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

Area of Science:

• Ophthalmology and Optometry
• Learning Disability Healthcare

Background:

• The Local Optometric Support Unit (LOCSU) has updated its clinical pathway for eye care in individuals with learning disabilities.
• This pathway emphasizes optimizing primary eye care and reducing inappropriate referrals to the Hospital Eye Service (HES).

Purpose of the Study:

• To develop consensus statements on referral thresholds for common ocular conditions in adults with learning disabilities.
• To address the gap in experience among ophthalmologists regarding learning disability eye care and referral criteria.

Main Methods:

• Video interviews were conducted with eye health professionals experienced in learning disability eye care.
• Contributors reviewed and commented on draft referral criteria and shared their decision-making principles.

Main Results:

• A table of consensus-based referral thresholds for common eye conditions in adults with learning disabilities is presented.
• The statements aim to guide local development of referral criteria.

Conclusions:

• Succinct consensus statements on referral thresholds for visual problems in UK adults with learning disabilities have been established.
• These statements serve as a starting point for local service development, aligning with LOCSU pathway guidance.