Angle-Closure Glaucoma F028

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/b/angle-closure-glaucoma-f028-36523655936561

Last amended

Rulebase for angle-closure glaucoma

<h5>Current RMA Instruments</h5><table border="1" cellspacing="1" cellpadding="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2021/e4f982f0b2/005.pdf&quot; target="_blank">Reasonable Hypothesis SOP </a></address></td><td>5 of 2021</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2021/bd8bc1bec1/006.pdf&quot; target="_blank">Balance of Probabilities SOP </a></address></td><td>6 fo 2021</td></tr></tbody></table><h5>Changes from previous Instruments</h5><p><drupal-media data-entity-type="media" data-entity-uuid="c20a66e5-8452-459e-90be-ce42efe29366" data-view-mode="wysiwyg"></drupal-media></p><h5>ICD Coding</h5><ul><li>ICD-9-CM Codes: 365.2, 365.59, 365.61</li><li>ICD-10-AM Codes: H40.2, H40.5</li></ul><h5><strong>Brief description</strong></h5><p>Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. </p><h5><strong>Confirming the diagnosis</strong></h5><p>A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.</p><h5><strong>Additional diagnoses covered by SOP</strong></h5><ul><li>chronic angle closure glaucoma with progressive neuropathy </li><li>primary angle-closure glaucoma</li></ul><h5>Conditions that may be covered by SOP (further information required)</h5><ul><li>neovascular glaucoma – this may be open-angle or angle-closure in type.</li></ul><div><h5>Conditions not covered by SOP</h5></div><ul><li>borderline glaucoma</li><li>chronic simple glaucoma* - open-angle glaucoma SOP</li><li>congenital glaucoma<span lang="EN" xml:lang="EN"><sup>#</sup></span></li><li>ghost cell glaucoma* - open-angle glaucoma SOP</li><li>phacolytic glaucoma* - open-angle glaucoma SOP</li><li>pigmentary glaucoma* - open-angle glaucoma SOP</li><li>open-angle glaucoma*</li></ul><p>* Another SOP applies</p><p><sup><span lang="EN" xml:lang="EN">#</span></sup> Non-SOP condition</p><h5>Clinical onset</h5><p>The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. </p><h5>Clinical worsening</h5><p>Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).</p><h5>Comments</h5><p>There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.</p><p>Of all non-congenital glaucoma cases:</p><ul><li>Approximately 85% are primary open-angle glaucoma.</li><li>Approximately 10% are primary angle-closure glaucoma.</li><li>Approximately 5% are secondary glaucoma, either open-angle or angle-closure.</li></ul><p>Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.</p><p>This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.</p><p> </p>

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma

A condition which may give rise to neovascularisation of the iridocorneal angle

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/condition-which-may-give-rise-neovascularisation-iridocorneal-angle

Acquired cataract

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/acquired-cataract

An hereditary corneal dystrophy

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/hereditary-corneal-dystrophy

Anterior subluxation or dislocation of the lens

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/anterior-subluxation-or-dislocation-lens

Congenital cataract

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/congenital-cataract

Inability to obtain appropriate clinical management for angle-closure glaucoma

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/inability-obtain-appropriate-clinical-management-angle-closure-glaucoma

Intraocular lesion

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/intraocular-lesion

Intraocular surgery or penetrating keratoplasty

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/intraocular-surgery-or-penetrating-keratoplasty

Iridocorneal endothelial syndrome

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/iridocorneal-endothelial-syndrome

Occlusion of the iridocorneal angle

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/occlusion-iridocorneal-angle

Significant trauma to the eye

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/significant-trauma-eye

Treatment with a drug causing mydriasis or miosis

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/treatment-drug-causing-mydriasis-or-miosis

Treatment with a drug reported to have caused acute angle-closure glaucoma

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/treatment-drug-reported-have-caused-acute-angle-closure-glaucoma

Uveitis

Current RMA Instruments
Reasonable Hypothesis SOP
5 of 2021
Balance of Probabilities SOP
6 fo 2021
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 365.2, 365.59, 365.61
  • ICD-10-AM Codes: H40.2, H40.5
Brief description

Angle closure glaucoma is an optic neuropathy involving progressive peripheral visual field loss followed by central field loss. This usually (but not always) occurs in the presence of elevated intraocular pressure.  "Angle closure" refers to the anterior chamber angle, between the iris and the innermost surface of the cornea, which becomes narrowed or closed in this condition, unlike open-angle glaucoma, where it remains normal. 

Confirming the diagnosis

A diagnosis of glaucoma is based on findings of optic nerve damage on fundus examinaiton and visual field abnormalities. Slit lamp gonioscopy is used to visualise the anterior chamber angle and identify angle-closure glaucoma. The diagnosis needs to be made by an ophthalmologist.

Additional diagnoses covered by SOP
  • chronic angle closure glaucoma with progressive neuropathy 
  • primary angle-closure glaucoma
Conditions that may be covered by SOP (further information required)
  • neovascular glaucoma – this may be open-angle or angle-closure in type.
Conditions not covered by SOP
  • borderline glaucoma
  • chronic simple glaucoma* - open-angle glaucoma SOP
  • congenital glaucoma#
  • ghost cell glaucoma* - open-angle glaucoma SOP
  • phacolytic glaucoma* - open-angle glaucoma SOP
  • pigmentary glaucoma* - open-angle glaucoma SOP
  • open-angle glaucoma*

* Another SOP applies

# Non-SOP condition

Clinical onset

The clinical presentation is variable.  More severe cases present with loss of vision, severe eye pain, headache, nausea and vomiting. Less severe cases may be asymptomatic or present with loss of peripheral vision. 

Clinical worsening

Angle closure glaucoma requires urgent management to reduce intraocular pressure and reverse the angle closure with laser therapy.  Damage to the optic nerve is irreversible once sustained.  Progression of the disease can be slowed or halted with appropriate therapy.  Worsening would be assessed by the degree of visual imapirment (primarily visual field loss).

Comments

There are separate RMA SOPs for angle-closure glaucoma and open-angle glaucoma.

Of all non-congenital glaucoma cases:

  • Approximately 85% are primary open-angle glaucoma.
  • Approximately 10% are primary angle-closure glaucoma.
  • Approximately 5% are secondary glaucoma, either open-angle or angle-closure.

Open angle glaucomas generally present with chronic, painless, progressive loss of vision.  Whereas, angle closure glaucomas generally present as a painful red eye.

This SOP contains a factor that applies only to acute angle-closure glaucoma.  To apply this factor you will therefore need information from an ophthalmologist that establishes this specific diagnosis.  It may be possible to finalise the claim without this information, particularly if the claim can succeed using another factor.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/angle-closure-glaucoma-f028-36523655936561/rulebase-angle-closure-glaucoma/uveitis