Review of glaucoma medication adherence monitoring in the digital health era

Br J Ophthalmol. 2023 Feb;107(2):153-159. doi: 10.1136/bjophthalmol-2020-317918. Epub 2021 Apr 15.

Abstract

Current glaucoma treatments aim to lower intraocular pressure, often with topical ocular hypotensive medications. Unfortunately, the effectiveness of these medications depends on sustained patient adherence to regimens which may involve instilling multiple medications several times daily. Patient adherence to glaucoma medications is often low. Recent innovations in digital sensor technologies have been leveraged to confirm eyedrop medication usage in real-time and relay this information back to providers. Some sensors have also been designed to deliver medication reminders and notifications as well as assist with correct eyedrop administration technique. Here, we review recent innovations targeted at improving glaucoma medication adherence and discuss their limitations.

Keywords: diagnostic tests/investigation; glaucoma; telemedicine; treatment medical.

Publication types

  • Review
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antihypertensive Agents / therapeutic use
  • Glaucoma* / drug therapy
  • Humans
  • Intraocular Pressure
  • Medication Adherence
  • Ophthalmic Solutions / therapeutic use
  • Tonometry, Ocular

Substances

  • Antihypertensive Agents
  • Ophthalmic Solutions