Wednesday, June 27, 2018

EUROPEAN GLAUCOMA SOCIETY GUIDELINES


The 4th edition of the glaucoma guidelines by the European Glaucoma Society (EGS) was released in 2014. The aim of these guidelines was to present the view of the EGS on the diagnosis and management of glaucoma. The recommendations are intended to support ophthalmologists in managing patients affected by, or suspected of having, glaucoma.

The main bulk of the guidelines consist of 3 extensive chapters running around 190 pages, compared to around 115 pages in the Asia Pacific Glaucoma Guidelines (APGG). This makes the European guidelines slightly cumbersome, compared to the concise "easy-to-read format" of the APGG.

Chapter 1 deals with: 
(1.1) Intra-Ocular Pressure (IOP) and tonometry 
(1.2) Gonioscopy 
(1.3) Optic nerve Head and retinal nerve fiber layer 
(1.4) Perimetry

Chapter 2 consists of: 
(2.1) Primary congenital forms/ childhood glaucomas 
(2.2) Primary open angle glaucoma 
(2.3) Secondary glaucomas 
(2.4) Primary angle closure 
(2.5) Secondary angle closure

Chapter 3 has the following topics: 
(3.1) General principles of glaucoma treatment 
(3.2) Target IOP and quality of life 
(3.3) Antiglaucoma drugs 
(3.4) Adherence, compliance and persistence in glaucoma 
(3.5) Laser surgery 
(3.6) Incisional surgery 
(3.7) Cataract and glaucoma surgery

The EGSG has the following message regarding central corneal thickness (CCT): 
“CCT influences Goldmann Applanation Tonometry (GAT) readings. However, there is no agreement as to whether there is a validated and useful correction algorithm for GAT and CCT” 
THE GUIDELINES ARE AVAILABLE FOR FREE DOWNLOAD FROM THE FOLLOWING LINK: 

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