Abstract：
Local Optometric Support Unit (LOCSU) have published their refreshed clinical pathway for eye care for people with a learning disability. The document sets out the adjustments to practice that a community optometrist might make in order to provide optimal care for a person with learning disability attending a primary eye care assessment. The pathway specifically points to the need to retain patients in primary care where appropriate and \'reduce the number of people with learning disability who are inappropriately referred into the Hospital Eye Service (HES).\' Pivotal to this refreshed pathway is the integration with secondary care, with local arrangements to facilitate referral and hospital management where appropriate. There are few ophthalmologists nationally who frequently encounter patients with a learning disability in their hospital practice and knowing where to start when creating referral criteria or KPIs may create a barrier to services becoming established. In order to address this gap in experience, we set about developing a set of consensus statements regarding referral thresholds for ocular conditions commonly encountered in adults with learning disability.
A series of video interviews were undertaken with eye health professionals with a range of experience in eye care for people with learning disability. Each contributor commented on the usability and clarity of each element of the referral criteria. In addition, each contributor was asked to express the overriding principles by which they make decisions regarding referral thresholds for patients with learning disability. These were collated into the final document which was circulated and agreed by all participants.
A table setting out referral thresholds for commonly encountered eye conditions in adults with learning disabilities is presented.
We have presented a succinct set of consensus statements relating referral thresholds for common presentations of visual problems in adults with learning disability in the UK distilled from the collective experience of a group of eye health professionals. The intention was not to present a comprehensive review of management of each condition. Rather, the consensus statements may form the starting point from which each area could develop locally agreed criteria, as is suggested by the LOCSU pathway guidance.
A series of video interviews were undertaken with eye health professionals with a range of experience in eye care for people with learning disability. Each contributor commented on the usability and clarity of each element of the referral criteria. In addition, each contributor was asked to express the overriding principles by which they make decisions regarding referral thresholds for patients with learning disability. These were collated into the final document which was circulated and agreed by all participants.
A table setting out referral thresholds for commonly encountered eye conditions in adults with learning disabilities is presented.
We have presented a succinct set of consensus statements relating referral thresholds for common presentations of visual problems in adults with learning disability in the UK distilled from the collective experience of a group of eye health professionals. The intention was not to present a comprehensive review of management of each condition. Rather, the consensus statements may form the starting point from which each area could develop locally agreed criteria, as is suggested by the LOCSU pathway guidance.
摘要：
当地验光支持单位（LOCSU）已经发布了他们更新的临床路径，为有学习障碍的人提供眼部护理。该文件列出了社区验光师可能会对实践进行的调整，以便为参加初级眼科护理评估的学习障碍者提供最佳护理。该途径特别指出需要在适当的情况下将患者保留在初级保健中，并减少不适当地转诊到医院眼科服务（HES）的学习障碍患者的数量。\'这条刷新途径的关键是与二级保健的整合，与当地安排，以促进转诊和医院管理。在全国范围内，很少有眼科医生经常在医院实践中遇到学习障碍的患者，并且在创建转诊标准或KPI时知道从哪里开始，这可能会阻碍服务的建立。为了弥补这种经验上的差距,我们着手制定一套关于有学习障碍的成年人常见眼部疾病的转诊阈值的共识声明.
我们对眼科健康专业人员进行了一系列视频采访，这些专业人员在为有学习障碍的人提供眼科护理方面的一系列经验。每个撰稿人都对推荐标准的每个元素的可用性和清晰度进行了评论。此外,每个参与者被要求表达首要原则,根据这些原则,他们就学习障碍患者的转诊阈值做出决定.这些文件被整理成最后文件，并得到所有与会者的分发和同意。
列出了患有学习障碍的成年人中常见眼部疾病的转诊阈值的表格。
我们提出了一套简洁的共识声明，这些声明涉及英国有学习障碍的成年人常见视觉问题的转诊阈值，这些都是从一组眼保健专业人员的集体经验中提炼出来的。目的不是对每个条件的管理进行全面审查。相反，共识声明可能成为每个地区可以制定当地商定标准的起点，正如LOCSU途径指南所建议的那样。
我们对眼科健康专业人员进行了一系列视频采访，这些专业人员在为有学习障碍的人提供眼科护理方面的一系列经验。每个撰稿人都对推荐标准的每个元素的可用性和清晰度进行了评论。此外,每个参与者被要求表达首要原则,根据这些原则,他们就学习障碍患者的转诊阈值做出决定.这些文件被整理成最后文件，并得到所有与会者的分发和同意。
列出了患有学习障碍的成年人中常见眼部疾病的转诊阈值的表格。
我们提出了一套简洁的共识声明，这些声明涉及英国有学习障碍的成年人常见视觉问题的转诊阈值，这些都是从一组眼保健专业人员的集体经验中提炼出来的。目的不是对每个条件的管理进行全面审查。相反，共识声明可能成为每个地区可以制定当地商定标准的起点，正如LOCSU途径指南所建议的那样。
