Response to ‘An economic comparison of hospital-based and community-based glaucoma clinics’

Sir,

The cost-analysis presented by Sharma et al¹ reported that a community model, where patients were monitored by ‘accredited’ optometrists, was more than double the cost of a hospital-based service. Notwithstanding concern that the community service did not use clinicians with specialist training and a glaucoma qualification awarded by the appropriate professional body as demanded by NICE, the results were surprising to the authors of this reply who are optometrists with a specialist glaucoma qualification and independent prescribing status because we offer private glaucoma services in community at separate locations within the UK at a much lower cost than estimated. We would like to suggest why the model does not agree with reality.

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