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Glaucoma, Primary Open-Angle

Richard W. Allinson, MD and Francis Allinson, MD Reviewed 06/2020
 


BASICS

DESCRIPTION

  • Primary open-angle glaucoma (POAG) is an optic neuropathy resulting in visual field loss frequently associated with increased intraocular pressure (IOP). Normal IOP is 10 to 22 mm Hg...

DIAGNOSIS

HISTORY

Painless, slowly progressive visual loss; patients are generally unaware of the visual loss until late in the disease. Central visual acuity remains unaffected until late in the disea...

TREATMENT

GENERAL MEASURES

  • Early Manifest Glaucoma Trial

  • Clinical trial comparing observation to treatment with betaxolol combined with argon laser trabeculoplasty

    • Early treatment delays progression.

    • Th...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Monitor vision and IOP every 3 to 6 months.

  • Visual field testing every 6 to 18 months

  • Optic nerve evaluation every 3 to 18 months, depending on PO...

REFERENCES

1
Zhang X, Dastiridou A, Francis Bet al. Comparison of glaucoma progression detection by optical coherence tomography and visual field. Am J Ophthalmol.  2017;184:63–74. [View Abstract ...

CODES

ICD10

  • H40.11X0 Primary open-angle glaucoma, stage unspecified

  • H40.11X1 Primary open-angle glaucoma, mild stage

  • H40.11X2 Primary open-angle glaucoma, moderate stage

  • H40.11X3 Primary open-angle glauco...

CLINICAL PEARLS

  • Painless, slowly progressive visual loss; patients generally are unaware of the visual loss until late in the disease. Central visual acuity remains unaffected until late in the diseas...

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