General Approach

® Because POAG is a chronic, often asymptomatic condition, the decision of when and how to treat patients is difficult, as the treatment modalities are often expensive and have potential adverse effects or complications. The clinician should evaluate the potential effectiveness, toxicity, and the likelihood of patient adherence for each therapeutic modality. The ideal therapeutic regimen should have maximal effectiveness and patient tolerance to achieve the desired therapeutic response. The American Academy of Ophthalmology (AAO) publishes Preferred Practice Patterns for POAG and POAG Suspect.1

Table 61-3 Select Nonpharmacologic Treatment Options for POAG

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