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The role of pachymetry in primary care as a refinement tool of ocular hypertension and glaucoma referrals
  1. Jaswant Sandhu,
  2. Sreekumari Pushpoth,
  3. Michael Birch,
  4. Neeta Ray-Chaudhuri
  1. Department of Ophthalmology, Royal Victoria Infirmary, Newcastle upon Tyne, UK
  1. Correspondence to Dr Jaswant Sandhu, Department of Ophthalmology, Royal Victoria Infirmary, Claremont Wing, Newcastle upon Tyne NE1 4LP, UK; jsandhu{at}

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In April 2009, the National Institute of Clinical Excellence (NICE) issued guidelines on the diagnosis, monitoring and treatment of glaucoma and ocular hypertension (OHT).1 The publication of these guidelines has resulted in a large national increase of referrals with OHT or suspect chronic open angle glaucoma (COAG) beyond the 28% predicted by NICE.2 Our own referrals have increased by 91.2%.

Optometrists complying with legal advice are recommended …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Data sharing statement Data set available at request from the corresponding author.