Pressure-Curve Variations After Trabeculectomy for Chronic Primary Open-Angle Glaucoma

Current management of glaucoma entails the medical, laser, or surgical reduction of intraocular pressure (IOP) to a predetermined level of target IOP, which is commensurate with either stability or delayed progression of visual loss. In the published literature, the hypothesis is often made that IOP control implies a single IOP measurement over time. Although the follow-up of glaucoma patients with single IOP measurements is quick and convenient, such measurements often do not adequately reflect the untreated IOP characteristics, or indeed the quality of treated IOP control during the 24-h cycle. Since glaucoma is a 24-h disease and the damaging effect of elevated IOP is continuous, it is logical that we should aim to understand the efficacy of all treatment options throughout the 24-h period. This article first reviews the concept and value of diurnal and 24-h IOP monitoring. It then critically evaluates selected available evidence on the 24-h efficacy of medical, laser and surgical therapy options. During the past decade several controlled trials have significantly enhanced our understanding on the 24-h efficacy of all glaucoma therapy options. Nevertheless, more long-term evidence is needed to better evaluate the 24-h efficacy of glaucoma therapy and the precise impact of IOP characteristics on glaucomatous progression and visual prognosis.Electronic supplementary materialThe online version of this article (doi:10.1007/s12325-016-0302-0) contains supplementary material, which is available to authorized users.

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Variations nycthémérales de la pression intraoculaire et leurs implications cliniques

Blaise

Guillaume

2005

Journal Français d'Ophtalmologie

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Pressure-Curve Variations After Trabeculectomy for Chronic Primary Open-Angle Glaucoma

Cited by 5 publications

References 2 publications

A novel technique of ab interno glaucoma surgery: follow-up results after 24 months

A novel technique of ab interno glaucoma surgery: follow-up results after 24 months

24-h Efficacy of Glaucoma Treatment Options

Variations nycthémérales de la pression intraoculaire et leurs implications cliniques

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