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BMJ 2005;331 (16 July), doi:10.1136/bmj.331.7509.0-a
Reducing intraocular pressure in patients with ocular hypertension or manifest glaucoma reduces the risk of visual impairment in the long term. In a systematic review and a meta-analysis of randomised controlled trials, Maier and colleagues (p 134) showed that 12 patients need to be treated for ocular hypertension in order to prevent one case of progression to glaucoma (hazard ratio 0.56, 95% confidence interval 0.39 to 0.81, compared to non-treatment). Treating seven patients with hypertensive or normotensive manifest glaucoma significantly delayed deterioration of visual field in one patient (0.65, 0.49 to 0.87).
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Credit: NATIONAL EYE INSTITUTE
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