TY - JOUR
T1 - Attributes Associated with Adherence to Glaucoma Medical Therapy and its Effects on Glaucoma Outcomes
T2 - An Evidence-Based Review and Potential Strategies to Improve Adherence
AU - Joseph, Arun
AU - Pasquale, Louis R.
N1 - Publisher Copyright:
© Taylor & Francis.
PY - 2017/1/2
Y1 - 2017/1/2
N2 - The treatment paradigm in glaucoma classically starts with exhausting all medical therapy prior to proceeding with laser or incisional surgery, although laser-first and surgery-first strategies have been explored in randomized clinical trials. Although glaucoma drops are proven to work well to lower intraocular pressure, slow the conversion from ocular hypertension, and slow the progression of disease in early open angle glaucoma, adherence to treatment is likely optimum in the randomized clinical trials that support these claims. In real-world scenarios, medical therapy often fails and practitioners are forced to proceed with more invasive treatment modalities to slow the progression of this blinding disease. This review aims to take an evidence-based approach to study the risk factors for poor adherence in glaucoma patients, to determine whether poor adherence is, in fact, associated with worse outcomes, and to seek potential strategies to improve adherence in these patients.
AB - The treatment paradigm in glaucoma classically starts with exhausting all medical therapy prior to proceeding with laser or incisional surgery, although laser-first and surgery-first strategies have been explored in randomized clinical trials. Although glaucoma drops are proven to work well to lower intraocular pressure, slow the conversion from ocular hypertension, and slow the progression of disease in early open angle glaucoma, adherence to treatment is likely optimum in the randomized clinical trials that support these claims. In real-world scenarios, medical therapy often fails and practitioners are forced to proceed with more invasive treatment modalities to slow the progression of this blinding disease. This review aims to take an evidence-based approach to study the risk factors for poor adherence in glaucoma patients, to determine whether poor adherence is, in fact, associated with worse outcomes, and to seek potential strategies to improve adherence in these patients.
KW - Adherence
KW - evidence-based
KW - glaucoma
UR - http://www.scopus.com/inward/record.url?scp=84992522089&partnerID=8YFLogxK
U2 - 10.1080/08820538.2016.1228406
DO - 10.1080/08820538.2016.1228406
M3 - Article
C2 - 27792450
AN - SCOPUS:84992522089
SN - 0882-0538
VL - 32
SP - 86
EP - 90
JO - Seminars in Ophthalmology
JF - Seminars in Ophthalmology
IS - 1
ER -