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.

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.
Staffordshire Glaucoma Enhanced Services: A Platform for Eye Care Transformation (November 2025)
This case study looks at the work of Staffordshire LOC, Local Eye Health Network (LEHN), Primary Eyecare Services (PES) and Staffordshire ICB (Integrated Care Board), who have collaborated to introduce enhanced eyecare services to reduce avoidable referrals to Hospital Eye Services by enabling community-based patient management.
Norfolk & Waveney Glaucoma Monitoring Service (May 2025)
This case study looks at the Glaucoma Monitoring Service in Norfolk and Waveney.
A number of glaucoma case studies have been developed and are available to read here.
Supporting information is available for LOCs in the members area. You will need to log in to view this.
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.