Researchers report in Ophthalmology that intervention (frequent phone calls, instructional video) improves adherence, but interestingly, there was no difference in IOP compared to the control group. What’s remarkable is compliance with a once-a-day drop like Travatan was only about 50% (increased to 70% with intervention). No wonder our patients do poorly, and it reinforces in me the importance of ALT, phaco or even trab instead of giving a second or third drop.