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About: General practices Lisburn Community Services / Urgent Primary Care Out-Of-Hours Service Ophthalmology / Eye Casualty and Orthoptics Royal Victoria Hospital / Ophthalmology

(as a relative),

My mum, who is in her 70s, began experiencing severe pain in her eye on a Friday. By the weekend, the pain had worsened, and she developed a pounding headache, nausea, and vomiting. She couldn’t eat or sleep. Her eye was visibly swollen, red, bloodshot, and oozing fluid. She was frightened and knew something was seriously wrong.

On Monday, she tried repeatedly to phone her GP surgery. When she finally got through at 4:40pm, she explained her symptoms to a member of staff. She was told a doctor had advised she should see an optician. No explanation was given, and she was not offered a call or appointment. As a woman of her generation, she took this advice at face value, even though she felt sick and thought this was a medical emergency, not an eyesight issue. It left her confused, unsure, and even more unwell.

Later that evening, still in intense pain, she went to Lagan Valley out-of-hours but was told she needed to phone first and was sent away without being seen. It wasn’t until Tuesday when she spoke to a local pharmacist that a counter staff member suggested visiting the optician directly. Thankfully, the Opticians saw her immediately. They tested the pressure in both eyes. One was normal (12), but the affected eye was 55 — dangerously high. They immediately rang the Royal Victoria Hospital, who phoned Mum an hour later and told her to come in as an emergency case.

She was treated for angle-closure glaucoma with IV drips and laser surgery to relieve the pressure. It was an emergency — the pressure in her eye was high enough to permanently damage her vision. Her potassium levels were also dangerously low. She is now home, recovering, but her sight in the affected eye remains blurry, and her independence may be impacted permanently.

Mum has always trusted her GP and avoided ever being a bother. She left these experiences feeling anxious, afraid, and let down — not just by her GP surgery, but by a system that failed to assess how serious her condition was. If she hadn’t acted for herself and been sent to the right place by a pharmacist and an optician, she could have lost her sight completely. She is still shaken by how vulnerable she felt, and by how easily she was dismissed.

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Responses

Response from Sharon Thompson, Unscheduled Care Manager, South Eastern Health and Social Care Trust 2 months ago
Sharon Thompson
Unscheduled Care Manager,
South Eastern Health and Social Care Trust
Submitted on 21/07/2025 at 15:39
Published on Care Opinion at 15:42


Dear saturnfm85,

I am sorry to read about your mum's recent experience. I cannot speak on behalf of the other services that your mum engaged with during this time, however regarding your mum's interactions with the Urgent Primary Care GP Out of Hours service at Lagan Valley Hospital, the service is not a walk-in service. For safety reasons, all patients are required to phone first. Had contact been made in advance, it is likely your mum would have been directed to the Emergency Department due to the nature of her symptoms at that time. Attending the Urgent Primary Care GP Out of Hours service would likely have delayed appropriate treatment.

I do hope that your mum is recovering well and appreciate the opportunity to respond to your concerns regarding the Urgent Primary Care GP OOH service.

Kind regards

Sharon Thompson

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Response from Laura Reut, Ophthalmology Assistant Service Manager for Macular and Glaucoma Services, Ophthalmology Mater Hospital, Belfast Health & Social Care Trust 2 months ago
Laura Reut
Ophthalmology Assistant Service Manager for Macular and Glaucoma Services, Ophthalmology Mater Hospital,
Belfast Health & Social Care Trust
Submitted on 12/08/2025 at 14:50
Published on Care Opinion at 14:50


picture of Laura Reut

Dear Saturnfm85,

Firstly, please accept our apologies for the delay in responding to your post — unfortunately, it did not get flagged to the Ophthalmology Department at the time, and I am very sorry that you have had to wait for a reply.

We are truly sorry to hear about your mother’s experience and can only imagine how distressing this must have been for both her and your family. We completely understand the seriousness of her symptoms and the impact that the delay in accessing the right care has had on her.

From your post, I can see that your mother was treated for angle-closure glaucoma and has already undergone important interventions to relieve the eye pressure. I hope she is now feeling more comfortable and is on the road to recovery.

If you would like, you can contact me directly — as the Assistant Service Manager for Glaucoma Services (email laura.reut@belfasttrust.hscni.net) — or my colleague Carly ( carly.niblock@belfasttrust.hscni.net- as the Assistant Service Manger for Eye Casualty), so that we can check how your mother is doing now, confirm whether a follow-up plan has been arranged, and ensure she is under the appropriate clinic. This will allow us to make sure that a safe and effective care pathway is in place to support her recovery and protect her vision as best as possible.

Once again, I am very sorry for the distress and worry this experience has caused.

With best wishes,

Laura.

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