Living with glaucoma

  Glaucoma treatment is often lifelong and needs to be reviewed regularly, even after surgical treatment. There is no need to panic in the face of glaucoma. Glaucoma rarely leads to blindness as long as you listen to your doctor’s advice and adhere to treatment. Every glaucoma patient should maintain a good attitude, cooperate with treatment, maintain good doctor-patient communication, work together with your doctor to maintain the stability of your condition and keep the damage to your eyes from glaucoma to the lowest level possible.  Suggestions for glaucoma treatment: 1. Maintain good doctor-patient communication. Good doctor-patient communication is essential. Understanding information about the disease and your condition is part of the treatment itself. Patients should follow up with their doctors to learn about the progress of their disease, how to improve their quality of life, and to give feedback to their doctors about their self-perception and discomfort after medication so that timely adjustments can be made to prescriptions. Therefore regular lifelong follow-ups are important and should be done as much as possible if possible. Not following the doctor’s recommendations for regular review can easily lead to loss of control of the disease.  2. Understand the purpose of treatment. It is not easy to adhere to lifelong treatment, especially when there is no significant loss of vision. The main treatment for glaucoma is to lower the eye pressure and stop further damage to the optic nerve from high eye pressure. Patients must understand the purpose of the treatment and adhere to the medication as prescribed while insisting on follow-up visits. Although these treatments may not have an immediate effect on the patient’s subjective perception, patients must understand that all our efforts are aimed at preserving your existing visual function without losing it.  3. Missed medication can lead to worsening of the condition. Fluctuations in IOP caused by missed medications can be equally damaging to visual function and can speed up the deterioration of visual function damage, while patients usually take their medications regularly for a few days before a visit, or even more times than prescribed, so that the IOP value measured at the time of the visit can mislead the doctor’s judgment that the IOP is well controlled, thus delaying treatment. In this “protracted battle”, patients should face their condition squarely and pay more attention to it, and not have the “ostrich” mentality mentioned above.  4. Post-surgical follow-up. For patients with glaucoma, surgical treatment is not the end of the story. The purpose of surgery and medication is the same, both are to lower the IOP. After surgery, whether the glaucoma continues to progress and whether the IOP is always well controlled still requires lifelong follow-up. Following your doctor’s advice and having regular follow-up visits will help stabilize your condition and maintain useful vision.  The following are factors that may affect your ability to adhere to medication as prescribed and the solutions we offer: 1. Forgetfulness. After being informed of the prescription, patients should also draw up their daily “eye spotting schedule”, make “eye spotting cards”, arrange the time and interval of eye spotting, and mark each spot on the “eye spotting card”. The “eye spotting card” should be marked for each spot. Patients with low vision or dyslexia can mark each medication according to their own preferences and habits, for example, using different colors on the outer packaging of different medications for easy identification.  2.Physiological restrictions. Patients with serious diseases, such as severe arthritis or patients with very poor eyesight, find it difficult to do eye spotting on their own, which requires the cooperation of family members or companions, who need to work with the patient to learn about the disease, understand the condition and understand the purpose and importance of treatment. If necessary, a special eye-dotting device can be used to assist in eye spotting.  3. Misconceptions about glaucoma and treatment. Information about glaucoma can be obtained from doctors or related reading materials or the Internet. It is recommended that patients consult with a professional glaucoma specialist after diagnosis to avoid some misunderstandings.  4. Multiple combination medications and frequent eye spotting. The more types of medications and the more times of medication needed daily, the worse the patient’s compliance is. Doctors will take into account the patient’s compliance when prescribing and try to “streamline” the prescription to meet the treatment needs by using once-daily medications or a combination. Patients make sure they understand how to use the medication before leaving the office to ensure that there are no misunderstandings about the prescription and that there are no insurmountable difficulties in carrying out the prescription.  5. Inability to tolerate the side effects of the medication. In this case, the medication needs to be changed, which sometimes makes the treatment difficult and requires the doctor to weigh the pros and cons of the medication after in-depth communication with the patient. The side effects can be reduced by compressing the nasolacrimal duct and closing the eyes for a short time to reduce the systemic absorption of the drug.  6, treatment cost issues patients need to understand in detail. The insurance coverage and benefits of their own insurance coverage and specific matters to share part of the cost of treatment, while maintaining doctor-patient communication, so that doctors know the difficulties you face. Doctors should always consider the cost-benefit ratio when prescribing and try to get the best vision for the longest time at the least cost.  Once diagnosed, glaucoma often means a lifetime of eye exams and treatment. Doctors will try to minimize the harassment of treatment on the patient’s daily life, but it is, after all, a long process aimed at treatment, and maintaining a calm mind and a responsible attitude toward yourself and your family will help to stick to treatment.