Aim

To reduce the workload of the Ophthalmologists by Orthoptists taking over the care of the post operative cataract patients, initially at their 6 week second post op visit and then at their 1 week post op visit.

To promote an ethos of team work in this area in the Eye department.

Methodology

Protocols had to be written for the examination of this type of patient and PSD's for the instillation of the drops necessary for the examination.

Orthoptists had to undergo structured training with the ophthalmologists in the use of the slit lamp, examination of the anterior chamber of the eye, measurement of the IOP and dilated and undilated fundus checks.

Results

Post operative cataract patients are now being seen by the orthoptists for their second visit at 6 weeks. Patients are only being seen by the ophthalmologist following referral by the orthoptists where there are complications or problems.

Patients who had the first eye operated on successfully and without complication are being listed for the second eye by the orthoptist.

Evaluation

Up to 10 patients,on the follow up list for the ophthalmologist per week, are being removed from their list and being seen by the orthoptist. Their wait in clinic on the day is shorter and they are being seen faster. This move has improved the new to follow up ratio in the clinic. Other patients may be added to this list.

Reflection

This move has led to increased knowledge and skills for the orthoptists. Success in this clinic has led to the orthoptists checking the IOPs of patients following laser treatment.

Further action

To increase the number of patients seen post laser treatment to improve the new to follow up ratio even more