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"Referred by A&E with distorted vision"

About: Addenbrooke's Hospital / Ophthalmology

I began to have distorted vision in my right eye one Friday evening in early August and was referred to Addenbrookes A&E by my GP. I was seen in the A&E Department very quickly and was sent to the Eye Clinic quite late in the evening. I was surprised that the clinic was still open but was soon seen by a charming doctor who diagnosed that I had some bleeding in my right retina and would need to come back on the following Monday for more tests.

On the Monday morning, I had more photos taken and was given fluorescein angiography which, unknown to me at the time, confirmed wet Age Related Macular Degeneration (AMD) in my right eye. I already suspected that my condition was AMD and started to look into this in some detail. I joined the Macular Society, which has a very good Helpline. According to the Royal College of Ophthalmologists, treatment for AMD should start within 7 days of diagnosis and no later than 14 days after diagnosis. I hadn't heard anything about my tests 2 weeks after the fluorescein angiography and when I contacted my GP they told me that the practice had received a letter the day before from the clinic but was unable to decode the "ophthalmology speak" and couldn't tell me what the diagnosis was. Eventually, I had another visit to the clinic almost 5 weeks after my first visit and my wet AMD was confirmed. Unfortunately, the doctor I saw didn't appear to have read my notes and incorrectly stated that I would have to have fluorescein angiography. When I pointed out that I had already had this nearly 5 weeks earlier, their reaction was "Oh!"

During this consultation, the doctor told me that I would have to have a series of injections in my right eye and proceeded to book the necessary appointments as we spoke (this is what the doctor told me they were doing). At this point I assumed I would start receiving treatment in the near future. The clinic subsequently contacted me by phone to say that I would not be receiving any treatment until "the end of October, at the earliest" - so much for the Royal College of Ophthalmologists recommendations!

In a effort to speed up the treatment, I contacted Addenbrookes PALS who referred me to the Cambridge & Peterborough (CAP) CCG, who in turn referred me back to the Addenbrookes PALS. After much toing and froing I received a letter from the CAPCCG advising me that the "contract" stipulates treatment should start within 18 weeks of referral, which means I should be treated by 11th December and my offer of treatment "not before the end of October, at the earliest", is well within guidelines.

I am so pleased that I am well within the guidelines but otherwise I am pretty depressed.

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Responses

Response from Addenbrooke's Hospital 6 years ago
Addenbrooke's Hospital
Submitted on 13/10/2017 at 17:03
Published on nhs.uk at 18:33


Thank you for sharing your feedback. We are very sorry to hear of the waiting times you are experiencing for treatment and how this is making you feel. We are also very sorry to hear of the confusion you had with the Patient Advice and Liaison Service (PALS) regarding this matter. If you would like us to investigate this further for you please contact the PALS service on 01223 216756.

PALS

Tel: 01223 216756

Email: pals@addenbrookes.nhs.uk

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