| Can ophthalmologists correctly identify patients defaulting from pilocarpine therapy? | |
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MedLine Citation:
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PMID: 3706456 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We determined whether clinical measurements and assessments available to ophthalmologists could be used to identify patients who default from pilocarpine treatment. The measurements and assessments included intraocular pressure, pupillary diameter, pupillary reactivity to light, the patient's report of compliance, the physician's prediction of compliance, the patient's log of pilocarpine administration, and the weight of pilocarpine eyedrops utilized. Compliance with the pilocarpine regimen was measured with an unobtrusive eyedrop medication monitor. Intraocular pressure and pupillary diameter did not correlate with compliance to the regimen as measured by the eyedrop monitor. Pupillary reaction to light, the physician's prediction of compliance, a daily log of pilocarpine administration, the weight of pilocarpine utilized, and the patient's report of compliance correlated modestly with compliance as measured by the monitor (range of correlations, 0.19 to 0.24). However, none of these measures taken by itself or combined in any manner adequately distinguished patients with lower rates of compliance from those with higher rates of compliance. At present, the eyedrop monitor is the only reliable method for detecting patients who default from treatment. |
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Authors:
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M A Kass; M Gordon; D W Meltzer |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: American journal of ophthalmology Volume: 101 ISSN: 0002-9394 ISO Abbreviation: Am. J. Ophthalmol. Publication Date: 1986 May |
Date Detail:
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Created Date: 1986-06-12 Completed Date: 1986-06-12 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0370500 Medline TA: Am J Ophthalmol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 524-30 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Glaucoma
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drug therapy* Humans Ophthalmology Patient Compliance* Physician's Role Pilocarpine / administration & dosage*, therapeutic use |
| Grant Support | |
ID/Acronym/Agency:
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EY 02687/EY/NEI NIH HHS; EY 03579/EY/NEI NIH HHS |
| Chemical | |
Reg. No./Substance:
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92-13-7/Pilocarpine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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