Glaucoma progression

Ocular perfusion pressure, cerebrospinal fluid pressure: New players in glaucoma
Precision medicine coming to glaucoma via specific pathwaysCharacterizing the genetic elements linked to different types of glaucoma, such as in the Primary Open-Angle African American Glaucoma Genetics study, could help clinicians develop more precise and effective treatments.
Lifestyle modifications may help control glaucoma progressionYvonne Ou, MD, gives patients advice about physical activity, body positions to avoid, leafy green vegetables, caffeine, and blood pressure treatment–as suggestions to help patients control their glaucoma progression.
Weighing IOP fluctuation in glaucoma progressionAvailable evidence indicates that long-term IOP fluctuation is an important factor in glaucoma progression, said Joseph Caprioli, MD. Based on this information he encouraged ophthalmologists to consider IOP “modulation” rather than “reduction.”
Precision medicine: Tracking glaucoma progressionSince glaucoma progresses faster in some patients than others, optical coherence tomography (OCT) and visual field progression analysis can be more useful than IOP in guiding treatment decisions.
Glaucoma surveillance essential for optimizing patient outcomesGlaucoma progression occurs slowly in the vast majority of patients, and most patients with glaucoma will not go blind from the disease. However, it is important to get early diagnosis, treatment when indicated, and develop a disease surveillance protocol.
Numerous issues underlie unexplainable glaucoma progressionWhen glaucoma is progressing despite good intraocular pressure control, clinicians should consider a variety of issues before advancing patients along the therapeutic ladder.