How do you decide between escalating treatment with additional IOP-lowering medications versus surgical options for patients with normal tension glaucoma and progressive visual field loss despite well-controlled IOP?
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In patients with mild-to-moderate open-angle glaucoma who progress despite maximum tolerated medical therapy, what is your preferred next step?
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1 Answer
Mednet Member
Ophthalmology · NYEEI Mt Sinai
Answered on
Consider the number of drops the patient needs to control their IOP. Are there any local side effects other than allergy—tearing, redness, dry eye, etc.? All of these can affect compliance and efficacy.
A patient using more than two bottles of eyedrops is most likely going to be poorly controlled ov...
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