A total of 315 case notes were identified; 120 of the 315 were excluded after application of the exclusion criteria (see online supplementary data for the demographics and breakdown of excluded cases), leaving 195 case notes for analysis. One hundred and twenty (61.5%) patients were women, with a mean age of 78 years. Nearly all patients (187; 95.9%) presented with nvAMD affecting the first eye. The overall mean time from symptom onset to presentation was 54.2 (95% CI ±13) days. As for referrals to ophthalmology, 118 (60.5%) of these were direct from optometrists, 5 (2.6%) were direct from general practitioners (GPs) and 52 (26.7%) were made by optometrists via GPs. The remaining referrals were from other hospitals, other ophthalmology clinics and screening programmes.