{"id":700,"date":"2017-08-07T11:02:31","date_gmt":"2017-08-07T11:02:31","guid":{"rendered":"https:\/\/www.nhslref.scot.nhs.uk\/?p=700"},"modified":"2017-08-07T11:02:31","modified_gmt":"2017-08-07T11:02:31","slug":"ophthalmology-cataract-template-optom-use-only","status":"publish","type":"post","link":"https:\/\/www.nhslref.scot.nhs.uk\/?p=700","title":{"rendered":"Ophthalmology Cataract Template (Optom use only)"},"content":{"rendered":"<p>This is a dictation template to provide a reminder of the information required to complete the referral. The <span style=\"color: #ff0000;\">fields\u00a0in red<\/span> are mandatory and must be completed on the referral protocol.<\/p>\n<h3>Optometry Referral Details<\/h3>\n<p><span style=\"color: #ff0000;\"><strong>Date of Referral:<\/strong><\/span> [Date]<\/p>\n<p><strong><span style=\"color: #ff0000;\">Priority<\/span>:<\/strong> [Routine]<\/p>\n<p><span style=\"color: #ff0000;\"><strong>Patient history and details:<\/strong><\/span> [Text]<\/p>\n<p><strong><span style=\"color: #ff0000;\">Patient symptomatic:<\/span><\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<h3><\/h3>\n<h3>Cataract Information<\/h3>\n<p><span style=\"color: #ff0000;\"><strong>Lifestyle affected:<\/strong><\/span><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><span style=\"color: #ff0000;\"><strong>Wants Surgery:<\/strong><\/span><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Cataract leaflet given:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>AMD present:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<li>Don&#8217;t know<\/li>\n<\/ul>\n<h4><\/h4>\n<h4>Ocular examination &#8211; External\/Internal<\/h4>\n<p><strong>Comment right eye:<\/strong> [Text]<\/p>\n<p><strong>Comment left eye:<\/strong> [Text]<\/p>\n<h4><\/h4>\n<h4>Tonometry (value between 0-50mmHg)<\/h4>\n<p><span style=\"color: #ff0000;\"><strong>Applanation:<\/strong><\/span><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<li>Not possible<\/li>\n<\/ul>\n<p><strong>Right<\/strong>: [Text]<\/p>\n<p><strong>Left<\/strong>: [Text]<\/p>\n<p><strong>Relative afferenct pupilary defect:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Fields affected:\u00a0<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<h4><\/h4>\n<h4>Last eye test<\/h4>\n<p><strong>Date of test:<\/strong> [Date]<\/p>\n<p><strong>Right acuity:<\/strong><\/p>\n<ul>\n<li>6\/4.5<\/li>\n<li>6\/5<\/li>\n<li>6\/6<\/li>\n<li>6\/9<\/li>\n<li>6\/12<\/li>\n<li>6\/18<\/li>\n<li>6\/24<\/li>\n<li>6\/36<\/li>\n<li>6\/60<\/li>\n<li>3\/60<\/li>\n<li>1\/60<\/li>\n<li>CF<\/li>\n<li>HM<\/li>\n<li>P of L<\/li>\n<li>No P of L<\/li>\n<\/ul>\n<p><strong>Left acuity:<\/strong><\/p>\n<ul>\n<li>6\/4.5<\/li>\n<li>6\/5<\/li>\n<li>6\/6<\/li>\n<li>6\/9<\/li>\n<li>6\/12<\/li>\n<li>6\/18<\/li>\n<li>6\/24<\/li>\n<li>6\/36<\/li>\n<li>6\/60<\/li>\n<li>3\/60<\/li>\n<li>1\/60<\/li>\n<li>CF<\/li>\n<li>HM<\/li>\n<li>P of L<\/li>\n<li>No P of L<\/li>\n<\/ul>\n<h4><\/h4>\n<h4>Refraction Details<\/h4>\n<p><strong>Right Vision<\/strong><\/p>\n<p><strong>R Sph:<\/strong> +\/-<\/p>\n<p><strong>R Cyl:<\/strong> +\/-<\/p>\n<p><strong>R Sph:<\/strong> [Between 0 &#8211; 25]<\/p>\n<p><strong>R Cyl:<\/strong> [Between 0 &#8211; 15]<\/p>\n<p><strong>R Axis:<\/strong> [Between 