Challenging the "Topical Medications-First" Approach to Glaucoma: A Treatment Paradigm in Evolution.
Early
Intervention
MIGS/micro-invasive glaucoma surgery
Medication
SLT/selective laser trabeculoplasty
SRDD/sustained release drug delivery
Treatment
Journal
Ophthalmology and therapy
ISSN: 2193-8245
Titre abrégé: Ophthalmol Ther
Pays: England
ID NLM: 101634502
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
19
07
2023
accepted:
29
09
2023
medline:
19
10
2023
pubmed:
19
10
2023
entrez:
19
10
2023
Statut:
ppublish
Résumé
Topical glaucoma medications are effective and safe, but they have numerous well-documented limitations that diminish their long-term utility and sustainability. These limitations can include high rates of nonadherence (with associated glaucoma progression), concerning side effects, inconsistent circadian intraocular pressure (IOP) control, complex dosing regimens, difficulty with self-administration, costs, and decreased quality of life. Despite these limitations, topical medications traditionally have been first-line in the glaucoma treatment algorithm, as no other minimally invasive treatment alternatives existed. In recent years, however, novel interventional therapies-including sustained-release drug-delivery platforms, selective laser trabeculoplasty, and micro-invasive glaucoma surgery procedures-have made it possible to intervene earlier without relying on topical medications. As a result, the topical medication-first treatment approach is being reevaluated in an overall shift toward earlier more proactive interventions.
Identifiants
pubmed: 37855977
doi: 10.1007/s40123-023-00831-9
pii: 10.1007/s40123-023-00831-9
pmc: PMC10640619
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2823-2839Informations de copyright
© 2023. The Author(s).
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