Management of advanced glaucoma: Characterization and monitoring

Surv Ophthalmol. 2016 Sep-Oct;61(5):597-615. doi: 10.1016/j.survophthal.2016.03.006. Epub 2016 Mar 25.

Abstract

Recent advances in glaucoma diagnosis focus on diagnosing the disease in early stages. Despite the importance of such efforts, a meaningful proportion of patients present in advanced stages. The cost for treatment and monitoring of advanced glaucoma often exceeds that with earlier disease, not to mention the significant effect of visual impairment on quality of life. Moreover, structural and functional tests used to monitor changes encounter technical limitations in advanced cases that can delay detection of true progression. New technologies and methods to analyze longitudinal data may prove helpful for monitoring patients with advanced glaucoma and reduce the burdens of the disease.

Keywords: glaucoma; imaging; progression; severity; visual fields.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Diagnostic Techniques, Ophthalmological*
  • Disease Management*
  • Disease Progression
  • Glaucoma* / diagnosis
  • Glaucoma* / physiopathology
  • Glaucoma* / therapy
  • Humans
  • Intraocular Pressure / physiology*
  • Quality of Life*
  • Visual Field Tests
  • Visual Fields*