title: [Improve adherence in glaucoma patients: a doctor's duty].
abstract: Adherence to treatment through observance and persistence is mandatory to treat any glaucoma patient. Identifying the factors related to nonadherence is therefore crucial. Factors responsible for poor adherence could be related to the patients (doubt, forgetfulness, denial), environmental factors (cost, competing activities, travel, etc.), the treatment regimen (refill, side effects, complexity), and finally the relation with the physician. Physicians should presume that patients have low adherence to their treatment and give clear and precise information about the expected benefits of the treatment, the disease, and its risks of progression. Combined fixed treatments and preservative-free topical treatments should improve adherence and quality of life by simplifying instillation and tolerance of eye drops.
authors.affiliation: Centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75012 Paris, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Nordmann
authors.forename: J
authors.initials: J
authors.lastname: Akesbi
mesh_terms: D001294:Attitude to Health; D017281:Cost of Illness; D018450:Disease Progression; D005901:Glaucoma / Q000191:economics / Q000628:therapy*; D006801:Humans; D008019:Life Style; D055118:Medication Adherence; D009883:Ophthalmic Solutions / Q000627:therapeutic use; D010349:Patient Compliance; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D011788:Quality of Life; D018570:Risk Assessment
chemical_list: D009883:Ophthalmic Solutions