Glaucoma

Primary Open-Angle Glaucoma

Also known as: POAG, primary open angle glaucoma, open angle glaucoma, chronic glaucoma, OAG, optic nerve cupping, glaucomatous visual field loss, elevated IOP

Clinical decision support only

OptoGuide™ supports professional judgement and does not diagnose or replace clinician responsibility.

Overview

Chronic progressive optic neuropathy with characteristic disc and field changes, typically with open angles. IOP is the main modifiable risk factor. Defined by glaucomatous optic neuropathy (disc and/or RNFL) and corresponding field loss, with open angles. RANZCO collaborative-care model: ophthalmologist establishes diagnosis and management plan; optometrist monitoring is acceptable when stable and under agreed protocol. Ophthalmologist-led care mandatory for unstable, advanced, or newly diagnosed cases.

What OptoGuide™ covers for primary open-angle glaucoma

Recognition patterns — symptoms, signs, and differentiators
Don't-miss risks and escalation triggers
Management tiers with linked Australian therapeutics
Referral urgency, specialty, and letter drafting

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