February 11, 2016
Glaucoma can be a difficult management problem in a subset of patients, even for the most experienced glaucoma specialists. The treatment spectrum includes drugs, trabeculoplasty, microincision glaucoma surgery and traditional glaucoma surgery.
While many use glaucoma medications as their initial treatment modality, others use selective laser trabeculoplasty for the initial IOP control. The majority of glaucoma patients’ IOPs may be controlled with one or more topical medications, but there is a subset of patients whose IOPs are not adequately controlled even on maximum medical therapy. Additionally, some patients have limited choice of glaucoma medications due to allergy to glaucoma medications, and others may have compliance issues, all of which may contribute to elevated IOPs and progressive visual field loss. This subset of patients with uncontrolled IOP and/or progressive visual loss often requires surgical intervention.