Document Detail

The medical and surgical treatment of glaucoma.
MedLine Citation:
PMID:  19890428     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Ongoing demographic changes in Europe are heightening the importance of adequate treatment for glaucoma, a disorder that is markedly more common in the elderly.
METHOD: A selective search for relevant literature, including Cochrane Reviews and the guidelines of the European Glaucoma Society, regarding the topical and surgical treatment of glaucoma.
RESULTS: It is recommended that the intraocular pressure (IOP) should be lowered by 20% to 50% from its baseline value, depending on the extent of already existing damage, the rate of progression, the baseline IOP, and the age of the patient. Topical monotherapy can lower the IOP by 15% to 30%. The success rate of filtration surgery has risen because of the intraoperative application of topical antimetabolites and currently ranges from 50% to 90%, depending on the study.
CONCLUSIONS: The goal of glaucoma treatment is to protect the patient from blindness and visual impairment while keeping the treatment-related decline in quality of life to a minimum. Any type of glaucoma treatment, be it medical or surgical, must further this aim in consideration of the situation of the individual patient.
Thomas S Dietlein; Manuel M Hermann; Jens F Jordan
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-09-11
Journal Detail:
Title:  Deutsches Ärzteblatt international     Volume:  106     ISSN:  1866-0452     ISO Abbreviation:  Dtsch Arztebl Int     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-11-05     Completed Date:  2010-01-13     Revised Date:  2013-05-31    
Medline Journal Info:
Nlm Unique ID:  101475967     Medline TA:  Dtsch Arztebl Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  597-605; quiz 606     Citation Subset:  IM    
Zentrum für Augenheilkunde der Universität Köln, Köln, Germany,
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MeSH Terms
Antihypertensive Agents / therapeutic use*
Glaucoma / diagnosis*,  etiology,  therapy*
Intraocular Pressure / drug effects*
Ocular Hypertension / complications,  diagnosis*,  therapy*
Ophthalmologic Surgical Procedures / methods*
Reg. No./Substance:
0/Antihypertensive Agents
Comment In:
Dtsch Arztebl Int. 2010 Feb;107(8):140; author reply 140   [PMID:  20300225 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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