Optometry · Referral letter · Task 3

Progressive visual field concerns

You are an optometrist. The case notes below record your work on 12 September 2026. Write to Dr Michael Lee, Glaucoma Specialist, Glaucoma Clinic, 26 Mill Road, Brookfield. Request glaucoma assessment without presenting suspicion as a confirmed diagnosis. Select the information this recipient needs and write approximately 180-200 words in the body.

Patient: Grace Hunt

Case notes

• N01Date: 12 September 2026. Patient: Grace Hunt.
• N02August routine examination: optic disc asymmetry; further testing arranged.
• N03Today: repeat left visual field shows inferior nasal defect, also present previously; acceptable reliability both tests; no corresponding right defect.
• N04Corrected acuity 6/6 each eye; no reported daily functional difficulty.
• N05Enclosures: pressure measurements, disc images, complete examination record.
• N06Family history: mother treated for glaucoma.
• N07Ocular history: no medication; no surgery reported.
• N08Concern: proofreader; fears losing job.
• N09Information given: suspicious findings require assessment; glaucoma not yet diagnosed.
• N10Plan: Dr Michael Lee, Glaucoma Specialist; evaluate structural/field findings; advise monitoring or treatment; explain next steps without promising outcome.
• N11Practical: written appointment details preferred; consent to send plan to GP.
• N12Background: pottery hobby; spectacles worn since adolescence.