Significant and irreversible optic neuropathy, and impairment of visual function, can occur within a short period following an episode of angle closure.

The role of optometry in disease management now goes well beyond the confines of case finding and referral.

The number of people affected by the Angle closure glaucoma (ACG) is expected to rise with an ageing population and increasing longevity. This article looks at the clinical characteristics and treatment options for ACG, and assessment of the anterior chamber angle by gonioscopy.

Looking at the impact of the lesser known effects of glaucoma, in order to improve understanding and care of patient.

A review of the role of the optometrist in the medical management of glaucoma in the light of 2009 NICE guidelines, as well as recommendations.

Articles in this edition cover: Conjunctival response to soft contact lens wear, medical management of chronic open-angle glaucoma, vortex keratopathy and Fabry disease, ocular genetics in clinical practice, and customer service leadership .

Articles in this edition cover intraocular scatter and visual performances, the structure–function relationship in glaucoma, current trends in macular hole management and visual acuity and visual satisfaction.

80-90% of diagnosed POAG cases in the UK are initially detected during routine eye examination.

Articles cover: The NICE guideline on diagnosis and management of COAG and ocular hypertension, glaucoma detection, cataract development in relation to morphology and depression and acquired visual Impairment.

The classification, risk factors and detection of glaucoma.

An insight into the development of the guidance, its implementation and implications for optometry.

Articles cover: Low vision; HES case studies, a community ophthalmic service for the management of paediatric refractive eye problems; glaucoma co-management; contact lens devices in the management of corneal and ocular surface disease; and extended roles in hospital optometry.