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.
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.
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.