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Noncompliance with glaucoma medication in Korean patients: a multicenter qualitative study
Myoung Hee Park1, Kyu-Dong Kang, Jungil Moon
1Department of Ophthalmology, Yeouido St. Mary's Hospital, #62 Yeouido-dong, Yeoungdeungpo-gu, Seoul 150-713, Korea.
Japanese Journal of Ophthalmology
|October 16, 2012
Summary
Blurred vision is a major side effect of glaucoma eye drops, impacting patient adherence. Improving patient education on glaucoma and medication is crucial for better treatment compliance in Asian populations.
Area of Science:
- Ophthalmology
- Pharmacology
- Public Health
Background:
- Glaucoma is a leading cause of irreversible blindness worldwide.
- Topical antiglaucoma medications are the primary treatment, but adherence can be challenging.
- Understanding patient experiences with these medications is vital for effective management.
Purpose of the Study:
- To identify common side effects of topical antiglaucoma medications.
- To explore factors influencing patient compliance with glaucoma treatment.
- To assess the use of herbal medicine in glaucoma management in South Korea.
Main Methods:
- A cross-sectional, multicenter hospital-based study.
- In-depth interviews with 581 glaucoma patients using a structured questionnaire.
- Analysis of response frequencies to assess side effects, compliance factors, and herbal medicine use.
Main Results:
- Conjunctival injection, stinging, and blurred vision were the most frequent side effects, with blurred vision being the most bothersome.
- Patient knowledge of glaucoma was the sole factor linked to self-reported compliance.
- Forgetfulness was the primary reason for nonadherence; only 2.9% used herbal medicine.
Conclusions:
- Physicians must actively address blurred vision as a medication side effect.
- Comprehensive initial patient education on nonadherence consequences and glaucoma's vision loss potential is key to improving adherence.
- Targeted interventions are needed to enhance patient compliance with glaucoma treatment, particularly in Asian populations.
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