Higher qualifications in glaucoma

Learn to detect and manage different kinds of glaucoma and associated conditions effectively with increasing levels of independence.

Professional Certificate in Glaucoma (Prof Cert Glauc)

This higher qualification is designed to prepare you to participate in formal ‘referral refinement’ and OHT/ suspect COAG monitoring schemes. Topics covered include; history taking, measuring IOP using a slit lamp, and performing and interpreting the results of the van Herick test. 

Learning outcomes

Providers

Entry requirements
Only UK based GOC-registered optometrists are eligible to undertake the Professional Certificate.

Course length
Four months.

How often course runs
Bi-annual intake; 1 October and 1 March.

Course delivery
Online distance learning based course with mandatory on campus workshop.

Placement
N/A.

Assessment
MCQ tests, Case studies, OSCEs.

Masters level credits
Level 7.

Entry requirements
The course is open to GOC registered optometrists, HCPC registered orthoptists and NMC registered nurses working in ophthalmology. Applications from other practitioners will be considered on a case-by-case basis dependent on level of clinical glaucoma experience, current working environment and supervision. All applicants must be working in a patient-facing capacity.

Course length
The course can be completed flexibly, with a minimum duration of three months and a maximum duration of 24 months.

How often course runs
There are three intakes per year (Jan, June, Sept).

Course delivery
The course is delivered part-time by distance learning. Lectures are online, with a practical workshop at the University.

Placement
N/A.

Assessment
Assessment is via written examination and a practical station-type exam.

Masters level credits
20 credits.

Entry requirements
GOC-registered optometrists and registered allied health professionals.

Course length
Four months.

Course delivery 
Online interactive learning, webinars and discussion boards, practical workshops including case discussions.

Placement
No placement.

Assessment 
Written assessment inc online KFS, VRICS, MCQs and webinars, practical assessment (OSCE).

Masters level credits
20.

Entry requirements
You should be a UK GOC registered optometrist satisfying all legal requirements to be eligible to practise in the UK. Overseas optometrists/medical practitioners will be accepted on an ad-hoc basis providing your undergraduate syllabus and clinical responsibilities are similar to those of a UK optometrist/medical practitioner.

Course length
Three months.

How often course runs
April, once a year.

Course delivery
10 hours online self-directed learning, 7 hours synchronous learning and one day face-to-face practical classes and workshops.

Placement
N/A.

Assessment

  1. A written component consisting of three assessments (MCQs, SAQs and PMCSs).
  2. Practical skills assessments which test your ability to examine patients and discuss observations and management options.

Masters level credits
15.

Entry requirements
Possess a minimum of a BSc (Hons) in Optometry or Orthoptics or equivalent. Other qualifications may be accepted and will be assessed on a case-by-case basis.

Course length
Six months.

How often course runs
January / run annually.

Course delivery
Online learning, webinars, online synchronous day including lectures, tutorials, case discussions. In-person practical skills workshop.

Placement
Not required.

Assessment
Summative assessments which will include written exams and practical assessment (OSCE).

Masters level credits
15.

Entry requirements
Open to GOC registered optometrists.

Course length
One semester (15 weeks).

How often course runs
Starts every January.

Course delivery method
The course is a mixture of online lectures, one day face-to-face teaching and one day of face-to-face assessments.

Placement / portfolio
Not applicable.

Assessment

Assessment is by:

  1. Key Feature scenarios assessment
  2. VRICS
  3. Six OSCE stations

Masters level credits
20.

Contact 
Colin Davidson, Programme lead at c.davidson2@herts.ac.uk for more information and to apply.

Entry requirements
Postgraduate optometrists and other eye health care professionals.

How often course runs
September and January intakes.

Course length
Six months (from start to results being issued).

Course delivery
Online learning, live lectures and self-directed study, practical sessions.

Placement
N/A.

Assessment
MCQs, SAQ, OSCE and DOPS.

Masters level credits
15.

Entry requirements 

  • Registered ophthalmic professional working in a clinical area that will facilitate the successful completion of the module learning outcomes.
  • All registered optometrists are eligible to apply for this module. Other ophthalmic professionals are also eligible to apply for this module, however they must be able to provide a certified letter from their employer confirming an appropriate level of competence in the clinical examination of the eye, to include slit lamp examination, optic disc assessment with indirect biomicroscopy and Goldmann applanation tonometry.

How often course runs
Course runs Jan – June each year.

Course length
16 weeks.

Course delivery
Online learning, with one in-person clinical teaching day and an in-person assessment day.

Placement
Not required.

Assessment

  • 40% Written Examination
  • 30% Clinical Portfolio (case records)
  • 30% OSCE examination

Masters level credits
20.

Entry requirements
Postgraduate optometrists and other health care practitioners with relevant clinical glaucoma experience.

How often course runs
Normally twice yearly in September and January.

Course length
15 weeks.

Course delivery
Part-time, blended learning (online learning material/assessment and on-campus tutorials/practicals/assessments).

Placement
No placement.

Assessment
Written assessment (inc MCQ, VRICS, SAQ, plus online discussion board participation), practical assessment (OSCE).

