WGA Consensus Series 10: Diagnosis of Primary Open Angle Glaucoma

Primary Open-Angle Glaucoma was the topic of the tenth World Glaucoma Association Consensus meeting.

As with prior meetings, it was a daunting task to seek and obtain consensus on broad subject matter that ranges from diagnosis, risk profiling and screening of the disease. As it is unclear how each of us decides how we practice and the evidence to guide us often is sparse, this consensus, as well as the others, is based not only on the published literature, but also on expert opinion. Although consensus does not replace and is not a surrogate for scientific investigation, it does provide considerable value, especially when the desired evidence is lacking.

The goal of this consensus is to provide a foundation for diagnosing and managing primary open-angle glaucoma and how it can be best done in clinical practice. Identification of those areas for which we have little evidence and, therefore, the need for additional research always is a high priority. We hope that this consensus report will serve as a benchmark of our understanding. However, this consensus report is intended to be fluid. It is expected that it will be revised and improved with the emergence of new evidence.

Robert N. Weinreb, Chair

David Garway-Heath
Christopher Leung
Felipe A. Medeiros
Jeffrey Liebmann

World Glaucoma Association

The topic for the tenth World Glaucoma Association Consensus is Primary Open-Angle Glaucoma.

Global experts were invited and assembled by our international co-Chairs, beginning in November 2015 to participate in the Forum E-Room, a unique online opportunity to facilitate discussion. Participants then were engaged in the discussion of six sections to reach consensus on key issues that permeate various aspects of primary open-angle glaucoma. The results of these thoughtful discussions then were summarized for each of the sections with preliminary consensus statements. The Draft of the Consensus Report, including the preliminary consensus statements, was distributed to the Societies and Partners for comments prior to the Consensus Meeting that took place in Seattle on Saturday, April 30, 2016. At this time, relevant stakeholders engaged in a stimulating, educational, and thought-provoking session that reviewed and revised the consensus statements. The Consensus Report then was finalized by Consensus co-Chairs and Editors.

Robert N. Weinreb, Editor
La Jolla, California, USA

Preface
Introduction

1. STRUCTURE
Christopher Leung, Linda Zangwill, Tae-Woo Kim

2. VISION FUNCTION
David Garway-Heath, Gustavo De Moreas, Aiko Iwase

3. STRUCTURE AND FUNCTION
Felipe A. Medeiros, Gustavo De Moraes, Ki Ho Park

4. RISK FACTORS (OCULAR)
Felipe A. Medeiros, Mingguang He, James Brandt

5. RISK ASSESSMENT: SYSTEMIC FACTORS
Jeffrey Liebmann, Fotis Topouzis, Janey Wiggs,

6. SCREENING
Jeffrey Liebmann, David Friedman, Jost Jonas, Tanuj Dada

Summary of Consensus points

Index of authors