Features

Enhanced services: Primary care in South Wales

Clinical Practice
This year, Specsavers in Haverfordwest won the Optician Award for Enhanced Optical Services. In this, the third in a monthly series of case studies based around these services, practice director Andy Britton describes the management of a patient with glaucoma

Case study

Patient initials: BW

DOB: 09/02/57

Condition: primary open angle glaucoma

Presentation: 09/01/2017

Patient had been seen for a routine eye examination in December 2016 and had been referred by a colleague for a formal Glaucoma Refinement appointment. At original examination a simple change in prescription had been identified and glasses were updated.

Ocular history

Iritis early 1990s in the right eye but with no recurrence. No other issues.

General health

Heart double bypass in 2010

High blood pressure and cholesterol – last check 6/12

Medication

Family history

No systemic issues

Mother had closed angle glaucoma diagnosed in her 70s – controlled with drops

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