Refine the differential diagnoses and management plan by application of clinical knowledge.

Domain of Clinical Practice Patient Management
Level Level 2
Special Interest Area Glaucoma
Code G2.2
Descriptors
  • Create prioritised differential diagnoses and reach a potential diagnosis. 
  • Formulate a management plan based upon clinical assessment and, where appropriate, the results of relevant investigations. 
  • Demonstrate that decisions are made by applying appropriate and clear clinical reasoning. 
  • Recognise when a patient’s ocular problem is a manifestation of a systemic disorder and when an ophthalmic diagnosis may indicate an increased risk of a systemic illness.
  • Know the likely infective organisms in cases of infection, how they are best isolated and identified. 
  • Understand the indications and use of systemic and topical antimicrobials. 
  • Recognise when the management plan involves a level of expertise that is beyond own competence. 
  • Make appropriate referrals to other specialties, in a timely manner, using local pathways. 
  • Understand the rationale behind, and perform or organise the ophthalmic examinations required by protocols in other specialties. 
  • Know when patients should be jointly managed between specialties, and contribute to this management. 
  • Demonstrate the ability to reflect and learn from professional practice and clinical outcomes. 
  • Identify whether the angle is open or closed. 
  • Identify the likely cause in secondary glaucoma cases with ability to identify or exclude whether typical signs are present, e.g. pseudoexfoliation. 
  • Recognise and escalate appropriately where there is high risk of the patient developing vision loss.
Method of Assessment
Other information