Improved adherence to the ICO guideline would ensure greater standardisation of ophthalmology teaching across the UK. A formal edict from the RCOphth about the organisation, duration and content of the undergraduate ophthalmology curriculum, would assist the undergraduate teaching leads in ensuring ophthalmology’s continuing presence in the undergraduate medical curriculum. Resource sharing between the medical schools facilitated by the RCOphth, could also improve the effectiveness of undergraduate ophthalmology teaching while reducing the workload of local teaching departments and medical schools.