A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral vision loss, poor night vision, and frequent prescription changes that started 6 months previously.Recently, he has also been seeing halos around lights.The clinician suspects chronic open-angle glaucoma.Which of the following statements is true concerning the diagnosis of chronic open-angle glaucoma?

Question

Quizplus · Accepted Answer

Physical diagnosis of chronic open-angle glaucoma relies on gonioscopic evaluation of the angle by an ophthalmologist. This allows for visualization of the angle and examination of the trabecular meshwork, which is responsible for draining aqueous humor from the eye. Increased intraocular pressure is a risk factor for chronic open-angle glaucoma but is not definitive for diagnosis, as some individuals can have damage to the optic nerve without increased intraocular pressure. Subjective complaints of the patient cannot definitively diagnose glaucoma, and early diagnosis is important to prevent further damage but cannot reverse any damage that has already occurred.

A 65-Year-Old Man Presents to the Clinician with Complaints of Increasing