Universität zu Köln

Dietlein, T. S., Rosentreter, A. and Lappas, A. (2016). Complexities of Medical Glaucoma Therapy - the Elderly Patient in Focus. Klinische Monatsblat. Augenheilkunde, 233 (2). S. 138 - 143. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3999

Full text not available from this repository.

Abstract

In order to treat glaucoma with medication successfully, the patient needs to participate actively in the process. Adherence, formerly compliance, describes the willingness and capacity to follow the prescribed regimen every day. It is not trivial to measure adherence and persistence, as this quite often relies on self reports by the patient or speculations by the physician. Hence, the overall reported adherence may vary from 5 to 95%. In general, the following categories have been defined for reduced adherence: medication-related factors, patient-related factors, environmental factors and social factors. Age has been found to intensify or modify many of these factors. Older adults often face various challenges, due to motor disabilities, reduced visual acuity or impaired cognitive capabilities. In patients with movement disorders or tactile limitations, the target area can be reached more successfully with standard eye drop bottles than with single-use dose units. This should be considered if antiglaucoma eye drops are prescribed in the elderly. Frequency of application is a main factor influencing adherence. Monotherapy - as provided with prostaglandins - or drops with a fixed combination have proven to support adherence significantly. A significant boost for self-monitoring activities is initiated by the growing market of electronic devices, like smartphones. For instance, they can provide acoustic alarms as reminders to apply the eye drops. It is evident that any external support or disease-related information by family members, the medical practitioners, support groups or even electronic devices may improve adherence and persistence, even in patients with severe impairments.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Dietlein, T. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rosentreter, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lappas, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-285475
DOI:	10.1055/s-0041-110447
Journal or Publication Title:	Klinische Monatsblat. Augenheilkunde
Volume:	233
Number:	2
Page Range:	S. 138 - 143
Date:	2016
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-3999
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OCULAR HYPERTENSION; TREATMENT ADHERENCE; NONADHERENCE; PREVALENCE; DETERMINANTS; PERSISTENCY; IMPROVEMENT; POPULATION; BOTTLE Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28547