OPT031: Glaucoma 2

This module builds on from OPT010 – Glaucoma 1, to provide training in the auxiliary techniques that are used to monitor and diagnose ocular hypertension (OHT) and suspect glaucoma. Knowledge and skills are further enhanced to a level which will enable the optometrist to participate in community or hospital-based schemes and be capable of independently diagnosing and managing OHT combined with making a preliminary diagnosis of COAG.

The programme also develops knowledge of medical therapy in glaucoma and OHT to support the monitoring of patients with these conditions who are receiving medical treatment, covering the principles underpinning the management of these conditions.

The module aims to further develops skills in detecting a change in clinical status and decision making in patients at risk of developing glaucoma. Gonioscopy is introduced with extensive tutorials on this essential technique.

The follow-on module, OPT032: Glaucoma 3 - Advanced, completes the portfolio for glaucoma.

Start DateDurationCreditsPrerequisitesModule TutorsModule Code
March 2017

September 2017
24 contact hours over one academic term20 credits

CET points available
OPT009 (or exemption via LOCSU Glaucoma/Wales Glaucoma Referral Refinement)

OPT010
Adam Wannell

Nik Sheen
OPT031

Additional information: This module complements OPT012 and OPT016.

On completion of the module, the student should:

  • have the ability to perform a gonioscopic examination of the anterior chamber angle and to identify anatomical structures, accurately grading the angle width and interpret the significance of clinical findings
  • have the ability to diagnose OHT or a preliminary diagnosis of COAG through an integration of clinical observations/results of clinical findings
  • have the ability to make appropriate management decisions in a patient with OHT
  • have the ability to monitor the response to treatment in a patient with OHT and modify the management plan or refer if necessary
  • have an awareness of the contraindications of anti-glaucoma medications and an ability to detect and manage drug-induced side effects
  • have the ability to inform patients of the rationale for monitoring their conditions and an ability to explain the risk of developing glaucoma
  • have the ability to counsel patients regarding the risk of blindness associated with glaucoma, risk to family members and potential impact of the disease on lifestyle
  • be able to appreciate the relevance of IOP phasing to the diagnosis and management of OHT and glaucoma
  • be able to understand the role of contemporary imaging technologies in the diagnosis and monitoring of OHT and suspect glaucoma.

This module is taught via 6 lectures (PowerPoint with audio), delivered via Learning Central, the University's virtual learning environment, with supporting resources and references supplied.

There are four key feature scenarios with multiple stem questions covering several aspects of the learning objectives. The key feature scenarios are assessed but offer feedback after each stem question is submitted, also acting as formative learning.

Two days of tutorials, workshops and case based discussions cover the practical elements of the course, culminating in the station examinations on the second day. The first day is at the start of term and the second day at the end of term.

Online Examination (25%)

There is a MCQ test that will assess comprehension and application across the entire syllabus which students take at the end of the semester.

Online Coursework (25%)

There are four case-based presentations to work through – these are key features scenarios, where the learner must work through the case by answering sets of questions. The advanced level case histories will also rely on re-call of the Foundation Level Module (OPT009) and Level 1 (OPT010).

Practical assessment (50%)

Students will be marked on their clinical performance against a set of transparent criteria during the assessment of a patient with glaucoma.

  • Indications for treatment
  • Treatment principles and options
  • Imaging technologies in the monitoring of patients at risk of glaucoma, including HRT, OCT, GDx
  • Detecting glaucomatous damage and progression, with emphasis on the optic disc and visual field examination
  • Anti-glaucoma medication - dosage, contraindications and side effects
    Clinical governance for monitoring schemes for glaucoma suspects
  • It is assumed that the learner also recalls content from the previous modules OPT009 and OPT010

Academic skills

  • Collate information from a number of resources to improve learning.
  • The interpretation of data.

Subject specific skills

  • Advancing own knowledge and understanding to higher level.
  • The enhancement of clinical examination of disc and corneal thickness.
  • To further develop practical skills to assess and manage OHT and suspect glaucoma cases.
  • Thorough knowledge of glaucoma ocular medication.

Generic skills

  • Time management.
  • Working independently.
  • Improve problem solving skills.
  • Communication skills.

The College's Professional Higher Certificate in Glaucoma

This module is accredited for the College of Optometrist's Professional Higher Certificate in Glaucoma. If the student wishes to gain this certificate they must:

  1. Currently hold the College's Professional Certificate in Glaucoma (Pre-requisite)
  2. Build a portfolio of clinical experience in order to gain the Professional Higher Certificate in Glaucoma

Each student wishing to gain the College's Professional Higher Certificate in Glaucoma is required to undertake a glaucoma-related placement in a hospital eye department under the guidance of a mentor with appropriate glaucoma expertise. It is anticipated that a six month placement for 1 session per week will enable a portfolio of at least 150 cases demonstrating experience. A guidebook for students and mentors outlines the expectations of this experience.

The portfolio will be checked to ensure that a wide range of clinical scenarios have been included as well as those mandatory cases, with documentation being signed off by the mentor.

On successful completion of OPT031: Glaucoma 2 and clinical placement, the candidate will be awarded the College's Professional Higher Certificate in Glaucoma.

This is not a mandatory part of OPT031: Glaucoma 2 - students are welcome to study this module without the clinical placement and portfolio but they will not be awarded the College's Professional Higher Certificate in Glaucoma.

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