Course unit details:
Glaucoma
Unit code | OPTO70362 |
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Credit rating | 15 |
Unit level | FHEQ level 7 – master's degree or fourth year of an integrated master's degree |
Teaching period(s) | Semester 2 |
Available as a free choice unit? | No |
Overview
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.
Aims
To provide an understanding of the relevant anatomy and physiology of the normal eye and the changes that occur in glaucomatous eyes.
To provide a comprehension of the different types of glaucoma and classification systems; a knowledge of the prevalence of, and risk factors for, the glaucomas, including genetics; and an understanding of the associated visual impairment.
To provide 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.
To gain 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).
Teaching and learning methods
The course contains 20 hours lectures and 6 hours of tutorial or workshop type of learning.
Knowledge and understanding
Students will be able to:
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.
Intellectual skills
Students will be able to:
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.
Transferable skills and personal qualities
Students will be able to:
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).
Assessment methods
Assessment | Length | Feedback | Weighting |
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Written examination 20% MCQ 40% Clinical data interpretation/management 40% SAQ | 2 hours | After exam board | 80% IOVS students 100% Prof Cert Students |
Group Case Presentation (IOVS/MSci students only) | 15 slides and 15 minutes | Written feedback within 15 working days | 20% |
Prof Cert students only | OSCE | Written feedback within 15 working days | None, all 5 stations must be passed |
Feedback methods
Feedback will be provided in line with University policy,
Recommended reading
Selected web resources:
- https://www.nice.org.uk/guidance/ng81
- https://glaucoma.uk/
- https://www.rcophth.ac.uk/wp-content/uploads/2015/10/RCOphth-The-Way-Forward-Glaucoma-300117.pdf
Selected review papers:
- 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.
- Wu Z, Medeiros FA Recent developments in visual field testing for glaucoma. Curr Opin Ophthalmol. 2018 Mar; 29(2):141-146
- Vianna JR, Chauhan BC. How to detect progression in glaucoma. Prog Brain Res. 2015;221:135-58.
- 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.
- Malik R, Swanson WH, Garway-Heath DF. 'Structure-function relationship' in glaucoma: past thinking and current concepts.
Study hours
Scheduled activity hours | |
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Assessment written exam | 2 |
Lectures | 20 |
Tutorials | 6 |
Independent study hours | |
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Independent study | 122 |
Teaching staff
Staff member | Role |
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Robert Harper | Unit coordinator |