What lifestyle modifications should I advise to patients diagnosed with primary open-angle glaucoma?

Lifestyle modifications for patients diagnosed with primary open-angle glaucoma (POAG) should focus on supporting adherence to treatment and regular monitoring rather than specific lifestyle changes to alter disease progression.

Advise patients about the importance of consistent and correct use of prescribed eye drops, including proper instillation technique and hygiene, to help preserve sight and manage intraocular pressure effectively.

Encourage patients to attend all scheduled monitoring appointments with their eye care professionals to detect any changes in their condition early.

Inform patients that POAG is typically symptomless in early stages, so adherence to treatment and monitoring is critical to prevent sight loss.

Advise patients that glaucoma can run in families and suggest that family members may wish to be tested.

Provide information about support services, compliance aids, and practical advice on managing their condition.

There is no specific mention in the NICE guideline NG81 of lifestyle modifications such as diet, exercise, or smoking cessation directly impacting POAG progression, so the focus remains on treatment adherence and regular monitoring.

Summary of key lifestyle advice:

• Correct and regular use of eye drops with proper technique and hygiene.
• Regular attendance at monitoring appointments.
• Awareness of the asymptomatic nature of early POAG.
• Family screening advice.
• Utilisation of support services and compliance aids.

This approach helps optimise treatment outcomes and preserve vision in patients with POAG.

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