Survey reveals treatment preferences for primary open-angle glaucoma

Findings from a recent survey of ophthalmologists suggest a trend toward the use of laser trabeculoplasty as the initial treatment for primary open-angle glaucoma (POAG) among newer practitioners in the United States, particularly those with a significant focus on glaucoma and a higher engagement in advanced surgical techniques.

A 33-question survey was distributed to the ASCRS database, gathering responses from 252 ophthalmologists on their preferred first-line treatment for POAG.

Ophthalmologists practicing in the United States showed a higher likelihood (odds ratio [OR] 2.85) of selecting laser treatment. In addition, those who had completed their ophthalmology residency more recently (OR 1.95), performed a higher volume of minimally invasive glaucoma surgeries (OR 1.68), and had a glaucoma patient base exceeding 25% (OR 2.21) were also more inclined to choose laser trabeculoplasty.

Reference
Rhee DJ, Sancheti H, Rothman AL, et al. Primary Practice Patterns For The Initial Management of Open Angle Glaucoma. J Glaucoma. 2024;doi: 10.1097/IJG.0000000000002453. Epub ahead of print. PMID: 38874528.