ClinicalThere is almost perfect and substantial agreement on the kappa scale between non specialist optometrists and general ophthalmologists in visual field assessment for the right and left eyes respectively. (MODERATE QUALITY)
There is almost perfect agreement on the kappa scale between non specialist optometrists and general ophthalmologists in follow-up intervals. (MODERATE QUALITY)
There is moderate and substantial agreement on the ICC scale between non specialist optometrists with in-house training and general ophthalmologists in visual field assessment for the right and left eyes respectively. (HIGH QUALITY)
There is moderate and substantial agreement on the ICC scale between non specialist optometrists with in-house training and general ophthalmologists in assessment of vertical cup-to-disc ratio for both eyes. (HIGH QUALITY)
There is moderate and fair agreement on the ICC scale between non specialist optometrists with in-house training and general ophthalmologists in IOP measurement for the right and left eyes respectively. (HIGH QUALITY)
There is fair to moderate agreement between non specialist optometrists and general ophthalmologists in assessment of vertical cup-to-disc ratio assessment but the evidence is from retrospective examination from stereo photograph pairs. (LOW QUALITY)
There is moderate to substantial agreement between non specialist optometrists and general ophthalmologists in detecting the presence of optic disc haemorrhage but the evidence is from retrospective examination from stereo photograph pairs. (LOW QUALITY)
EconomicMonitoring by non specialist optometrist is more costly than monitoring by general ophthalmologist unless the follow-up intervals are similar. The evidence has serious limitations and partial applicability.

From: 10, Service Provision

Cover of Glaucoma
Glaucoma: Diagnosis and Management of Chronic Open Angle Glaucoma and Ocular Hypertension.
NICE Clinical Guidelines, No. 85.
National Collaborating Centre for Acute Care (UK).
Copyright © 2009, National Collaborating Centre for Acute Care.

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