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Glaucoma Referral Filtering and Monitoring

In 2025, LOCSU refreshed the glaucoma pathway and relating resources for the delivery of enhanced glaucoma care in primary care optometry. 

The integrated care pathway provides for referral filtering and monitoring and aims to alleviate pressures on hospital glaucoma services and provide care closer to home. 

Whilst people with low risk of developing glaucoma can avoid referral to the hospital eye service, others with a diagnosis but low risk of progression, can be appropriately monitored in optical practice. 

Pathway Diagrams

Pathway guidance
Case Studies

Commissioning Interest in Glaucoma Referral Filtering Service Grows (March 2026).

This case study looks at the interest in commissioning a glaucoma referral filtering service.

Developing Sustainable Glaucoma Monitoring Pathways: Dual LOC Case Study (March 2026)

This case study looks at the implementation of community based glaucoma monitoring services in Northumberland, Tyne and Wear and Ashton, Leigh and Wigan.

Developing Sustainable Glaucoma Monitoring Pathways in Primary Care: Learnings from Gloucestershire, Shropshire, Essex and Norfolk & Waveney (December 2025) 

This case study explores the development of community-based glaucoma monitoring pathways in Gloucestershire, Shropshire, Essex and Norfolk & Waveney, highlighting how these areas have implemented models that improve access, reduce the burden on secondary care, and maintain clinical safety. 

A number of glaucoma case studies have been developed and are available to read here.

Glaucoma Supporting Case

Supporting information is available for LOCs in the members area. You will need to log in to view this.

Other Useful Documents

The NHS, Glaucoma UK and RNIB offer useful patient information to support self care.

Skills and Training

Glaucoma WOPEC course  

This course, developed by WOPEC and LOCSU, provides optometrists with training to support glaucoma referral filtering and ocular hypertension (OHT) monitoring which is in line with NICE guidelines. It has been peer reviewed by the NICE guideline development group.

To register for this course, please contact your LOC to a request a code. 

A further refresher lecture is in development and will be available in 2026.  

 

College of Optometrists’ Glaucoma Qualifications 

The College’s higher qualifications in glaucoma enable optometrists to take on greater levels of responsibility in glaucoma clinics. 

Further information and details are available here.  

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