April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Evaluation Of Compliance To Topical Therapy In POAG and PACG Patients in India
Tanuj Dada; Neha Chaturvedi; Tushar Agarwal; Anita Panda; Praveen Vashisht; GVS Murthy
Author Affiliations & Notes
  • Tanuj Dada
    Ophthalmology, Glaucoma facility, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  • Neha Chaturvedi
    Ophthalmology, Glaucoma facility, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  • Tushar Agarwal
    Ophthalmology, Glaucoma facility, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  • Anita Panda
    Ophthalmology, Glaucoma facility, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  • Praveen Vashisht
    Ophthalmology, Glaucoma facility, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  • GVS Murthy
    Ophthalmology, Glaucoma facility, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  • Footnotes
    Commercial Relationships  Tanuj Dada, None; Neha Chaturvedi, None; Tushar Agarwal, None; Anita Panda, None; Praveen Vashisht, None; GVS Murthy, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 5034. doi:
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      Tanuj Dada, Neha Chaturvedi, Tushar Agarwal, Anita Panda, Praveen Vashisht, GVS Murthy; Evaluation Of Compliance To Topical Therapy In POAG and PACG Patients in India. Invest. Ophthalmol. Vis. Sci. 2011;52(14):5034.

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Abstract

Purpose: : To evaluate the compliance to topical ocular hypotensive medications in patients of primary open angle glaucoma (POAG) and primary angle closure glaucoma (PACG) in the Indian population.

Methods: : A cross sectional study of 600 patients of POAG and PACG recruited from out patient services of a university hospital was performed using a semi structured questionnaire. Patients on bilateral therapy for a duration between 6 months to 3 years were included. Non-Compliance being defined as missing of 1 or more doses in the past one month. Factors leading to non-compliance were classified into four categories- situational, provider, regimen and system related.

Results: : Out of the 600 patients (300 POAG and 300 PACG) interviewed, 340(56.7%) were males, 260(43.3%) females. The mean age of patients was 60.2 + 11.6 years . Three hundred and sixty patients (60%) were found to be non-compliant, including 160 with POAG and 200 with PACG (p = 0.01). Fifty patients (14%) reported on missing medication for more than one week . The factors leading to non-compliance were - Situational (510 patients,85%), Regimen related (60 patients,10%), Provider related (18 patients,3%), System related (12 patients,2%). The three most common situational obstacles to compliance were forgetfulness (45%), travel (35%) and unable to purchase drug due to lack of money (15%). Two hundred and forty patients (43.3%) were financially dependent on a care taker for their medications . Out of the 290 literate patients 170 (58.6%) were compliant while out of the 310 illiterate patients, only 60 patients (19.34%) were complaint [p = 0.001 ].

Conclusions: : High rates of non-compliance were seen in the Indian population with 6 out of 10 patients missing medications . The non compliance rates were higher in PACG as compared to POAG patients and in illliterate versus literate patients. Situational factors were implicated as the cause for non-compliance in majority of the patients.

Keywords: clinical (human) or epidemiologic studies: health care delivery/economics/manpower • clinical (human) or epidemiologic studies: treatment/prevention assessment/controlled clinical trials 
© 2011, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. Permission to republish any abstract or part of an abstract in any form must be obtained in writing from the ARVO Office prior to publication.
Copyright © 2024 Association for Research in Vision and Ophthalmology.
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