Diabetic patients with ocular hypertension and glaucoma

A year ago, a 45-year-old insulin dependent diabetic Asian patient did not want an eye examination carried out by us because we did not provide free NHS spectacles and we would not entertain her request for strong reading spectacles. She therefore had an eye examination with another optical practice and she was seen by us just for the diabetic screening. She was prescribed spectacles with a reading add of +2.75D (a 45-year-old with such high reading add?).

At this visit the patient was noted to have high intraocular pressures of 24mmHg in the right eye and 27mmHg in the left eye. Her diabetic findings were R0 (no diabetic retinopathy) right and left eye. She was immediately referred to an eye specialist for ocular hypertension.