NHS Gloucestershire Cataract Thresholds
Some patients with early cataracts in both eyes, or who have good vision in one eye following successful cataract surgery and only an early cataract in their other eye, may not meet the clinical threshold for cataract surgery, even though they may have some mild visual symptoms. These patients will not be referred for NHS cataract surgery until they reach the threshold.
Why has the Primary Care Trust introduced these thresholds?
The overall level of funding for ophthalmology in Gloucestershire has not been reduced, but the available money needs to cover all aspects of eye care. With a fixed budget, the Primary Care Trust has to decide where best to spend the available funds. This system of prioritising referrals is designed to make the best use of available resources so that patients with visually significant cataracts continue to receive prompt treatment.
How will I know when I need surgery?
As soon as your cataracts start to cause symptoms you should visit your Optometrist, GP or Ophthalmologist. They will then take into account the level of vision in both eyes and what impact your cataracts are having on everyday tasks such as your ability to drive, work, read and carry out tasks of daily living. These criteria are assessed to determine the most appropriate time to refer you for surgery. Any threat to your ability to drive or read would make you eligible for surgery. A patient with early symptoms of cataract but who can still read and drive may have to wait longer.
Who can make referrals?
Optometrists, GPs and Ophthalmologists.
Where can I have my surgery?
Your local choices are between Cheltenham General, Tewkesbury and Tetbury. Your GP will have access to all appropriate services across the country via the Choose and Book system and can advise you on which services best meet your needs.
If my eyesight deteriorates earlier than expected will I be able to have the surgery earlier?
Yes, so long as you reach the threshold.
I had cataracts in both eyes, but have had the first eye operated and can now see well out of that eye. Does this mean I will have to wait longer to reach the threshold for my second eye?
As you will be able to see to both read and drive due to your first cataract operation, you will have to wait for your second cataract to deteriorate to the point that it affects your driving and reading in order to reach the threshold for treatment in that eye.
NHS Hospital Choices
Cheltenham General
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Tewkesbury
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Tetbury
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