The increasing demand for hospital eye services (HES) is not being met and continues to grow – currently seeing nearly 10% of all outpatient appointments and performing 6% of the surgery in the UK. The Way Forward was commissioned by The Royal College of Ophthalmologists to identify current methods of working and schemes devised by ophthalmology departments in the UK to help meet the increasing demand in ophthalmic services. The information aims to offer a helpful resource for ophthalmologists who are seeking to develop their services to meet capacity needs.

The prevalence of uveitis in JIA overall is approximately 8-30%, but in young oligoarticular onset group (ie arthritis in which up to 4 joints are involved) it may be as high as 45-57%. The annual incidence of JIA in the UK is 1:10,000 with a prevalence of 1:1000. The type of arthritis and age at […]

For adult patients with mental capacity to give valid consent to Cataract removal and new lens implant / Phacoemulsification and IOL

This guideline is designed for ophthalmologists managing children with strabismus (syn.squint), which is defined as a pathological misalignment of the visual axes. This is a broad subject and the reader is referred to comprehensive texts, for further information see bibliography (page 42). The guidelines are intended to give general principles of management. It is assumed […]

Ongoing glaucoma care is delivered in a wide range of environments, by several professional groups and with differing levels of training, accreditation, experience, and supervision provided by consultant ophthalmologists. Multiple models of care have evolved across the NHS. They range from classical consultant-led face to face outpatient clinics in hospital utilising a multidisciplinary team to […]