Highlights of Terminology and Guidelines for Glaucoma (5th edition): an interpretation / 中华实验眼科杂志

ABSTRACT

With the accelerated development of aging society, the incidence of glaucoma is increasing in recent years.Glaucoma is a primary cause of irreversible blindness worldwide and affects the visual and life quality of patients, which will bring great burden to the prevention and control of blindness in China. Terminology and Guidelines for Glaucoma formulated by European Glaucoma Society (EGS) is a classic document of Glaucoma guidelines.Recently, EGS released the Terminology and Guidelines for Glaucoma (5th edition), which put forward some updated concepts of diagnosis and therapy of glaucoma, primarily in several renewed key issues and the problems to be avoided in clinical practice.In the document, central corneal thickness is not recommended to correct intraocular pressure during the diagnosis and follow-up of glaucoma, and gonio-imaging devices do not replace gonioscopy in the diagnosis of angle-closure glaucoma, and optical coherence tomogranphy should not be used as the sole indicator in the early evaluation and dynamic monitoring of glaucoma.In addition, some available suggestions about anti-glaucoma drugs and surgeries are recommended for the managements of glaucomatous patients.The updated recommendations in the Terminology and Guidelines for Glaucoma (5th edition) are enunciated in this paper.