In e na ional Jou nal o Clinical Science and Medical Resea ch
ISSN(p in ): 2770-5803, ISSN(online): 2770-582X
Volume 05 Issue 11 No embe 2025
DOI: h ps://doi.o g/10.55677/IJCSMR/V5I11-09/2025, Impac Fac o : 8.005
Page No : 309-310
309 A ailable a : h ps://jou nalo medical.o g/
The apeu ic Compliance in Oph halmology Du ing he Mon h o Ramadan:
A Clinical S udy o 50 Cases (Ramadan 2025)
Z. Filali1*, H. Boui2, H. Lazaa 1, L.O. Che kaoui1
1Depa men o Oph halmology, Special y Hospi al o Raba , Mohammed V Uni e si y – Facul y o Medicine and Pha macy,
Raba , Mo occo
2Depa men o Oph halmology, Hassan II Mili a y Hospi al, Facul y o Medicine and Pha macy, Ibn Zoh Uni e si y, Laâyoune,
Mo occo
ABSTRACT Published Online: No embe 21, 2025
Pu pose: To e alua e he impac o Ramadan as ing on he apeu ic compliance among
oph halmic pa ien s, ocusing on h ee clinical si ua ions: ch onic glaucoma,
pos ope a i e ca e, and d y eye disease.
Me hods: A p ospec i e desc ip i e s udy conduc ed on 50 pa ien s du ing he mon h o
Ramadan 2025 a he oph halmology depa men s o Raba and Laâyoune.
Resul s: The mean age was 56 yea s (24–78), wi h a sligh emale p edominance (58%).
Glaucoma ep esen ed 44% o cases, pos ope a i e ollow-up 32%, and d y eye 24%. A
dec ease in compliance was no ed in 40% o pa ien s, mainly due o he belie ha eye
d ops b eak he as (65% o non-complian cases). The mos a ec ed ea men s we e
day ime ins illa ions, pa icula ly an iglaucoma d ops.
Conclusion: Ramadan as ing signi ican ly a ec s he apeu ic adhe ence in
oph halmology. Ta ge ed educa ion and adjus men o ins illa ion schedules can help
p ese e he apeu ic e icacy, especially in glaucoma pa ien s.
KEYWORDS:
Compliance; Ramadan; Glaucoma;
Eye d ops; Pos ope a i e ca e; D y
eye.
INTRODUCTION
The mon h o Ramadan ep esen s a unique pe iod o
Muslim pa ien s, du ing which changes in die and
medica ion schedules can a ec ea men compliance [1].
In oph halmology, he apies such as an iglaucoma
medica ions, a i icial ea s, and pos ope a i e eye d ops
equi e s ic egula i y o main ain e icacy [2]. Howe e ,
he pe sis en misconcep ion ha ocula ins illa ion
in alida es as ing leads some pa ien s o al e o in e up
hei ea men , exposing hem o a oidable complica ions
[3]. The objec i e o his s udy was o assess he impac o
Ramadan as ing on ea men compliance among
oph halmology pa ien s and iden i y clinical subg oups mos
a isk o non-adhe ence.
Co esponding Au ho : D . Zineb Filali
*Ci e his A icle: Z. Filali, H. Boui, H. Lazaa , L.O.
Che kaoui (2025). The apeu ic Compliance in
Oph halmology Du ing he Mon h o Ramadan: A Clinical
S udy o 50 Cases (Ramadan 2025). In e na ional Jou nal
o Clinical Science and Medical Resea ch, 5(11), 309-310
PATIENTS AND METHODS
A p ospec i e desc ip i e s udy was conduc ed du ing
Ramadan 2025 in he oph halmology depa men s o Raba
and Laâyoune. Fi y as ing Muslim pa ien s unde opical
oph halmic ea men we e included. The s udy ocused on
h ee clinical ca ego ies: ch onic glaucoma, pos ope a i e
ca e, and d y eye disease.
Inclusion c i e ia: as ing pa ien s wi h ongoing opical
oph halmic he apy, egula ollow-up, and willingness o
pa icipa e. Exclusion c i e ia: non- as ing pa ien s, i egula
ollow-up, o sys emic ea men s a ec ing adhe ence.
Compliance was assessed using a s anda dized ques ionnai e
e alua ing ins illa ion equency, iming du ing as ing, and
egula i y. Clinical pa ame e s such as in aocula p essu e
(IOP), ocula su ace condi ion, and pos ope a i e healing
we e moni o ed.
Z. Filali e al, The apeu ic Compliance in Oph halmology Du ing he Mon h o Ramadan: A Clinical S udy o 50
Cases (Ramadan 2025)
310 A ailable a : h ps://jou nalo medical.o g/
RESULTS
The mean age was 56 yea s (24–78), wi h 29 emales (58%)
and 21 males (42%). Educa ional le el was low o mode a e
in 60% o pa ien s and high in 40%.
Clinical dis ibu ion:
- Glaucoma: 22 cases (44%)
- Pos ope a i e ca e: 16 cases (32%)
- D y eye disease: 12 cases (24%)
The apeu ic compliance was sa is ac o y (≥80% o
ins illa ions) in 60% o pa ien s. A dec ease in adhe ence
was no ed in 40%, dis ibu ed as ollows:
- Glaucoma: 50%
- D y eye: 33%
- Pos ope a i e: 17%
Main causes o poo compliance:
- Fea o b eaking he as : 65%
- Fo ge ulness o day ime sleep: 20%
- Volun a y dose educ ion: 15%
Clinical consequences:
- Glaucoma: mean IOP inc ease o +3 mmHg in non-
complian pa ien s
- Pos ope a i e: wo cases o delayed conjunc i al healing
- D y eye: symp oma ic wo sening in 25% o cases
DISCUSSION
Ou s udy con i ms ha Ramadan as ing has a di ec impac
on oph halmic ea men compliance, pa icula ly o
he apies equi ing day ime adminis a ion [4]. Among
glaucoma pa ien s, educed equency o an iglaucoma d ops
o en esul s in a ansien bu clinically ele an ise in
in aocula p essu e [5]. This inding aligns wi h No h
A ican s udies whe e he main ba ie o adhe ence was he
ea o in alida ing he as [6,7].
Pos ope a i e pa ien s we e less a ec ed, as hey a e
gene ally be e in o med and mo e awa e o he isks o
non-compliance [8]. Con e sely, pa ien s ea ed o d y eye
ended o neglec symp oma ic ea men s, wo sening
discom o and ocula su ace ins abili y [9].
P e-Ramadan he apeu ic educa ion is he e o e essen ial.
Physicians should:
- Reassu e pa ien s ha eye d ops **do no b eak he as **
acco ding o mos eligious au ho i ies [10];
- Adjus ins illa ion schedules o pos -i a and p e-suhoo
pe iods;
- Simpli y egimens o once- o wice-daily dosing when
possible [11].
CONCLUSION
The apeu ic adhe ence du ing Ramadan is a signi ican
clinical issue in oph halmology. In ou 50-pa ien se ies,
40% showed educed compliance, mainly among glaucoma
pa ien s. Be e educa ion, pa ien counseling, and ailo ed
ea men iming can help main ain disease con ol wi hou
comp omising eligious obse ance. Oph halmologis s
should in eg a e cul u al and spi i ual awa eness in o hei
clinical p ac ice du ing Ramadan.
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