Workforce, training and education
East of England
Welcome to the Ophthalmic Practitioner Training (OPT) Glaucoma module!

Glaucoma is the biggest cause of irreversible blindness worldwide. Its prevalence increases with increasing age. With gradually ageing populations, the burden of this disease increases year on year. Glaucoma has historically been managed by ophthalmologists in hospital eye services. However, the rapidly increasing workload has meant changes in service delivery. These days more and more patients are managed by optometrists and specialist nurses under the guidance of consultant ophthalmologists.

This is where the OPT glaucoma training programme fits in – to provide a framework for specialist nurses, optometrists and orthoptists to enhance their existing skills and become confident practitioners and clinicians. Together, sharing the development and leadership in re-shaping and delivering glaucoma services in the decades ahead.

Module outline

The glaucoma module is spread across three levels. Each level is designed to build on top of the other and encourages a stepwise increase in complexity, practical skills and knowledge related to cataract care. 

Each level has established competencies, defined by a comprehensive curriculum, that you will accumulate. Learning is multifaceted and draws on existing opportunities in the workplace, clinical teaching, supervised instruction, and self-directed elements. There are also regional teaching events and resources that take place throughout the year. This will give an opportunity to meet other learners and contribute to the emerging OPT community.


The OPT glaucoma programme encompasses all aspects of patient management throughout the glaucoma patient pathway including:

  • History-taking
  • Ophthalmic examination skills and techniques
  • Investigations
  • Dealing with the needs of ophthalmic patients, including communication, consent, patient safety and the administration of drugs. 
  • Teaching & education
  • Personal development, including reflective practice and the maintenance of skills

Your learning will be supported by online resources mapped to the curriculum. Each learner will maintain a portfolio with each completed competency. The portfolio is the culmination of your work based assessments (WBAs) and other evidence of learning such as reflections, audits, and quality improvement projects. 

You can find links to helpful additional information here:

The full glaucoma curriculum can be found here.


If you are interested in enrolling in the OPT glaucoma programme, the process is as follows:

  1. Talk to your Trust managers and clinicians – ensure they are able to support your learning plan.
  2. Identify your Unit OPT Lead (if there is one). Discuss your plans with them. It is important that you have at least 1 session per week in the area of OPT training your wish to undertake (e.g glaucoma). The OPT Unit Lead should be able to allocate you an appropriate Educational Supervisor. 
  3. Complete an enrolment form and send this with a copy of your weekly timetable to the OPT Regional Lead (for Glaucoma OPT this is: Nuwan Niyadurupola, Consultant Ophthalmologist, Norfolk and Norwich University Hospital; If you have already completed sections 1 and 2 above, then this will be a formality. If you are having difficulty getting started (eg if your unit does not currently have an OPT Unit Lead), then your regional lead can help support you. 
  4. Once you have approval from the Regional OPT Lead, you can submit your signed and completed enrolment form to the Royal College of Ophthalmologists. On successful enrolment you will be sent an individual learner number, together with all the curriculum and portfolio documents. 
  5. Meet with your educational supervisor at least once every 6 months. This will allow you to ensure your training is on track, and discuss and address any issues that are identified. 
  6. There is generally no time-limit on completion of the OPT programme, but it is expected that you will submit your completed portfolio within 5 years of enrolment.
Links and Contacts

Regional OPT Lead (Glaucoma): Nuwan Niyadurupola, Consultant Ophthalmologist, Norolk & Norwich University Hospital,

Head of School: Narman Puvanachandra, Consultant Ophthalmologist, Norfolk & Norwich University Hospital.


RCOphth OPT:

Monday, 1 February, 2021
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Monday, 1 February, 2021