Glaucoma is the world's leading cause of irreversible blindness. Despite this, up to 90% of patients in the developing world are under diagnosed.
Glaucoma-related blindness in the Caribbean is an eye opener. The earlier age, advanced optic neuropathy, rapid progression coupled with education and cultural barriers all make for a unique challenge.
This review aims to highlight an evidenced-based approach to early diagnosis and the importance of the role of the general practitioner in achieving the paradigm shift towards improved glaucoma care in the Caribbean. The clinician's roles are as follows: firstly, identification of risk factors will aid early referral and diagnosis; secondly, reinforcing the importance of compliance and recognition of side-effects will identify treatment failures; and thirdly, an appreciation of the success of surgical intervention will help support patient’s decision.
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