The Consulting Room: Grace under pressure

With all the exciting new technology available and glaucoma diagnosis going digital, it’s time to have a look at the oldest
diagnostic test for this condition – intra-ocular pressure (IOP).

Pressure of course comes into its own as a treatment measure. Numerous trials confirm pressure reduction as our only known treatment modality. For this we need a reliable baseline and reliable follow up pressures. Too often I see treatment which does not work just being continued, or second medications added rather than switched. All drugs, lasers and surgeries don’t work sometimes, and if you don’t get that individualised target pressure reduction of 20-40% then don’t continue the treatment.