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Glaucoma

Glaucoma Suspect

Also known as: glaucoma suspect, OHT suspect, suspicious optic nerve, suspicious disc, pre-glaucoma, ocular hypertension suspect, elevated IOP no damage, large cup no field loss

Overview

A patient with findings suggestive of glaucoma but without definite, repeatable and concordant structural or functional damage. Suspicious disc, RNFL, or visual field; or elevated IOP with open angles. Reproducible glaucomatous structure-function damage is no longer merely a suspect state even when measured IOP is within the statistically normal range; use the normal-tension glaucoma pathway after reviewing angle status, prior treatment, CCT, diurnal pressure context, and mimics. Routine pathway applies to low-risk or stable suspects needing diagnosis refinement and planned monitoring. Prompt referral is required when suspicion is high, findings progress, IOP rises, angles are narrow/occludable, or repeatable field/OCT defects correlate with the disc.

What OptoGuide™ covers for glaucoma suspect

  • Recognition patterns: symptoms, signs, and differentiators
  • Don't-miss risks and escalation triggers
  • Management tiers with linked Australian therapeutics
  • Referral urgency, specialty, and letter drafting

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