Advancing Glaucoma Care: A Collaborative Approach to Data-Driven Decision Support
Michael Chaglasian, OD, Associate Professor at the Illinois College of Optometry and Chief of Staff at the Illinois Eye Institute, explains the challenges of managing vast amounts of glaucoma-related data—from OCT scans and visual fields to electronic health records. Working alongside Topcon and a team of respected experts, his institute is part of a broader collaborative effort to develop decision support systems that streamline data analysis, helping optometrists make more efficient and accurate diagnoses.
Video Transcript
I’m Michael Chiglasian. I’m an associate professor at the Illinois College of Optometry, where I’m also chief of staff of the Illinois Eye Institute. At the Illinois Eye Institute, we have over three thousand active patients with glaucoma disease. I take care of only a small part of all of those along with many of the other faculty members at the College of Optometry there. There’s always a challenge in keeping up with everything that’s going on in terms of new technologies, new treatment approaches for patients with glaucoma.And so the challenges I always feel are, optometrists always need further education and assistance in trying to use their OCT devices, their visual field devices, keep up with new treatment modalities, new medications, new laser procedures, and surgical procedures across the ever changing world of glaucoma care. Technology really needs to continue to take steps forward to help address the significantly increased amount of data that a eye care practitioner needs to assess and analyze.It’s overwhelming in some cases. There’s so much data, so much information. Electronic health records afford us a long history of clinical findings for the patient. And our image management systems, where we collect all of our OCTs and visual field test results and topographies and fundus photographs and everything else, That’s a lot to manage and a lot to handle. I think technologies really need to be leveraged to analyze the data, at least initially, and direct them so that their review of their patient findings is more efficient and more accurate. At the Illinois Eye Institute, I’ve been able to build up a glaucoma database of subjects that’s, of course, deidentified and IRB compliant and all those things. And we can use these databases to help build these clinical dashboards and decision support systems to validate and test the metrics that we are putting together to help general practitioners more easily diagnose glaucoma.I have really respected the colleagues that I partner with on this team, along with the Topcon team to assure that the data that we are including to base the support systems on is very clean, accurate, reflective of the general glaucoma population, and representative of what practitioners are seeing in their office. That’s the only way that these decision support systems will be able to accurately reflect what the diagnosis is or to point the practitioner in the right direction. So quality of data and the quality of the researchers on the team, and the industry partners that you work with in this regard are very important to me, and that’s why I’ve had such a long-term partnership with Topcon.