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Summary of Results

Health Topic:   Eye
Guidance:   Glaucoma
Description:   The summary of the published clinical guideline on Glaucoma. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Stead, R et al (2011) Attitudes of consultant opthamologists in the UK to initial management of glaucoma patients presenting with severe visual field loss: a national survey Clinical & experimental opthamology 2011; 39: 858-864

Description: This study surveyed UK consultant opthamologists to determine their current practice. All consultant opthamologists currenly practicing in the UK were asked to complete a questionnaire. 626 responses were received and results found that consensus opinion for both glaucoma specialists (64.9%) and non-glaucoma specialists (62.4%) was to start with primary medical therapy, most commonly citing surgical risk as the primary reason for this approach.

Doubts about or mixed impact in practice National

Chawla, A. et al (2013) Patterns of adherence to NICE Glaucoma Guidance in two different service delivery models. Eye. 26(11):1412-7, 2012 Nov.

Description: This study measured adherence to glaucoma management guidelines at Manchester Royal Eye Hospital and Stepping Hill Hospital. A 2010 retrospective case note review on 200 patients showed good adherence regarding the choice of initial treatment (96%/100%) and arranging appropriate monitoring intervals (92%/86%). However, variation was seen when assessing whether an optic disc image was obtained at the initial visit (74%/10%) and whether an appropriate initial assessment was performed (96%/58%).

Doubts about or mixed impact in practice Local

Malik, R. et al (2013) A survey of attitudes of glaucoma subspecialists in England and Wales to visual field test intervals in relation to NICE guidelines. BMJ Open. 3 (5) , 2013. Article Number: e002067.

Description: The aim of this study was to establish attitudes to the frequency of visual field testing among glaucoma specialists in England and Wales. Consultant glaucoma specialists were invited to complete a survey during Nov 2011 ? Feb 2012, which asked for minimum and maximum follow up intervals for a hypothetical patient in three scenarios; 70/150 responded. For each clinical scenario, 14 (20%), 33 (47%) and 28 (40%) responses, respectively, fell outside the follow up interval recommended by NICE.

Doubts about or mixed impact in practice National

Chaudhary, R. et al (2013) Adherence to NICE guidelines for new glaucoma referrals Eye. 2013 27 (4) PAGES 571-572

Description: This letter describes a study carried out at the University Hospital of North Staffordshire, Stoke-on-Trent, to assess adherence to NICE glaucoma guidelines. The records of 50 consecutive new referrals for glaucoma, from September to December 2011 were reviewed. The author found adherence to glaucoma guidelines was varied and dependant on the patient seeing a glaucoma specialist. Results included that one third of patients diagnosed with glaucoma did not have a CCT measurement documented.

Doubts about or mixed impact in practice Local

This page was last updated: 18 September 2013

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.