TY - JOUR
T1 - Medical management of glaucoma
T2 - Principles and practice
AU - Singh, Kuldev
AU - Shrivastava, Anurag
PY - 2011/1
Y1 - 2011/1
N2 - Glaucoma care is more an art than science. The introduction of several new classes of glaucoma medications and the completion of many large randomized clinical trials have not changed this fact. While we now have better choices when initiating glaucoma therapy relative to our predecessors, the principles of glaucoma therapy have not changed much during this period. Debates continue regarding the utility of concepts such as "the monocular therapeutic trial," "target intraocular pressure (IOP)," and "maximal medical therapy." Our tools for detecting and following glaucomatous disease have improved but are not precise enough for us to prospectively predict which patients will do better or worse than others. Much attention has been given to disease stage, rate of progression, and compliance with medications but regular patient follow-up, an area that has received little attention, may be among the most important predictors of patient outcomes.
AB - Glaucoma care is more an art than science. The introduction of several new classes of glaucoma medications and the completion of many large randomized clinical trials have not changed this fact. While we now have better choices when initiating glaucoma therapy relative to our predecessors, the principles of glaucoma therapy have not changed much during this period. Debates continue regarding the utility of concepts such as "the monocular therapeutic trial," "target intraocular pressure (IOP)," and "maximal medical therapy." Our tools for detecting and following glaucomatous disease have improved but are not precise enough for us to prospectively predict which patients will do better or worse than others. Much attention has been given to disease stage, rate of progression, and compliance with medications but regular patient follow-up, an area that has received little attention, may be among the most important predictors of patient outcomes.
KW - Glaucoma
KW - maximal medical therapy
KW - medical management
KW - target intraocular pressure
UR - http://www.scopus.com/inward/record.url?scp=78650810597&partnerID=8YFLogxK
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U2 - 10.4103/0301-4738.73691
DO - 10.4103/0301-4738.73691
M3 - Article
C2 - 21150040
AN - SCOPUS:78650810597
SN - 0301-4738
VL - 59
SP - S88-S92
JO - Indian journal of ophthalmology
JF - Indian journal of ophthalmology
IS - SUPPL. 1
ER -