The edition · Ophthalmology
A lens-sparing angle procedure held pressure for three years in advanced angle closure
Combined iridectomy, goniosynechialysis and goniotomy kept IOP down without cataract surgery, statin users had less glaucoma and less treatment escalation in a large database, and the AAO reviews OCT as a marker of multiple sclerosis progression.
The edition in brief
Today's ophthalmology edition. In a multicentre prospective study of 70 eyes with advanced primary angle-closure glaucoma and no cataract, combined surgical peripheral iridectomy, goniosynechialysis and goniotomy lowered mean IOP from 29.4 to 16.4 mmHg at three years and cut medications by about two-thirds, with qualified success in 84%; cataract progression was the main late problem. In a US database of 210,701 matched adults, statin use was associated with a 15% lower risk of open-angle glaucoma at five years and markedly less escalation to laser or surgery, an observational finding. An American Academy of Ophthalmology evidence review found thinner or faster-thinning peripapillary RNFL and macular GC-IPL on OCT associated with later MS progression. FDA recorded a supplement to a generic tafluprost application on 8 October, an administrative action. The pearl covers gonioscopy before labelling glaucoma as open-angle.
Statin users had less open-angle glaucoma and less treatment escalation
Statin use was associated with less glaucoma and less escalation, but this is observational and not a reason to prescribe one for the eye.
Thinner retinal layers on OCT were linked to later MS progression
OCT retinal layer thickness is a promising marker of MS progression; measure it consistently and share it, but do not treat on it alone.
FDA recorded a supplement to a generic tafluprost application
No action needed: this is an administrative supplement to a generic tafluprost application.
Gonioscopy before calling glaucoma open-angle
No glaucoma diagnosis is complete without gonioscopy, particularly in populations where angle closure is common.
Angle surgery without lens extraction held IOP for three years in advanced angle closure
Combined angle surgery without lens extraction lowered IOP and medication use for three years in advanced angle closure, but has not been compared head to head with standard options.
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