An improved technique of eye drop self-administration for patients with limited vision

Ritch, Robert; Jamal, Karim; Gurses-Ozden, R.; Liebmann, Jeffrey M.

doi:10.1016/s0002-9394(02)02017-2

Cited by 20 publications

(13 citation statements)

References 16 publications

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“…In addition, improper technique contributes to unnecessary medication waste and increased patient costs, which may amplify patient frustration and lead to worse patient compliance. 4 Many factors contribute to patient non-adherence, including: visual acuity, eyedrop bottle shape and size, force required to squeeze one drop, angle of the dropper during administration, number of medications patients are currently taking, and the complexity of the administration schedules. 13 It is arguable that patient education on proper eyedrop administration may be one of the simplest and most cost-effective ways to increase both compliance and clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations

Feng

O’Neill

Holt

et al. 2016

OPTH

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PurposeThe purpose of this study is to evaluate the success and usefulness of patient education in eyedrop self-administration technique via an educational handout and a short instructional video.Patients and methodsWe conducted a prospective study that included 34 patients who were self-administering ophthalmic drops. Of the total patients included, 12% had used drops for <12 months, and 88% had used drops for >12 months. Average age of patients in the study was 67 years, with an age range of 19–91 years. Of the total patients included, 82% had glaucoma, 6% had dry eyes, and 12% did not have a specific diagnosis. Subjects were video recorded and assessed by a trained observer on two occasions: at baseline and after they viewed a demonstrational video and handout. A maximum score of 15 points was awarded based on 15 criteria. A written self-assessment was administered at the end of each study.ResultsPre- and post-teaching assessment scores improved significantly with education. Patients initially scored an average 2.53 points compared to a post-education score of 6.15 out of 15 points, demonstrating a 2.43 (P=0.008) factor of improvement. After education, 94% of patients versus 47% pre-teaching (P=0.0001) pulled down their lower eyelids. A total of 91% pre-teaching versus 59% post-teaching (P=0.0042) patients squeezed one drop into the lower fornix, 74% pre-teaching versus 26% post-teaching (P=0.0002) patients released the eyelid and closed the eye for 1 minute, and 56% pre-teaching versus 3% post-teaching (P=0.0001) patients applied nasal digital pressure on each eye. We found no significant difference in score changes between those who previously received education and those who had not (P=0.37). A total of 91% patients responded in a postassessment survey that they now feel more confident of their ability to self-administer eyedrops as their doctor prescribed and that the educational materials were responsible.ConclusionParticipants demonstrated an immediate and statistically significant improvement in several areas of proper eyedrop self-administration after exposure to a demonstration video and instructional handout.

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Section: Introductionmentioning

confidence: 99%

Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations

Feng

O’Neill

Holt

et al. 2016

OPTH

View full text Add to dashboard Cite

show abstract

“…According to Ritch et al, use of proprioception instead of vision allows patients with decreased visual acuity to self administer their eye drops accurately. 19 They described a technique that increased the accuracy of drop placement from 63% to 85% in patients with loss of fixation in both eyes.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Eye Drop Instillation Technique in Glaucoma Patients

Gupta

Patil

Shah

et al. 2012

Journal of Glaucoma

127

113

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“…Correct instillation of eye drops is essential for their efficacy; therefore, the best method of clinical management for ocular disease is to follow the treatment regimen and to instill eye drops correctly. Ritch et al [ 12 ] reported on the efficacy of accurately instilled eye drops in patients with limited vision; however, many patients had difficulty in following the regimen. Brown et al [ 13 ] found that 83% of glaucoma patients were able to instill eye drops into the eye, and 47% did not touch the eye or the ocular adnexa with the bottle tip.…”

Section: Discussionmentioning

confidence: 99%

Short-term Analysis of the Residual Volume of an Eye Drop Following 23-Gauge Microincision Vitrectomy Surgery

Kang

Shin

et al. 2017

Korean J Ophthalmol

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PurposeTo evaluate the change of residual volume of eye drop after instillation in patients with 23-gauge microincision vitrectomy surgery (MIVS).MethodsPatient who were treated 23-gauge MIVS from November 2014 to July 2015 were included. The residual volume was defined as the amount of remnant eye drop in patient's eyes after instillation, calculated as the difference between instillation volume and spilled volume of eye drop. Calculation of residual volume of eye drop was performed one day before surgery, and daily from postoperative day 1 to day 5.ResultsForty consecutive patients were included. The residual volume of eye drop decreased from 30.3 ± 1.4 µL at baseline to 13.0 ± 1.5 µL at day 1, 18.3 ± 1.6 µL at day 2, 24.7 ± 1.5 µL at day 3, and 27.9 ± 1.4 µL in day 4, postoperatively (p < 0.001, respectively). The volume at postoperative day 5 was 29.4 ± 1.3 µL, but it was not different from the volume at baseline (p = 0.105). The change of residual volume was significantly correlated with postoperative chemosis (r = 0.672, p < 0.001) and effected by the number of quadrant with postoperative chemosis (p < 0.05).ConclusionsThis study shows that postoperative residual volume of eye drop after instillation decreased until postoperative day 4, and postoperative chemosis affects the change of residual volume. Thus, checking proper use of eye drops and teaching about instillation technique by physician is necessary for patients with 23-gauge MIVS.

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An improved technique of eye drop self-administration for patients with limited vision

Cited by 20 publications

References 16 publications

Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations

Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations

Evaluating Eye Drop Instillation Technique in Glaucoma Patients

Short-term Analysis of the Residual Volume of an Eye Drop Following 23-Gauge Microincision Vitrectomy Surgery

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