Normal-tension Glaucoma Management: A Survey of Glaucoma Sub-specialists in Korea

Purpose: To investigate the current management patterns of glaucoma subspecialists with regard to normal-tension glaucoma(NTG) in Korea and to determine the effect of the two largest NTG trials on their clinical practice. Methods: A questionnaire survey was sent to glaucoma subspecialist members of the Korean Glaucoma Society. The questionnaireconcerned regular practice with respect to NTG and the extent to which it has been influenced by the CollaborativeNormal-tension Glaucoma Study and the Low-pressure Glaucoma Treatment Study (LoGTS). Results: A total of 134 glaucoma subspecialists completed the survey, with a response rate of 56%. The survey reported that88% and 78% of glaucoma subspecialists were familiar with the Collaborative Normal-tension Glaucoma Study and the LoGTS,respectively. With respect to mild or moderate NTG, most of the respondents (87%-91%) tended to treat their patientsimmediately without waiting for structural or functional progression. Among the respondents, 47 indicated that the LoGTSresults-according to which, 20% of the respondents tended to use brimonidine more often-affected their management. The first-choice topical drugs for NTG were prostaglandin analogues (76%), brimonidine (9%), beta-blockers (8%), and topicalcarbonic anhydrase inhibitor (6%). Conclusions: Regarding mild-to-moderate NTG, Korean glaucoma subspecialists tended to initiate treatment without waitingfor further progression. The impact of the LoGTS on NTG management was not dominant in clinical practice in Korea. Prostaglandinanalogs are the most frequently selected first-choice drugs for the management of NTG in Korea.