A ‘FIT AND HEALTHY’ grandad of four lost his sight, had a stroke and a double heart bypass, and will eventually lose his eye, after an on-call ophthalmologist failed to investigate his symptoms on New Year’s Day.

When 74-year-old Andrew Baker of Narberth, woke up on January 1, 2017, with black spots in front of his eyes, never could he have imagined that just days later he would have lost all vision in one eye.

When the black spots started to turn into floaters, redness, pain and loss of vision in his right eye later that day, Mr Baker – who had never experienced issues with his sight before – took the advice of his GP son-in-law and went straight to A&E at Glangwili General Hospital.

Mr Baker was seen by a doctor and his condition was discussed with the on-call ophthalmologist over the phone but, as it was New Year’s Day, the ophthalmologist failed to attend to examine him. Diagnosed with vitreous haemorrhage and with a plan put in place for him to be provided with ointment and analgesia, Mr Baker went home.

Had Mr Baker been examined by an ophthalmologist, it would have been confirmed as an ophthalmic emergency and he would have undergone a vitreous biopsy and antibiotic injections, which would have saved some of the sight in his right eye.

The following day, Mr Baker woke up to find that he was completely blind in his right eye and in severe pain. He attended the Tysul Eye Unit at Glangwili General Hospital on January 3, 4 and 5 – and was diagnosed with endogenous endophthalmitis – a very severe sight-threatening condition. Mr Baker was then told that a mistake had been made and that the two days in between his symptoms first appearing and his condition being confirmed had been critical with his sight loss.

The first 48 hours from this condition developing are vital in attempting to save the vision in the eye and the on-call ophthalmologist’s failure to attend the hospital to examine Mr Baker and the wrongful diagnosis of vitreous haemorrhage meant that Mr Baker’s eye sight could not be saved.

On January 6, Mr Baker was operated on to try to save the vision in his right eye, however this proved unsuccessful and he lost complete vision in his right eye. He subsequently required an operation to repair the inward turning of the eyelid and in the future, will need an operation to remove the eye.

Mr Baker contacted Fletchers Solicitors to commence a medical negligence claim against the Hywel Dda University Health Board on his behalf.

Fletchers successfully pursued the claim and Mr Baker was awarded £65,000 from the hospital for the delay in diagnosis.

Andrew Tindall, litigation executive in the medical negligence team at Fletchers Solicitors, said: “The facts of this case go to show just how important physical examinations of patients are, and that in some instances a diagnosis over the telephone can have devastating consequences.

“If the on-call ophthalmologist had attended to Mr Baker as he/she should have done, he would still have some sight in his right eye and would not require the removal of his eye in the future. No amount of money will bring the sight back in Mr Baker’s eye, but I do hope the compensation awarded can go some way to helping Mr Baker with his future needs.”

After his operation, Andrew’s health went rapidly downhill. He had a mini-stroke due to endocarditis and had to have a double heart bypass. In September 2017, Andrew had a recurrence of endocarditis, was put on an intensive course of intravenous antibiotics and was in hospital for six weeks.

Mr Baker commented: “I am bitterly upset at my loss of vision; particularly because I have been told that if I had been treated in time, it could have been saved.

“I just wanted an apology and someone to say that they were sorry for letting this happen to me. I’ve known people who have lost their vision, but I didn’t appreciate the impact it has on your life – it’s completely ruined my life. I can’t drive or read anymore; there is so much that I am no longer able to do.”

“I was a fit 72-year-old and now I’m like an old man. I used to walk about eight miles a day but now I’m lucky if I can manage 600 yards.  Some days I don’t even want to get up in the morning because I know I’m not going to be able to do the things that I want to do. I had such a good life and I’ve lost so much.”

Mr Baker has had three operations to try to repair his eye and give him some vision back, but each operation has failed.

Mr Baker added: “Andrew was extremely efficient, and I was very, very pleased with all his efforts on my behalf. He was amazing throughout the case.

“The compensation was greater than I ever expected, and it will help with things that I need in the future, but nothing can compensate for what I’ve lost.”