Best practice treatment algorithm for primary open-angle glaucoma: Implications for U.S. ophthalmology practice

Janet Serle, Louis Cantor, Ron Gross, Jay Katz, Thomas Mundorf, Robert Noecker, Todd Severin, Steve Simmons, John Walt, Julian Casciano, Stacy Evans, John Doyle

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

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 suggest 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.

Original languageEnglish (US)
Pages (from-to)37-48
Number of pages12
JournalManaged Care Interface
Volume15
Issue number7
StatePublished - Jul 25 2002
Externally publishedYes

ASJC Scopus subject areas

  • Health Policy

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    Serle, J., Cantor, L., Gross, R., Katz, J., Mundorf, T., Noecker, R., Severin, T., Simmons, S., Walt, J., Casciano, J., Evans, S., & Doyle, J. (2002). Best practice treatment algorithm for primary open-angle glaucoma: Implications for U.S. ophthalmology practice. Managed Care Interface, 15(7), 37-48.