Glaucoma information & Local Protocol

The Manchester Glaucoma Referral Refinement Service (GRRS)


What is the GRRS service?

This is a primary care optometry service for patients who are suspected, by their GP or Optometrist, of developing non-acute glaucoma.
It is provided by accredited optometrists with specialist knowledge and skills at a local practice close to the patients home or place of work.

Who is eligible for the GRRS service?

All patients registered with a Manchester GP who present at an optometrist or GP with any suspect signs of glaucoma or elevated intraocular pressure (IOP).

 

All patients registered with a Manchester GP who present at an optometrist or GP with any suspect signs of glaucoma or elevated intraocular pressure (IOP).

How do patients access the GRRS service?

Patients may be referred into the service from:

A non-accredited optometrist
A Manchester GP

 

 

What happens when I see the optometrist?

The optometrist will discuss the patients eye history, symptoms, risk factors and any related medical   history.

Patients should take their spectacles and a list of current medications to the appointment.

The optometrist will detect the presence or suspicion of glaucoma using specific tests relevant to the signs/symptoms.

The patient will be found:

- to not to have glaucoma, nor be at risk of developing glaucoma in the foreseeable future and be discharged back the care of their optometrist,

- or to have a diagnosis or suspicion of glaucoma and will be referred to the Eye Hospital (MREH) for further assessment

The GRRS optometrist will notify the patients GP and referring optometrist about the outcome of the 
consultation in order to ensure that medical records are updated.  


A sight test will not be performed as part of the assessment and a prescription for glasses will not be issued. However, where a referral originates with a GP it may be necessary to carry out a sight test first. The GRRS optometrist will be able to give advice. Any patient that you suspect has glaucoma or raised pressures ( taking into account the advice regarding age and pressures) should be referred to an accredited Optometrist for further assessment.

 

The Manchester Glaucoma Enhanced Referral Service (GERS)

What is the GERS service?

• This is a primary care optometry service for patients who are suspected, by their GP or Optometrist, of developing non-acute glaucoma.

• It is provided by accredited optometrists with specialist knowledge and skills at a local practice close to the patient’s home or place of work. Who is eligible for the GERS service?

• All patients registered with a Manchester GP who present at an optometrist or GP with any suspect signs of glaucoma or elevated intraocular pressure (IOP). How do patients access the GERS service?

• Patients may be referred into the service from:

• A non-accredited optometrist

• A Manchester GP What happens when I see the optometrist?

• The optometrist will discuss the patient’s eye history, symptoms, risk factors and any related medical history.

• Patients should take their spectacles and a list of current medications to the appointment.

• The optometrist will detect the presence or suspicion of glaucoma using specific tests relevant to the signs/symptoms.

• The patient will be found: o not to have glaucoma, nor be at risk of developing glaucoma in the foreseeable future and be discharged back the care of their optometrist, or o to have a diagnosis or suspicion of glaucoma and will be referred to the Eye Hospital (MREH) for further assessment

• The GERS optometrist will notify the patient’s GP and referring optometrist about the outcome of the consultation in order to ensure that medical records are updated.

• A sight test will not be performed as part of the assessment and a prescription for glasses will not be issued. However, where a referral originates with a GP it may be necessary to carry out a sight test first. The GERS optometrist will be able to give advice. Page 2 of 2 Manchester GERS Service July 2016

Which Optometrists Provide the GERS Service?

• The following optometrists are part of the GERS Service.

• Please be aware that the patient’s normal optometry practice may have chosen not to offer this service.

• Appointments are available during normal working hours and the assessment will be undertaken within 20 working days of the referral.

• Patients should call to make an appointment. They should be advised that they should not drive following the appointment.

PLEASE SCROLL DOWN TO THE BOTTOM OF THIS PAGE FOR A LIST OF GERS Optical Practices.