Case study: unusual presentation of a red eye

1 November 2023
Autumn 2023

Scott Mackie FCOptom is an independent prescribing optometrist working in primary care. He discusses how to discriminate between a red eye that can be managed and one that has to be referred.

Presentation

During the pandemic in Scotland, optometrists were asked to train to help administer COVID-19 vaccinations. I volunteered for this training and during one of my vaccination shifts I met a 67-year-old male patient who I noted had significant hyperaemia of his left eye. I mentioned this to him and he stated he did not have a regular optometrist and had started to be bothered slightly by the condition.

Medical and ocular history

Feels well and no past eye history. No allergies. No medication. No relevant family history.

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Related further reading

The College of Optometrists and the Optical Fees Negotiating Committee (OFNC) call on the government to make a long-term commitment to primary eye care in its NHS 10-Year Health Plan as part of the shift from hospital to community.

The College of Optometrists calls for vital community minor and urgent eye care services to be universally commissioned in England

Optometrists talk to patients about eye health every day, and have an important role to play in health promotion and public health.