Primary Open-Angle Glaucoma (cont.)
IN THIS ARTICLE
What is the treatment for primary open-angle glaucoma?
The central goal of treatment for primary open-angle glaucoma is preventing or minimizing damage to the optic nerve. Several different classes of medications exist to lower pressure within the eye, but there's no agreement among professionals about when and how to treat the disease because it is expressed differently among people who suffer from it. Several different types of surgery are available for those who's glaucoma fails to respond adequately to drugs.
Self-Care at Home for Primary Open-Angle Glaucoma
If your ophthalmologist prescribes medicines (see Medical Treatment and Medications) to help in lowering the pressure inside your eye, properly applying the medication and complying with your eye doctor’s instructions are very important. Not doing so could result in an additional increase in intraocular pressure that can further affect the optic nerve and cause permanent vision loss.
What is the medical treatment for primary open-angle glaucoma?
The goal of medical treatment is to reduce the pressure before it causes glaucomatous loss of vision. Medical treatment is always initiated for those people who are believed to be at the greatest risk for developing glaucoma (see When To Seek Medical Care) and for those with signs of optic nerve damage.
How your ophthalmologist chooses to treat you is highly individualized. Depending on your particular situation, you may be treated with medications or just observed.
No consensus exists on what is the appropriate medical treatment for preventing or delaying the damage due to primary open-angle glaucoma when a person only has elevated intraocular pressure and no other signs of primary open-angle glaucoma.
To date, no one has been able to conclusively determine which people will develop damage if left untreated as opposed to those who will not sustain damage even if not treated. Your eye doctor will discuss the pros and cons of medical treatment versus observation with you.
Your intraocular pressure is evaluated periodically. One guideline to how often your intraocular pressure is checked is shown below.
Follow-up visits may also be scheduled for the following reasons:
Medically Reviewed by a Doctor on 6/21/2016
Jerald A Bell, MD
Richard W Allinson, MD
Francisco Talavera, PharmD, PhD
Robert H Graham, MD
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