Enhanced Cataract Referral service - for a patient who has a cataract being considered for surgery and is not already under the care of an ophthalmologist for another ocular condition (if under the care of an ophthalmologist for another ocular condition, the patient’s consultant should be asked to review for potential cataract surgery).
Note: the referral of a patient for surgery with corrected vision better than 6/9, would need to be justified by the referring optometrist, in line with the Enfield CCG cataract surgery policy.
IOP and visual field repeat readings service (glaucoma repeat readings) - for patients with an IOP of 24 - 31mmHg at sight test, and/or a visual field defect which may be due to glaucoma, but no other signs of glaucoma present.
Patients who have an IOP reading above 31mmHg at sight test, or other signs of glaucoma eg. suspicious optic nerve head appearance or suspicious anterior chamber angle, should be referred to a consultant ophthalmologist as now.
Patients who have an IOP reading below 24mmHg and no other signs of glaucoma, do not require onward referral (in line with NICE guidance NG81 - November 2017).
Referrals for ocular conditions which fall outside the scope of the three primary eyecare services, should be referred directly to secondary care in the usual way.