Recent Advances in the Diagnosis and Management of Glaucoma by OOJ.
This special issue of the Ophthalmology – Open Journal shall focus on glaucoma. It explores the techniques utilized in the diagnosis of glaucoma as well as the management strategies involving medications, lasers, and surgical techniques, including Minimally Invasive Glaucoma Surgery (MIGS).
Over the years, there has been explosive growth in the techniques and instruments utilized for the assessment and diagnosis of glaucoma patients. Anterior segment imaging, retinal nerve fiber layer and ganglion cell layer thickness utilizing optical coherence tomography (OCT), Detection of Apoptozing Retinal ganglion Cells (DARC) technology, and such, are cutting-edge techniques to make the diagnosis of glaucoma more sensitive and specific. There are also novel approaches being developed to manage this condition. On the pharmacological front, there is the synthesis of newer combinations of agents, drugs with newer modes of action, and newer routes of action. Similarly, newer lasers such as MicroPulse Trans-scleral cyclophotocoagulation are making management easier and more effective. There is also the advent of reliable and robust surgical techniques including modifications to trabeculectomy utilizing anti-metabolites and anti-Vascular Endothelial Growth Factor (anti-VEGF) agents. Another new method that is becoming rapidly popular is the use of MIGS. These implants are proving effective in overcoming the deficiencies of trabeculectomy.
In such a scenario, it would be highly informative to present a compilation of these developments so that this issue could prove useful for all practicing ophthalmologists.