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Lessons from Practice

Primary open-angle glaucoma: the importance of family history and role of intraocular pressure

Richard H C Zegers, Erik F Reinders and Marc D de Smet
MJA 2008; 188 (5): 312-313

The two cases we present here are good examples of how the diagnosis of glaucoma is often missed because of lack of history-taking and/or insufficient clinical examination. Glaucoma is the second leading cause of blindness worldwide;1 nevertheless, knowledge of this disease is poor among the general population as well as among health professionals.2 Primary open-angle glaucoma (POAG) is a chronic and progressive optic neuropathy that causes visual field loss, eventually leading to complete blindness. It can be present for a long time before patients have symptoms. About half of those affected with glaucoma are not aware they have the disease.3

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©The Medical Journal of Australia 2008 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377