“…There are also good examples of institutions where nurse specialists independently diagnose and manage significant proportions of patients presenting to emergency eye services without the need for referral to an ophthalmologist (Jones et al, 1986;Ilango et al, 2000;Buchan et al, 2003). The high quality of service provided by specialist nurses has frequently been reported, with one study finding the patient management by nursing staff to be more evidence based than that of the ophthalmologists (Kirkwood et al, 2005;Bhatt and Sandramouli, 2007).…”