{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T23:40:30Z","timestamp":1788219630875,"version":"build-2803163510"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2012,9,26]],"date-time":"2012-09-26T00:00:00Z","timestamp":1348617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmic Physiologic Optic"],"published-print":{"date-parts":[[2012,11]]},"abstract":"Abstract<\/jats:title>\n \n Purpose<\/jats:title>\n To examine if community optometrists follow published guidelines for referral of patients with suspect glaucoma to the hospital eye service.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A retrospective audit of new optometrist\u2010initiated referrals to the\n G<\/jats:styled-content>\n laucoma\n S<\/jats:styled-content>\n ervice at\n M<\/jats:styled-content>\n oorfields\n E<\/jats:styled-content>\n ye\n H<\/jats:styled-content>\n ospital,\n L<\/jats:styled-content>\n ondon was performed. Clinical data from referral letters recorded included evidence of intraocular pressure (\n IOP<\/jats:styled-content>\n ) measurement and tonometer used. Referral letter information was compared to 2009 guidelines published jointly by the\n C<\/jats:styled-content>\n ollege of\n O<\/jats:styled-content>\n ptometrists and\n R<\/jats:styled-content>\n oyal\n C<\/jats:styled-content>\n ollege of\n O<\/jats:styled-content>\n phthalmologists on referring glaucoma suspect patients.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 289 new patients were seen in the\n G<\/jats:styled-content>\n laucoma\n S<\/jats:styled-content>\n ervice over a 6\u00a0week period from 4th January 2011; a 100% hospital record retrieval rate was obtained. Of these, 114 (39%) were optometrists initiated referrals. Optometrist letters were available for 105 patients.\n IOP<\/jats:styled-content>\n measurements were recorded in 102 (97%); most practitioners used non\u2010contact tonometry (\n NCT<\/jats:styled-content>\n ;\n n<\/jats:italic>\n \u00a0=\u00a069; 68%). Practitioners recorded <4\u00a0\n NCT<\/jats:styled-content>\n readings per eye (4 readings:\n n\u00a0<\/jats:italic>\n =\u00a03, 4%; 3 readings:\n n<\/jats:italic>\n \u00a0=\u00a042, 61%; 2 readings:\n n<\/jats:italic>\n \u00a0=\u00a06, 9%; 1 reading:\n n<\/jats:italic>\n \u00a0=\u00a018, 26%). Seventy\u2010seven patients (73%) reported with raised\n IOP<\/jats:styled-content>\n as the main referral reason; of these, 33 (43%) were referred with raised\n IOP<\/jats:styled-content>\n in isolation.\n NCT<\/jats:styled-content>\n was the instrument used in the majority of these raised\n IOP<\/jats:styled-content>\n cases (\n n<\/jats:italic>\n \u00a0=\u00a056; 73%). In cases where raised\n IOP<\/jats:styled-content>\n in isolation was the referral reason, 24 (73%) were recorded using\n NCT<\/jats:styled-content>\n ; 10 (30%) provided repeat\n IOP<\/jats:styled-content>\n measurement data in the letter. One hundred and two (97%) referred patients attended the hospital appointment. Thirty (29%) were deemed not to have glaucoma, with the remainder diagnosed with ocular hypertension (\n n<\/jats:italic>\n \u00a0=\u00a025; 25%), glaucoma suspect\/glaucoma (\n n<\/jats:italic>\n \u00a0=\u00a035, 34%) or narrow angles requiring intervention (\n n<\/jats:italic>\n \u00a0=\u00a012, 12%). Thirty of the 33 patients referred with raised\n IOP<\/jats:styled-content>\n in isolation attended their hospital visit. Ten (33%) of these patients were subsequently discharged. Six (20%) patients had\n IOP<\/jats:styled-content>\n within normal limits when measured with applanation tonometry; all of these patients were kept within the service.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Community optometrists using\n NCT<\/jats:styled-content>\n for measurement should be reminded of the guidelines on number of readings to take and also the value of repeating\n NCT<\/jats:styled-content>\n measures when appropriate. This may help to increase the accuracy of glaucoma suspect referrals to hospital eye service.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/j.1475-1313.2012.00943.x","type":"journal-article","created":{"date-parts":[[2012,9,26]],"date-time":"2012-09-26T12:48:47Z","timestamp":1348663727000},"page":"472-477","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Comparison of optometrist glaucoma referrals against published guidelines"],"prefix":"10.1007","volume":"32","author":[{"given":"Sheema","family":"Khan","sequence":"first","affiliation":[{"name":"NIHR Biomedical Research Centre for Ophthalmology UCL Institute of Ophthalmology and Moorfields Eye Hospital NHS Foundation Trust London UK"},{"name":"King's College Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Clarke","sequence":"additional","affiliation":[{"name":"NIHR Biomedical Research Centre for Ophthalmology UCL Institute of Ophthalmology and Moorfields Eye Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aachal","family":"Kotecha","sequence":"additional","affiliation":[{"name":"NIHR Biomedical Research Centre for Ophthalmology UCL Institute of Ophthalmology and Moorfields Eye Hospital NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2012,9,26]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Glaucoma: diagnosis and management of chronic open angle glaucoma and ocular hypertension in Clinical guidelines CG85.2009 National Institute for Health and Clinical Excellence.http:\/\/www.nice.org.uk\/nicemedia\/pdf\/CG85NICEGuideline.pdf accessed 12\/3\/12."},{"key":"e_1_2_6_3_1","unstructured":"ABDO AOP FODO Advice on NICE glaucoma guidelines. Issued 24 April 2009; 6th revision 11 February 2010.http:\/\/www.fodo.com\/downloads\/resources\/NICE%20Guidelines%20Glaucoma%20joint%20body%20guidance%2011Feb10%20update.pdf accessed 12\/3\/12."},{"key":"e_1_2_6_4_1","first-page":"33","article-title":"Referral behaviour among optometrists: increase in the number of referrals from optometrists following the publication of the April 2009 NICE guidelines for the diagnosis and management of COAG and OHT in England and Wales and its implications","volume":"11","author":"Edgar DF","year":"2010","journal-title":"OiP"},{"key":"e_1_2_6_5_1","unstructured":"Guidance on the referral of Glaucoma suspects by community optometrists: Issued by The College of Optometrists and The Royal College of Ophthalmologists. 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