June 15, 2006
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Straight talk from physicians can improve patient compliance

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SINGAPORE — Physicians must provide patients with “good information” and offer realistic expectations if they want to improve patient compliance with glaucoma treatments, said one physician here.

“How we provide information is more important than what we provide,” Ivan Goldberg, MD, FRCS, told attendees at the Asia-Pacific Academy of Ophthalmology meeting.

Throughout 18 months, about 25% of patients will fail to fill a second prescription, Dr. Goldberg said. He added that 80% of patients either change or discontinue their prescription during those 18 months.

“Missing a single dose can cause a 4.6 mm Hg fluctuation in pressure,” Dr. Goldberg said at an Alcon-sponsored symposium.

Socioeconomic factors must be considered, Dr. Goldberg said, including lifelong physician visits, long-term costs and intrusive drug regimens.

“Minimizing the number of drugs will positively affect compliance,” he said.