NHMRC Glaucoma Guidelines - ANZGIG

NHMRC 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
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National Health and Medical Research Council