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Glaucoma identification and co-management

Disease
Angela Whitaker reviews a new book on glaucoma management

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The authors describe the burden of glaucoma outpatient appointments in the NHS (25-30 per cent of all ophthalmology outpatient appointments) and underline the need to expand capacity using optometric co-management/shared care schemes.

Clinical dilemmas

Most, if not all, optometrists working in a primary care setting have experienced clinical dilemmas relating to glaucoma detection: 'This optic disc looks a bit dodgy is it glaucoma or just a variation of normal? I referred three patients for suspect glaucoma recently and they were all discharged as normal.' If these sound familiar, this book will help. I headed straight for the chapters on visual fields and optic disc assessment and was not disappointed. The rest of the book was an excellent read with useful illustrations and photographs, and a good use of colour for navigation.

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