Individualised treatment for glaucoma patients
Individualisation of a glaucoma patient’s management begins at diagnosis


Roibeard O’hEineachain
Published: Monday, March 27, 2017

Individualisation of a glaucoma patient’s management begins at diagnosisLifelong management Individualisation of a glaucoma patient’s management begins at diagnosis, Dr Januleviciene said. In the case of a patient with a low risk for progression, measurements which are taken at baseline should be repeated every two years. On the other hand, a patient diagnosed with more advanced disease should be tested again at three months follow-up and then four further times over the following two years. Setting the target IOP depends on several factors. For example in early disease the target may be higher but where there's glaucoma damage a lower target IOP should be set. The degree of intervention should also take into account such factors as rate of progression, particularly in relation to life expectancy, the untreated IOP level and additional factors risk factors for progression, especially advanced age. Patients lost to treatment Treatment failure has been noted in numerous studies, but a certain proportion of that failure is down poor adherence on the part of the patient. That, in turn, results in part from a failure in communication between the physician and patient. Studies show that approximately 50% of patients with glaucoma cannot take medication as prescribed, 41% of patients fail to undergo subsequent eye examinations after screening positive for glaucomatous disease, and 50% to 59% of patients with glaucoma diagnoses are unwilling to use follow-up eye services. Among the factors reducing patient satisfaction with their therapy are the topical and systemic side effects of the drops and the difficulty in administering the medication and the complex regimen. Alternatives for alleviating such problems include fixed combination preparations and preservative-free drops. “By customising treatment options based on the individual patient profile you may optimise the long-term prognosis,” Dr Januleviciene added. Professor Ingrida Januleviciene Lithuanian University of health science, Kaunas, Lithuania
Tags: glaucoma
Latest Articles
Beyond the Numbers
Empowering patient participation fosters continuous innovation in cataract surgery.
Thinking Beyond the Surgery Room
Practice management workshop focuses on financial operations and AI business applications.
Picture This: Photo Contest Winners
ESCRS 2025 Refractive and Cataract Photo Contest winners.
Aid Cuts Threaten Global Eye Care Progress
USAID closure leads retreat in development assistance.
Supplement: ESCRS Clinical Trends Series: Presbyopia
Nutrition and the Eye: A Recipe for Success
A look at the evidence for tasty ways of lowering risks and improving ocular health.
New Award to Encourage Research into Sustainable Practices
Sharing a Vision for the Future
ESCRS leaders update Trieste conference on ESCRS initiatives.
Extending Depth of Satisfaction
The ESCRS Eye Journal Club discuss a new study reviewing the causes and management of dissatisfaction after implantation of an EDOF IOL.
Conventional Versus Laser-Assisted Cataract Surgery
Evidence favours conventional technique in most cases.