Question 8: What should be done to manage the high IOP in patients with NVG?

Question 8: What should be done to manage the high IOP in patients with NVG?

Answer:

Medical treatment

• Topical beta-blockers, carbonic anhydrase inhibitors, prostaglandin analogue and alpha agonists should be administered if there are no contraindications or allergies
• If necessary oral or IV therapy with diuretics or osmotic agents may be necessary in patients who do not have an adequate response to topical treatment or are in significant discomfort

Surgical treatment

• Trabeculectomy and other filtering surgeries may be required if medical therapy is unsuccessful in controlling IOP
• Glaucoma drainage implant (GDI) surgery has been used with some success as their outcome is less dependent on inflammation. (Olmos and Lee 2011)
• Cyclodestructive procedures such as cyclodiode laser treatments are generally reserved for eyes with poor visual potential

Answer ends