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Glaucoma Services

Glaucoma Services. Northern Ireland. NICE Glaucoma. Diagnosis and management of chronic open angle glaucoma and ocular hypertension. Introduction. The glaucoma problem. Estimated 25 - 40% outpatient visits are glaucoma related

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Glaucoma Services

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  1. Glaucoma Services • Northern Ireland

  2. NICE Glaucoma • Diagnosis and management of chronic open angle glaucoma and ocular hypertension

  3. Introduction

  4. The glaucoma problem • Estimated 25 - 40% outpatient visits are glaucoma related • Massive rising demand dictates that low complexity work be shifted into the community where it is more feasible

  5. Diagnosis, OHT, Suspect, COAG

  6. Service Provision

  7. Recommendation

  8. The platform

  9. AOP, ABDO, FODO • Strongly advised to refer all patients with IOP > 21 mmHg, regardless of instrument

  10. False Negative

  11. 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

  12. Current Equipment • Expensive imaging requiring trained personnel • Inability to purchase equipment • Not used appropriately as system too stressed

  13. Interventional Provision • At least 2 surgical glaucoma cases per week • Require 4 – 25 consults in 1st month • Consultant intensive

  14. Notes, records, reviews, RVH • No notes • 90 % notes chronologically inaccurate • Abysmal

  15. 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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