Record the time the pressure was taken and the time of the last medication, so that when treatment is being changed, the pressures can be taken on the new medication at the same time of day as it was taken on the old medication. Introduce the concept of 24-hour control. Try to fit the regimen into the patient's life-style. If pilocarpine precludes driving, it may be acceptable to instill the drops after getting to work, and once back at home. Nothing reinforces patient confidence as much as accurate prediction of effects and side effects.
Patients are usually grateful to be made aware in advance of what to expect.
Allergies to topical medications are often reactions to the preservatives. If patients understand this, they will be more willing to try alternatives. All these suggestions require time. Many physicians do not have the resources to cover and regularly reiterate all these factors with all their glaucoma patients, especially under managed care. Trained staff can assist, especially if the patient perceives the effort as one that is co-ordinated by a concerned and involved clinician.