OPT032: Glaucoma 3 (Advanced)
This module follows on from OPT009, OPT010 and OPT031, and is the final module in the glaucoma series.
It aims to prepare optometrists to provide either a comprehensive community glaucoma service, or to work with a high degree of autonomy within a Hospital Eye Service glaucoma sub-specialist clinic. Successful candidates should be equipped to make appropriate evidence-based management decisions in a wide range of glaucoma-related conditions and will have a comprehensive knowledge of diagnosis and treatment, and the ability to detect clinical change.
The module will build on existing knowledge of tests used to assess structure and function in glaucoma to consider how significant clinical change may be detected, as well as considering contemporary views on the relationship between tests of structure and function in glaucoma. The more common secondary causes of glaucoma will be covered in detail along with assessment techniques and management.
The material on medical treatment covered in the previous module will be supplemented by a review of the various laser and surgical interventions used in glaucoma treatment along with their respective indications and potential complications.
The module will review contemporary thinking on the pathogenesis of glaucomatous optic neuropathy, along with the effects of ocular and systemic co-morbidity on the diagnosis and management of glaucoma. The didactic component will conclude with a review of the major clinical trials form the last few decades and their impact.
Students are required to organise a placement within a secondary care glaucoma clinic, identifying an ophthalmologist mentor to support them. Students should ideally collect evidence of having seen at least 250 patient episodes during their placement.
Students are required to write up 10 cases in detail including a fully referenced case discussion for each. This will be submitted for a viva voce examination at the end of the module.
How the module will be delivered
This module is taught via online lectures delivered via Learning Central, the University’s e-learning system, with supporting resources and references supplied.
There will be an introductory webinar and two progress meetings with a tutor. In addition there are two contact days with workshops, tutorials, case discussions and a summative assessment.
How the module will be assessed
Formative assessments: Progress meetings and formal case reports: Students will participate in two one-on-one progress meetings with an assessor via video link during the course of the module. Students will submit one case report and one reflection document in advance of each meeting along with a copy of the clinical logbook documenting their placement progress (see below). The assessor will provide formative feedback on the case report and will review progress on the student’s clinical placement and logbook. The placement mentor may choose to participate in these meetings.
Presentation to peers: Following the progress meetings, students will attend a group session at which they will present one/two case(s) to their student peers. They will field questions from their peers and/or an assessor who will also provide feedback on the case and its management along with the quality of presentation.
Communication workshop: As a group, students will have the opportunity to practise and refine their communication skills in relation to glaucoma management. Students will take turns in tasks including taking a history, explaining a condition and its impact, and explaining a treatment including any risks and benefits. Students will receive feedback from their peers, the patient(s) and as well as their assessor.
Glaucoma change case-based tutorial: As a group, students will participate in a case-based tutorial on the detection of glaucomatous progression using imaging devices and tests of visual function. This fully interactive session will be led by glaucoma-specialist tutors.
Multiple choice questions: After each distance learning lecture students will undertake a series of five MCQ questions with feedback to self-test understanding.
Formal case reports (30%): Two written case reports each covering an episode of patient care in which the student has been involved (each report 1500-2000 words).
Clinical station assessments (30%): Three timed stations.
Case report viva (40%): A 45-60 minute viva voce examination with two examiners on a previously submitted set of formal case reports (separate to those referred to above).
|Duration||Two academic terms|
|Prerequisites||OPT009 (or exemption via LOCSU Glaucoma or Wales Glaucoma Referral Refinement), OPT010 and OPT031|
|Module tutors||Nita Odedra|
Get in touch for further information:
School of Optometry and Vision Sciences