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Cataracts Co-Management – A Medical Eye Care Practice Builder

Today, optometrists are licensed and capable of diagnosing and treating patients with glaucoma in all fifty states.

A protocol must be established for glaucoma suspects and those with glaucoma. In most cases, patients with glaucoma will undergo a variety of different examinations and tests, including a comprehensive examination, visual field examination, gonioscopy, fundus photography, nerve fiber analysis and corneal pachymetry. Here is my patient protocol, as an example:

Glaucoma suspects:
Visit 1

Comprehensive, dilated exam
Gonioscopy
Corneal pachymetry (if not done before)
Fundus photography

Visit 2

Intermediate exam/IOP check
Nerve fiber analysis

Visit 3

Intermediate exam/IOP check
Visual field analysis

For initial work ups, some O.D.s separate the visits by three or four weeks each.