Tatjana Sarenac Vulovic, Katarina Mirjane Janicijevic


Primary open-angle glaucoma (POAG) is defined as a chronic and progressive disease. Date suggested that it is the second most common cause of the blindness in the world. Blindness, as global problem, is partially consequences of poor health insurance, low medical education, etc. The only modifiable risk factor for glaucoma is intraocular pressure. Cost of the antiglaucomatous treatment increased by prescribing and using wide spectrum of antiglaucomatous drugs. If an ophthalmologist is not satisfied with glaucomatous disease control, need for the laser or surgical treatment is appeared. Disease stadium also determines the cost of the treatment. The social and economic burden of glaucoma can be changed by increased life expectancy, older population age and higher per capita GDP. Unique opinion about cost effectiveness can not be reached because of conflict of different findings in many studies. Treatment approached must be individualized to every patients according to diseases stadium, available therapeutic modalities, life expectancy and the level of GDP. Efficacy, adherence to treatment and potential side effects of prescribed medication also determine treatment resources.


primary open-angle glaucoma, therapy, pharmacoeconomics, social burden of glaucoma

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