The first of our interactive exercises discussing any implications of NICE guidelines regarding the management of common eye diseases concerned a patient worried about their eye assessment and whose initial results suggested the possibility of ocular hypertension. Again, a good number of responses were received. Though the NICE guidance is, by its very definition, a national protocol but one of the aims of this exercise was to reflect some of the variations between regional and local protocols where a patient is showing early indication of possible future disease development.
Case study
A 48-year-old Afro-Caribbean man has been advised to have an eye examination (his first – he has relied on ready-made readers up until now) by his GP after it was discovered his older brother has recently been diagnosed with chronic open angle glaucoma.
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