Abstract
A manual audit covering September 1991 to June 1992 was made of all records of patients aged >=75 in a general practice with four partners and 6314 patients. The records were extracted, and notes were made of the number of patients under the care of the hospital eye service; the diagnosis made by the consultant ophthalmologist in each case; the number of patients registered as blind or partially sighted; and the number of patients who had not kept follow up appointments with the hospital eye service in the preceding 10 years. An attempt was then made to contact all those patients who had not kept appointments. When possible, reasons for their non-attendance were obtained, and those who agreed were sent an appointment to attend the hospital eye service. One year later the records of the non-attenders were analysed again to determine the outcome of this intervention.

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