Page 103 - NAME OF CONDITION: REFRACTIVE ERRORS

 Pachymetry : central corneal thickness affects IOP measurements with higher IOP in
thick corneas and lower IOP in thin corneas.
 Fundus photography aids in documentation of optic nerve head at baseline and
follow up visits.
 Visual field analysis

Treatment:

M anagement Goals:
 Stable ONH and RNFL status
 Controlled IOP
 Stable visual fields

Standard Operating procedure

a. In Patient :Surgical treatment is indicated
 IOP not controlled with maximal medical therapy
 Contraindication to medical therapy
 Poor compliance
Surgical options: Trabeculectomy and combined glaucoma and cataract surgery.

b. Out patient : Medical management : Most appropriate medication with greatest
chance of reaching target IOP, with good safety profile, convenient dosing and
affordable medication should be chosen. Details of the medications, dosage, its
adverse effects and follow up schedule are mentioned below.
c.Day Care

Not applicable

VI. Referral criteria:
1.High suspicion of secondary glaucoma is present requiring evaluation for
secondary causes
2.For optimal investigations and treatment

3.For management of difficult cases and Post-operative complications

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