Principles of examining patients at risk from glaucoma
A251
When examining a patient who is in an at-risk group for glaucoma, you must carry out relevant tests.87 Guidance varies across the UK.88, 89, 90 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.
A252
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
87 Sight Testing (Examination and Prescription)(No 2) Regulations 1989 para 3(1)(a) [Accessed 19 Nov 2020]88 National Institute for Health and Care Excellence (2017) Glaucoma: diagnosis and management [Accessed 19 Nov 2020]
89 The College of Optometrists (2017), NICE Guideline – Glaucoma diagnosis and management (update) [Accessed 25 July 2019]
90 Scottish Intercollegiate Guidelines Network (2015) Glaucoma Referral and Safe Discharge [Accessed 19 Nov 2020]