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EDITORIAL Considering the Options for Primary Glaucoma Therapy IFTY YEARS AGO, it was unlikely that any- scription medication regimen. Furthermore, occa- one would have dreamed that Abbott and sional ocular side effects such as conjunctival hyper- Costello’s “Who’s on First?” routine would emia, can subsequently influence the outcome of filtration survive the turn of the century. By using ge- surgery. Less commonly, hypertrichosis, iris pigmenta- F neric pronouns such as “who,” “what,” and tion, and darkening of the periocular skin may further other commonly used phrases such as, “I don’t know,” discourage a glaucoma patient to adhere to his or her this comedic routine became a template for debates other regimen. than those pertaining to a fictional baseball team. The So what about laser therapy? Following the comple- players are generic enough that the story can easily ap- tion of the Glaucoma Laser Trial, one may have antici- ply to other settings; the thematic overtones are also uni- pated that primary laser therapy would become a versal. For example, a seemingly simple question be- preferred practice pattern for glaucoma practice. In ad- comes more complex when one considers more dition, the Advanced Glaucoma Intervention Study noted dimensions of the
JAMA Ophthalmology – American Medical Association
Published: Feb 1, 2002
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