[Thinking about the present primary open angle glaucoma early diagnosis concepts and methods].

Area of Science:

• Ophthalmology
• Medical Diagnostics

Background:

• Primary open-angle glaucoma (POAG) diagnosis lacks consistent concepts and methods.
• Current early diagnosis focuses on clinical stages, not preclinical ones.

Purpose of the Study:

• To clarify the concepts and methods for early diagnosis of POAG.
• To guide future research towards more effective diagnostic indices.

Main Methods:

• Review of current diagnostic approaches for POAG.
• Analysis of optic nerve pathophysiology and detection technologies.
• Integration of fundus morphological and visual field functional indices.

Main Results:

• Early POAG diagnosis is currently clinical, not preclinical.
• Effective diagnosis relies on combining morphological (fundus) and functional (visual field) indices.
• The focus should be on refining existing diagnostic indices.

Conclusions:

• Further development should prioritize identifying superior diagnostic indices for POAG.
• Blind adoption of new diagnostic technologies is discouraged in favor of improving current methods.