Katz L Jay, Myers Jonathan S, Herndon Leon W, Kresch Yocheved Shira, Hengerer Fritz H
Wills Eye Hospital, Philadelphia, PA, USA.
Glaukos Corporation, Aliso Viejo, CA, USA.
Clin Ophthalmol. 2024 Nov 21;18:3365-3374. doi: 10.2147/OPTH.S491287. eCollection 2024.
Glaucoma treatment is beginning to undergo an evolution, moving away from topical medication-based therapies toward more proactive minimally invasive interventions. This shift towards an "interventional glaucoma" treatment paradigm has been shown to benefit patients, providers, and society. A key component of effectively implementing this approach is education about the importance of glaucoma diagnosis and treatment, as well as the various treatment modalities available. Such education is relevant not only for patient but also patients' support networks, ophthalmologists, optometrists, third-party payers, and policy-makers. Education can occur both within and outside the clinical setting. The present article provides an overview of the diverse educational methods available for glaucoma patients, including those based on patient-provider interactions and those based on internet and printed material. Examples of the former could include general and specific verbal instruction, motivational interviewing, or community-based educational workshops, while examples of the latter could include office-based movies or printed materials, virtual reality headset educational videos, artificial intelligence-assisted education, or self-directed internet videos and articles. By empowering patients with knowledge and an up-to-date awareness of treatment options, effective education can be a valuable part of making an interventional glaucoma treatment paradigm possible.
青光眼治疗正开始经历一场变革，从基于局部用药的疗法转向更积极主动的微创干预措施。这种向“介入性青光眼”治疗模式的转变已被证明对患者、医疗服务提供者和社会都有益处。有效实施这种方法的一个关键要素是开展有关青光眼诊断和治疗的重要性以及可用的各种治疗方式的教育。此类教育不仅对患者至关重要，对患者的支持网络、眼科医生、验光师、第三方支付方以及政策制定者也同样重要。教育可以在临床环境内外进行。本文概述了可供青光眼患者使用的多种教育方法，包括基于医患互动的方法以及基于互联网和印刷材料的方法。前者的例子可能包括一般性和特定的口头指导、动机性访谈或社区教育工作坊，而后者的例子可能包括诊所内播放的影片或印刷材料、虚拟现实头戴式设备教育视频、人工智能辅助教育或自主学习的网络视频和文章。通过赋予患者知识以及对治疗选择的最新认识，有效的教育可以成为使介入性青光眼治疗模式成为可能的重要组成部分。
