OCT Academy

Journal Club - Current

3. How would you manage this patient?

This is the disc of an asymptomatic patient. How should this be treated?

Journal Club Issue #3


In this image, there is an increased cup-to-disc ratio, and thinning of the temporal neuroretinal rim with a notch being present (video). This patient was diagnosed with primary open angle glaucoma (POAG).

Recent research from the LiGHT Study compared Selective Laser Trabeculoplasty (SLT) to drops (Lancet 2019; 393: 1505–1516).

In this journal club's accompanying 22 min. video, Dr. Sharma will review:

  • The difference between ALT and SLT
  • How the EQ-5D is used in practice
  • What to tell your new POAG patients about treatment for their condition


Gazzard G, Konstantakopoulou E, Garway-Heath D, Garg A, Vickerstaff V, Hunter R, Ambler G, Bunce C, Wormald R, Nathwani N, Barton K, Rubin G, Buszewicz M; LiGHT Trial Study Group. Lancet. 2019 Apr 13;393(10180):1505-1516


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