Looking Forward

In a recent editorial, Friedman et al.77 make a strong case for a more dynamic approach to the care of glaucoma patients. They point out the importance of identifying all patients with glaucoma, retaining these patients under active care, and facilitating adherence with treatment. It seems likely that electronic compliance monitors will be commercially available in the near future. Physicians and patients could agree to use these devices and to share the information on compliance to improve patient care. Similarly, physicians and patients could agree to share information about prescription refills. With this information, physicians could actively monitor patient adherence and persistence with therapy. The information would allow physicians to make rational recommendations about changing medical therapy, enlisting help from friends and relatives, or performing surgery. Data from electronic monitors and prescription refill records could also be used to assess the value of medication questionnaires, educational programs, and behavioral interventions. Data would allow physicians to determine the most effective approaches for different groups of patients.77

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