1. Did the OCT Show Progression Since the Last Visit?

    Did the OCT Show Progression Since the Last Visit?

    Identifying progression is of fundamental importance to the management of glaucoma. It is also a challenge. The most sophisticated, and probably the most useful, commercially available clinical tool for identifying progression is the Guided Progression Analysis (GPA), which was initially developed to identify progression using 24-2 visual field tests. More recently it has been extended to retinal nerve fiber layer (RNFL) and ganglion cell + inner plexiform layer (GCIPL) thicknesses measured with optical coherence tomography (OCT). However, the OCT GPA requires a minimum of 3 tests to determine "possible loss (progression)" and a minimum of 4 tests to determine if the ...

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