1. Community Optometry Working Together with General Practice!

2. EYE UNITS OPTOMETRY PRACTICES

3. PRIMARYEXAMINATION Core Elements ElementsAdditionalElements SupplementaryProcedures THE NEW GOS EYE EXAMINATION FOR ALL ? SIGNS & SYMP Ongoing care in the community Direct referral to acute sector

4. Competency Accreditation Competency Accreditation

5. Essential Equipment

6. History Refraction Internal Exam EYE EXAMINATION Perimetry Digital Imaging Advice External Exam

7. Optometry Networks Acute Presentations Red Eye Visual Loss Inappropriate Referrals GIES 77% Grampian 70% LENS 50% ?

8. Top 10 – Eye Casualty! Top 10 – Eye Casualty! 1.Seasonal allergic conjunctivitis 2.Anterior Uveitis 3.Infective Conjunctivitis 4.Corneal Abrasion 5.Dry Eye 6.Episcleritis 7.Corneal FB 8.HSK 9.Marginal Keratitis 10.PVD 11.Trichiasis

9. Referral Guidance - Emergencies SAME DAY Penetrating Injury Sudden loss of vision Chemical injury Preseptal/orbital cellulitis Post-operative complications eg endophthalmitis Suspected temporal arteritis Intraocualr foreign body 3rd cranial nerve palsy ANTERIOR SEGMENT Microbial keratitis Herpetic keratitis Herpes Zoster with suspected ocular involvement Acute Angle closure glaucoma Uveitis Corneal abrasion Corneal foreign body Hyphaema Hypopyon POSTERIOR SEGMENT Retinal detachment/hole Vitreous haemorrhage Uveitis URGENT (Within 24-48hrs) Scleritis Newly diagnosed Wet AMD (if rapid access clinic not available) Amaurosis fugax Papilloedema Acute onset diplopia Rubeosis Proptosis Horner's syndrome Acute flashing lights/floaters Blunt ocular trauma (if no penetrating injury)

10. The Future? IT Integration ? 2013/14 IT Integration ? 2013/14 Optometry Linked to NHS Net Optometry Linked to NHS Net Referrals Referrals Inter communication between optometry, GPs and the HES Inter communication between optometry, GPs and the HES Optometric Prescribing – PGDs / IP Optometric Prescribing – PGDs / IP Work together – We all win! Work together – We all win!