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Data on the prevalence of eye disease in Britain are scarce, but on
p 1643 Reidy et al report results of a study of over 1500 people aged
65 years or more in north London. Bilateral cataracts impaired vision
in nearly a third of those examined yet was not listed for treatment.
In many people, impaired vision in both eyes could be treated with
correct spectacles.
Outpatients like being followed up by telephone
Patients attending rheumatology outpatient clinics
have said that they would be willing to be followed up by
telephone. To test this in practice Pal identified 173 suitable
patients from a rheumatology clinic. All but three agreed to telephone
follow up at their next review (p 1647). During the telephone call
their progress was discussed, along with any changes in the condition or treatment, any results, and advice on management. Calls averaged 3.5 minutes (range 1-15). Decisions made at the telephone follow up were
not revised later except in two cases. Twenty patients could not be
contacted at the arranged time; they were phoned later or sent an
appointment. Patients were positive about the service (90% satisfied
or very satisfied).