[The role of GP in the management of glaucoma]

The role of gp in the management of glaucoma. Despite the fact that glaucomas in mainly followed by an ophthalmologist, the GPs should have a good knowledge about this disease and especially about vascular and general risk factors. Primary open angle glaucoma (POAG) is a multifactorial disease characterized by progressive retinal ganglion cell death and visual field loss. It is known that alterations in intraocular pressure (IOP), blood pressure (BP), and ocular perfusion pressure can play a significant role in the pathogenesis of the disease. The GP also should educate patients about screening of family members, explain and reassure the patient, because this is a chronic condition. He also has the role to refer for reassessment if the patient has symptoms of progression or side effects from the treatment: as beta blockers or topical allergy to the drug, or the preservative in the drops, side effects of acetazolamide.