Rethinking UK Glaucoma Care - Scorecard - MDSpire

Rethinking UK Glaucoma Care

  • April 27, 2026

  • 3 min

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Clinical Scorecard: Rethinking UK Glaucoma Care

At a Glance

CategoryDetail
ConditionGlaucoma
Key MechanismsReferral filtering services and shared care pathways for low-risk and stable glaucoma patients.
Target PopulationIndividuals at risk of glaucoma, including over one million people in the UK.
Care SettingPrimary care and hospital eye services.

Key Highlights

  • Glaucoma is the second leading cause of irreversible sight loss in the UK.
  • 40% to 75% of new glaucoma referrals could be prevented with effective referral filtering services.
  • Community shared care pathways improve patient safety and reduce hospital burden.

Guideline-Based Recommendations

Diagnosis

  • Routine eye tests by optometrists for early detection of glaucoma.

Management

  • Implement optometry-led glaucoma referral filtering services in primary care.

Monitoring & Follow-up

  • Regular clinical audits and publication of safety and patient-reported outcome data.

Risks

  • Inconsistent availability of services across England leading to variation in care.

Patient & Prescribing Data

Patients with low-risk and stable glaucoma, and those with ocular hypertension.

Community-based pathways allow trained optometrists to manage patients, reducing unnecessary hospital visits.

Clinical Best Practices

  • Universal adoption of community shared care pathways across the UK.
  • Support existing glaucoma repeat measures services.

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