Glaucoma management relies heavily on medication adherence. This case highlights an unexpected factor affecting intraocular pressure (IOP) control—a caregiver’s role in proper instillation of eye drops. A 52-year-old woman with advanced glaucoma remained uncontrolled despite maximal therapy. Her IOP reduced dramatically from 50 mmHg to 16 mmHg only after proper medication instillation by a caregiver. This highlights the importance of verifying adherence beyond patient-reported compliance and emphasizes the role of support systems in glaucoma care.
Peethala Maheswari (Wed,) studied this question.
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