Adherence to medical treatment in primary open-angle glaucoma in Egypt

Shafik, Adel; latif, Ahmed Abdel Meguid Abdel; Youssef, Mostafa

doi:10.4103/2090-0686.140646

Cited by 2 publications

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“…Younger patients are self dependent who can manage their medications well in contrast to older patients who are dependent on others, frequently have poor drop application and many other ailments to cater to. Kosoko et al, 28 Konstas et al 29 and Shafik et al 18 reported that males were less adherent than females. Our study found that females have better adherence than males.…”

Section: Discussionmentioning

confidence: 99%

“…A systematic review has reported that rates of adherence in different studies is 24%-98%. 16 The non-compliance rates in different studies have been found to be varied: North India(49.33%), 17 Egypt (38.2%), 18 Ethiopia(67.5%), 19 Israel (29%), 20 Hong Kong (63.4%), 21 Taiwan (75.8%), 22 Saudi Arabia (19.4%) 23 and Pakistan (65.5%). 24 As is evident, there is a lot of variation in adherence among different studies.…”

Section: Discussionmentioning

confidence: 99%

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Study of adherence to topical anti-glaucoma therapy in rural India with exploration of adherence barriers

Bhat¹,

Khateeb

2023

IJCEO

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Anti-glaucoma medications form the first line of treatment in glaucoma management. However, the effectiveness of medical management for glaucoma is dented by poor adherence to anti-glaucoma medications. There is a need to elucidate the barriers to anti-glaucoma adherence and address them in order to increase effectivity of glaucoma therapy. This study is an attempt in estimating anti-glaucoma adherence behavior along with understanding various barriers to adherence. This cross-sectional, hospital based study was conducted in District Hospital Kupwara, Kashmir division, India over a period of 2 years from June 2020 to June 2022. 303 consecutive patients who were consented were included in this study. Adherence data was collected using self-reporting method in the form of visual analogue scale and 8-item morisky scale. 303 patients having glaucoma were included in this study. Mean age of patients was 53.86 ± 8.04 years ranging from 35–70 yrs. On Visual Analogue Scale, 78 percent were adherent while as 22 percent were non-adherent. As per Morisky Scale, 9 percent showed low adherence, 17 percent had medium adherence and 74 percent were having high adherence. Study patients with poor adherence reported many barriers to adherence especially forgetfulness, cost and side effects.Non-adherence is a significant problem in medical management of glaucoma seen in almost one-fourth of our patients. Educating patients and their caretakers is a must in preventing glaucoma morbidity and associated economic drain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Study of adherence to topical anti-glaucoma therapy in rural India with exploration of adherence barriers

Bhat¹,

Khateeb

2023

IJCEO

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Prevalence of visual loss and compliance to the management plan of primary open-angle glaucoma (POAG) patients (hospital-based study)

El-Hameed Shahber,

El-Bedewy,

El-Koddousy

et al. 2024

TAMJ

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Background Glaucoma treatment seeks to improve the patient’s health and quality of life by maintaining visual function without producing unwanted side effects. Currently, the only known and treatable risk factor for primary open-angle glaucoma (POAG) is decreased intraocular pressure. Numerous studies have shown that treating glaucoma or ocular hypertension with ocular hypotensive medications slows the onset of POAG or the progression of visual field loss. Aims The purpose of this study was to determine how much visual impairment from glaucoma correlated with how well POAG patients adhere to their care plan. Patients and methods From January 2018 to December 2019, 200 Egyptians with POAG were selected for this cross-sectional study from Tanta University’s glaucoma outpatient clinic. Results High education, regular follow-up visits, fewer prescription adverse effects, ease of medication use, good visual status, and favorable perception of their vision were all characteristics in univariate analysis that significantly improved adherence levels. Only low education levels, higher difficulty using glaucoma drops, and increased adverse drug reactions were statistically significant predictors of poor adherence to glaucoma treatment in multivariate analysis. Age, sex, visual acuity, the number of glaucoma drops used, the length of therapy, financial support, and glaucoma control did not have a statistically significant prognostic value for low compliance. Conclusion This study showed that noncompliance is mostly a multifaceted issue among Egyptian glaucoma patients.

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Adherence to medical treatment in primary open-angle glaucoma in Egypt

Cited by 2 publications

References 0 publications

Study of adherence to topical anti-glaucoma therapy in rural India with exploration of adherence barriers

Study of adherence to topical anti-glaucoma therapy in rural India with exploration of adherence barriers

Prevalence of visual loss and compliance to the management plan of primary open-angle glaucoma (POAG) patients (hospital-based study)

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