Moorfields Eye Hospital Complaint
Reply from the Chief Executive of Moorfields :
I understand that you were concerned about the accuracy of your diagnosis and A&E, City Road, on 4 November 2008 and also in the External Disease Clinic at our outreach site at St George’s NHS Trust on the following day.
The referral from your optometrist suggested the possibility of orbital cellulitis and requested further assessment. The tests that were completed in A&E on 4 November 2008 were to assess for clinical signs of this condition. We would like to reassure you that the letter of referral was not ignored, but on your presentation at City Road your clinical signs did not point to Orbital Cellulitis. The Consultant who reviewed your condition on 5 November 2008 at St George’s prescribed a wide-spectrum oral antibiotic to treat the infection, which was at this time identifiable as chemosis (the swelling of the conjunctiva). I understand that this prescription is also used to treat Orbital cellulitis.
There are occasions when infections of the eye can continue to progress over the course of a number of days, despite antibiotic treatment. Patients are always advised to return to the Casualty Department if their symptoms should become worse or they develop a temperature. As the infection had not responded to the oral antibiotics, we were very pleased that you did precisely this and attended the Royal Berkshire NHS Foundation Trust.
Had you returned to Moorfields Eye Hospital, we too would have given you intravenous antibiotics and performed a CT Scan.
I am very sorry if you feel that the details of your diagnosis and treatment were not clearly explained to you during your attendance at Moorfields Eye Hospital.
Concerns and comments about the Moorfields letter
- Moorfields have learnt nothing from this. This letter illustrates their unwillingness to acknowledge that they have a serious problem with their systems of diagnosis of Orbital Cellulitis, making the mistake twice over.
A checklist form would enable a better chance of correct diagnosis.
- The Moorfields letter implies that it was several days before I attended the 5th hospital when infact it was just 19 hours later.
- The eye infection photo on the front page of this website was taken 17 hours after visiting Moorfields in Tooting where I had been asked to return 2 weeks later.
- The Chief Executive implies that instructions were given to return if things got worse. This is just not true.
- Reluctance to release medical notes. It took repeat letters at month intervals to obtain the notes. It was only when I sent a letter stating that I would seek assistance from elsewhere to communicate with Moorfields that I received a phone call 3 months later saying they were going to obtain and send the medical notes.
- I wanted to see in black and white the clear misdiagnosis from both hospitals :
Moorfields City Road: Left Conjunctivitis.