IOVS Glaucoma

OPTO30362 IOVS Glaucoma 10 Semester 2 Undergraduate Level 3 Robert Harper Unit coordinator 1 FHEQ level (Framework for Higher Education Qualifications) ' Last part of a Bachelors ' European Credit Transfer & Accumulation System Rating : 5.0 This unit will provide essential and contemporary knowledge relating to glaucoma and glaucoma related diagnoses in the context of eye care pathways and visual science. The lectures will be delivered by a range of clinical and non-clinical academic staff, largely by MREH clinical academics. The unit will cover the theoretical knowledge needed to detect and manage glaucoma. It will cover the structural and functional losses seen in glaucoma and the therapeutic options currently available. Emphasis will be placed on the instrumentation and techniques used in management and their theoretical basis/mode of operation. This unit will provide essential and contemporary knowledge relating to glaucoma and glaucoma related diagnoses in the context of eye care pathways and visual science. The lectures will be delivered by a range of clinical and non-clinical academic staff, largely by MREH clinical academics. The unit will cover the theoretical knowledge needed to detect and manage glaucoma. It will cover the structural and functional losses seen in glaucoma and the therapeutic options currently available. Emphasis will be placed on the instrumentation and techniques used in management and their theoretical basis/mode of operation. To provide an understanding of changes that occur in the glaucomatous eye.To prepare healthcare professionals to participate in community or hospital-based schemes involving the detection and management of ocular hypertension (OHT) and chronic open angle glaucoma (COAG).To provide a comprehensive knowledge of the technologies used in the diagnosis and management of OHT and COAG.To  provide  an  understanding  of  the  approach  to,  and  the  various  treatment  modalities  for,  the management of glaucoma. An understanding of the relevant anatomy and physiology of the normal eye and the changes that occur in glaucoma.A comprehension of the different types of glaucoma; a knowledge of the prevalence of, and risk factors for, the glaucomas and an understanding of the associated visual impairment.An understanding of glaucoma epidemiology, including diagnostic tests, screening and case finding. To describe and explain the diagnostic techniques utilised in the clinical examination of glaucoma patients.  To provide comprehensive knowledge of the technologies used in the diagnosis and management of OHT and COAG and an ability to interpret images of the optic nerve head and visual field test results. An ability to make appropriate management decisions based upon clinical guidelines e.g. NICE.To provide an understanding of the approach to, and the various treatment modalities for, the management of glaucoma.To prepare healthcare professionals to participate in community or hospital-based schemes involving the detection and management of ocular hypertension (OHT) and chronic open angle glaucoma (COAG).  Understand glaucoma as a spectrum of disease, the epidemiology, the mode of operation, clinical use and interpretation of clinical tests for diagnosis and monitoring, and the role of these in wider patient management and disease pathway algorithms. To obtain and develop experience in critical appraisal of research and understanding of glaucoma literature and the evidence base within the context of the clinical disease. Students completing the Prof Cert in Glaucoma will have the ability to:<ul><li>Interpret visual fields </li><li>Assess the anterior eye for signs of glaucoma </li><li>Measure central corneal thickness </li><li>Take intra ocular pressure readings using Goldmann applanation tonometry </li><li>Take a relevant ocular history from patients suspected of having glaucoma </li><li>Assess the optic nerve head and recognise glaucomatous defects.</li></ul> To help to prepare healthcare professionals with the theoretical framework to participate in community or hospital-based schemes involving the detection and management of ocular hypertension (OHT) and chronic open angle glaucoma (COAG). The course contains 20  hours lectures and 6 hours of tutorial or workshop type of learning. 0 Other 100% <table border="1" cellpadding="1" cellspacing="1"> <thead> <tr> <th scope="col">Assessment</th> <th scope="col">Length</th> <th scope="col">Feedback</th> <th scope="col">Weighting</th> </tr> </thead> <tbody> <tr> <td>Written examination 20% MCQ 40% Clinical data interpretation/management 40% SAQ</td> <td>2 hours</td> <td>After exam board</td> <td>80% IOVS students 100% Prof Cert Students</td> </tr> <tr> <td>Group Case Presentation (IOVS/MSci students only)</td> <td>15 slides and 15 minutes</td> <td>Written feedback within 15 working days</td> <td>20%</td> </tr> <tr> <td>Prof Cert students only</td> <td>OSCE</td> <td>Written feedback within 15 working days</td> <td>None, all 6 stations must be passed</td> </tr> </tbody></table> MSci Optometry MSci Optometry Third Year Mandatory N Selected web resources:<ul> <li><a href="https://www.nice.org.uk/guidance/ng81">https://www.nice.org.uk/guidance/ng81</a></li> <li><a href="https://glaucoma.uk/">https://glaucoma.uk/</a></li> <li><a href="https://www.rcophth.ac.uk/wp-content/uploads/2015/10/RCOphth-The-Way-Forward-Glaucoma-300117.pdf">https://www.rcophth.ac.uk/wp-content/uploads/2015/10/RCOphth-The-Way-Forward-Glaucoma-300117.pdf</a></li></ul>Selected review papers:<ul> <li>Harper RA, Gunn PJG, Fenerty CH, Spry PGD and Lawrenson JG.  Care pathways for glaucoma detection and monitoring in the UK. Eye 2020, 34: 89-102.</li> <li>Wu Z, Medeiros FA Recent developments in visual field testing for glaucoma. Curr Opin Ophthalmol. 2018 Mar; 29(2):141-146</li> <li>Vianna JR, Chauhan BC. <a href="https://pubmed.ncbi.nlm.nih.gov/26518076/">How to detect progression in glaucoma.</a> Prog Brain Res. 2015;221:135-58.</li> <li>Hood D. Improving our understanding, and detection, of glaucomatous damage: An approach based upon optical coherence tomography (OCT)Prog Retin Eye Res. 2017 Mar;57:46-75.</li> <li>Malik R, Swanson WH, Garway-Heath DF. <a href="https://pubmed.ncbi.nlm.nih.gov/22339936/">'Structure-function relationship' in glaucoma: past thinking and current concepts.</a></li></ul> Assessment written exam 2 Lectures 20 0 120