NICE Treatment

Question 1

What is a thin cornea?

Answer 1

Less than 555

Question 2

What is an average cornea?

Answer 2

555-590

Question 3

What treatment would you give a patient with a thin cornea with pressures of 24?

Answer 3

PGA until age 65

Question 4

What treatment would you give a patient with a thin cornea with pressures of 28?

Answer 4

PGA until age 80

Question 5

If a patient had a thick cornea and pressures of 33 what would be the treatment?

Answer 5

All patients with pressures over 32mmHg should be treated indefinitely with PGAs.

Question 6

What treatment should be offered to patient with average corneas with pressures of 24 and 29?

Answer 6

24 - no treatment until pressures over 25

28 - treat until 60 with BB if BB contraindicated use PGA

Question 7

When should preservative free drops be offered?

Answer 7

If patient is allergic and at high risk of conversion i.e. Iop’s over 32mmHg or thin corneas and over 25mmHg.

Question 8

If IOP is on target and patient is low risk to conversion what would be the follow up period?

Answer 8

1-2 years

Question 9

If iops are on target and patient is high risk to conversion when should they be followed up?

Answer 9

6-12 months

Question 10

If IOP is above target and/or there is evidence of conversion when should they be seen again?

Answer 10

1-4 mths for IOP only
4-6 mths if high risk of conversion
6-12 mths if low risk of conversion