Document Detail


The medical and surgical treatment of glaucoma.
MedLine Citation:
PMID:  19890428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Thomas S Dietlein; Manuel M Hermann; Jens F Jordan
Related Documents :
8759268 - Sulphapyridine--a new agent for the treatment of ocular cicatricial pemphigoid.
23830678 - Outcomes of ulnar shortening osteotomy fixed with a dynamic compression system.
6338768 - A double-masked comparison of ocular decongestants as therapy for allergic conjunctivitis.
14644208 - Aqueous shunt devices compared with trabeculectomy with mitomycin-c for children in the...
9400788 - Visual function 5 years after optic neuritis: experience of the optic neuritis treatmen...
7114868 - Methotrexate and etretinate as concurrent therapies in severe psoriasis.
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    
Affiliation:
Zentrum für Augenheilkunde der Universität Köln, Köln, Germany, Thomas.Dietlein@uk-koeln.de
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Antihypertensive Agents / therapeutic use*
Glaucoma / diagnosis*,  etiology,  therapy*
Humans
Intraocular Pressure / drug effects*
Ocular Hypertension / complications,  diagnosis*,  therapy*
Ophthalmologic Surgical Procedures / methods*
Chemical
Reg. No./Substance:
0/Antihypertensive Agents
Comments/Corrections
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


Previous Document:  Self-monitoring of blood glucose in diabetes mellitus: arguments for an individualized approach.
Next Document:  The morbidity and mortality associated with overweight and obesity in adulthood: a systematic review...