Best practice treatment algorithm for primary open-angle glaucoma: implications for U.S. ophthalmology practice
Serle, J.; Cantor, L.; Gross, R.; Katz, J.; Mundorf, T.; Noecker, R.; Severin, T.; Simmons, S.; Walt, J.; Casciano, J.; Evans, S.; Doyle, J.
Managed Care Interface 15(7): 37-48
2002
ISSN/ISBN: 1096-5645 PMID: 12143296 Document Number: 551479
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.