PGY-2 Goals & Objectives

Medical Knowledge

  • To describe the epidemiology of primary open angle glaucoma (POAG).
  • To perform evaluation of POAG.
  • To describe the mechanics of aqueous humor dynamics and the anatomy of the anterior chamber and its angle.
  • To describe basic tonometry.
  • To describe optic nerve and nerve fiber layer anatomy in glaucoma.
  • To describe fundamentals of perimetry, including kinetic and automated static perimetry.
  • To describe principles, indications, and basic techniques of gonioscopy, including normal and abnormal findings.
  • To describe principles of medical management, including indications for and side effects of treatment options (e.g., topical and systemic medications) for simple glaucoma (e.g., POAG, primary angle closure glaucoma).
  • To describe and recognize normal tension glaucoma (“low tension glaucoma”).
  • To describe the features of and recognize primary and secondary angle closure glaucoma and aqueous misdirection.
  • To describe the clinical features of and to recognize hypotony (e.g., Seidel test for transconjunctival leakage).
  • To list the main results of the major clinical trials in glaucoma (e.g., Glaucoma Laser Trial, Normal Tension Glaucoma Study, Advanced Glaucoma Intervention Study, Ocular Hypertension Treatment Study, Early Manifest Glaucoma Trial and Collaborative Initial Glaucoma Treatment Study).

Patient Care

  • To perform basic tonometry (e.g., applanation, tonopen, icare, pneumotonometer) and recognize the pitfalls and artifacts of the testing.
  • To perform basic gonioscopy (e.g., recognize angle structures, identify angle closure).
  • To perform stereo examination of the optic nerve, using 90 diopter or other lens.
  • To interpret manual (e.g., Goldmann) and automated (e.g., Humphrey, Octopus) visual fields in routine glaucoma.
  • To interpret optic nerve imaging studies, such as Ocular Coherence Tomography