Influence of Intraocular Pressure on Clinical Decision-Making in Glaucoma Management

In this cohort study, while clinicians seem to generally use IOP as a continuous risk factor in their treatment patterns, with higher rates of glaucoma therapy at increasing IOP levels, these findings suggest that the historical IOP cutoff of 22 mm Hg may still influence clinician decision-making in glaucoma management. Improved clinical decision support may be useful to assist clinicians with using IOP as a continuous risk factor in their decision-making.

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Publication Details

Journal
JAMA Ophthalmology
Published
2026-01-08
DOI
https://doi.org/10.1001/jamaophthalmol.2025.5593
Citations
2
Primary Topic
Glaucoma and retinal disorders
Type
article
Field-Weighted Citation Impact
45.10
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article

Influence of Intraocular Pressure on Clinical Decision-Making in Glaucoma Management

Ashley Polski, Michelle R. Hribar, Arjun Jayantakumar Dirghangi, Saleha Z. Munir et al.
2 citations
JAMA Ophthalmology
Glaucoma and retinal disorders
45.10
article

Influence of Intraocular Pressure on Clinical Decision-Making in Glaucoma Management

Ashley Polski, Michelle R. Hribar, Arjun Jayantakumar Dirghangi, Saleha Z. Munir, Wuqaas M. Munir, Shuo Wang, Dustin D. French, Soshian Sarrapour, Merina Thomas, Michael C. Deiner, Chris Andrews, Ben J. Brintz, Brian McMillian, Catherine Sun, Baseer Ahmad, Paul J Bryar, Louis R Pasquale, Anurag Shrivastava, Brian C. Stagg, Joshua D. Stein, Preethi Ganapathy, Rachel Hess, Jeffrey S Schultz, Rajeev Ramachandran, Brian L Vanderbeek, Prem Subramanian, Suzann Pershing, Robert Feldman, Divya Srikumaran, Lindsey DeLott, Kristen Harris-Nwanyanwu, Kensaku Kawamoto, Sejal Amin, Fasika Woreta, Barbara Wirostko, Arsham Sheybani, Paul A. Edwards, Felipe A. Medeiros
article en
2 citations

Abstract

In this cohort study, while clinicians seem to generally use IOP as a continuous risk factor in their treatment patterns, with higher rates of glaucoma therapy at increasing IOP levels, these findings suggest that the historical IOP cutoff of 22 mm Hg may still influence clinician decision-making in glaucoma management. Improved clinical decision support may be useful to assist clinicians with using IOP as a continuous risk factor in their decision-making.

JAMA OphthalmologyVol. 144(2)
W.K. Kellogg Foundation (US), University of Miami (US), University of Utah (US), Primary Source (US), University of Utah Health Care (US), Eye Institute of Utah (US)
Peace, Justice and strong institutions
Openalex Percentile: Top 0%
Glaucoma and retinal disorders
45.10
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