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- W2142592279 abstract "Abstract Purpose: The purpose of the study was to evaluate the quality of content of optometrist‐initiated glaucoma referral letters arriving at the appointment booking centre at Moorfields Eye Hospital (MEH). Methods: The minimum standard of information required for an ophthalmologist to determine the appropriateness and urgency of glaucoma suspect referral was determined, and criteria for three standards of referral letter formulated: ‘Ideal’, ‘Acceptable’ and ‘Fail’. These standards were applied to a prospective review of all optometrist‐derived referrals for glaucoma or suspected glaucoma cases arriving in the MEH booking centre over a 4‐month period. The contents of each letter were scrutinised and classified based on the criteria within each standard. Results: Forty‐nine per cent of referral letters were found to be of ‘acceptable’ quality, 7%‘ideal’ quality and the remainder classed as “fail”. The main reason for failure was an omission of non‐clinical information, including patient and/or referring practice details, although 26% of letters failed to include an optic disc evaluation and 6% failed to provide intra‐ocular pressure measurements. Two‐thirds of ‘acceptable’ letters did not reach the ‘ideal’ standard due to a lack of discussion of risk factors, visual field analysis or recommendations for referral speed. Discussion: The information gleaned from this prospective study indicates a need to improve the quality of optometrists’ glaucoma referral letters, particularly with respect to completion of all the items set out on the General Ophthalmic Services (GOS) 18 referral form." @default.
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- W2142592279 date "2008-12-22" @default.
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- W2142592279 title "The quality of optometrists’ referral letters for glaucoma" @default.
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- W2142592279 doi "https://doi.org/10.1111/j.1475-1313.2008.00600.x" @default.
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