Table 4. Summary of participant justification responses for deeming each patient scenario unsuitable for home monitoring.

Scenario	Participant justification	Example quote
1Mr. Smith high risk	Advanced/high-risk glaucoma Requires treatment, not monitoring Risk of increased patient anxiety Requires full comprehensive in-person assessment	‘Severe glaucoma in a relatively young patient on maximum medical treatment; IOP control borderline although VF is stable it is for a relatively short duration. Need more fields to establish long-term stability candidate for HES (hospital eye services) care’ Participant: Consultant, with 5–10 years of experience
2Ms. AdamsLow risk	Stable, OHT patient Low risk of conversion to glaucoma Most would discharge to community care	‘In our unit this pt would be discharged to community optometry glaucoma service and would recommend optom to see 24 monthly.’ Participant: Consultant with >10 years of experience
3Mr. PatelHigh risk	Advanced/high-risk glaucoma More likely to struggle with home monitoring due to frailty/compliance Requires treatment and assessment rather than monitoring Risk of increased patient anxiety	If his visual fields are not reliable in the clinic, then we would have to test out if he was any better with the home version before considering. If not, then I would leave it and do OCT in the clinic. Participant: Consultant with >10 years of experience
4Ms. McEwanLow risk	NTG, stable (5 years) patient Low risk of progression May be a waste of resources	‘Low risk—not worth the extra resources’ Participant: Consultant with 5–10 years of experience

NTG, normal tension glaucomaOHT, ocular hypertensionVFvisual field