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Australian and New Zealand Glaucoma Society (ANZGS) Consensus on Interventional Glaucoma
Graham A Lee1, Lance Liu2, Ridia Lim3
1Queensland Academy of Ophthalmology, Queensland Children's Hospital, Brisbane, Australia.
Clinical & Experimental Ophthalmology
|July 6, 2026
Summary
This consensus defines an interventional glaucoma framework for Australia and New Zealand, shifting from reactive to proactive management to preserve vision and improve patient quality of life.
Area of Science:
- Ophthalmology
- Glaucoma Management
- Public Health
Background:
- Traditional glaucoma management is reactive, leading to significant vision loss.
- A proactive 'interventional glaucoma' framework is proposed for Australia and New Zealand.
- This framework aims to prevent irreversible vision impairment.
Purpose of the Study:
- To establish a consensus on an interventional glaucoma framework for the Australian and New Zealand healthcare context.
- To define a proactive approach to glaucoma management.
- To improve long-term patient outcomes and quality of life.
Main Methods:
- A modified Delphi consensus process involving 12 experts and 55 glaucoma specialists.
- Consensus achieved through live panel presentations and electronic polling.
- Statements evaluated using a three-tier scale with a <20% objection threshold.
Main Results:
- Twelve consensus statements were ratified, classifying glaucoma as progressive optic neuropathy.
- Disease staging to personalize target intraocular pressures for progression minimization.
- Selective laser trabeculoplasty and Minimally Invasive Glaucoma Surgery recognized for reducing medication burden; traditional surgery for advanced cases.
- Acknowledged the emerging role of Polygenic Risk Scores in adult-onset glaucoma.
Conclusions:
- Advocates for a paradigm shift towards interventional glaucoma in Australia and New Zealand.
- Emphasizes utilizing advanced diagnostics and timely interventions.
- Aims to better preserve visual function and optimize long-term patient quality of life.
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