NHMRC Glaucoma Guidelines - ANZGIG

NHMRC GUIDELINES FOR THE SCREENING, PROGNOSIS, DIAGNOSIS, MANAGEMENT AND PREVENTION OF GLAUCOMA
Chapter 5 – Prognosis: understanding the natural history
In summary, patients with primary angle closure require regular monitoring of their angles as
well as other aspects of their glaucoma management and appear to be best served by earlier
laser peripheral iridotomy. However, this does not always eliminate the need for future surgery
but appears to greatly reduce the risk of their progression to primary angle closure glaucoma.
There appears to be some ethnic variation in susceptibility and also rates of progression. Even after
laser iridotomy is performed, a significant proportion of patients will progress and require surgery.
The type of surgery best suited to their needs can often be complicated and is further discussed in
the monitoring and treatment chapters.
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