Read the following information.

Free OET Writing Sample Test with Answer Subtest Optometry #4

Notes: Today's date is 15 July 2029. You are an optometrist at a local clinic. A patient with suspected glaucoma needs a referral to an ophthalmologist for further evaluation and management.


NAME: Ms. Laura Mitchell DOB: 25 March 1965 (64 y.o.) Social background: Married, two adult children Occupation: Retired teacher General health: Hypertension (controlled with medication), no other significant medical conditions

Family history: Mother had glaucoma

Patient history: 2000 – Diagnosed with myopia, prescribed glasses for full-time wear 2018 – Initial findings of elevated intraocular pressure (IOP), ongoing monitoring

15 July 2029 Presenting problem: Suspected glaucoma based on elevated IOP and family history

Both eyes:

  • No specific symptoms

  • No discomfort, redness, or discharge

  • No vision problems reported

  • Elevated IOP readings, last measured at 26mmHg in both eyes

Visual acuity (VA): Both eyes 6/6

Colour vision (D-15): Normal

External examination:

  • No obvious abnormalities

  • No signs of lid abnormalities, ptosis, or swelling

Slit-lamp examination:

  • Clear anterior chambers

  • No signs of infection or inflammation

  • Stable corneas


  • Normal optic disc appearance

  • No evidence of diabetic retinopathy or other retinal abnormalities

Diagnosis: Suspected glaucoma based on elevated IOP and family history

Initial treatment: Referral to an ophthalmologist for further evaluation and management.

Writing Task:

Using the information given in the case notes, write a referral letter to Dr. Michael Turner, an ophthalmologist, requesting further evaluation and management for Ms. Laura Mitchell's suspected glaucoma. Address the letter to Dr. Michael Turner, Ophthalmologist, VisionCare Clinic, 321 Vision Way, Visionville. In your answer:

  • Expand the relevant notes into complete sentences.

  • Do not use note form.

  • Use letter format.

  • The body of the letter should be approximately 180–200 words.

Dr. Michael Turner 

VisionCare Clinic 

321 Vision Way



15 July 2029


Dear Dr. Turner,


Re: Referral for Suspected Glaucoma - Ms. Laura Mitchell DOB: 25.03.1965

I hope this letter finds you well. I am writing to request your expertise in evaluating and managing Ms. Laura Mitchell, a 64-year-old patient who presented to our clinic today with concerns regarding elevated intraocular pressure (IOP) and a family history of glaucoma.

Ms. Mitchell has a history of myopia, which was diagnosed in 2000, and she has been prescribed glasses for full-time wear. In 2018, our clinic began monitoring her due to initial findings of elevated IOP. Her most recent IOP measurements in both eyes were recorded at 26mmHg, prompting further investigation.

During the examination, Ms. Mitchell reported no specific symptoms, discomfort, redness, or discharge in her eyes. Her visual acuity remains excellent at 6/6 in both eyes, and color vision assessed with the D-15 test shows no abnormalities. External examination revealed no obvious abnormalities, and the anterior chambers appeared clear.

Additionally, slit-lamp examination indicated no signs of infection or inflammation, and her corneas remain stable. Fundoscopy revealed a normal appearance of the optic disc, with no evidence of diabetic retinopathy or other retinal abnormalities.

Considering Ms. Mitchell's family history of glaucoma, elevated IOP readings, and the need for further evaluation and management, I kindly request your expert assessment. Your insights and recommendations will be invaluable in providing Ms. Mitchell with the most appropriate care and guidance moving forward.

Please do not hesitate to reach out to our clinic for any additional information or to schedule an appointment with Ms. Mitchell at your earliest convenience.

Thank you for your prompt attention to this referral, and we look forward to collaborating with you in the best interest of our patient's eye health.




TIP : Practice paraphrasing medical information to strengthen your ability to rephrase complex concepts in the OET writing component.