What is included in the long-term monitoring of glaucoma suspects?

Updated: Jul 27, 2020
  • Author: Robert H Graham, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Answer

The frequency and the composition of follow-up evaluation depend on the age of the patient, the level of elevation of IOP, the appearance of optic nerve head cupping, a family history of glaucoma, the presence of additional risk factors, and the stability of the patient's clinical course.

In general and depending on the patient's risk factors, check IOP every 3-12 months. If the patient is a low-tension glaucoma suspect with normal IOP but suspicious optic nerve head cupping, conduct a diurnal assessment of IOP.

Perform visual field examinations every 6-12 months. If a new visual field defect is suspected, the test should be repeated (preferably within 1 mo) to ensure that the defect is reproducible.

Gonioscopy and optic nerve head evaluation are generally performed annually.

Baseline documentation, such as stereo disc photographs, should be obtained for future comparison to objectively evaluate any possible subtle progression. In selected patients, some ophthalmologists prefer to obtain this documentation yearly for detailed comparison.


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