The Oban Times

A feeling of deja vu

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It’s now six weeks since I returned to work after four months shielding. Even in these last six weeks I have noticed a major shift in attitude to the effects of the pandemic. Most of my elderly patients are still too frightened to travel far. Many have hardly stepped out of their houses since midMarch. They have frequently been ignoring significan­t vision loss. Sadly, in several cases this potentiall­y reversible loss of vision has become permanent. Many other patients have taken the attitude “It won’t happen to me” and are carrying on as if nothing was amiss.

As I write, the omens are suggesting a second “Lockdown” is imminent. I dread to think what that means for healthcare. Waiting lists for basic cataract surgery are now well over twelve months. In some hospitals they are quoting a two year wait. Even in Optometry we are having to cope with catching up on the patients delayed by lockdown. Because of the precaution­s we are having to take to prevent the spread of COVID each appointmen­t is now much longer. The result is twice the number of patients each needing extended appointmen­t times. I wonder how we will ever get out of this predicamen­t.

In my practice we introduced video and telephone consultati­ons at the start of lockdown in March. It’s not the same as a “real” face to face consultati­on. It does mean patients terrified by the thought of leaving the safety of their home can still access basic eyecare. If you are concerned about any sudden or unexpected changes in your vision always call your optometris­t to discuss your symptoms. Even if you don’t have a smartphone with a camera your optometris­t can frequently diagnose from your symptoms. Apparently minor eye problems can quickly escalate and can be potentiall­y blinding!

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