Textual Amendments
1. The patient’s relevant medical, family or ocular history should be updated and the reason for and date of visit should be recorded.S
2. Where clinically appropriate, a patient should be referred directly to an ophthalmic hospital, to the patient’s General Practitioner, or to another Optometrist.S
| Column 1 | Column 2 |
|---|---|
| Following routine sight test; | Cycloplegic sight test |
| Paediatric follow up within six months of the previous examination | A sight test; |
| Oculo-motor balance; and | |
| Stereopsis | |
| Referral refinement / Repeat or follow-up procedures | To include, as required: |
| A sight test where this could not be undertaken as part of the primary eye examination due to eye infection, disease or injury | |
| Repeat of automated visual field assessment by full threshold visual fields; | |
| Repeat tonometry using applanation tonometry; | |
| Slit lamp biomicroscopy, which may include mydriasis, and / or digital retinal photography; | |
| Also to include where referring: general referral advice and counselling specific to the referral reason | |
| Suspect glaucoma, unusual optic disc | To include, as required: |
| appearance, or where other retinal or | |
| choroidal abnormalities have been detected during the primary eye examination | Repeat of automated visual field assessment by full threshold visual fields; |
| Repeat tonometry using applanation tonometry; | |
| Slit lamp biomicroscopy which may include mydriasis | |
| Patient aged under 60 with suspect cataracts, suspect macular disorder, suspect diabetic retinopathy, suspect vitreo retinal disorders, suspect glaucoma, suspect neurological symptoms, suspect tumour risk, small pupils measuring 2 mm or under. | Dilated slit lamp biomicroscopy, and any other tests and procedures appropriate to the patients’ symptoms |
| Suspect or diagnosed anterior segment disorders, damage or infections, as detailed in the patient’s record, including corneal abrasion, foreign body, dry eye, conjunctivitis, red eye, scleritis, episcleritis, iritis, or uveitis | External eye assessment using slit lamp and relevant diagnostic agents |
| Children aged under 16 years on referral by an ophthalmic hospital | Cycloplegic sight test |
| Patients discharged from an ophthalmic hospital following a cataract operation | Postoperative cataract examination and sight test |
| Patient presenting with reduced visual acuity, sudden vision loss, sudden onset flashes and floaters, or neurological symptoms | sight test, macular assessment tests, slit lamp biomicroscopy which may include mydriasis, and any other tests and procedures appropriate to the patient’s signs and symptoms] |