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The purpose 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. 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, together 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 being used more often, and alpha-2 agonists less often, as first-line therapy for the treatment of primary open-angle glaucoma.
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11.1 General management, indication (Part of: 11 Medical treatment)