Literature DB >> 18427591

An evaluation of how glaucoma patients use topical medications: a pilot study.

Tony Tsai1, Alan L Robin, Judson P Smith.   

Abstract

PURPOSE: Multiple factors can influence patients' adherence to topical ophthalmic intraocular pressure-lowering medications. An important factor that is often overlooked is the method of eye drop administration, including the handling, storing, and actual administering of eye drops. These aspects of patients' eye drop administration, which may be strongly related to the success of prescribed therapies, are evaluated.
METHODS: A 2-page questionnaire was distributed to 253 sequential glaucoma patients at the time of their regular clinical visit with one of two geographically distinct glaucoma specialists. In addition to providing demographic data, the patients were asked to complete a 2-page questionnaire about their current use of eye drops.
RESULTS: The study participants had a mean age of 71.5 years (SD, 15.1 years) and were predominantly female (59.8%) and white (72.6%). Approximately 17% of them relied on others for the administration of drops and most commonly cited inadequate vision and trouble with manual dexterity leading to this dependency. Of those who self-administered drops, only 16.3% used a mirror. The most common location for administration was the bedroom (46.8%), followed by the bathroom (23.4%) and kitchen (16.1%). Almost 16% reported "rarely" or "never" washing their hands.
CONCLUSIONS: Although most individuals may have little difficulty with the use, storage, and handling of eye drops, this study demonstrates that broad variation in reported practices exists. This finding suggests a need for better instruction in eye drop administration and illuminates some of the methodological problems that could be overcome to reduce patients' frustration, improve compliance, and increase efficacy.

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Year:  2007        PMID: 18427591      PMCID: PMC2258098     

Source DB:  PubMed          Journal:  Trans Am Ophthalmol Soc        ISSN: 0065-9533


  17 in total

1.  Microbial contamination of in-use ocular medications.

Authors:  O D Schein; P L Hibberd; T Starck; A S Baker; K R Kenyon
Journal:  Arch Ophthalmol       Date:  1992-01

2.  Compliance with topical pilocarpine treatment.

Authors:  M A Kass; D W Meltzer; M Gordon; D Cooper; J Goldberg
Journal:  Am J Ophthalmol       Date:  1986-05-15       Impact factor: 5.258

3.  A study of the causes of non-compliance by patients prescribed eyedrops.

Authors:  A J Winfield; D Jessiman; A Williams; L Esakowitz
Journal:  Br J Ophthalmol       Date:  1990-08       Impact factor: 4.638

4.  Facilitating patient compliance in glaucoma therapy.

Authors:  T J Zimmerman; A H Zalta
Journal:  Surv Ophthalmol       Date:  1983-12       Impact factor: 6.048

5.  Glaucoma patients not compliant with their drug therapy: clinical and behavioural aspects.

Authors:  P A Granström
Journal:  Br J Ophthalmol       Date:  1982-07       Impact factor: 4.638

6.  Improving the therapeutic index of topically applied ocular drugs.

Authors:  T J Zimmerman; K S Kooner; A S Kandarakis; L P Ziegler
Journal:  Arch Ophthalmol       Date:  1984-04

7.  Can ophthalmologists correctly identify patients defaulting from pilocarpine therapy?

Authors:  M A Kass; M Gordon; D W Meltzer
Journal:  Am J Ophthalmol       Date:  1986-05-15       Impact factor: 5.258

8.  Compliance in patients prescribed eyedrops for glaucoma.

Authors:  S C Patel; G L Spaeth
Journal:  Ophthalmic Surg       Date:  1995 May-Jun

9.  Part I. Patient administration of eyedrops: interview.

Authors:  M A Kass; E Hodapp; M Gordon; A E Kolker; I Goldberg
Journal:  Ann Ophthalmol       Date:  1982-08

10.  Microbial contamination of medications used to treat glaucoma.

Authors:  O Geyer; E J Bottone; S M Podos; R A Schumer; P A Asbell
Journal:  Br J Ophthalmol       Date:  1995-04       Impact factor: 4.638

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  26 in total

1.  [Preservative-containing eye drops and adherence in ophthalmological practice].

Authors:  I Lanzl; T Kaercher
Journal:  Ophthalmologe       Date:  2012-11       Impact factor: 1.059

Review 2.  Pharmacotherapy and Adherence Issues in Treating Elderly Patients with Glaucoma.

Authors:  David C Broadway; Heidi Cate
Journal:  Drugs Aging       Date:  2015-07       Impact factor: 3.923

3.  Assessment of eye drop instillation techniques among patients with primary open angle glaucoma in a Nigerian tertiary hospital.

Authors:  Olapeju A Sam-Oyerinde; Onyinyechukwu M Onyekwelu; Kareem O Musa; Olufisayo T Aribaba; Ibukunoluwa T Ayo; Sefinat A Agboola; Oluwatobi O Idowu; Adetunji N Adenekan; Folasade B Akinsola
Journal:  Int Ophthalmol       Date:  2021-10-16       Impact factor: 2.031

4.  First-year treatment costs among new initiators of topical prostaglandin analogs.

Authors:  Jordana K Schmier; David W Covert; Alan L Robin
Journal:  Clin Ophthalmol       Date:  2009-11-16

5.  American Glaucoma Society Position Paper: Microinvasive Glaucoma Surgery.

Authors:  Ronald L Fellman; Cynthia Mattox; Kuldev Singh; Brian Flowers; Brian A Francis; Alan L Robin; Michelle R Butler; Manjool M Shah; JoAnn A Giaconi; Arsham Sheybani; Brian J Song; Joshua D Stein
Journal:  Ophthalmol Glaucoma       Date:  2020 Jan - Feb

6.  Cost effectiveness of travoprost versus a fixed combination of latanoprost/timolol in patients with ocular hypertension or glaucoma: analysis based on the UK general practitioner research database.

Authors:  Renato De Natale; Antoine Lafuma; Gilles Berdeaux
Journal:  Clin Drug Investig       Date:  2009       Impact factor: 2.859

7.  How glaucoma patient characteristics, self-efficacy and patient-provider communication are associated with eye drop technique.

Authors:  Robyn Sayner; Delesha M Carpenter; Alan L Robin; Susan J Blalock; Kelly W Muir; Michelle Vitko; Mary Elizabeth Hartnett; Scott D Lawrence; Annette L Giangiacomo; Gail Tudor; Jason A Goldsmith; Betsy Sleath
Journal:  Int J Pharm Pract       Date:  2015-08-25

8.  Subconjunctival Delivery of Dorzolamide-Loaded Poly(ether-anhydride) Microparticles Produces Sustained Lowering of Intraocular Pressure in Rabbits.

Authors:  Jie Fu; Fengying Sun; Wenhua Liu; Yanfei Liu; Manasee Gedam; Qi Hu; Colleen Fridley; Harry A Quigley; Justin Hanes; Ian Pitha
Journal:  Mol Pharm       Date:  2016-07-07       Impact factor: 4.939

9.  Eye drop instillation technique in patients with glaucoma.

Authors:  A J Tatham; U Sarodia; F Gatrad; A Awan
Journal:  Eye (Lond)       Date:  2013-08-23       Impact factor: 3.775

10.  Daily costs of prostaglandin analogues as monotherapy or in fixed combinations with timolol, in Denmark, Finland, Germany and Sweden.

Authors:  Anders Bergström; Frédérique Maurel; Claude Le Pen; Emilie Lamure; Michael Kent; Isabelle Bardoulat; Gilles Berdeaux
Journal:  Clin Ophthalmol       Date:  2009-08-20
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