glaucoma services northern ireland. nice glaucoma diagnosis and management of chronic open angle...
Post on 28-Mar-2015
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Glaucoma Services Northern Ireland Slide 2 NICE Glaucoma Diagnosis and management of chronic open angle glaucoma and ocular hypertension Slide 3 Introduction Slide 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 Slide 5 Diagnosis, OHT, Suspect, COAG Slide 6 Service Provision Slide 7 Recommendation Slide 8 The platform Slide 9 AOP, ABDO, FODO Strongly advised to refer all patients with IOP > 21 mmHg, regardless of instrument Slide 10 False Negative Slide 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 Slide 12 Current Equipment Expensive imaging requiring trained personnel Inability to purchase equipment Not used appropriately as system too stressed Slide 13 Interventional Provision At least 2 surgical glaucoma cases per week Require 4 25 consults in 1 st month Consultant intensive Slide 14 Notes, records, reviews, RVH No notes 90 % notes chronologically inaccurate Abysmal Slide 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