ODs should take a measured approach to glaucoma management that considers the big picture, treat the disease carefully, assess all known risk factors, interpret results carefully, and more than anything else, use clinical evidence as a guide.
Glaucoma is manageable with right approach
When it comes to glaucoma, diagnosis, management and follow-up can be difficult for ODs to assess. There are a myriad of reasons for this but one that makes it particularly difficult, maybe moreso than the rest, is the fact that glaucoma is a 24-hour disease. Additionally, when it comes to the challenge of patient compliance, intraocular pressure (IOP) presents difficulties because it is subject to considerable fluctuation throughout the day.
In fact, most glaucoma medications do not work well to curb IOP spikes overnight, Dr. Chu says.
Because of this, ODs should use 24-hour IOP monitoring tools with their patients. In the absence of these tools, they’ll need to rely on isolated IOP measurements. But as Dr. Chu points out, ODs must exercise caution when extrapolating glaucoma diagnoses and treatment plans from isolated IOP measurements.
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