title: Management of exfoliative glaucoma: challenges and solutions.
abstract: Exfoliative glaucoma is the most common type of secondary open-angle glaucoma worldwide. It is characterized by high intraocular pressure (IOP) and worse 24-hour IOP characteristics. In order to minimize progression, treatment of exfoliative glaucoma has to provide a low long-term mean IOP and good 24-hour IOP control. To achieve these goals, fixed-dose combination eye drops, argon and selective laser trabeculoplasty, and various forms of surgery (trabeculectomy, deep sclerectomy, viscocanalostomy, ab interno trabeculotomy, trabecular aspiration, and cataract surgery) all need to be considered during the long-term management of the disease. Since exfoliative glaucoma is a disease of the elderly, and is frequently associated with systemic vascular disease, interdisciplinary consultations are of great clinical importance. These management aspects and the current medical, laser, and surgical results are covered in this review, with a special focus on the needs of the general ophthalmologist.
authors.affiliation: Department of Ophthalmology, Semmelweis University, Budapest, Hungary.
authors.forename: Gábor
authors.initials: G
authors.lastname: Holló
authors.affiliation: Department of Ophthalmology, University of Ioannina, Ioannina, Greece.
authors.forename: Andreas
authors.initials: A
authors.lastname: Katsanos
authors.affiliation: First and Third Departments of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Greece.
authors.forename: Anastasios Gp
authors.initials: AG
authors.lastname: Konstas
keywords: deep sclerectomy; exfoliative glaucoma; laser trabeculoplasty; medication; pseudoexfoliative glaucoma; trabeculectomy; viscocanalostomy