0 &#8211; 180]<\/p>\n<p><strong>R VA:<\/strong><\/p>\n<ul>\n<li>6\/4.5<\/li>\n<li>6\/5<\/li>\n<li>6\/6<\/li>\n<li>6\/9<\/li>\n<li>6\/12<\/li>\n<li>6\/18<\/li>\n<li>6\/24<\/li>\n<li>6\/36<\/li>\n<li>6\/60<\/li>\n<li>3\/60<\/li>\n<li>1\/60<\/li>\n<li>CF<\/li>\n<li>HM<\/li>\n<li>P of L<\/li>\n<li>No P of L<\/li>\n<\/ul>\n<p><strong>R PH VA:<\/strong><\/p>\n<ul>\n<li>6\/4.5<\/li>\n<li>6\/5<\/li>\n<li>6\/6<\/li>\n<li>6\/9<\/li>\n<li>6\/12<\/li>\n<li>6\/18<\/li>\n<li>6\/24<\/li>\n<li>6\/36<\/li>\n<li>6\/60<\/li>\n<\/ul>\n<p><strong>R Add:<\/strong> [Between 1 &#8211; 4]<\/p>\n<p><strong>R NVA:<\/strong><\/p>\n<ul>\n<li>N4.5<\/li>\n<li>N5<\/li>\n<li>N6<\/li>\n<li>N8<\/li>\n<li>N9<\/li>\n<li>N10<\/li>\n<li>N12<\/li>\n<li>N14<\/li>\n<li>N18<\/li>\n<li>N24<\/li>\n<li>N36<\/li>\n<li>N48<\/li>\n<li>NIL<\/li>\n<\/ul>\n<h4>Left Vision<\/h4>\n<p><strong>L Sph:<\/strong> +\/-<\/p>\n<p><strong>L Cyl:<\/strong> +\/-<\/p>\n<p><strong>L Sph:<\/strong> [Between 0 &#8211; 25]<\/p>\n<p><strong>L Cyl:<\/strong> [Between 0 &#8211; 15]<\/p>\n<p><strong>L Axis:<\/strong> [Between 0 &#8211; 180]<\/p>\n<p><strong>L VA:<\/strong><\/p>\n<ul>\n<li>6\/4.5<\/li>\n<li>6\/5<\/li>\n<li>6\/6<\/li>\n<li>6\/9<\/li>\n<li>6\/12<\/li>\n<li>6\/18<\/li>\n<li>6\/24<\/li>\n<li>6\/36<\/li>\n<li>6\/60<\/li>\n<li>3\/60<\/li>\n<li>1\/60<\/li>\n<li>CF<\/li>\n<li>HM<\/li>\n<li>P of L<\/li>\n<li>No P of L<\/li>\n<\/ul>\n<p><strong>L PH VA:<\/strong><\/p>\n<ul>\n<li>6\/4.5<\/li>\n<li>6\/5<\/li>\n<li>6\/6<\/li>\n<li>6\/9<\/li>\n<li>6\/12<\/li>\n<li>6\/18<\/li>\n<li>6\/24<\/li>\n<li>6\/36<\/li>\n<li>6\/60<\/li>\n<\/ul>\n<p><strong>L Add:<\/strong> [Between 1 &#8211; 4]<\/p>\n<p><strong>L NVA:<\/strong><\/p>\n<ul>\n<li>N4.5<\/li>\n<li>N5<\/li>\n<li>N6<\/li>\n<li>N8<\/li>\n<li>N9<\/li>\n<li>N10<\/li>\n<li>N12<\/li>\n<li>N14<\/li>\n<li>N18<\/li>\n<li>N24<\/li>\n<li>N36<\/li>\n<li>N48<\/li>\n<li>NIL<\/li>\n<\/ul>\n<hr \/>\n<p><a href=\"https:\/\/www.nhslref.scot.nhs.uk\/?page_id=231\">Ophthalmology Cataract Guideline<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This is a dictation template to provide a reminder of the information required to complete the referral. The fields\u00a0in red are mandatory and must be completed on the referral protocol. Optometry Referral Details Date of Referral: [Date] Priority: [Routine] Patient history and details: [Text] Patient symptomatic: Yes No Cataract Information Lifestyle affected: Yes No Wants [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89,86],"tags":[77,78,79],"class_list":["post-700","post","type-post","status-publish","format-standard","hentry","category-all-templates","category-optician-templates","tag-cataract","tag-eye","tag-ophthalmology"],"_links":{"self":[{"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts\/700","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=700"}],"version-history":[{"count":1,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts\/700\/revisions"}],"predecessor-version":[{"id":701,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts\/700\/revisions\/701"}],"wp:attachment":[{"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=700"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=700"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}