Jed Lusthaus

Abstract A wave of less invasive surgical options that target or bypass the conventional aqueous outflow system has been incorporated into routine clinical practice to mitigate surgical risks associated with traditional glaucoma drainage surgery. A blanket surgical approach for open-angle glaucoma is unlikely to achieve the desired IOP reduction in an efficient or economical way.

Glaucoma management is evolving: safer and less invasive surgical interventions are now in regular use, and the United States Food and Drug Administration has approved new topical drop classes. Lowering intraocular pressure (IOP) remains the primary focus of glaucoma management,1,2,3,4 and it is the goal of current and new therapies. This review outlines glaucoma management for adults — paediatric glaucoma is a different entity that requires variations in management and will not be discussed.