YEAR 04 • MAJOR CLINICAL DISCIPLINES

Ophthalmology

20 learning units • 100 chapter sections • 200 explained questions. Assess visual symptoms, recognise sight-threatening disease and plan safe treatment, referral and follow-up.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 08 / 20

Chronic Glaucoma & Ocular Hypertension

Understand optic nerve damage, pressure assessment and lifelong monitoring.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. What defines glaucoma most appropriately? A. Any single raised pressure readingB. Characteristic optic neuropathy with risk of progressive visual lossC. Every red eyeD. Any refractive error

Question 02. What is ocular hypertension? A. Retinal detachment with normal pressureB. Every case of cataractC. Anterior chamber infectionD. Raised pressure without established glaucomatous damage

Question 03. Can glaucoma occur at pressure within the usual population range? A. No, pressure must always be very highB. Only after chemical burnsC. YesD. Only with corneal infection

Question 04. Why can early glaucoma go unnoticed? A. It always improves visual acuityB. It always causes severe painC. It affects only the eyelidsD. Peripheral damage may occur while central acuity remains good

Question 05. Which assessment measures functional loss? A. Lens biometry aloneB. Visual field testingC. Eyelash countD. Tear meniscus height alone

Question 06. What is the main goal of glaucoma treatment? A. Regrow all lost optic nerve fibres reliablyB. Reduce further loss of remaining visionC. Cure every refractive errorD. Remove the lens in every patient

Question 07. Why review asthma before topical beta-blocker use? A. The drops cannot enter the circulationB. Asthma guarantees no adverse effectsC. Beta-blockers always improve airway functionD. Systemic absorption may cause bronchospasm

Question 08. A normal pressure at one visit proves what? A. Permanent absence of progressionB. No need for future fieldsC. Only the measured pressure at that timeD. Complete cure

Question 09. Which factor may explain missed glaucoma drops? A. Automatic lack of concern for visionB. Difficulty handling the bottleC. Permanent recovery of the nerveD. Absence of any treatment barrier

Question 10. Which new symptom is atypical for stable chronic open-angle glaucoma? A. No symptomsB. Slowly progressive field changeC. Sudden painful red eye with visual lossD. Stable central acuity

0 / 10 answeredReady for assessment →

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

NICE NG81 — Glaucoma diagnosis and management

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.