Lack of ophthalmology education – is this one of the reasons why our Urgent Eye Clinics are so busy?
Referrals to the Urgent Eye Clinic (UEC) are rising, leading to an increased demand on services. Many of these referrals are deemed as non-urgent. One method of referral to the UEC is via Accident and Emergency (A&E). In some areas in the country, patients who present to A&E with an acute eye problem will be initially seen by A&E clinicians and be referred to the UEC to be reviewed by ophthalmologists. As a foundation doctor working in ophthalmology, it has been clear that many referrals from A&E have been inappropriate. These have included blepharitis, conjunctivitis and deterioration in vision over the course of a few months being referred to the weekend UEC. I have witnessed all three of these referral examples. Inappropriate referrals from A&E and General Practices lead to increased demand on the UEC.