Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.
J Glaucoma. 2012 Feb;21(2):79-82. doi: 10.1097/IJG.0b013e3182027c0c.
To determine the prevalence, types, and associated factors of complementary and alternative medicine (CAM) use in glaucoma patients.
Prospective, multicenter, cross-sectional survey. A total of 1516 consecutive patients attending 2 tertiary glaucoma clinics were surveyed on CAM use. Information gathered on standardized data collection sheets included demographic variables, ophthalmic history, glaucoma treatment history, and details of CAM use.
The response rate was 92.5%. A total of 166 patients (10.9%) reported current use of CAM therapy specifically for glaucoma whereas 41 patients (2.7%) reported past use of CAM. Of the patients who reported CAM use, 62.5% had not disclosed the use of CAM to their ophthalmologist and 40.5% believed that the treatments were helping their glaucoma. The most commonly used types of CAM were herbal medications (34.5%), dietary modifications (22.7%), and vitamin/mineral supplements (18.8%). Of the 207 patients who reported current or past CAM use for their glaucoma, 3 (1.4%) indicated that they used conventional glaucoma treatments < prescribed because of their CAM use.
Approximately 1 in 9 glaucoma patients use CAM for their disease. Many of these patients do not disclose the use of CAM to their ophthalmologist, but the vast majority report that they still take conventional glaucoma medications as prescribed.
确定青光眼患者中补充和替代医学（CAM）的使用情况、类型及相关因素。
前瞻性、多中心、横断面调查。对在 2 家三级青光眼诊所就诊的 1516 例连续患者进行了 CAM 使用情况调查。在标准化数据采集表上收集的信息包括人口统计学变量、眼科病史、青光眼治疗史以及 CAM 使用的详细信息。
应答率为 92.5%。共有 166 名患者（10.9%）报告称目前正在使用专门针对青光眼的 CAM 治疗方法，而 41 名患者（2.7%）报告称过去曾使用过 CAM。在报告使用 CAM 的患者中，62.5%未向眼科医生披露使用 CAM 的情况，40.5%认为治疗方法对其青光眼有帮助。最常使用的 CAM 类型是草药药物（34.5%）、饮食调整（22.7%）和维生素/矿物质补充剂（18.8%）。在 207 名报告目前或过去曾因青光眼而使用 CAM 的患者中，有 3 名（1.4%）表示由于使用 CAM，他们减少了规定剂量的常规青光眼治疗药物的使用。
大约每 9 名青光眼患者中就有 1 名使用 CAM 治疗他们的疾病。这些患者中的许多人未向眼科医生披露使用 CAM 的情况，但绝大多数人报告称仍按规定服用常规青光眼药物。
