IGS ATHENS - HIGHLIGHTS
∙ IOP is the only modifiable RF
∙ Risk calculators provide quality medication
∙ Risk factor of OHT: CCT, PSD, c/d ratio, age, IOP
∙ OD stereo-photograph is not replaced by digital imaging
∙ Why do we use PGs as first choice: better compliance and persistency, no side effects
∙ No threshold IOP for onset of POAG
∙ Level of IOP affects course of disease
∙ A single IOP measurement is a snapshot in a dynamic process
∙ CCT is most powerful prediction for conversion from OHT to POAG
∙ IOP is ignored for diagnosis but vital to establish baselines and target pressures
∙ Use time intelligently to find TP, establish non-IOP RFs : age, genetics, BP, DM, sleep
apnoe, lipids, vasospasm
∙ Changes of ocular perfusion pressure have a greater effect than IOP increases
∙ Statins influence nerve cell regeneration, increase OBF, exhibit anti-inflammatory effect,
anti-ageing, are neuroprotective
∙ RFs for progression : baseline IOP, severity of damage, age, PEX, disc hem, gender
∙ Easy rules for glaucoma management: individualize treatment, change with FU, where
is patient in age/function diagram?, look at RFs, TP, PEX, FU patients and see!, after
3-5 years where is patient on diagram?, any ROP?, if rapid progress or change Rx