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Factors Affecting Glaucoma Medication Adherence and Interventions to Improve Adherence: A Narrative Review
Shannan G Moore1, Grace Richter2,3, Bobeck S Modjtahedi4,5,6
1Department of Clinical Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, 91101, USA.
Ophthalmology and Therapy
|September 12, 2023
Summary
Patient adherence to glaucoma eye drops is low, around 60%. Factors like cost, education, and ethnicity impact adherence, but targeted interventions can improve it.
Area of Science:
- Ophthalmology
- Public Health
- Health Services Research
Background:
- Glaucoma is a primary cause of irreversible vision loss globally.
- Topical ocular hypotensive drops are the standard first-line treatment for primary open-angle glaucoma (POAG).
- Patient adherence to prescribed glaucoma medication regimens presents a significant challenge, with reported rates as low as 60%.
Purpose of the Study:
- To review factors influencing patient adherence to glaucoma treatment.
- To explore potential interventions for enhancing medication adherence in glaucoma patients.
Main Methods:
- A literature review was conducted using PubMed and Google Scholar.
- Search terms included "Glaucoma Treatment Adherence" and "Glaucoma Treatment Compliance."
Main Results:
- Lower adherence is associated with higher medication costs, reduced patient education/literacy, and belonging to African and Hispanic ethnic groups.
- Interventions for minority patients focused on trust-building and addressing misconceptions.
- Effective patient education strategies include tailored written materials, videos, and personalized programs.
Conclusions:
- Improving glaucoma medication adherence requires addressing socioeconomic and educational barriers.
- Physician communication regarding medication costs and patient concerns is crucial.
- Enhanced clinic infrastructure, patient reminder systems, and dedicated patient educators can support adherence.
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