Principles of examining patients at risk from glaucoma
A252
When examining a patient who is in an at-risk group for glaucoma, you must carry out relevant tests.99 Guidance varies across the UK.100, 101, 102 You should be familiar with the relevant guidance and the thresholds at which further tests should be undertaken. If local protocols apply you should comply with these.
A253
Glaucoma can be difficult to detect in the early stages and you should stay up to date with current thinking on the pathophysiology, clinical signs and diagnostic techniques required to detect it.
References
99 Sight Testing (Examination and Prescription)(No 2) Regulations 1989 para 26(1)(a) [Accessed 1 Nov 2023]100 National Institute for Health and Care Excellence (2017) Glaucoma: diagnosis and management [Accessed 31 Jul 2023]
101 The College of Optometrists (2017), NICE Guideline – Glaucoma diagnosis and management (update) [Accessed 1 Nov 2023]
102 Scottish Intercollegiate Guidelines Network (2015) Glaucoma Referral and Safe Discharge [Accessed 1 Nov 2023]