History
• Ocular history (e.g., refractive error, trauma, prior ocular surgery)
• A history of prior glaucoma laser or incisional surgical procedures should be elicited.
(G, S)
• Race/ethnicity
• Family history. The severity and outcome of glaucoma in family members, including a
history of visual loss from glaucoma, should be obtained during initial evaluation.
• Systemic history (e.g., asthma/chronic obstructive pulmonary disease, migraine
headache, vasospasm, diabetes, cardiovascular disease)
• Review of pertinent records, with particular reference to the past IOP levels, status of
the optic nerve, and visual field
• Current ocular, topical, oral, injected, or inhaled medications (e.g., corticosteroids)
and known local or systemic intolerance to ocular or nonocular medications
• Ocular surgery
Definite optic disc or RNFL abnormalities consistent with
glaucoma can be associated with the following severities:
Mild a normal visual field as tested with SAP
Moderate visual field abnormalities in one hemifield that are not within
5º of fixation as tested with SAP
Severe visual field abnormalities in both hemifields and/or loss within
5º of fixation in at least one hemifield as tested with SAP
Indeterminate inability of patient to perform visual field testing, unreliable/
uninterpretable visual field test results, or visual fields not performed yet
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