The differences between patient and optometrist experiences of contact lens hygiene education from the perspective of a Scottish university teaching hospital
| Autor: | Olayinka Williams, Elisabeth Macdonald, Jennifer Hind, Dilys Oladiwura |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Optometrists
Contact Lenses media_common.quotation_subject 03 medical and health sciences 0302 clinical medicine Hygiene Surveys and Questionnaires Medicine Humans Prospective Studies Hospitals Teaching media_common Adult patients Education Medical business.industry Perspective (graphical) General Medicine Contact lens Ophthalmology Ophthalmology clinic Scotland 030221 ophthalmology & optometry Optometry Patient Compliance University teaching Self Report business Contact lens fitting 030217 neurology & neurosurgery Patient education |
| Zdroj: | Contact lensanterior eye : the journal of the British Contact Lens Association. 43(2) |
| ISSN: | 1476-5411 |
| Popis: | Background Contact lens related keratitis is a frequent presentation to acute ophthalmology services. Patients often do not recall being counselled regarding the safe use of contact lenses therefore fail to comply with guidance. This study aimed to identify the content and format of advice given to patients with contact lens keratitis concerning appropriate hygiene practices, determine their compliance with this and finally characterise optometrist practices regarding contact lens advice provided to patients. Methods All adult patients presenting with contact lens related keratitis to the acute ophthalmology clinic were asked to complete a survey. Information was collected on lens type, format of advice received and compliance. Community optometrists were asked to complete an electronic survey on their contact lens review practices and routine patient education. Results All patients surveyed recalled counselling on initiation of contact lenses; however 12% (6/50) were given no advice on return visits. This advice was in written format for 20% (10/50) of patients on initiation increasing to 32% (16/50) on renewal. Many patients slept (22%), showered (44%) or swam (36%) in lenses. 92% cleaned their contact lenses appropriately, but cases were washed infrequently (19% of cases cleaned All optometrists surveyed claimed to provide advice to patients in either written or verbal format for new and returning contact lens users. 49% (16/33) of optometrists gave written advice to patients on initial contact lens fitting, but only 1/33 continued with written advice for repeat customers. Conclusion This study identified that although most patients were informed of appropriate hygiene requirements, compliance was poor. Optometrists regularly provide verbal advice but do not routinely offer written support and there is a mismatch between patient recollection and self-reported optometrist practice. It is suggested that patient education needs greater emphasis and both verbal and written information should be regularly provided on initial review and follow up assessments. |
| Databáze: | OpenAIRE |
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