Minor Eye Conditions Community Service (MECs) is an NHS funded service available to all patients registered with an Islington GP. Assessment and treatment of recently occurring medical eye conditions is provided by local optometrists with the specialist knowledge and skills to carry out this work.

The service does not replace the routine eye examination, eye tests or prescriptions for spectacles. A sight test is not performed as part of the assessment or treatment, and prescriptions are not offered for spectacles. The service also offers glaucoma repeat measurement and refinement and cataract screening.


Optometrists at the approved sites will offer repeat glaucoma IOP and or fields measurements for patients.

Eligibility criteria


Patients presenting the following conditions will be seen by the MECs service:

  • loss of vision including transient loss [consider differential diagnosis (TIA, Temporal Arteritis)]
  • ocular pain
  • systemic disease affecting the eye
  • differential diagnosis of red eye
  • foreign body and 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 [consider stroke; binocular diplopia always significant]
  • flashes/floaters
  • retinal lesions

Patients eligible for glaucoma measurement and refinement

  • patients that have been assessed under an GOS or private eye examination and found to fall into the categories for repeat measurement and refinement
  • OR patients who have been routinely referred (by GP or other appropriate clinician) for glaucoma assessment
  • OR the patient’s GP feels for any reason that this patient should have a glaucoma assessment
  • AND who have high intra-ocular pressures that have not been measured using a Goldmann or Perkins applanation tonometer
  • AND who have no other significant clinical signs of glaucoma


Patients with the following condition cannot be seen by the MECs service

  • severe ocular pain requiring immediate attention
  • severe infection
  • suspected retinal detachment
  • retinal artery occlusion
  • chemical injuries
  • penetrating trauma
  • orbital cellulitis
  • temporal arteritis
  • ischaemic optic neuropathy
  • binocular double vision

The treatment of long-term chronic conditions is not included within the service:

  • diabetic retinopathy
  • long-standing adult squints
  • long-standing diplopia

MECS Practices in Tower Hamlets

AreaPractice AddressTelephone
E1In Focus Optics 149 Cannon Street Road, E1 2LX020 4788 4523
E1In Focus Optics 94 White Horse Lane, E1 4LR 020 7791 0692
E1Specsavers Opticians331-335 Whitechapel Road, Albion Yard, E1 1BU020 3993 6801
E2Specsavers OpticiansUnit 1, 409 Bethnal Green Road, E2 0AN020 7324 7520
E3Eye Emporium 424 Roman Road, Bow, London, E3 5LU020 8980 6363
E14In Focus OpticsUnit 1, 223 East India Dock Road, E14 0ED020 7987 2364
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