RecommendationCheck that there are no relevant comorbidities or potential drug interactions before offering medication.
Trade off between clinical benefits and harmsSome pharmacological treatments that are effective at lowering IOP may have serious systemic side effects, particularly worsening of chronic obstructive pulmonary disease and asthma by beta blocker eye drops. There are many potential drug interactions with beta-blockers and alpha receptor agonists. The patient’s general health should not be compromised by any pharmacological treatment as alternative treatments for COAG are available.
Economic considerationsNone
Other considerationsOlder people are more likely to experience adverse reactions to medications

From: 7, Treatment of ocular hypertension and suspected chronic open angle glaucoma

Cover of Glaucoma
Glaucoma: Diagnosis and Management of Chronic Open Angle Glaucoma and Ocular Hypertension.
NICE Clinical Guidelines, No. 85.
National Collaborating Centre for Acute Care (UK).
Copyright © 2009, National Collaborating Centre for Acute Care.

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