What’s new in glaucoma treatment?

Glaucoma treatment: the state of the evidenceInterventions for the treatment of different forms of glaucoma have been tried and tested for many years. The idea that lowering the pressure might be helpful was first proposed more than a hundred years ago. By the 1950s, it was established that raised i...

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Main Author: Richard Wormald
Format: Article
Language:English
Published: International Centre for Eye Health (ICEH), London 2006-09-01
Series:Community Eye Health Journal
Subjects:
Online Access:http://www.cehjournal.org/0953-6833/19/jceh_19_59_033.html
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author Richard Wormald
author_facet Richard Wormald
author_sort Richard Wormald
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description Glaucoma treatment: the state of the evidenceInterventions for the treatment of different forms of glaucoma have been tried and tested for many years. The idea that lowering the pressure might be helpful was first proposed more than a hundred years ago. By the 1950s, it was established that raised intraocular pressure (IOP) was glaucoma, and vice versa. However, in the mid 1960s, Fred Hollows and Peter Graham demolished that simple concept by revealing that there were many people in the population with raised IOP but no glaucoma, and people with glaucoma without raised IOP.1 Nevertheless, IOP remains an important risk factor (and the only one we can modify) for a group of conditions characterised by a progressive atrophy of the optic nerve associated with typical structural and functional abnormalities.Only quite recently has robust evidence emerged regarding the effectiveness of treatment for open-angle glaucoma (OAG). There is still uncertainty about the best way to manage chronic angle closure. This discussion focuses only on the primary glaucomas in adults, open-angle and acute, and chronic angle closure.
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spelling doaj.art-2932f933fe7b4936a78dc9864516a40a2022-12-22T03:18:11ZengInternational Centre for Eye Health (ICEH), LondonCommunity Eye Health Journal0953-68332006-09-0119593335What’s new in glaucoma treatment?Richard WormaldGlaucoma treatment: the state of the evidenceInterventions for the treatment of different forms of glaucoma have been tried and tested for many years. The idea that lowering the pressure might be helpful was first proposed more than a hundred years ago. By the 1950s, it was established that raised intraocular pressure (IOP) was glaucoma, and vice versa. However, in the mid 1960s, Fred Hollows and Peter Graham demolished that simple concept by revealing that there were many people in the population with raised IOP but no glaucoma, and people with glaucoma without raised IOP.1 Nevertheless, IOP remains an important risk factor (and the only one we can modify) for a group of conditions characterised by a progressive atrophy of the optic nerve associated with typical structural and functional abnormalities.Only quite recently has robust evidence emerged regarding the effectiveness of treatment for open-angle glaucoma (OAG). There is still uncertainty about the best way to manage chronic angle closure. This discussion focuses only on the primary glaucomas in adults, open-angle and acute, and chronic angle closure.http://www.cehjournal.org/0953-6833/19/jceh_19_59_033.htmlGlaucomaOphthalmologic Surgical ProceduresEvidence-Based MedicineTreatment OutcomeReview Literature
spellingShingle Richard Wormald
What’s new in glaucoma treatment?
Community Eye Health Journal
Glaucoma
Ophthalmologic Surgical Procedures
Evidence-Based Medicine
Treatment Outcome
Review Literature
title What’s new in glaucoma treatment?
title_full What’s new in glaucoma treatment?
title_fullStr What’s new in glaucoma treatment?
title_full_unstemmed What’s new in glaucoma treatment?
title_short What’s new in glaucoma treatment?
title_sort what s new in glaucoma treatment
topic Glaucoma
Ophthalmologic Surgical Procedures
Evidence-Based Medicine
Treatment Outcome
Review Literature
url http://www.cehjournal.org/0953-6833/19/jceh_19_59_033.html
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