Update: The fax number for URC room at Russells Hall is 01384 244560

If you are interested in joining, or for information including protocols go to this page.

From 3rd September 2018, the Dudley Minor Eye Conditions Service (MECS) provides assessment and treatment for people with recently occurring minor eye conditions. The service is provided by MECS accredited optometrists who have completed the WOPEC MECS online modules and the OSCE

The service is for people registered with a Dudley CCG GP. You may be able to see patients from adjoining Birmingham and Black Country areas, but there are some differences in protocol that you will need to follow.

Minor eye conditions that can be seen in the service include:

    • Loss of vision (including transient loss)
    • Sudden onset of blurred vision (unless a sight test is more appropriate)
    • Ocular pain or discomfort
    • Systemic disease affecting the eye
    • Differential diagnosis of the red eye
    • Foreign body
    • Emergency contact lens removal (not by the fitting practitioner)
    • Dry eye
    • Epiphora (watery eye)
    • Trichiasis (in growing eyelashes)
    • Differential diagnosis of lumps and bumps in the vicinity of the eye
    • Recent onset of Diplopia
    • Flashes/floaters
    • Retinal lesions
    • Patient reported field defects
    • GP referral

But NOT for:

    • Wet AMD found during ST
    • Refining referrals from a ST (e.g. glaucoma/cataract) But can use for recent flashes and floaters
    • Flashes & Floaters stable for >3m
    • 2nd incident of Flashes & Floaters within 1 month of 1st (this would count as an unpaid follow up)
    • Repeated dry eye within 4 months of 1st MECS
    • Repeated removal of lashes within 4 months of 1st MECS
    • Where a sight test would be more appropriate
    • Adult squints
    • Longstanding diplopia
    • Repeat field tests
    • AMD
    • Previously identified severe eye conditions needing HES, Herpes Zoster, Tumours
    • Where other enhanced services are more appropriate e.g. Cataract referral, Cataracts post-op, Repeat IOP, Diabetic retinopathy

You would not normally carry out a GOS sight test and a MECS on the same day. You need to choose which is most appropriate and do that.

The service is for people of all ages – adults and children. Children under 16 years must be accompanied at their appointment by an adult.

On contacting an optometry practice, staff will triage patient to determine if they qualify for MECS, and how soon they need to be seen. Depending on the patient’s symptoms, they may need to be seen within 24 or 48 hours.

Outcomes of a MECS include:

  • GP report
  • Treat and discharge
  • Reassure and discharge [patient leaflets available]
  • Advise Therapy
  • Follow up
  • Refer to GP
  • Routine referral
  • Urgent referral
  • Emergency referral

If you are interested in joining, or for information including protocols go to this page.

Guidance on Dry Eye and MECS medication 

Please download updated guidance regarding dry eye medications supply


Dry Eye Pathway V1 (1)

Final Dry Eye guidelines Version 4.0 (1)