Taking glaucoma eye drops consistently can be one of the hardest parts of managing the disease. Between busy schedules, complicated medication routines, and the fact that glaucoma often has no noticeable symptoms, it’s easy for doses to be missed.

A new study published in JAMA Ophthalmology suggests that personalized glaucoma coaching programs could make a meaningful difference in helping patients stay on track with their medications.

Researchers found that patients who participated in a structured coaching program were significantly more likely to take their medications as prescribed compared with those who only received educational materials by mail.

The Study at a Glance

The study followed 236 adults living with glaucoma who were already using at least one eye drop medication but reported adherence below 85%.

Participants were divided into two groups:

• Coaching program (SEE Program) – personalized education, coaching sessions, reminders, and follow-up
• Control group – mailed glaucoma educational materials every two months

After six months, the results were clear:

• 77.6% of coached patients were adherent to their medications
• 58% of patients receiving only mailed information were adherent

More than half of participants in the coaching group (54.9%) reached high adherence levels, compared with 23.7% in the control group.

Researchers also observed reduced glaucoma-related distress among participants who worked with coaches.

What the Coaching Program Included

The program, called Support, Educate, Empower (SEE), focused on practical support rather than just providing information.

Participants met with trained non-physician coaches such as health educators or social workers during three structured sessions:

• 1-hour session at the start
• 30-minute sessions at 2 months and 4 months

During these meetings, coaches:

• Provided personalized glaucoma education
• Demonstrated how to properly use eye drops
• Helped patients build medication routines
• Discussed barriers to taking medications

Between sessions, coaches monitored adherence using electronic medication bottles that recorded when drops were used. Participants also received reminders and follow-up calls.

According to study author Dr. Paula Anne Newman-Casey, many patients valued the relationship with their coach.

“Participants appreciated having an accountability partner and someone who helped them work through the challenges of managing glaucoma.”

Why Medication Adherence Matters in Glaucoma

Currently, lowering eye pressure is the only proven way to slow glaucoma progression.

While eye drops can be highly effective, many patients struggle to take them consistently.

Research has repeatedly shown that missed doses can lead to higher eye pressure and worsening disease over time.

Programs like SEE aim to address the real-world challenges patients face, including:

• remembering medications
• managing complex drop schedules
• dealing with side effects
• fitting treatment into daily routines

A Different Way to Talk About Adherence

Experts reviewing the study noted that one key strength of the program may be how conversations about adherence were handled.

Instead of simply asking patients whether they were taking their medications correctly, coaches created a space where patients could openly discuss their challenges and find solutions together.

This approach helps reinforce patient autonomy and trust, which may be critical in managing chronic conditions like glaucoma.

What This Means for People Living With Glaucoma

This study highlights an important reality: education alone may not be enough to help patients stay consistent with treatment.

Support, coaching, and personalized guidance can play a powerful role in helping patients manage a lifelong condition.

Researchers say future work will need to explore:

• how long the benefits of coaching last
• the cost of implementing similar programs
• whether technology or AI tools could help expand access

But one message is already clear: support systems matter when managing glaucoma.

You’re Not Alone

If managing glaucoma medications feels overwhelming at times, you’re not the only one experiencing that challenge.

Connecting with others, asking questions, and building routines can make a big difference.

Our community exists to help people living with glaucoma learn, share experiences, and support one another throughout their journey.

*Medscape  (March 5, 2026). “Glaucoma Coaches Boost Med Adherence, Study Finds”. medscape.com

The information provided by The Glaucoma Community is for educational purposes only and does not replace professional medical advice. Always talk with your healthcare provider before making changes to your treatment or care. The Glaucoma Community does not endorse specific treatments, providers, or products.