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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

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