Glaucoma Repeat measures scheme
The aim of a glaucoma repeat measures scheme pathway is to reduce unnecessary referrals to the hospital eye service, reducing patient anxiety and increasing capacity within the overburdened hospital glaucoma clinics. This will provide a more cost effective service with a greater number of patients managed within the primary care setting. The referral refinement pathway would allow accredited optometrists to repeat diagnostic tests to confirm the risk of disease and thus improve the accuracy of referrals and deflect unnecessary referrals.
This scheme is designed to enable accredited optometrists to repeat Intra-Ocular pressure (IOP) using Goldmann or Perkins applanation tonometry on patients with raised IOP of 22 mmHg or higher and/or repeat visual field testing on patients who demonstrate a suspect glaucomatous visual field defect on initial testing.
This scheme excludes patients who have suspect or abnormal glaucomatous disc changes or other significant ocular pathology.
Please Note: Patients being seen on this scheme must be registered with an East Lancashire / Blackburn with Darwen GP (IES) or a North Lancashire / South Cumbria GP (BCT). This scheme is designed for accredited practitioners to repeat tests on their own patients. However, if appropriate, an accredited practitioner can repeat tests on a patient seen by a non-accredited colleague within the same practice, for example a locum working in the practice. Otherwise, non-accredited practitioners should continue to refer their patients in the usual way as mentioned above.