Primary prevention
Early diagnosis and treatment is the primary measure to prevent disease progression.
Secondary prevention
The purpose of identifying, treating, and monitoring glaucoma is to preserve sight.
Primary relatives of affected patients should have a dilated ophthalmic examination.
Vision rehabilitation should be individualized to each patient and extend beyond medical therapies to improve other meaningful outcomes (e.g., reading, daily living activities, safety, community participation, and psychosocial well-being).[105] Consider referral to specialist rehabilitation services where these are available.
Calculators are available for estimating the risk that a person with ocular hypertension will develop primary open-angle glaucoma based on results from the Ocular Hypertension Treatment study (OHTS) and the European Glaucoma Prevention study (EGPS).[111][112]
The UK and Eire Glaucoma Society (UKEGS) and the Royal College of Ophthalmologists (RCOphth) have proposed a risk stratification tool (GLAUC-STRAT-FAST) to classify patients with glaucoma into strata based on their risk for significant future sight loss.[113][114]
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