This page includes case studies related to Glaucoma Referral Filtering and Monitoring. Further information about the Glaucoma Referral Filtering and Monitoring pathway can be found here.
Supporting information for LOCs is available in the members area.
Developing Sustainable Glaucoma Monitoring Pathways in Primary Care: Learnings from Gloucestershire, Shropshire, Essex and Norfolk & Waveney. Published in December 2025.
This case study explores the development of community-based glaucoma monitoring pathways in Gloucestershire, Shropshire, Essex and Norfolk & Waveney, highlighting how these areas have implemented models that improve access, reduce the burden on secondary care, and maintain clinical safety.
Staffordshire Glaucoma Enhanced Services: A Platform for Eye Care Transformation. Published in November 2025.
This case study looks at the work of Staffordshire LOC, Local Eye Health Network, Primary Eyecare Services and Staffordshire Integrated Care Board, who have collaborated to introduce enhanced eyecare services to reduce avoidable referrals to hospital eye services by enabling community-based patient management.
Staffordshire Enhanced Services: A Platform for Eye Care Transformation. Published in May 2025.
This case study looks at enhanced services in Staffordshire.
Norfolk & Waveney Glaucoma Monitoring Service. Published in May 2025.
This case study looks at the Glaucoma Monitoring Service in Norfolk and Waveney.
Concerns over hospital capacity for glaucoma services and the effectiveness of referrals from optometry were addressed in a collaborative audit which formed the groundwork for a Glaucoma Enhanced Case Finding service based in the community. The latest audit examines how effective the ECF service is proving.
Black Country LOC Glaucoma Referral Analysis 2024. Published in May 2025.
This review of Eyecare electronic Referral Service (EeRS) and Glaucoma Enhanced Referral Service (GERS) data from 1 October 2024 to 31 December 2024 aims to understand glaucoma referral patterns and volumes to help determine if expanding GERS to Dudley, Sandwell, and Walsall would reduce referrals, freeing up hospital resources and shortening hospital waiting lists.
A Single Point of Access (SPoA) in Primary Eye Care. Published in November 2023.
This case study looks at the implementation of a SPoA in Greater Manchester to streamline the established Glaucoma Enhanced Referral Service (GERS) and the implementation of a SPoA in North Central London.
Optometry Support for Long Term Condition – Glaucoma. Published in June 2023.
This case study looks at support for glaucoma across England.
Delivering Glaucoma Care in the Community Across Cheshire. Published in January 2023.
Optometrists in Cheshire are monitoring stable, low risk, ocular hypertension and glaucoma patients within primary care. Embracing technological advances, this is the first service of its kind to utilise remote virtual management, bridging the primary secondary care divide.
Commissioning Interest in Glaucoma Enhanced Case Finding. Published in March 2022.
This case study reviews the current glaucoma provision in optometric practice across England, and the reason why increasingly enhanced case finding is being commissioned.
Independent Evaluation Leads to Improved Glaucoma Monitoring Service in Devon. Published in January 2021.
This case study looks at a review of the existing Glaucoma Monitoring Service in Devon.
Glaucoma Enhanced Case Finding Service Proves its Value in Leeds. Published in September 2020.
This case study looks at the Glaucoma Enhanced Case Finding (ECF) Service in Leeds.
Explore the Impact of the NICE Glaucoma Guidelines on Referral Activity. Published in July 2020.
This case study considers the impact of the NICE Glaucoma Guidelines on referral activity.
Glaucoma Repeat Readings – How Many Repeats are Needed? Published in July 2020.
This case study looks at Glaucoma Repeat Readings and considers the results, benefits and outcomes.