Masters level credits: 
20.

Case study: Salma Ali MCOptom Prof Cert Glauc

‘As an optometrist working in a primary care setting, it’s important to be able to detect early signs of glaucoma, and make timely referrals. The Professional Certificate in Glaucoma introduced me to new techniques that you don’t cover a university or in community practice, such as Smith’s method and the 24-2 Sita and Zata tests. And now I apply my learning in practice every day. It’s made me confident in interpreting visual fields and also when determining whether an optic disc is healthy.

‘Career progression is of utmost importance to me. I’m planning to complete the Higher Professional Certificate in Glaucoma next, so that I can venture on to hospital optometry within specialist glaucoma clinics.’

Professional Higher Certificate in Glaucoma (Higher Cert Glauc)

This qualification is designed to prepare you for participation in community or hospital-based schemes involving the diagnosis of OHT and preliminary diagnosis of COAG. It will further develop your ability to detect change in clinical status, and subsequent decision making, as well as your management of patients with glaucoma.

Learning outcomes

Providers

Entry requirements

  • GOC registration as an optometrist or other registered health professional
  • Hold Prof Cert Glaucoma

Course length
12 months indicative depending on placement.

How often course runs
Intakes in January and September each year.

Course delivery

  • Online learning
  • Placement in glaucoma clinic (self-arranged)
  • Optional attendance at on-campus gonioscopy workshops held quarterly
  • Mandatory attendance for on-campus assessment day

Placement
Students enrolling on this course must have arranged a placement in a hospital glaucoma clinic under the mentorship of a consultant ophthalmologist. The placement must enable the student to gain experience of at least 150 relevant cases. As a minimum guideline, one session (half day) per week for six months is recommended.

Assessment

  • Written exam
  • Practical station exam
  • Placement logbook including reflective essay

Masters level credits
20

Entry requirements
GOC-registered optometrists or other registered eyecare practitioner with a Professional Certificate in Glaucoma and a minimum of four months experience working under supervision in a glaucoma clinic prior to the start of the course.

Course length
Two terms (one academic year) including a supervised glaucoma clinic placement which should be undertaken alongside the course.

How often course runs
September (annually).

Course delivery
Online lectures, webinars, case discussions and discussion forum; two one-to-one online case discussion meetings with a glaucoma specialist optometrist tutor to assess communication skills, and to support overall progress.

Placement
Students are required to organise their own placement in a hospital glaucoma clinic to examine 150+ cases with a range of OHT, glaucoma suspect and glaucoma cases. Virtual review patients can be included. Recommended minimum of 12-18 months, including option to log up to 50 patients up to six months before course start. 

Assessment
Written assessments including online test and extended case reports, practical assessments (OSCE), clinical reasoning viva, and logbook of patient episodes from the clinical placement.

Masters level credits
20

Entry requirements
Possess a minimum of a BSc (Hons) in Optometry or Orthoptics or equivalent. Other qualifications may be accepted. Please enquire to determine whether you are suitable to apply. 

For those who choose to apply for The College of Optometrists' qualification pathway: 

  • Possess the Professional Certificate in Glaucoma and affix

Course length
Six months.

How often course runs
January / annually.

Course delivery
Online learning, webinars, online synchronous day including lectures, tutorials, case discussions. In-person practical skills workshop.

Placement
You can gain the College’s Professional Higher Certificate in Glaucoma on completion of this qualification and carrying out a clinical placement examining 150 suitable patients. Experienced practitioners will be able to APL this placement fully up to 150 patients. You will be required to arrange the placement yourselves with your local Hospital Eye Department.

Assessment
Summative assessments consisting of MCQs, Patient Management Case Scenarios (PMCS) followed by the OSCE stations exam. Following the placement and portfolio submission a VIVA exam is the final assessment.

Masters level credits
15.

Entry requirements

  • Registered ophthalmic professional working in a clinical area that will facilitate the successful completion of the module learning outcomes.
  • Students looking to obtain The College of Optometrists' Professional Higher Certificate in Glaucoma, must already hold The College of Optometrists' Professional Certificate in Glaucoma.

Course length
18 weeks (one academic term).

How often course runs
Runs once a year.

Course delivery
Blended learning approach: distance learning delivery of theoretical content, with one face-to-face clinical teaching day at the start of the module, a live webinar opportunity and one face-to-face assessment day at the end of the module.

Placement
Placement in a glaucoma clinic, under the mentorship of an ophthalmologist who specialises in glaucoma, to gain at least 150 patients of varying diagnosis and complexity.

The placement is assessed through completion of a clinical logbook. As a minimum guideline, one session per week (half day), over a six-nine month period is recommended.

Recognition Prior Learning (RPL) can be considered towards the clinical placement for those practitioners with at least two years’ experience working in glaucoma management on a regular basis (minimum of one session per week) within a hospital, clinic or appropriate setting. Please contact the module team for further information: acpophthalmology@plymouth.ac.uk

Assessment
The assessment for the module includes, written examination, clinical examination (OSCE) and a clinical portfolio with viva.

Masters level credits
20.

