Clinical recommendation Evidence rating Comments
Reducing intraocular pressure is the only treatment proven to stop or slow the progression of vision loss in primary open-angle glaucoma.3,5,9,18,24,25 A Multiple randomized controlled trials, practice guidelines, and a Cochrane review
Selective laser trabeculoplasty is a first-line treatment for primary open-angle glaucoma.28 B Multicenter randomized controlled trial comparing selective laser trabeculoplasty with standard medical therapy for patients with primary open-angle glaucoma
There is insufficient evidence to recommend screening for glaucoma in the general adult population.5,9 C U.S. Preventive Services Task Force evidence review and practice guidelines from the American Academy of Ophthalmology
Primary care physicians should ask patients about barriers to adhering to their glaucoma medication and encourage the use of automated reminders.3,34,35 C Narrative reviews and cohort studies