Ophthalmology6 UKMLA questions
Primary open-angle glaucoma — UKMLA Revision Notes
Primary open-angle glaucoma is an important clinical condition in Ophthalmology that is tested in the UKMLA Applied Knowledge Test (AKT). Medical students and doctors preparing for the UKMLA or PLAB 1 must understand the pathophysiology, clinical presentation, investigations, and evidence-based management of Primary open-angle glaucoma as outlined in current NICE guidelines.
Key Facts
- Primary open-angle glaucoma is a key condition on the GMC UKMLA Content Map
- Commonly tested in the Ophthalmology section of the UKMLA Applied Knowledge Test
- Understand the pathophysiology, clinical features, investigations, and management
- NICE guidelines provide the evidence base for management decisions
- Consider differential diagnoses and red flag symptoms in clinical scenarios
Investigations
- Visual acuity (Snellen chart)
- Slit-lamp examination
- Fundoscopy
- IOP (tonometry)
- Visual field testing
- OCT
Management
- Urgent ophthalmology review for sight-threatening conditions
- Topical/systemic treatment as indicated
- Patch/shield if trauma
- Ophthalmology outpatient follow-up
- Patient education on warning symptoms
- Low vision rehabilitation if needed