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Glaucoma Services Northern Ireland. NICE Glaucoma Diagnosis and management of chronic open angle glaucoma and ocular hypertension.

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Presentation on theme: "Glaucoma Services Northern Ireland. NICE Glaucoma Diagnosis and management of chronic open angle glaucoma and ocular hypertension."— Presentation transcript:

1 Glaucoma Services Northern Ireland

2 NICE Glaucoma Diagnosis and management of chronic open angle glaucoma and ocular hypertension

3 Introduction

4 The glaucoma problem Estimated % outpatient visits are glaucoma related Massive rising demand dictates that low complexity work be shifted into the community where it is more feasible

5 Diagnosis, OHT, Suspect, COAG

6 Service Provision

7 Recommendation

8 The platform

9 AOP, ABDO, FODO Strongly advised to refer all patients with IOP > 21 mmHg, regardless of instrument

10 False Negative

11 Current Provision 2 glaucoma clinics per week in Belfast Hospital shared care, optom & 2 nurse specialists Less than half visual field capacity One imaging device Reviews often one year behind

12 Current Equipment Expensive imaging requiring trained personnel Inability to purchase equipment Not used appropriately as system too stressed

13 Interventional Provision At least 2 surgical glaucoma cases per week Require 4 – 25 consults in 1 st month Consultant intensive

14 Notes, records, reviews, RVH No notes 90 % notes chronologically inaccurate Abysmal

15 Shared Care Team required Large numbers patients seen by glaucoma capable personnel Access to consultant Appropriate visual fields and imaging immediately available Glaucoma lifelong


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