Glaucoma: A Public Health approach to preventing blindness

Develop a public health understanding of glaucoma, its lifelong management, and raising awareness for better quality eye care.

Week 1 : What is glaucoma and why is it important?

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Welcome to the course & Week 1

A welcome to the course from the teaching team and an initial opportunity to introduce yourself. Activities look at how we understand glaucoma and its impact on individuals and eye health services

What is glaucoma?

Damage to the optic nerve headGlaucoma is a general term used to describe a group of eye disorders that damage the optic nerve.

The global burden of glaucomaMap showing Glaucoma as the leading cause of irreversible blindnessGlaucoma is the second leading cause of blindness globally.

Impact of glaucoma and public health approaches

Flow chart showing how to get people into the care pathway

Glaucoma patients often present very late with irreversible vision loss which has far reaching impact on them, their families and the outcome of treatment.

Week 2 : Investigating and monitoring glaucoma – the patient care pathway

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The importance of investigating glaucoma

Glaucoma diagnosis is a complex process as it produces no signs until it affects the eye and causes a loss of vision partially or entirely.

Key investigations for glaucoma

Woman being examined on a slitlamp using a goniscope on her right eye.

Gonioscopy is essential to determine if the the patients has an open or closed iris-corneal angle.

Decision making for glaucoma

Flow chart showing decision making for Ocular hypertension, open angle glaucoma suspect and primary open angle cases.

Decisions about the diagnosis are made based on findings from essential investigation of the eye and its function and this will guide the Ophthalmologist on the severity of the glaucoma and how often the patient needs to be seen.

WebinarCharacters Glaucoma experts discuss their challenges and share their views on technologies and services that need to be implemented to address the growing burden of vision loss from glaucoma.

Week 3 : Delivering a glaucoma eye care programme

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Glaucoma services: patient and provider perspectives

A vision technician performing a slit lamp examination - India

Across all health services a relationship is established between the patients and the health provider. For glaucoma care this relationship is lifelong.

Key components of a glaucoma serviceThe LVPEI pyramid Service provision and referral pathway alignment is an important consideration for glaucoma management

Programme approaches for service delivery and patient support

 Motivational interviewing flow chart

Patient support and counselling has to be integral to the glaucoma programme and lifelong management for the patients.

Week 4 : Management of glaucoma

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Primary open-angle glaucoma: Who to treat and how

The goal of glaucoma management flowchart

The aim of glaucoma care is to preserve and promote the quality of life of a person.

Treatment options for open-angle glaucoma

Glaucoma care requires skilled personnel who can work in teams

Treatment can be medical, surgical or lasers for glaucoma on their own or in combination to address the specific requirements for every patient.

Recognising and treating angle-closure glaucoma

An illustration of laser treatment Iridocorneal angle closure is the fundamental problem in primary angle-closure glaucoma, while elevated intraocular pressure (IOP) is a consequence of angle closure.

Managing the consequences of glaucoma and related vision loss

Illustration of services available for eye care

The negative impact of blind, painful eyes due to glaucoma on patients’ quality of life cannot be underestimate

Course summary

Screening for glaucoma

Glaucoma management is lifelong. The public health approach is to develop a close link between the patient and the health system to prevent blindness