 |
|
Initial Treatment for Open-Angle Glaucoma—Medical, Laser, or Surgical?
Surgery Is the Treatment of Choice for Open-Angle Glaucoma
Arch Ophthalmol. 1998;116:241-242.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
IT IS APPROPRIATE, before entering this debate, to begin with definitions. I define primary surgery as a fistulization procedure, with or without antiproliferative drugs, performed as the initial treatment (but allowing other treatments to be given between scheduling the patient for surgery and surgery itself).
Although the effect of surgery is to lower intraocular pressure (IOP), the success of the operation has to be measured against the outcome of treatment: first, whether it halts or adequately slows progression of the disease and second, whether it materially affects the patient's quality of life. The first outcome needs to be measured either by lack of progression of disease at the optic nerve (the ideal), or, by default, lack of progression in the decline of visual fields. The second would be measured by the patient, who would consider whether he or she felt worse as a result of the surgery (for example, by . . . [Full Text of this Article] PRIMARY SURGERY AND IOP
THE OUTCOME OF TREATMENT
CASE SELECTION
CONCLUSIONS
Roger Hitchings, FRCOphth
London, England
RELATED ARTICLES
Initial Treatment for Open-Angle Glaucoma—Medical, Laser, or Surgical?: Medication Is the Treatment of Choice for Chronic Open-Angle Glaucoma
Eve J. Higginbotham
Arch Ophthalmol. 1998;116(2):239-240.
EXTRACT
| FULL TEXT
Initial Treatment for Open-Angle Glaucoma—Medical, Laser, or Surgical?: Laser Trabeculoplasty Is the Treatment of Choice for Chronic Open-Angle Glaucoma
Henry D. Jampel
Arch Ophthalmol. 1998;116(2):240-241.
EXTRACT
| FULL TEXT
|
