When to refer
Correctly diagnosing retinal disease can be difficult in general practice. Many GPs do not feel confident using a direct ophthalmoscope and it is not a tool ideally designed to pick up subtle macular changes.
For patients with chronic blurred vision: it is often worthwhile referring to an optician who may be better able to triage. Many cases turn out to be an uncorrected refractive error.
For patients with acutely blurred or distorted vision or symptoms of retinal detachment (flashing lights, floaters, visual field defects): Refer urgently.
For urgent private referrals please call Professor Jackson’s secretary on 020 7060 1968 – she can advise whether he will be able to see the patiently urgently or recommend alternatives if he is not available.