Î At each examination, medication dosage and frequency of use should be
recorded. (G, S)
Î Adherence to the therapeutic regimen and recommendations for
therapeutic alternatives or diagnostic procedures should be discussed.
(G, S)
Î Brimonidine is known to cross the blood-brain barrier and can cause
apnea in infants. For this reason, it is usually recommended that the
medication NOT be used in mothers who are breast-feeding. (III, G, S)
Î Laser trabeculoplasty can be considered as initial therapy in selected
patients or an alternative for patients at high risk for nonadherence to
medical therapy who cannot or will not use medications reliably due to
cost, memory problems, difficulty with instillation, or intolerance to the
medication. (I+, G, D)
Î Trabeculectomy is effective in lowering IOP. It is generally indicated
when medications and appropriate laser therapy are insufficient to
control disease and can be considered in selected cases as initial
therapy. (I+, G, S)
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