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Global scope of glaucoma clinical practice for optometrists
Jonathan Denniss1, Brendan T Barrett1, Riccardo Cheloni1,2
1School of Pharmacy, Optometry & Medical Sciences, University of Bradford, Bradford, UK.
Summary
Optometrists are increasingly vital for global glaucoma care, shifting from case-finding to comprehensive management. Barriers like regulations and resource limits hinder optimal practice, requiring attention for improved patient access.
Area of Science:
- Ophthalmology and Optometry
- Public Health
Background:
- The role of optometrists in glaucoma management is expanding globally.
- This evolution necessitates a clear understanding of current practice scopes and limitations worldwide.
Purpose of the Study:
- To review the global scope of optometric practice in glaucoma care.
- To identify progress and barriers affecting optometrists' roles in diverse regions.
Main Methods:
- A review of optometric glaucoma practice across Africa, Australia/New Zealand, Canada, Europe, UK, and USA.
- Utilized legislation, guidelines, publications, and a European survey; benchmarked against competency frameworks for Africa and Europe.
Main Results:
- Significant global shift towards comprehensive diagnostic and therapeutic optometric glaucoma management.
- USA, UK, and New Zealand show expanded roles (independent therapy, laser procedures, prescribing).
- Africa and Europe show significant country-to-country variation; 'effective' scope often limited by resources and 'regulatory lag'.
Conclusions:
- Optometrists are crucial for accessible and sustainable glaucoma care delivery.
- Educational standards are improving, but regulatory, funding, and resource barriers persist.
- Addressing these barriers is essential to optimize optometry's contribution to managing the global glaucoma burden.
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