NHMRC Glaucoma Guidelines - ANZGIG

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<strong>NHMRC</strong> GUIDELINES FOR THE SCREENING, PROGNOSIS, DIAGNOSIS, MANAGEMENT AND PREVENTION OF GLAUCOMA Table of contents ■ Table of contents Abbreviations 1 Key guideline sources 3 Glossary of terms 5 Guideline development details 9 Purpose 9 Target users 9 Guideline development period 9 Date of review 9 Guideline development team 10 Conflict of interest 10 Funding 10 Process Report 10 Chapter 1 – Recommendations and Evidence statements 11 Chapter 2 – Methods 27 Underlying research questions 27 Literature review process 28 Matrix use for the evidence statements 29 Guideline development 30 References 30 Chapter 3 – Implementation strategies 33 Introduction 33 Suggested implementation strategies 34 References 36 Chapter 4 – The role of population screening 37 Introduction 37 References 38 Chapter 5 – Prognosis: understanding the natural history 39 Introduction 39 Normal tension glaucoma 39 Ocular hypertension 40 Early primary open angle glaucoma 41 Advanced primary open angle glaucoma 43 Angle closure glaucoma 44 References 45 National Health and Medical Research Council iii
<strong>NHMRC</strong> GUIDELINES FOR THE SCREENING, PROGNOSIS, DIAGNOSIS, MANAGEMENT AND PREVENTION OF GLAUCOMA Table of contents Chapter 6 – Identifying those at risk of developing glaucoma 47 Introduction 48 Risk factors identified from patient history 50 Risk factors identified through ocular examination 56 Risk factors for specific glaucoma types and stages 59 References 61 Appendix to Chapter 6 63 Chapter 7 – Diagnosis of glaucoma 65 Introduction 65 Diagnosis of glaucoma 67 Medical history 67 Risk factors 68 Examination of eye structure 69 Setting diagnostic baselines 72 Examination of eye function 73 Diagnosing specific glaucoma types 81 Professional roles in diagnosis 83 Summary of diagnostic standards 84 Questions to ask patients with suspected glaucoma 86 Questions to ask patients with established glaucoma 86 What should I examine to identify open angle glaucoma? 86 What should I examine to identify angle closure? 87 References 88 Chapter 8 – Monitoring: long-term care 91 Introduction 91 Medical history 92 Intraocular pressure 93 Eye structure examination 94 Indications to change regimen 98 Monitoring recommendations in specific populations 99 Professional roles within the team 104 Questions to ask your patient with glaucoma at review 105 References 105 Chapter 9 – Medication 107 Introduction 107 Hierarchies of intervention 108 Starting medication regimens 110 Facilitating adherence 111 Medication interaction 113 Side effects 115 Topical medications 119 Assessing medication efficacy 120 Changing medication regimens 121 Medication in acute angle closure crisis 121 Addressing the impact of comorbidities 122 Managing glaucoma successfully within specific comorbid conditions 124 Managing glaucoma in specific population groups 129 References 136 iv National Health and Medical Research Council
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NHMRC Glaucoma Guidelines - ANZGIG

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