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Glaucoma Services Northern Ireland
NICE Glaucoma Diagnosis and management of chronic open angle glaucoma and ocular hypertension
Estimated 25 - 40% outpatient visits are glaucoma related 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
Diagnosis, OHT, Suspect, COAG
AOP, ABDO, FODO Strongly advised to refer all patients with IOP > 21 mmHg, regardless of instrument
Current Provision 2 glaucoma clinics per week in BelfastHospital shared care, optom & 2 nurse specialists Less than half visual field capacity One imaging device Reviews often one year behind
Current Equipment Expensive imaging requiring trained personnelInability to purchase equipment Not used appropriately as system too stressed
Interventional ProvisionAt least 2 surgical glaucoma cases per week Require 4 – 25 consults in 1st month Consultant intensive
Notes, records, reviews, RVHNo notes 90 % notes chronologically inaccurate Abysmal
Shared Care Team requiredLarge numbers patients seen by glaucoma capable personnel Access to consultant Appropriate visual fields and imaging immediately available Glaucoma lifelong
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