• The aim of the European Glaucoma Society Guidelines (EGS) is to support the ophthalmologists in managing people with, or at risk of, glaucoma and to provide useful information to trainees.
• Guidelines emphasises on patients’ care, well-being, and optimal personalised care.
• Decision-making ultimately should be individualised to the patient's needs and circumstances, ideally guided by the best available evidence.

ONH: Optic nerve head; RNFL: Retinal nerve fibre layer.

GRADE: Grading of recommendations, assessment, development, and evaluations; IOP: Intraocular pressure; OCT: Optic coherence tomography; PACG: Primary angle closure glaucoma;
RNFL: Retinal nerve fibre layer; VF: Visual field.

Guidelines recommend an effective communication with patients to understand their history, which can be vital for prognosis. Direct questions at follow-up are highly essential to treat and manage patients. It is recommended to educate the patient about the disease condition and treatment and provide support and care.

Figure 1 shows that recommended evaluation of functional loss over time guides individualised treatment.

IOP: Intraocular pressure (IOP) level causing damage; L: Difference of visual function between the age-matched normal and the function at the time of diagnosis;
RoP: Angle representing physiological loss and disease progression; T: Time interval between birth and the time of diagnosis.

Source:
Azuara-Blanco A, Bagnasco L, Bagnis A, et al. European Glaucoma Society Terminology and Guidelines for Glaucoma, 5th Edition. Br J Ophthalmol. 2021;105(Suppl 1):1–169. doi: 10.1136/bjophthalmol-2021-egsguidelines.

NON-2022-15053 - Date of creation January 2023