Evaluation of demographic data of the patients with glaucoma and their compliance to therapy

Purpose: To evaluate demographic data of the patients that cire followed up in our glaucoma department ancl their compliance to medical therapy.
Study Design: 343 eyes of 177 glaucoma patiens that had followed up in our glaucoma department ofSiçli Etfal Hospital between November 2002 and May 2003 were examined.Patients were classified according to: age, sex, family history, type of glaucoma, accompanying systemic diseases, refractive errors, mean intraocular pressure measured at the onset of the treatment, control of the intraocular pressure either by medical or combined therapy, number of drugs that were used and compliance of the patients to medical therapy. The patients who had only surgical therapy were excluded from our study.
Results: Mean age was 64.6±lI years cunt male/female ratio was 581119, family history were present in II.3%, 70.68% of the patients had primary open angle glaucoma, 11.69% had narrow angle glaucoma, 5.9% aphakicpseuclophakic glaucoma, 4.43% pseudoexfoliative glaucoma, 2.7% pigmentary glaucoma, 0.5% juvenile glaucoma, 4.3% had secondary glaucoma. 12.02% of patients had accompanying diabetes, 9.6% hypertension, 9.7% diabetes and hypertension. 29,57% hypermetropic/, 18,30% myopia, 45,13% emmetropia, 7.3% mixed astigmatism was identified. Mean intraocular pressure before the treatment was 23.0±8.I mniHg. 76.70% of cases had medical treatment and 23.30% of cases had medical and surgical treatment. Mean number of drugs used in both groups was 1.73±0.72. Compliance to treatment was graded as within the range of 0-3. 4.55% was as se seel as 0, 7.95% as 1, 12.50% as 2,and 75% as 3.
Conclusion: Nowadays, although great success is obtained in the medical treatment of the glaucoma,we observed poor medication compliance in great proportion of our cases. Our aim is to educate patients in clinical conditions and improve their compliance with the medical regimen.

Glokomlu olgularýmýzýn demografik verilerinin ve medikal tedaviye uyumlarýnýn deðerlendirilmesi

Amaç: Glokom bilimimizde takip edilen olgularýmýzýn demografik verilerini ve medikal tedaviye uyumIarýný deðerlendirmek. Yöntem: Kasým 2002-Mayýs 2003 tarihleri arasýnda Þiþli Etfal Hastanesi Göz Polikliniði’nde takibi yapýlarý Ý77 glokomlu olgunun 343 gözii incelendi. Olgular yaþ, cinsiyet, aile anamnezi, glokom tipi, eþlik eden sistemik hastalýklar, refraksiyon kusuru, glokom tedavisine haþlandýðýnda ölçülen ilk göz içi basýncýnýn ortalama deðeri, göz içi basýncýnýn medikal yada kombine tedavi ile kontrol altýncý alýnmasý, meclika! tedavide kullanýlan ilaç sayýsý ve medikal tedaviye uyum parametrelerine göre sýnýflandýrýldý. Sadece cerrahi tedavi uygulanýp takip edilen olgular çalýþmaya da¬hil edilmedi.
Bulgular: Ortalama yaþ 64.6±ll, erkek/kadýn oraný 58/119, aile anamnezi %ll.3 olarak saptandý. Olgularýmýzýn %70.68’ i primer açýk açýlý glokom, %l1,69’u dar cýçýlý glokom, %5.9‘u afak-psödofak glokom, %4.43’ii psödoeksfoliasyoýý glokomu, %2.7’si pigmenter glokom, %0.5‘i juvenil glokom, %4.3’ii diðer sekonder glokomlardan oluþuyordu. %I2.02 ile diabet, %9.6 He hipertansiyon, %9.7 diabet ve hipertansiyon en sýk eþlik eden sistemik hastalýklar olarak gözlendi. %29.57 lýipermetropi, %18.30 miyopi, %45.13 enýe trop i, %7.3 mikst astigmatizmet saptandý. Tedavi baþlangýcýndaki ilk ölçümde ortalama göz içi basýncý 23.0+8.1 nýnýHg bulundu. Göz içi basýncý kontrolü olgularýmýzýn %76.70‘inde medikal tedavi, %23.30’unda medikal ve cerrahi tedavi kombine uygulanarak saðlandý. Her iki gurupta kullanýlan ortalama ilaç sayýsý 1,73±0.72, tedaviye uyum 0-3 cýrcýsý derecelendirmede %4.55’i 0, %7.95‘i I, % 12.50‘si 2, %75’i 3 olarak deðerlendirildi.
Sonuç: Günümüzde medikal tedavi ile biiyük baþarýlar elde etmemize raðmen olgularýmýzýn ilaç kullanýmlarýnýn biiyiik oranda düzensiz olduðunu gördük. Amacýmýz poliklinik koþullarýnda olgularýmýzý daha iyi bilgilendirerek dalýcý düzenli ilaç kullanýmým saðlamaktýr.