Primary Open-Angle Glaucoma (POAG) Follow-up

Updated: May 18, 2017
  • Author: Kristin Schmid Biggerstaff, MD; Chief Editor: Inci Irak Dersu, MD, MPH  more...
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Follow-up

Further Outpatient Care

Depending on the amount of optic nerve damage and level of IOP control, POAG patients may need to be seen from every 2 months to yearly, even sooner if a marked lack of IOP control is present. Follow-up studies/examinations should be performed as detailed under Treatment.

Glaucoma still should be a concern in people with elevated IOP in the presence of normal discs and visual fields or in people who have normal IOP with suspicious-looking discs and fields. These patients should be observed closely, because they are at an increased risk for development of glaucomatous damage. SWAP visual field testing may also play a role, because it may help detect visual field defects earlier in these otherwise healthy patients.

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Inpatient & Outpatient Medications

See Medication.

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Complications

With poor control of IOP, continuing changes to the optic nerve and visual field occur.

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Prognosis

Prognosis is generally good for patients with POAG. With careful follow-up care and compliance with therapy, the vast majority of patients with POAG retain useful vision throughout their lifetime.

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Patient Education

Patient education is essential for successful treatment of glaucoma. The patient who understands the chronic, potentially progressive nature of glaucoma is more likely to comply with therapy. Numerous handouts are available to patients, including the following:

  • "Understanding and Living with Glaucoma: A Reference Guide for People with Glaucoma and Their Families," Glaucoma Research Foundation, 1-800-826-6693.
  • "Glaucoma Patient Resource: Living More Comfortably with Glaucoma," Prevent Blindness America, 1-800-331-2020.

For patient education resources, see the Eye and Vision Center. Also, see the patient education articles Primary Open-Angle Glaucoma, Glaucoma FAQs, Normal-Tension Glaucoma, Glaucoma Medications, and Ocular Hypertension.

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