Demonstrate advanced clinical management and surgical skills.

Domain of Clinical Practice Patient Management
Level Level 4
Special Interest Area Glaucoma
Code G4.1
Descriptors
  • Demonstrate competency in diagnosis, investigation and management of glaucoma cases in outpatients, inpatients and emergency settings. 
  • Have skills in cataract surgery to Level 4. 
  • Have advanced cataract surgery skills to manage cataract surgery in the setting of glaucoma co-pathology.  
  • Understand and utilise available instrument technology relevant to glaucoma, e.g. optical coherence tomography (OCT), ultrasound biomicroscopy (UBM). 
  • Perform glaucoma surgery independently including, but not limited to: 
    • trabeculectomy with antimetabolites or non-penetrating glaucoma surgery 
    • cyclodestructive procedures 
  • Understand other glaucoma drainage procedures, including microinvasive techniques and drainage tubes. 
  • Advise on or perform advanced glaucoma procedures to manage non-responsive acute angle closure glaucoma such as iridoplasty and diode laser. 
  • Demonstrate skills to manage the complications of glaucoma and cataract surgery including but not exclusively:  
    • iypotony 
    • infection 
    • inflammation 
    • aqueous misdirection 
    • failing or leaking blebs 
    • choroidal detachments 
    • haemorrhage 
  • Undertake prospective audit of specialist surgical outcomes in glaucoma drainage procedures against national and/or published standards. 
  • Maintain a record of activities, using the RCOphth electronic logbook.  
Method of Assessment
Other information