Glaucoma Referral Refinement

The NHS Norfolk and Waveney Clinical Commissioning Groups, except West Norfolk CCG, commissioned a service with selected Optometrists designed to improve the detection of glaucoma, whilst minimising any inconvenience and expense incurred by the patient in travelling to hospital. Glaucoma is difficult to diagnose but if tests are repeated the process can be made more accurate.  Where the repeat testing of intra-ocular pressure and visual field screening confirms the original findings, the optometrist will refer the patient directly to the Glaucoma Clinic at the hospital for a specialist opinion. 


Ocular Hypertension - raised eye pressure

Where the optometrists finds only raised pressure (ocular hypertension) Norfolk & Waveney Clinical Commissioning Groups, in cooperation with the Norfolk & Norwich University Hospital Trust, and The James Paget Hospital Trust, Gorleston have asked all Optometry practices to confirm raised intra-ocular pressures findings before referring to the specialist eye clinics. This will require the patient to either attend the same practice for repeat pressure measurements or in some cases, be referred to another optometry practice which is accredited for Glaucoma Referral Refinement which involves repeat pressure measurements, optic disc assessment, visual field examination and slit-lamp examination of the anterior chamber drainage angle.