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A Journal on Ophthalmology
Minerva Oftalmologica 2007 March;49(1):39-46
Medical treatment of ocular hypertension and primary open angle glaucoma patients
Iester M., Scrimieri F., Calabria G.
Clinica Oculistica Università di Genova, Genova
Primary open angle glaucoma is characterized by an optic nerve head morphological and functional damage. Many risk factors are involved in the pathogenesis but at the moment only intraocular pressure can be treat. According to the EGS Guidelines, when a diagnosis of POAG is done, it is necessary to treat the patient. As first choice, we can add any kind of ipotensive drug, and we can change it or we can use another drug too if the first is not sufficient or effective. It is necessary to consider laser trabeculoplasty or filtration surgery with/without antimetabolites if medical treatment is not sufficient to reach the target IOP. It is essential to involve the patient as an informed partner in decisions regarding management of their status.