The Surgeon Psyche
From the Editor: The Surgeon Psyche: Guiding Patients in the Interventional Era
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By
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Nathan M. Radcliffe, MD
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May 1, 2026
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Clinical Scorecard: The Surgeon Psyche
At a Glance
| Category | Detail |
|---|
| Condition | Glaucoma |
| Key Mechanisms | Asymptomatic nature leading to poor adherence and fear of intervention. |
| Target Population | Patients with glaucoma |
| Care Setting | Ophthalmology clinics and surgical centers |
Key Highlights
- Glaucoma is often asymptomatic until significant damage occurs.
- Patients frequently fear surgery more than blindness.
- Clear, strong recommendations improve patient adherence.
- Engaging patients with their own symptoms fosters meaningful dialogue.
- Team involvement can reinforce the message of intervention.
Guideline-Based Recommendations
Diagnosis
- Assess patient symptoms and visual fluctuations.
Management
- Reframe glaucoma as a serious condition requiring intervention.
- Consider laser treatment as a safer alternative to drops.
Monitoring & Follow-up
- Follow up with patients over multiple visits to reinforce concepts.
Risks
- Highlight the risks of untreated glaucoma and the limitations of drops.
Patient & Prescribing Data
Individuals diagnosed with glaucoma.
Early intervention may prevent the need for more invasive procedures.
Clinical Best Practices
- Listen to and address patient symptoms during consultations.
- Make clear and confident treatment recommendations.
- Utilize team members to support and reinforce treatment messages.
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