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New research · Ophthalmology
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 22h
Cohort studyCanadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2026

Assessing referral quality in glaucoma care: a retrospective analysis of clinical data in optometrist and ophthalmologist referrals.

Abdelrahman Abu Osba, Marcelo T Nicolela, Brennan D Eadie
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OphthalmologyCohort study

Optometry referrals for glaucoma were associated with higher documentation completeness.

Assessing referral quality in glaucoma care: a retrospective analysis of clinical data in optometrist and ophthalmologist referrals.

Abdelrahman Abu Osba et al. · Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2026
Purpose

To assess the completeness of glaucoma referral documentation and identify omitted clinical information in referrals to glaucoma specialists.

Methods

Referrals submitted by optometrists and ophthalmologists to 2 glaucoma specialists between January and December 2024.

Results
optometry referrals contained more complete documentation for glaucoma
More results

Visual field testing and optical coherence tomography were among the most frequently omitted elements in both groups.

More results

Intervention at first visit occurred more frequently in ophthalmology referrals than optometry referrals (59.7% vs 33.9%; p < .001), corresponding to 1.68 referrals required to result in 1 intervention compared with 2.95 in optometry.

“
Conclusion · 1 of 2

Glaucoma referral completeness differs significantly by referral source. Optometry referrals were more complete than ophthalmology referrals; however, both groups demonstrated gaps that may impact clinical assessment.

Conclusion · 2 of 2

These findings support the need for standardized guidelines to improve referral quality and optimize patient care.

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