Primary Angle Closure or Primary Angle Closure Glaucoma
Secondary Open Angle Glaucoma
Possible management by Optometrist
Treatment
None
Advice
For patients with ocular hypertension, treated or untreated, a reliable baseline based on repeated measurement of intraocular pressure and perimetry should be established
Intraocular pressure measurement using Goldmann Applanation Tonometry
Gonioscopy
Central corneal thickness (CCT) measurement
Visual field measurement using standard automated perimetry and optic disc assessment
Refer to ophthalmologist in following circumstances
Intraocular pressure > 25mm Hg
Intraocular pressure 21-25mm Hg if
CCT < 555 µm
& patient aged ≤ 65
Management Category
Monitor discharged stable low risk or treated ocular hypertension as per NICE guidance
Re-refer patients
according to advice on discharge letter
if intraocular pressure control is sub-optimal
if glaucomatous changes develop
if topical therapy not tolerated (allergy/toxicity)
Possible management by Ophthalmologist
Observation
Topical ocular hypotensive therapy
Selective Laser Trabeculoplasty
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decision support and is intended for use by ophthalmic healthcare professionals.
The Website is not intended for use by the general public and does not replace the advice of a healthcare professional.
Members of the public should seek advice directly from their optometrist.
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management by optometrists (treatment and advice), management category and possible management by ophthalmologists.
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