The Medical and Surgical Treatment of Glaucoma

Overview

Journal Dtsch Arztebl Int

Specialties General Medicine
Public Health

Date 2009 Nov 6

PMID 19890428

Citations 17

Authors

Thomas S Dietlein

Manuel M Hermann

Jens F Jordan

Affiliations

Soon will be listed here.

Abstract

Background: Ongoing demographic changes in Europe are heightening the importance of adequate treatment for glaucoma, a disorder that is markedly more common in the elderly.

Method: A selective search for relevant literature, including Cochrane Reviews and the guidelines of the European Glaucoma Society, regarding the topical and surgical treatment of glaucoma.

Results: It is recommended that the intraocular pressure (IOP) should be lowered by 20% to 50% from its baseline value, depending on the extent of already existing damage, the rate of progression, the baseline IOP, and the age of the patient. Topical monotherapy can lower the IOP by 15% to 30%. The success rate of filtration surgery has risen because of the intraoperative application of topical antimetabolites and currently ranges from 50% to 90%, depending on the study.

Conclusions: The goal of glaucoma treatment is to protect the patient from blindness and visual impairment while keeping the treatment-related decline in quality of life to a minimum. Any type of glaucoma treatment, be it medical or surgical, must further this aim in consideration of the situation of the individual patient.

Citing Articles

Predictors and long-term patterns of medication adherence to glaucoma treatment in Denmark-an observational registry study of 30 100 Danish patients with glaucoma.

Kolko M, Faergemann Hansen R, G Dal L, Sabelstrom E, Brandel M, Hoiberg Bentsen A BMJ Open Ophthalmol. 2024; 9(1).

PMID: 38626933 PMC: 11029215. DOI: 10.1136/bmjophth-2023-001607.

Reassessing Trabeculectomy: A Long-Term Study with Stringent Success Criteria.

Braun P, Bohringer D, Jordan J, Reich M, Keye P, Reinhard T J Clin Med. 2024; 13(6).

PMID: 38541855 PMC: 10971082. DOI: 10.3390/jcm13061629.

Retinal Ganglion Cell Functional Recovery after Intraocular Pressure Lowering Treatment Using Prostaglandin Analogs in Glaucoma Suspects: A Prospective Pilot Study.

Tirsi A, Gliagias V, Sheha H, Patel B, Moehringer J, Tsai J J Curr Glaucoma Pract. 2024; 17(4):178-190.

PMID: 38269268 PMC: 10803274. DOI: 10.5005/jp-journals-10078-1423.

Effect of yoga on intra-ocular pressure in patients with glaucoma: A systematic review and meta-analysis.

Chetry D, Singh J, Chhetri A, Katiyar V, Singh D Indian J Ophthalmol. 2023; 71(5):1757-1765.

PMID: 37203026 PMC: 10391478. DOI: 10.4103/ijo.IJO_2054_22.

A Review on Glaucoma Drainage Devices and its Complications.

Gupta S, Jeria S Cureus. 2022; 14(9):e29072.

PMID: 36249639 PMC: 9554953. DOI: 10.7759/cureus.29072.

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