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Published byWilliam Barnett
Modified over 2 years ago
Glaucoma Services Northern Ireland
NICE Glaucoma Diagnosis and management of chronic open angle glaucoma and ocular hypertension
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 Belfast Hospital 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 personnel Inability to purchase equipment Not used appropriately as system too stressed
Interventional Provision At least 2 surgical glaucoma cases per week Require 4 – 25 consults in 1 st month Consultant intensive
Notes, records, reviews, RVH No notes 90 % notes chronologically inaccurate Abysmal
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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