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Glaucoma referral and safe discharge


Glaucoma is the leading cause of irreversible blindness worldwide and is the second most common cause of visual impairment in the UK.

Remit and target users

This guideline provides evidence based recommendations and best-practice guidance on the primary-care assessment and referral of patients with suspected glaucoma, of any subtype, from the community into secondary eye-care services and the safe discharge of patients from secondary eye-care services back into the community. The guideline also makes recommendations identifying which patients can be safely followed up in the community.

This guideline will be of particular interest to community optometrists, general practitioners and hospital-based healthcare professionals involved in glaucoma care including ophthalmologists, optometrists, specialist nurses and orthoptists. It will also be of interest to patients and carers.

How this guideline was developed

This guideline was developed using a standard methodology based on a systematic review of the evidence. Further details can be found in SIGN 50: A Guideline Developer’s Handbook.

Keeping up to date

This guideline was issued in 2015 and will be considered for review in three years. The review history, and any updates to the guideline in the interim period, will be noted in the review report.

If you are aware of any new evidence that would update this guideline please complete a change request form  and return to:

Current < 3 years

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