Community OptometryCommunity Optometry
Working Together with General Working Together with General Practice!Practice!
EYE UNITSEYE UNITS
OPTOMETRY PRACTICESOPTOMETRY PRACTICES
PRIMARY PRIMARY EXAMINATIONEXAMINATION
CoreCore ElementsElements
AdditionalAdditionalElementsElements
SupplementarySupplementaryProceduresProcedures
THE NEW GOS EYE EXAMINATIONTHE NEW GOS EYE EXAMINATION
FOR FOR ALLALL
? SIGNS ? SIGNS & &
SYMPSYMP
Ongoing care Ongoing care in the in the
communitycommunityDirect referral to Direct referral to
acute sectoracute sector
Competency AccreditationCompetency Accreditation
Essential Equipment Essential Equipment
HistoryHistory Refraction Refraction
Internal ExamInternal Exam
EYE EXAMINATIONEYE EXAMINATION
PerimetryPerimetry
Digital ImagingDigital Imaging
AdviceAdvice
External ExamExternal Exam
OptometryOptometryNetworksNetworks
Acute PresentationsAcute Presentations
Red EyeRed EyeVisual LossVisual Loss
Inappropriate Inappropriate ReferralsReferrals
GIES 77%GIES 77%Grampian 70%Grampian 70%LENS 50% ?LENS 50% ?
Top 10 – Eye Casualty!Top 10 – Eye Casualty!
1.1. Seasonal allergic conjunctivitisSeasonal allergic conjunctivitis2.2. Anterior UveitisAnterior Uveitis3.3. Infective ConjunctivitisInfective Conjunctivitis4.4. Corneal AbrasionCorneal Abrasion5.5. Dry EyeDry Eye6.6. EpiscleritisEpiscleritis7.7. Corneal FBCorneal FB8.8. HSKHSK9.9. Marginal KeratitisMarginal Keratitis10.10.PVDPVD11.11.TrichiasisTrichiasis
Referral Guidance - EmergenciesReferral Guidance - EmergenciesSAME DAY
Penetrating InjuryPenetrating Injury
Sudden loss of visionSudden loss of vision
Chemical injuryChemical injury
Preseptal/orbital cellulitisPreseptal/orbital cellulitis
Post-operative complications eg endophthalmitisPost-operative complications eg endophthalmitis
Suspected temporal arteritisSuspected temporal arteritis
Intraocualr foreign bodyIntraocualr foreign body
3rd cranial nerve palsy3rd cranial nerve palsy
ANTERIOR SEGMENT ANTERIOR SEGMENT
Microbial keratitis Microbial keratitis
Herpetic keratitis Herpetic keratitis
Herpes Zoster with suspected ocular involvementHerpes Zoster with suspected ocular involvement
Acute Angle closure glaucomaAcute Angle closure glaucoma
UveitisUveitis
Corneal abrasionCorneal abrasion
Corneal foreign bodyCorneal foreign body
HyphaemaHyphaema
HypopyonHypopyon
POSTERIOR SEGMENTPOSTERIOR SEGMENT
Retinal detachment/holeRetinal detachment/hole
Vitreous haemorrhageVitreous haemorrhage
UveitisUveitis
URGENT (Within 24-48hrs)
Scleritis
Newly diagnosed Wet AMD (if rapid access clinic not available)
Amaurosis fugaxPapilloedema
Acute onset diplopia RubeosisProptosis
Horner's syndromeAcute flashing lights/floaters
Blunt ocular trauma (if no penetrating injury)
The Future?The Future?
IT Integration ? 2013/14IT Integration ? 2013/14
Optometry Linked to NHS NetOptometry Linked to NHS Net
ReferralsReferrals
Inter communication between optometry, GPs and the Inter communication between optometry, GPs and the HESHES
Optometric Prescribing – PGDs / IPOptometric Prescribing – PGDs / IP
Work together – We all win!Work together – We all win!
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