Recommendations for an improved referral system for specialized glaucoma clinics in Poland Original research study

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Aneta Choręziak
Agata Brązert
Aleksandra Borys
Anna Gotz-Więckowska


This study assessed the quality of referral letters to the Glaucoma Outpatient Clinic and patients’ first consultation results. A retrospective study included 196 patients newly referred to the clinic. Referrals were mainly issued by ophthalmologists (156; 79.6%). Regarding their urgency level, the planned referrals (184; 93.9%) were dominant. The majority of referral diagnoses (147; 75%) were confirmed as glaucoma in the clinic, whereas 17 (8.2%) glaucoma diagnoses were rejected. 64 (32.7%) patients did not require further ophthalmological review. The assessment of the quality of referral letters revealed that important clinical data was missing. There is a need to improve the referral system to specialist glaucoma clinics in Poland.


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Choręziak A, Brązert A, Borys A, Gotz-Więckowska A. Recommendations for an improved referral system for specialized glaucoma clinics in Poland. Ophthatherapy [Internet]. 2022Mar.31 [cited 2022Jul.3];9(1):55-0. Available from:
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1. Salmon JF. Kanski’s Clinical Ophthalmology: A systematic approach. 9th ed. Elsevier, Edinburgh.
2. Tham YC, Li X, Wong TY et al. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology. 2014; 121(11): 2081-90.
3. Partyka O, Wysocki MJ. Epidemiology of eye diseases and ophthalmology infrastructure in Poland. Epidemiol Rev. 2015; 69(4): 905-8.
4. Founti P, Topouzis F, Holló G et al. Prospective study of glaucoma referrals across Europe: are we using resources wisely? Br J Ophthalmol. 2018; 102(3): 329-37.
5. Bourne R, Taylor H, Flaxman S et al. Number of people blind or visually impaired by glaucoma worldwide and in world regions 1990- 2010: a meta-analysis. PLoS One. 2016; 11(10): e0162229.
6. Cheng J, Beltran-Agullo L, Trope GE et al. Assessment of the quality of glaucoma referral letters based on a survey of glaucoma specialists and a glaucoma guideline. Ophthalmology. 2014; 121(1): 126-33.
7. Bowling B, Chen SDM, Salmon JF. Outcomes of referrals by community optometrists to a hospital glaucoma service. Br J Ophthalmol. 2005; 89: 1102.