<p>In England, optometrists and ophthalmic medical practitioners play a vital role in the early detection of glaucoma, which is usually picked up during a routine sight test. Patients with suspected glaucoma will be referred for further investigation and any clinically necessary treatment.</p><p>Integrated care boards are responsible for commissioning secondary care services and are also able to commission out-of-hospital services from primary eye care providers to meet local needs, which could include the ongoing management and monitoring of selected glaucoma patients.</p>