Alternatives to Topical Glaucoma Medication for Glaucoma Management

被引:15
作者
Bedrood, Sahar [1 ]
Berdahl, John [2 ]
Sheybani, Arsham [3 ,4 ]
Singh, Inder Paul [5 ]
机构
[1] Adv Vis Care, 2080 Century Pk East Suite 911, Los Angeles, CA 90067 USA
[2] Vance Thompson Vis, Sioux Falls, SD USA
[3] Univ Utah, John A Moran Eye Ctr, Salt Lake City, UT USA
[4] Washington Univ, Sch Med, Dept Ophthalmol & Visual Sci, St Louis, MO USA
[5] Eye Ctr Racine & Kenosha, Kenosha, WI USA
来源
CLINICAL OPHTHALMOLOGY | 2023年 / 17卷
关键词
intervention; treatment; sustained release drug delivery; MIGS; medication; selective laser trabeculoplasty; SELECTIVE LASER TRABECULOPLASTY; OCULAR SURFACE DISEASE; QUALITY-OF-LIFE; OPEN-ANGLE GLAUCOMA; VISUAL-FIELD PROGRESSION; DROP INSTILLATION TECHNIQUE; HUMAN TRABECULAR MESHWORK; LONG-TERM OUTCOMES; INTRAOCULAR-PRESSURE; ANTIGLAUCOMA MEDICATION;
D O I
10.2147/OPTH.S439457
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Topical glaucoma medications have favorable safety and efficacy, but their use is limited by factors such as side effects, nonadherence, costs, ocular surface disease, intraocular pressure fluctuations, diminished quality of life, and the inherent difficulty of penetrating the corneal surface. Although traditionally these limitations have been accepted as an inevitable part of glaucoma treatment, a rapidly-evolving arena of minimally invasive surgical and laser interventions has initiated the beginnings of a reevaluation of the glaucoma treatment paradigm. This reevaluation encompasses an overall shift away from the reactive, topical-medication-first default and a shift toward earlier intervention with laser or surgical therapies such as selective laser trabeculoplasty, sustained-release drug delivery, and micro-invasive glaucoma surgery. Aside from favorable safety, these interventions may have clinically important attributes such as consistent IOP control, cost-effectiveness, independence from patient adherence, prevention of disease progression, and improved quality of life.
引用
收藏
页码:3899 / 3913
页数:15
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