The College of Optometrists welcomes the clarity and structure provided by a new guideline, published yesterday, on the diagnosis and management of chronic open angle glaucoma (COAG) and ocular hypertension (OHT).
The guideline, issued by NICE, provides a clear and nationwide structure for the referral, monitoring and treatment of glaucoma patients; however, the College does not believe that it reflects the existing work or expertise of optometrists in patient monitoring and diagnosis.
The College supports the call from the optical bodies for negotiations with the Department of Health and the NHS on how these guidelines can be implemented at both a local and national level. Successful implementation is necessary to avoid what will become an unmanageable burden on the Hospital Eye Service (HES).
Optometrists with the College’s existing Higher Qualification in Glaucoma, combined with relevant experience, are well placed specialists to support the HES. The College will be conducting a broad ranging review of all of its Higher Qualifications, including Glaucoma. This will include looking at specialist competencies, training and methods of assessment.
Professor John Lawrenson, Chairman of the College of Optometrists Education Committee comments: “The College has a key role to play in setting the standards for optometrists and enabling its members to play their critical part in the diagnosis and management of Glaucoma. A fundamental review of the College’s Higher Qualifications is due to take place this year, and the publication of this NICE Guideline has brought Glaucoma to the fore as part of this process.”