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Updated: Jun 28, 2026
07:11
Assessing Early Stage Open-Angle Glaucoma in Patients by Isolated-Check Visual Evoked Potential
Published on: May 25, 2020
Monitoring glaucoma progression
1Department of Ophthalmology, Santa Maria della Misericordia Hospital, Udine (Italy), Piazzale S. Maria della Misericordia, 15 33100 Udine, Italy. brusini@libero.it
Progress in Brain Research
|October 22, 2008
Summary
Monitoring chronic open-angle glaucoma progression requires assessing both structural and functional damage. Reliable progression detection ensures timely clinical management and patient care.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Medical Imaging
Background:
- Chronic open-angle glaucoma (COAG) management necessitates vigilant progression monitoring.
- Assessing both structural and functional damage is crucial for a comprehensive evaluation.
Purpose of the Study:
- To outline essential methods for monitoring glaucoma progression.
- To emphasize the importance of integrating structural and functional assessments.
Main Methods:
- Structural damage evaluation using low-tech (slit lamp biomicroscopy) and high-tech (HRT, OCT, GDx) imaging.
- Functional damage assessment via standard automated perimetry (SAP).
- Discussed SAP progression analysis approaches: clinical judgment, defect classification, trend analysis, and event analysis.
Main Results:
- High-tech imaging offers more objective and standardized structural damage analysis.
- Standard automated perimetry (SAP) remains the gold standard for functional damage detection.
- Statistical programs aid ophthalmologists in assessing progression.
Conclusions:
- Clinically relevant glaucoma progression is defined by statistically significant, reproducible changes.
- Integrated structural and functional monitoring is key for reliable COAG management.
- Accurate progression assessment guides effective patient care strategies.
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