Patient Care and Monitoring

1. In undiagnosed patients assess their risk factors for glaucoma and their recommended interval of glaucoma screening

2. Obtain a thorough history of the patient's prescription, nonprescription, and natural product use. Review for potential drug-drug and drug-glaucoma interactions

3. Evaluate diagnostic tests (IOP, visual fields, optic nerve evaluations, etc.) to determine if patient's current glaucoma therapy is effective

4. Assess the patient's ability to use ophthalmic preparations

5. Determine patient's adherence level to prescribed medication regimen and factors contributing to poor adherence

6. Evaluate the patient for systemic and ocular adverse drug reactions and drug allergy

7. Provide patient education regarding disease state, drug therapy, and surgical/laser therapy:

• What causes glaucoma or puts people at risk for glaucoma

• Possible complications of glaucoma

• How to use ophthalmic preparations appropriately

• When to take medications

• Potential adverse drug reactions of medical therapy

• Potential benefits and complications of laser or surgical procedures

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