians to issue prescriptions quickly—within hours—based on an in-store visual examination. These prescriptions are then reviewed and finalized by an ophthalmologist working for the company, who does not interact directly with the patient. While these companies claim they help address the challenge of accessing an ophthalmologist, the Snof disputes this, saying the process fails to meet the necessary medical standards. The Snof also warns of potential risks, such as the under-detection of glaucoma, a serious eye condition that can only be diagnosed through a direct examination by an ophthalmologist. Currently, the State, the Health Insurance system, and complementary health insurers—who cover most of the costs for glasses and lenses—have not yet taken a clear stance on these companies. However, a recent "fraud" law passed by Parliament in June requires that any prescription involve direct communication between the doctor and the patient. While this law sets a principle, the exact conditions for its enforcement are still being worked out. Authorities are cautious about applying the law too strictly, as they aim to support the growth of telemedicine. The challenge lies in balancing patient safety with the benefits of remote healthcare solutions. As the debate continues, the role of tele-expertise in eye care remains a topic of significant discussion among medical professionals and policymakers.