How to manage a patient with glaucoma in Africa

IntroductionHow to manage a patient with glaucoma in Africa? The simple answer is: having made the diagnosis by optic disc assessment and intraocular pressure measurements (visual field tests are usually unavailable and unnecessary), perform trabeculectomy surgery using a technique broadly similar to that described by Ian Murdoch in this issue. This article discusses the reasons for this relatively universal management principle. The focus of this article is primary open-angle glaucoma, which affects the large majority of glaucoma patients across the continent. Some brief principles concerning management of other types of glaucoma in Africa are included at the end.