Validation of VSLD questionnaire in patients with learning disabilities undergoing cataract surgery

Rostron, Egle; Rawse, C; Pilling, Rachel

doi:10.1038/eye.2017.244

Cited by 1 publication

(2 citation statements)

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“… Red reflex Reduced red reflex—refer if new finding Consider if cataract is impacting on visual function prior to referral. Consider use of Visual Symptoms in Learning Disability (VSLD) [ 29 ] to document visual function prior to referral to allow monitoring of impact on vision Incomplete Examination Consider referral if a specific concern is raised from the patient or carer, from a change in visual function or new ocular symptoms. Consider referral if the patient may benefit from an orthoptist assessment of vision.…”

Section: Resultsmentioning

confidence: 99%

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Referral thresholds for an integrated learning disability eye care pathway: a consensus approach

Pilling

Donaldson²,

Karas

et al. 2021

Eye

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Introduction Local Optometric Support Unit (LOCSU) have published their refreshed clinical pathway for eye care for people with a learning disability. The document sets out the adjustments to practice that a community optometrist might make in order to provide optimal care for a person with learning disability attending a primary eye care assessment. The pathway specifically points to the need to retain patients in primary care where appropriate and ‘reduce the number of people with learning disability who are inappropriately referred into the Hospital Eye Service (HES).’ Pivotal to this refreshed pathway is the integration with secondary care, with local arrangements to facilitate referral and hospital management where appropriate. There are few ophthalmologists nationally who frequently encounter patients with a learning disability in their hospital practice and knowing where to start when creating referral criteria or KPIs may create a barrier to services becoming established. In order to address this gap in experience, we set about developing a set of consensus statements regarding referral thresholds for ocular conditions commonly encountered in adults with learning disability. Method A series of video interviews were undertaken with eye health professionals with a range of experience in eye care for people with learning disability. Each contributor commented on the usability and clarity of each element of the referral criteria. In addition, each contributor was asked to express the overriding principles by which they make decisions regarding referral thresholds for patients with learning disability. These were collated into the final document which was circulated and agreed by all participants. Results A table setting out referral thresholds for commonly encountered eye conditions in adults with learning disabilities is presented. Conclusion We have presented a succinct set of consensus statements relating referral thresholds for common presentations of visual problems in adults with learning disability in the UK distilled from the collective experience of a group of eye health professionals. The intention was not to present a comprehensive review of management of each condition. Rather, the consensus statements may form the starting point from which each area could develop locally agreed criteria, as is suggested by the LOCSU pathway guidance.

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Section: Resultsmentioning

confidence: 99%

“…Consider use of Visual Symptoms in Learning Disability (VSLD) [ 29 ] to document visual function prior to referral to allow monitoring of impact on vision…”

Section: Resultsmentioning

confidence: 99%