Selective laser trabeculoplasty (SLT) performed by optometrists for patients with glaucoma and ocular hypertension: a scoping review protocol.

BMJ Open Ophthalmology
Lee JonesG Gazzard

Abstract

In the UK, the National Institute for Health and Clinical Excellence are amending guidelines to support use of selective laser trabeculoplasty (SLT) as a first-line treatment for patients with glaucoma and ocular hypertension. The procedure is quick, effective in lowering intraocular pressure, cost-effective for the National Health Service and offers an equivalent safety profile to other therapies. The procedure is typically performed by an ophthalmologist; however, there is potential for suitably trained non-medical professionals to deliver the therapy. This scoping review will identify service delivery models where SLT is delivered by non-medical professionals worldwide, with a focus on optometrists. A systematic search of the following databases will be conducted: CINAHL; MEDLINE Complete; Embase; HMIC and Ovid Emcare. For inclusion, studies must examine healthcare models of SLT delivery by optometrists and describe one of the following outcomes: training procedures; clinical effectiveness; safety and cost-effectiveness. A search of grey literature will be conducted via professional societies; national health departments; medicine regulatory bodies; charities and conference proceedings. Two reviewers will independently scree...Continue Reading

References

Apr 20, 2006·The British Journal of Ophthalmology·A M S Morley, I Murdoch
Sep 27, 2012·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Sheema KhanAachal Kotecha
Jun 13, 2013·BMJ : British Medical Journal·Anthony KingAnja Tuulonen
Aug 19, 2016·JBI Database of Systematic Reviews and Implementation Reports·Micah D J Peters
Oct 28, 2017·The British Journal of Ophthalmology·Lee JonesAachal Kotecha
Sep 5, 2018·Annals of Internal Medicine·Andrea C TriccoSharon E Straus
May 22, 2019·Eye·David Charles Broadway, Karen Tibbenham

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