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Abstract #3704 Published in IGR 4-2
Best practice treatment algorithm for primary open-angle glaucoma: implications for US ophthalmology practice
Serle J; Cantor L; Gross R; Katz J; Mundorf T; Noecker R; Severin T; Simmons S; Walt J; Casciano JManaged Care Interface 2002; 15: 37-48
The objective of this study was to develop a 'best-practice' treatment algorithm for the management of primary open-angle glaucoma in patients receiving initial medical therapy, to serve as a consideration for future ophthalmology practice. For comparison, a baseline, 'common-practice' treatment algorithm was also created that reflects current ophthalmology practice patterns. Survey instruments were developed based on a comprehensive review of relevant literature, along with input from a general ophthalmologist. A panel of eight ophthalmologists subspecialized in glaucoma management was surveyed. Consensus was achieved using a modified Delphi technique. A comparison of common- and best-practice treatment algorithms suggests that in contrast with expert opinion, nonselective beta blockers are currently used more often, and alpha-2 agonists less often, as first-line therapy for the treatment of primary open-angle glaucoma.
Dr. J. Serle, Mount Sinai School of Medicine, New York City, NY, USA
Classification:
11.1 General management, indication (Part of: 11 Medical treatment)
