[Difficulties in the diagnosis of glaucoma; the therapeutic implications]

The glaucomatous disease has, the most of time, an insidious beginning; the diagnosis is occasioned by some refraction problems or by a systematic ophthalmological examination or a request coming from another physician. As a consequence, the diagnosis of glaucoma is not always very easy thing, because, in the early stages, the diagnostic criteria rises special problems. Under these conditions, the therapeutical attitude will be differentiated from a case to another. After these general considerations, the authors will discuss some clinical cases, knowing that the diagnosis and the initiation of treatment will give rise to some contradictory discussions.