Contact lens wearer profile 2004

Bowden, Tim; Harknett, Tony

doi:10.1016/j.clae.2004.10.002

Cited by 20 publications

(19 citation statements)

References 2 publications

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“…On the other hand, over one‐third of the participants reported water activities while wearing the lenses without proper protective measures, such as goggles and daily disposable lenses. Studies have shown a consistently high number of lens wearers engaging in water activities while wearing their lenses . Swimming and other water activities with soft lenses play significant roles in acanthamoebic keratitis and other microbial contaminations .…”

Section: Discussionmentioning

confidence: 99%

Compliance and hygiene behaviour among soft contact lens wearers in the Maldives

Gyawali

Mohamed

Bist

et al. 2014

Clinical and Experimental Optometry

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Background: Significant levels of non-compliance and poor hygiene among contact lens wearers have been reported previously from different parts of the world. This survey aimed at identifying the scope of hygiene and non-compliant behaviour of soft contact lens wearers in the Maldives. Methods: Established soft lens wearers attending two eye clinics in Male' city, were interviewed in office or via telephone. A set of interviewer-administered questions was used to access the subjective response on compliance and hygiene behaviour (hand and lens case hygiene, water exposure, adherence to lens replacement schedule, dozing and overnight wear, awareness of aftercare visits and reuse of disinfecting solution). Participants were also asked to rate themselves as a contact lens user based on their perceived compliance and hygiene practices. Results: Out of 107 participants, 79 (74.8 per cent) were interviewed in the office and the rest via telephone. The majority of lens wearers were female, office workers and students, with a mean age of 20.64 Ϯ 4.4 years. Mean duration of lens wear was 28.04 Ϯ 8.36 months. Most of them were using spherical lenses (86.9 per cent) on a daily wear basis (96.3 per cent). Major reported forms of non-compliance were poor hand hygiene (60.7 per cent), lack of aftercare awareness (39.3 per cent), water exposure (35.5 per cent) and over-use of lenses (24.3 per cent). While females were more likely to overuse their lenses than males (p < 0.005), other socio-demographic factors were not associated with reported noncompliance. Although around 90 per cent of the participants considered themselves average or good contact lens wearers, most exhibited some form of non-compliant and poor hygienic behaviour. Conclusion: A significant number of Maldivian contact lens wearers exhibited poor levels of hygiene and compliance with contact lenses and lens care systems. An effective educational reinforcement strategy needs to be developed to modify lens wearers' non-compliance.

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Section: Discussionmentioning

confidence: 99%

Compliance and hygiene behaviour among soft contact lens wearers in the Maldives

Gyawali

Mohamed

Bist

et al. 2014

Clinical and Experimental Optometry

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“…The predominance of females among contact lens populations is well established; 8–10 however, the relatively higher proportion of presbyopic versus pre‐presbyopic females wearing contact lenses presumably reflects a stronger desire among presbyopic females for the cosmetic advantages of this form of refractive correction. These data could also be explained partially by a greater uptake of contact lenses by presbyopic females who are emmetropic compared to their male counterparts; however, we are unable to test this hypothesis as information relating to the subjective refraction of those surveyed was not collected.…”

Section: Discussionmentioning

confidence: 99%

An international survey of contact lens prescribing for presbyopia

Morgan

Efron

Woods

2011

Clinical and Experimental Optometry

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Purpose:The aim was to determine world-wide patterns of fitting contact lenses for the correction of presbyopia. Methods: Up to 1,000 survey forms were sent to contact lens fitters in each of 38 countries between January and March every year over five consecutive years (2005 to 2009). Practitioners were asked to record data relating to the first 10 contact lens fittings or refittings performed after receiving the survey form. Results: Data were received relating to 16,680 presbyopic (age 45 years or older) and 84,202 pre-presbyopic (15 to 44 years) contact lens wearers. Females are over-represented in presbyopic versus pre-presbyopic groups, possibly reflecting a stronger desire for the cosmetic benefits of contact lenses among older women. The extent to which multifocal and monovision lenses are prescribed for presbyopes varies considerably among nations, ranging from 79 per cent of all soft lenses in Portugal to zero in Singapore. There appears to be significant under-prescribing of contact lenses for the correction of presbyopia, although for those who do receive such corrections, three times more multifocal lenses are fitted compared with monovision fittings. Presbyopic corrections are most frequently prescribed for full-time wear and monthly replacement. Conclusions: Despite apparent improvements in multifocal design and an increase in available multifocal options in recent years, practitioners are still under-prescribing with respect to the provision of appropriate contact lenses for the correction of presbyopia. Training of contact lens practitioners in presbyopic contact lens fitting should be accelerated and clinical and laboratory research in this field should be intensified to enhance the prospects of meeting the needs of presbyopic contact lens wearers more fully.

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“…7,22,23 In contrast to risk factors that were easily identifiable by patients as increasing or decreasing risk such as sleeping in lenses or wearing lenses longer than recommended, almost one third of patients felt that swimming showed no effect on risk of infection, and of those that knew it increased risk, 50% did so anyway. Likewise, 91% of the patients surveyed responded with a positive awareness of the risks associated with tap water.…”

Section: Discussionmentioning

confidence: 99%

Patient Compliance During Contact Lens Wear: Perceptions, Awareness, and Behavior

Bui

Cavanagh

Robertson

2010

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

101

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Objectives Patient noncompliance with recommended hygienic practices in contact lens wear is often considered a significant risk factor for microbial keratitis and adverse contact lens–related events. Despite advancements in lens materials and care solutions, noncompliant behavior continues to hinder efforts to maximize contact lens safety. The objective of this pilot study was to assess the relationship between perceived and actual compliance with awareness of risk and behavior. Methods One hundred sixty-two established contact lens wearers were sequentially evaluated after their routine contact lens examination at the Optometry Clinic at the University of Texas Southwestern Medical Center at Dallas, TX. Each patient was questioned by a single trained interviewer regarding his or her lens care practices and knowledge of risk factors associated with lens wear. Results Eighty-six percent of patients believed they were compliant with lens wear and care practices; 14% identified themselves as noncompliant. Using a scoring model, 32% demonstrated good compliance, 44% exhibited average compliance, and 24% were noncompliant; age was a significant factor (P = 0.020). Only 34% of patients who perceived themselves as compliant exhibited a good level of compliance (P<0.001). Eighty percent of patients reported an awareness of risk factors, but awareness did not influence negative behavior. Replacing the lens case was the only behavior associated with a positive history for having experienced a prior contact lens–related complication (P = 0.002). Conclusions Perceived compliance is not an indicator for appropriate patient behavior. A large proportion of patients remain noncompliant despite awareness of risk. Education alone is not a sufficient strategy to improve behavior; newer approaches aimed at improving compliance with lens care practices are urgently needed.

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Contact lens wearer profile 2004

Cited by 20 publications

References 2 publications

Compliance and hygiene behaviour among soft contact lens wearers in the Maldives

Compliance and hygiene behaviour among soft contact lens wearers in the Maldives

An international survey of contact lens prescribing for presbyopia

Patient Compliance During Contact Lens Wear: Perceptions, Awareness, and Behavior

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