Primary care management

TriA Wk8

Rx we'd prescribe for in isoametropic myopia from 0-4yrs

Rx we'd prescribe for in isoametropic hyperopia with no manifest deviation from 0-4yrs

Rx we'd prescribe for in isoametropic hyperopia with ET from 0-4yrs

Rx we'd prescribe for in isoametropic astigmatism from 0-4yrs

Rx we'd prescribe for in anisotropic myopia from 0-4yrs

Rx we'd prescribe for in anisotropic hyperopia from 0-4yrs

Rx we'd prescribe for in anisotropic astigmatism from 0-4yrs

Functional vision

Physical findings do not reflect patient experience

Fc = F/(1 + dF)

Fc - Compensated power (i.e. the power the px is actually getting)

F - The power of the lens recorded after refraction

d - The difference between the old and new BVD in mm

Prescription copies (GOS(S) 2)

-Pink form

-Issued to all px after exam

(GOS(S) 3)/HES vouchers

-Yellow vouchers

-Covers the cost of the glasses

GOS(S) 4

-Blue voucher

-Can be issued to children in the event of broken/lost glasses

-Can be issued for children under the care of the hospital eye service where a current and valid prescription copy is available

Discretionary vouchers

-Can be completed for children with high prescription at risk of permanent vision damage without their glasses

-Can be completed for kids w additional needs esp where glasses damage/loss is more likely

-If accepted, allows px to have second/spare pair of glasses funded by the NHS as via the normal yellow voucher

Px to refer onto HES

-Under 9 w reduced VA in either one/both eyes

-Suspected ocular pathology

-New/uninvestigated eso or exo deviation, especially if not corrected with glasses

-Over 9 with unexplained VA in either one/both eyes

-Accom/conv issues not responding to exercises

-Suspected neurological pathology