Most eye casualty departments provide a service far in excess of their capacity;1'2 and review patients having non-urgent problems more appropriate for primary care or outpatient clinics.2"8 Historically, the accident and emergency (A&E) department at the Wolverhampton Eye Infirmary (WEI) has provided an operfifccess casualty service from 0900-2100, on all days of the week. All patients are triaged at presentation by a nurse practitioner using the local triage practice. We studied the current utilization of our eye casualty services with special emphasis on the out-of-hours attendance.
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