Date of last review: Due to be updated

Differential diagnosis

  • Primary Open Angle Glaucoma
  • 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
  • Monitor in the community every 24 months
    • Intraocular pressure > 21 & ≤ 25mm Hg, if CCT ≥ 555 µm
  • 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