Minor Eye Conditions Community Service (MECs) is an NHS funded service available to all patients aged 10 or over registered with a Newham 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.

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 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 Waltham Forest

Area Practice AddressTelephone
E4Henry Morgan Opticians 3 Bank Buildings, The Avenue, Highams Park, E4 9LE020 8527 2723
E4Specsavers Opticians26 Old Church Road, Chingford, E4 8DD020 8506 3780
E17Specsavers Opticians203 High Street, Walthamstow, E17 7BH020 8520 7200
IG2Rose Opticians 583 Cranbrook Road, Gants Hill, Ilford, IG2 6JZ020 8551 5353
IG8Care Optics 14 The Broadway, Woodford Green, IG8 0HL020 3551 6075
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