Emerging glaucoma treatments: are we seeing an improvement in adherence?

Emerging glaucoma treatments: are we seeing an improvement in adherence?
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新出现的青光眼治疗:我们是否看到依从性有所改善?

DOI:
10.1080/17469899.2023.2199981
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发表时间:
2023
影响因子:
0.7
通讯作者:
Newman-Casey,PaulaAnne
Newman-Casey,PaulaAnne
中科院分区:
--
文献类型:
--
作者:
Droste,AndrewP;Newman-Casey,PaulaAnne

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不遵守青光眼药物治疗和随访不良是一个全球性的健康问题。青光眼仍然是世界范围内造成不可逆失明的最大原因之一。传统的治疗指南建议局部滴眼液药物作为一线治疗,然后在进行更具侵入性的青光眼手术之前添加辅助药物。不幸的是,青光眼的自我管理仍然很差,导致疾病进展和失明。最近在药物治疗、手术和行为方法领域的进展都旨在增加对青光眼自我管理的支持。我们回顾了目前和新兴的青光眼治疗方法,除了基于水泡的手术方法,以调查它们是否对依从性有影响。从2018年1月1日至2023年1月26日,通过MEDLINE (PubMed)、Embase(爱思唯尔)、Cochrane Library (Wiley)和Preprints进行文献检索。专家意见为患者提供多种选择的能力使患者能够根据自己的价值观和生活方式定制青光眼治疗。提供个性化的患者教育和指导,以支持慢性青光眼的自我管理,将更好地使患者参与所选择的治疗途径。目前,缺乏关于这些新进展对治疗参与的影响的文献;这一领域进行进一步干预和评估的时机已经成熟。
IntroductionNonadherence to glaucoma medication and poor follow-up is a global health concern.Areas coveredGlaucoma remains one of the largest causes of irreversible blindness worldwide. Traditional treatment guidelines suggest topical eye drop medication as first-line therapy followed by addition of supplementary medications before proceeding to more invasive glaucoma surgeries. Unfortunately, poor glaucoma self-management remains high, leading to disease progression and blindness. Recent advancements in the field of pharmacotherapies, surgeries, and behavioral approaches have taken aim at increasing support for glaucoma self-management. We review the current and emerging approaches toward glaucoma management, with the exception of bleb-based surgical approaches, to investigate if they have had an impact on adherence. Literature searches were conducted via MEDLINE (PubMed), Embase (Elsevier), Cochrane Library (Wiley), and Preprints from 1 January 2018 to 26 January 2023.Expert opinionThe ability to offer patients a multitude of choices enables patients to tailor their glaucoma treatment to their values and lifestyle. Offering personalized patient education and coaching to support chronic glaucoma self-management would better enable patient engagement in whichever treatment path is chosen. Currently, literature regarding the impact of these new advancements on treatment engagement is lacking; this field is ripe for additional intervention and assessment.
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