The East Kent Minor Eye Care Service (MECS) provides patients experiencing certain eye conditions with appropriate treatment closer to home. The service is provided by local optometrists with the specialist knowledge and skills to carry out this work at a locally approved optical practice. Please click here for a list of participating practices. A copy of the pathway and the MECS referral form can be downloaded below.

Conditions covered by the service are as follows:

Loss of vision including transient loss – [consider differential diagnosis: TIA, Temporal Arteritis] Ocular pain
Differential diagnosis of red eye
Foreign body and emergency contact lens removal (not by the fitting practitioner)
Dry eye
Epiphora (watery eye)
Trichiasis (in growing eyelashes)
Systemic disease affecting the eye

Exclusions to MECS

The following conditions require the patient to attend a hospital ophthalmic department, eye casualty or A&E:

Severe ocular pain requiring immediate attention
Suspected retinal detachment
Retinal artery occlusion
Chemical injuries
Penetrating trauma
Orbital cellulitis
Temporal arteritis
Ischaemic optic neuropathy

Also, The treatment of long term conditions is not included within the service. Conditions excluded include:

Diabetic retinopathy
Long standing adult squints
Long standing diplopia

As a reminder, suspect Wet AMD and Cataracts should not be sent to the Single Point of Access (SPA) email address. Please refer to the pathway document for guidance.

MECS Referral Form – GP and non-participating optom referrals to MECS v12
East Kent Ophthalmology Pathways –  Opthalmology – EK Optometrist Referral Pathway 0620