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Cited by 2Medication Adherence and ComplianceGlaucoma and retinal disordersTelemedicine and Telehealth Implementation

The DOI matches its Crossref record.

Adherence to topical glaucoma therapy in patients attending virtual clinics

Open access
Cheng, Kelvin K. W., Young, Su Ling, Donaldson, Sarah, Malcolm, Tej Rene, Tatham, Andrew J.·2023·Eye
DOI 10.1038/s41433-022-02277-yPMC PMC10275896
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Abstract

Background/objectives Poor adherence to medical therapy is a major challenge to the effective treatment of chronic diseases including glaucoma. Potential factors influencing adherence include treatment complexity and patient understanding of disease and health beliefs. An increasing number of patients are seen in virtual clinics, where there is no face-to-face consultation, potentially reducing opportunities for patient education and reinforcement of the importance of treatment. The aim of this study was to examine adherence among patients attending a virtual glaucoma clinic. Methods 100 consecutive patients attending the virtual clinic were surveyed, with 78 using topical medications included in the analysis. All patients completed a validated adherence questionnaire with a score of >2 defined as poor adherence. The relationship between adherence and age, sex, duration since diagnosis, and disease severity was examined. Results The mean age was 73.1 ± 13.4 years, with an average mean deviation of -5.9 ± 5.5 dB and duration since first diagnosis of 9.0 ± 5.7 years. 93.6% reported self-instilling eye drops. Seventy-one patients (91.0 %) had good self-reported adherence. Multivariate logistic regression revealed those instilling eye drops independently had higher odds of good adherence. Conclusions The level of medication adherence in the virtual glaucoma clinic was higher than adherence in previous studies examining patients attending face-to-face clinics. Virtual clinics should incorporate methods to ensure effective two-way communication with patients and strategies for patient education.

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Research works printed but not linked: 25

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Metadata

Authors
Cheng, K. K. W., Young, S. L., Donaldson, S., Malcolm, T. R., & Tatham, A. J.
Affiliations
Princess Alexandra Eye Pavilion (GB)
Corresponding author
Tatham, Andrew J.
ORCID
Venue
Eye
Publisher
Springer Science and Business Media LLC
Published
2022-10-08
Volume
37
Issue
9
Pages
1922-1927
ISSN
  • 0078-5334 (ISSN-L)
  • 0950-222X
  • 1476-5454
DOI
10.1038/s41433-022-02277-y
PMC
PMC10275896
OpenAlex
W4303646983
Cited by
2
References
0
Citations by year
2026: 1 · 2024: 1
FWCI
0.27
Type
journal article
Language
en
Open access
Licence
Locations
  • Eye (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
NHS Scotland Research Clinician Grant
Topics
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
  • Health Sciences › Medicine › Ophthalmology › Glaucoma and retinal disorders
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
glaucoma, medication adherence, eye drops, virtual clinics, telemedicine, patient education, treatment complexity, health beliefs, disease severity
MeSH terms
Aged, Aged, 80 and over, Antihypertensive Agents, Glaucoma, Humans, Middle Aged, Ophthalmic Solutions, Surveys and Questionnaires, Medication Adherence

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CoChat. (2026). Citation check: Adherence to topical glaucoma therapy in patients attending virtual clinics. https://app.cochat.ai/papers/10.1038/s41433-022-02277-y
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Cheng, K. K. W., Young, S. L., Donaldson, S., Malcolm, T. R., & Tatham, A. J. (2023). Adherence to topical glaucoma therapy in patients attending virtual clinics. Eye. https://doi.org/10.1038/s41433-022-02277-y