Primary care: Coping with pressure

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