Case study: Shima Shah MCOptom Higher Cert Glauc

"My employer asks for higher qualifications in glaucoma and prescribing, as they help to ensure that we all work to the same high standard to provide excellent and safe care.

"When I started working in a glaucoma clinic ten years ago, we learnt ‘on the job’ and gradually picked things up. Now higher qualifications are becoming increasingly necessary, as the role of optometry within clinical care grows, They cover topics such as gonioscopy, prescribing and clinical decision making in much greater detail than anything I was exposed to at university or community practice. Now I am able to take on more complex clinical cases, and work independently."

Professional Diploma in Glaucoma (Dip Glauc)

This course aims to prepare optometrists to provide either a community glaucoma service, or to work with a high degree of autonomy within a hospital glaucoma clinic. Topics covered include; pathogenesis of glaucomatous optic neuropathy, normal tension glaucoma and secondary glaucomas and monitoring and management of open angle glaucomas, primary angle closure (PAC) and primary angle closure glaucoma (PACG) 

Learning outcomes

Providers

Entry requirements
GOC-registered optometrists with a Professional Certificate and Professional Higher Certificate in Glaucoma and at least two years’ post-qualification experience. Recommended to have a minimum of three years’ experience in glaucoma clinics before commencing course.

Course length
Two terms (one academic year).

Course delivery
Online lectures, webinars, case discussions and discussion forum; two one-to-one online case discussion meetings with glaucoma specialist optometrist tutor; one practical day including workshops, case presentations and case discussions.

Placement
Placement in a hospital glaucoma clinic to examine 250+ cases with a range of glaucoma and glaucoma related conditions.

Assessment
Written assessments including coursework assignments and written scenario station exam, case discussion viva, peer presentations, logbook/portfolio of 250 patient cases from placement/practice.

Masters level credits
20.

Entry requirements
Possess a minimum of a BSc (Hons) in Optometry or Orthoptics or equivalent. Other qualifications may be accepted. Please enquire to determine whether you are suitable to apply. For those who choose to apply for the College of Optometrists qualification students must possess the Professional Certificate in Glaucoma and the Professional Higher Certificate in Glaucoma affix.

Course length
Six months.

How often course runs
January / annually.

Course delivery
Online learning, webinars, two online synchronous days including lectures, tutorials and case discussions.

Placement
You can gain the College’s Professional Diploma in Glaucoma on completion of this qualification and carrying out a clinical placement examining 250 suitable patients. Experienced practitioners will be able to APL part of this placement up to a maximum of 150 patients. You will be required to arrange the placement yourselves with your local Hospital Eye Department.

Assessment
Summative assessments consisting of MCQs and patient management case scenarios followed by the OSCE stations exam. Following the placement and portfolio submission a VIVA exam is the final assessment.

Masters level credits 
15.

Case study: John Gurney FCOptom Dip Glauc

"Higher qualifications give you a licence to practice and develop you as an eye care professional. Without my higher qualifications, I couldn’t offer the same standard of high quality patient care or range of ophthalmology services that I currently offer in my practice. My Dip (Glauc) means that I am able to diagnose and manage, without consultant supervision, ocular hypertension, suspect glaucoma, and patients with a diagnosis of glaucoma for both the NHS or on a private basis. I can also prescribe any medications required.

"The Higher Certificate and the Diploma are demanding in terms of study, time, commitment and finance. But, they are set at that level to ensure the competence of the optometrist managing complex conditions such as glaucoma in a community setting, and much more importantly, to ensure ongoing patient safety. If the qualifications weren’t so rigorous, GPs and ophthalmologists would not refer patients to us, and we could ultimately lose the multi-disciplinary approach for patient care, which benefits all."

Key

KFS – key feature scenarios
MCQ - multiple choice questions
OSCE - objective structured clinical examination
PMCS - patient management case scenario
SAQ – short answer questions
VRICS - visual recognition and interpretation of clinical signs

When you have successfully completed your qualification, your course provider will ratify the results (this can take some months) before sending them to the College. Those who complete a College-accredited higher qualifications course may only use the associated affix in the context of activity undertaken as a registered healthcare professional, and in the country in which the practitioner is registered. On receiving results, the College will update its records and advise the GOC so GOC staff can update its register. 

Certificates are issued free of charge only for full UK College members. 

If you complete a higher qualifications course while still a student registrant you may not use the associated affix until you have full (01-) GOC registration. You will not receive a certificate until you join the College as a newly qualified practising optometrist (qualifying in the UK) or a full UK member with full (01-) GOC registration. You will have until the next (first) OSCE date following your own OSCE sitting to join the College or you will not receive a certificate. The dates of all upcoming OSCE dates are on our website.

The College produces and prints certificates at regular intervals in the year. This means it may be some months before you receive a certificate, as the College must first receive the result and then include it in the next applicable print run. 

The College will invite full UK College members who complete a higher qualification at Higher Certificate or Diploma level to the College’s prestigious annual Diploma Ceremony to have their achievement officially recognised. The College will contact these course completers separately. 

The College will replace lost or damaged certificates for a fee of £30 to those who completed the course at a time when they were a full UK College member. Use the contact form to let us know if you require a replacement certificate.