Î The optic nerve should be carefully examined for the above signs of
glaucoma damage, and its appearance should be serially documented.
(I+, M, S)
Î Eye care providers can view the optic disc and RNFL using magnified
stereoscopic visualization with the slit-lamp biomicroscope and
through a dilated pupil. (I+, M, S)
Î Eye care providers evaluate the visual field using standard automated
perimetry (SAP) with white-on-white stimuli. It is the gold standard
test for comparing other types of visual field testing. (II, G, S)
Î Although they are distinctly different methodologies, stereoscopic
disc photographs and computerized images of the nerve are
complementary with regard to the information they provide the
clinician who must manage the patient. In the absence of these
methodologies, a nonstereoscopic photograph or a drawing of the
ONH should be recorded, but this is a less desirable alternative to
stereophotography or computer-based imaging. (III, In, S)
Î Because some patients show visual field loss without corresponding
optic nerve progression, both structural and functional assessments
remain integral to patient care. Even though quantitative imaging
technology is approved as an adjunct to aid in glaucoma diagnosis, the
clinician should include all perimetric and other structural information
when formulating patient management decisions. (III, In, S)
Î Routine genetic testing for glaucoma risk alleles is NOT recommended
for patients with POAG at this time. (III, G, S)
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