Glaucoma Enhanced Referral Service
(GERS) & Glaucoma Enhanced Case
Findings (GECF)
Overview
The aim of the Glaucoma Enhanced Referral Service (GERS) is to use the skills of accredited primary care clinicians to confirm the risk of glaucoma or ocular hypertension and thus improve the accuracy of referrals and deflect unnecessary referrals.
Service Information
Accreditation
WOPEC Glaucoma Level 1 and (+/- Local Accreditation) OR Professional Certificate in Glaucoma.
Entry to Pathway
This service is for patients that are not eligible for the Glaucoma Repeat Readings Service (GRRS) i.e., this service is for patients displaying glaucomatous signs, not just IOP >23mmHg or suspicious fields, but also disc anomalies and/or suspicious anterior segments signs.
Service Pathway Online
- Visual field assessment using standard automated perimetry
- Assessment of the optic nerve head using stereoscopic slip lamp biomicroscopy (dilation mandated in some areas)
- Intraocular pressure (IOP) measurement using applanation tonometry
- Assessment of the anterior chamber
- Some areas mandate OCT and/or pachymetry
