Risk Factors for Glaucoma
  • Age
  • Family history, especially of vision loss from glaucoma or requiring surgery
  • African-American heritage
  • Thin central cornea
  • Elevated eye pressure (though can have glaucoma with low pressure)
  • Nearsightedness "myopia"
  • Pseudoexfoliation or pigment dispersion
  • Optic disc hemorrhage
  • "Suspicious" optic nerve/large cup-to-disc ratio
KNOW YOUR NUMBERS
(Eye Pressure and Treatment Goal) as recommended, as well for high blood pressure and diabetes

BRING YOUR CURRENT EYE DROPS
and a list of past eye drops
to your first appointment

BRING A LIST OF YOUR
NON-EYE MEDICATIONS

with dosages to each appointment

HAVE YOUR BLOOD RELATIVES GET REGULAR EYE EXAMS AND HAVE THEM INFORM THEIR EYE CARE PROVIDER OF THE FAMILY HISTORY OF GLAUCOMA. Early diagnosis is very important.

Glaucoma Medication Adherence and Compliance
  • Glaucoma is a chronic disease; the eye drops only work to prevent progression if taken on a regular and consistent basis
  • Approximately 60% of patients do not take their glaucoma medications as prescribed or refill them continuously
  • Telling us accurately about your drop use is what is important to us, a "good patient" is one who can provide truthful information about use and issues with drops; this information can then be used to tailor what works best for the specific patient. All patients miss drops occasionally; perfection is not expected.
  • Many patients have cycling or "on-off" behavior with eye drops, and are best shortly before their next appointment. This can be very damaging. The intraocular pressure can measure at goal in the office because of recent use, but may well be causing damage between visits when not being used regularly as the pressure rises when the drops wear off. This confuses the doctor as to why the patient may be getting worse when the intraocular pressure appears good on the day of the office visit
  • Why and when drops are missed will help us choose the best care for you. For example, some patients can fit drops into their schedule better in the AM or the PM. We can also help tailor your schedule to match a specific activity in your routine, such as AM coffee or toothbrushing.
  • If cost is a reason that drops do not get in regularly; please do not be uncomfortable telling us. Patients may be eligible for benefit packages from the pharmaceutical companies or in some cases, the chosen eye drops can be switched to more affordable ones
  • If getting the drops into the eye is difficult, please tell us. Consider having a family member help if possible
  • Glaucoma care is a team approach; preventing more damage only works if the patient keeps up their part at home/in-between visits
  • If you think the eye drops are causing you side effects, please tell us and we can discuss changing your regimen
  • Remember to pack your drops when traveling and keep in carry-on baggage
  • Wait 5 minutes between putting in different eye drops
  • Close eyes firmly for at least 30 seconds after putting in eye drops
For more information about how to get the most out of your treatment, CLICK HERE.

6565 N. Charles St., Suite 302   Baltimore, MD 21204 – (410) 825-9225 – Fax (410) 825-9229

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