Timely diagnosis and management of age-related eye disorder
is important to prevent further deterioration of eye sight. Clinical management
guidelines have been developed to help guide the clinicians on evidence based
diagnosis and management options and help improve decision making and reduce
errors. However, the clinical guidelines are not patient specific and sometime
too complex to implement in daily practice. Guideline based CDSS tools help
provide guideline based patient specific recommendations to the clinician. Here the impact of guideline based CDSS tools on diagnostic decision making of community optometrists was studied. Clinical vignettes were used to simulate realistic clinical encounters. Diagnostic and management recommendations were provided to the optometrists. The clinical decisions made by the optometrists were then compared to a control group of optometrists who were given the same vignettes and asked to provide diagnosis and management decisions.
The
vignettes included in this study involved diagnosing and managing Normal, Wet
Age-related macular degeneration (Wet AMD), Ocular Hypertension (OHT) and
Normal Tension Glaucoma (NTG) scenarios.
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