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Ramadan (the month of fasting for Muslims) is approaching at the end of August 2009. As ophthalmologists in a centre with a large Muslim population, we read Kumar et al's study with interest.1 We agree that poor compliance with treatment can be improved with patient education. A major proportion of chronic ophthalmological disease monitoring is for glaucoma, first-line treatment for which is guttae latanoprost, administered in the evening. This does not interfere with fasting which ends after sunset. If a Muslim patient has good compliance outside the month of Ramadan, fasting will not be a cause for poor compliance during Ramadan. With the support of the ophthalmologist to remind the patient, drops that require twice-daily use can be instilled before …
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