Therapeutic Compliance in Ophthalmology During the Month of Ramadan: A Clinical Study of 50 Cases (Ramadan 2025)

Abstract: Purpose: To evaluate the impact of Ramadan fasting on therapeutic compliance among ophthalmic patients, focusing on three clinical situations: chronic glaucoma, postoperative care, and dry eye disease. Methods: A prospective descriptive study conducted on 50 patients during the month of Ramadan 2025 at the ophthalmology departments of Rabat and Laâyoune. Results: The mean age was 56 years (24–78), with a slight female predominance (58%). Glaucoma represented 44% of cases, postoperative follow-up 32%, and dry eye 24%. A decrease in compliance was noted in 40% of patients, mainly due to the belief that eye drops break the fast (65% of non-compliant cases). The most affected treatments were daytime instillations, particularly antiglaucoma drops. Conclusion: Ramadan fasting significantly affects therapeutic adherence in ophthalmology. Targeted education and adjustment of instillation schedules can help preserve therapeutic efficacy, especially in glaucoma patients.