Skip to main content

Glaucoma, Primary Open-Angle

Richard W Allinson, M.D. and Alyce D Alven, MS, OD Reviewed 06/2022
 


BASICS

DESCRIPTION

Primary open-angle glaucoma (POAG) is a chronic, progressive optic neuropathy which causes loss of the optic nerve rim and retinal nerve fiber layer (RNFL) with associated visual fie...

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 compared observation to treatment with betaxolol combined with argon laser trabeculoplasty and found that early treatment delays progression, wi...

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
Hou H, Moghimi S, Proudfoot J, et al. Ganglion cell complex thickness and macular vessel density loss in primary open-angle glaucoma. Ophthalmology. 2020;127(8):1043–1052.
2
Shin JW, Song MK...

ADDITIONAL READING

Zhang X, Dastiridou A, Francis B, et al. Comparison of glaucoma progression detection by optical coherence tomography and visual field. Am J Ophthalmol. 2017;18...

CODES

ICD10

  • H40.1190 Primary open-angle glaucoma, unspecified eye, stage unspecified

SNOMED

  • 77075001 Primary open angle glaucoma

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...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×