For Community Optometrists

Working together
for your patients.

Mr Sam Evans has spent over a decade building relationships with optometrists across west Wales, founded on clear communication, fast turnaround, and clinical outcomes you can share with confidence. This page explains how we work together.

01 How we work together 02 Glaucoma shared care 03 Outcome data 04 Advice and Guidance
01

How we work
together.

Referral to Clir Eye is designed to be straightforward. You refer via whichever pathway suits your practice — Lutra Health, email, WhatsApp, or Werndale Hospital directly. Every referral is triaged promptly, and you will receive a detailed outcome letter within 48 hours of consultation.

Mr Evans has worked with the majority of community optometrists across west Wales over the past decade. He welcomes direct contact for clinical queries and is committed to keeping the optometry-ophthalmology interface as smooth as possible for you and your patients.

1
You refer via your preferred pathway
Lutra Health, email to refer@clireye.com, WhatsApp, or a letter to Werndale Hospital for the attention of Mr Sam Evans or Clir Eye.
2
Prompt triage and appointment
All referrals are reviewed the same working day. Routine appointments are typically available within two weeks. Urgent cases are seen sooner.
3
Outcome letter within 48 hours
A detailed outcome letter is sent to you within 48 hours of every consultation, covering clinical findings, management plan, and any actions required from your practice.
4
Ongoing communication
Mr Evans is available for informal clinical discussion via Lutra's Advice and Guidance pathway. You are always welcome to contact the practice directly.
02

Glaucoma
shared care.

Mr Evans works in close collaboration with community optometrists for the long-term management of glaucoma and ocular hypertension patients. Shared care is a genuine partnership — optometrists undertake the diagnostic work between specialist review appointments, and Mr Evans reviews the results remotely via Lutra Health.

Your role in shared care
Diagnostic monitoring between specialist appointments
  • Visual field testing at agreed intervals
  • OCT disc and RNFL imaging
  • Intraocular pressure measurement
  • Disc photography where indicated
  • Observation and documentation of any changes
  • Escalation to Mr Evans if concern arises between scheduled reviews
Mr Evans' role
Remote review and clinical decision-making
Test results are sent securely via Lutra Health. Mr Evans reviews them remotely and provides a clinical response — confirming stability, adjusting treatment, or requesting an in-person appointment where the clinical picture requires it.
  • Interprets all diagnostic results in clinical context
  • Provides written response with clear management plan
  • Adjusts medications or treatment as required
  • Sees patients in person when clinical review is needed
  • Available for Advice and Guidance queries on individual cases
Send clinical images securely via Lutra →
03

Outcome data.

Transparency about clinical outcomes is central to the Clir Eye approach. When you refer a patient, you should be able to do so with full confidence in the clinical standard they will receive. The data below reflects Mr Evans' personal outcomes across his west Wales practice.

1/1,500
Posterior capsule rupture rate
The most significant intraoperative complication in cataract surgery. Mr Evans' rate of 1 in 1,500 cases is substantially below the UK national benchmark.
UK benchmark: 1 in 126 (0.79%)
See & Treat
Single-visit surgical pathway
Where clinically appropriate, patients proceed from assessment to surgery in a single visit. Mr Evans is the only surgeon in Wales offering this pathway for both cataract and oculoplastic procedures.
Unique in Wales across both disciplines
Bilateral
Simultaneous surgery
Both eyes can be treated in a single procedure where clinically suitable, reducing total recovery time and the number of hospital visits for patients across rural west Wales.
Available where clinically appropriate
Patient Reported Outcome Measures
Vision improvement after surgery
15 9 3 12 Pre-Op 6 Post-Op
-300+30
-6 mean improvement
Lower score indicates better vision. Across all completed assessments.
What this means
50%
improvement in patient-reported vision score
Patients report their vision difficulty score falling from an average of 12 before surgery to 6 afterwards — a halving of subjective visual difficulty across all completed assessments.
Measured using validated PROMs questionnaire · A lower score indicates better vision
04

Advice and
Guidance.

Clir Eye offers an Advice and Guidance service through the Lutra Health platform. If you have a clinical query about a patient — whether or not they have been referred — you can submit an asynchronous request and receive a clinical response from Mr Evans, typically within one working day.

This is not a triage tool or an automated service. Every query is reviewed and responded to personally. It is designed to help you manage patients more confidently in the community, reducing unnecessary referrals and ensuring patients who do need to be seen are seen promptly.

Lutra Health provides a purpose-built, secure and user-friendly platform for this service — designed specifically for the optometry-ophthalmology interface, with end-to-end encryption and a clean interface that does not get in the way of clinical communication.

Get started
Access Advice and Guidance via Lutra Health
Register your practice on Lutra Health to access the Advice and Guidance service, submit referrals, and send clinical images securely.
Register on Lutra Health →
Asynchronous — on your schedule
Submit a query when it suits your clinic workflow. You do not need to be available at a fixed time. Mr Evans responds within one working day.
Secure by design
Lutra Health is a purpose-built platform with end-to-end encryption. Clinical images, test results and patient identifiable information are transmitted securely.
Personal — not automated
Every query is read and responded to by Mr Evans personally. This is not a chatbot or a decision-support algorithm. You are communicating directly with your consultant.
Reduces unnecessary referrals
A brief clinical exchange can often resolve a query without requiring a formal referral or a patient journey to Carmarthen. This benefits your patient and keeps the referral pathway clear for those who genuinely need it.
Attach clinical images
OCT scans, visual fields, fundus photographs and other diagnostic images can be attached securely to any Advice and Guidance query or referral via Lutra Health.
Ready to refer?
Multiple pathways. All welcomed.
Refer via Lutra Health Email refer@clireye.com All referral options