This case concerns a patient who had initially been referred to secondary care by an optometrist in England for suspect glaucoma in the left eye. The patient had, then, however, relocated to Wales during this process, and the patient’s new GP then requested we undertake an Eye Health Examination Wales (EHEW) Glaucoma Referral Refinement (GRR) as the most appropriate way of managing him.
First presentation (September 2017)
General health
Ocular history
Family ocular history
Lifestyle
Refraction
RE 6/5 Plano/-0.50x180 (6/5) Add +1.75 (N5 R&L)
LE 6/5 -0.25DS (6/5)
Accommodation, motility, pupils
Goldman Applanation Tonometry (GAT) Pachymetry
RE 23mmHg 585μm
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