Eye drop administration in patients attending and not attending a glaucoma education center

Al-Busaidi, Aisha; Samek, Debbie Anne; Kasner, Oscar

doi:10.4103/0974-620x.176094

Cited by 16 publications

(16 citation statements)

References 17 publications

(27 reference statements)

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“…In this study, majority of the participants reported that they received no form of instructions from their pharmacists. However, it should be noted that although instructions on how to instil ophthalmic drops are essential, it is not likely that all patients would follow these instructions accordingly [14]. Indeed, it has been reported that a good percentage of those instructed may not recall the exact details of the instructions given [15].…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study of the actual use of eye drops in a Saudi community

Alfawzan¹,

Ahmed²,

Almuhanna³

et al. 2018

Trop. J. Pharm Res

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Purpose: To investigate the actual use of eye drops with respect to their administration, storage, and disposal in a community in Saudi Arabia. Methods: A cross-sectional observational survey was conducted online. All the relevant data were collected using a standardized questionnaire. The questionnaire consisted of three sections: demographic characteristics of the participants, attitude of participants with respect to the administration and storage of eye drops, and the participants' understanding of the role of pharmacist in enhancing patients' compliance with eye drop regimens. Results: A total of 720 participants were included in the study, viz, 229 males (31.8 %) and 491 females (68.2 %). Majority of the participants (82.5 %) indicated that they avoided touching their eyes with the bottle tip. Likewise, most participants (90.8 %) reported that they applied eye ointment after administering eye drops while 30.6 % allowed an interval of < 5 min between eye drop and ointment administration. However, 30.5 % of the participants gave an interval of 5-10 min between eye drop and ointment treatment. Furthermore, 32.5 % reported that they consistently washed their hands before administering eye drops, while only 29.6 % occasionally washed their hands. Conclusion: These results indicate that all the patients used eye drops improperly at some point in time, and thus, there is a need for counselling on the appropriate use of eye drops as an essential step towards successful treatment.

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Section: Discussionmentioning

confidence: 99%

A cross-sectional study of the actual use of eye drops in a Saudi community

Alfawzan¹,

Ahmed²,

Almuhanna³

et al. 2018

Trop. J. Pharm Res

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“…A study in elderly patients showed that 56% of patients required two or more attempts to accurately administer an eye drop, and 28% of attempts missed the eye completely 162. It has also been shown that even after education, patients can still unknowingly administer eye drops incorrectly 163…”

Section: Patient‐focused Considerations For Eye Drop Formulationsmentioning

confidence: 99%

“…[162] It has also been shown that even after education, patients can still unknowingly administer eye drops incorrectly. [163] However, there are practical methods which can be enlisted to improve technique, efficacy, and as a result-adherence. Aids have been shown to be effective in improving eye drop administration in some cases, [86b,164] however the instructions for the guide must be clear also.…”

Section: Patient Adherencementioning

confidence: 99%

Material, Immunological, and Practical Perspectives on Eye Drop Formulation

Bennett

Chinnery

Downie

et al. 2020

Adv Funct Materials

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Eye drops are the most common and inexpensive approach to topical ocular drug delivery. Eye drops offer a noninvasive treatment strategy; however, this can be detrimental to therapeutic efficacy when compared to invasive methods such as surgeries, implants, and injections. Improvements to the efficacy of the topical delivery of drugs to ocular tissues are currently being explored and much of this work centers on adjusting the formulation of the eye drops and prolonging the bioavailability of the therapeutic agent. This is often in preference to improving other patient‐focused or clinical factors. In this progress report, conventional, commercially available polymer eye drops are explored and the ability for current and future innovations to maintain the existing benefits of eye drops to the patient is assessed. The final materials and form of the drops (liquid, gel, or other) and the immunological implications for the user are explored. There is currently no consensus for how to most effectively improve the ocular retention and drug delivery capabilities of eye drops, but key issues are highlighted in the context of current methods under development, and potential questions and considerations for future innovations are raised.

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“…This lack of preparedness and apparent difficulties with eye drop administration is not confined to parents who need to instil drops into the eyes of their young children; adult patients also have difficulty administering their own topical ophthalmic medications (2,9) and providers rarely instruct them on how to instil their eye drops (4). Additionally it has been noted that not all of the adult patients who report successful instillation of drops actually achieve this in reality, there is an apparent mismatch between subjective perceptions of performance and observation of successful technique (1).…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

“…Adults frequently have difficulty instilling eye drops in their own eyes (1), and this can be observed even in patients who report no difficulties in self-administration of drops (2). Examples of poor techniques include touching of the eye or ocular adnexa with the bottle, poor handling or squeezing of the eye drop container, difficulty aiming at the eyes, dispensing multiple drops and needing multiple attempts before successful instillation (3,4).…”

Section: Introductionmentioning

confidence: 99%

'The mean mummy way' – Experiences of parents instilling eye drops to their young children as described in online forums and blogs

Law¹,

Bülbül

Jones

et al. 2019

Preprint

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Background: Adults often have difficulty instilling eye drops in their own eyes, but little is known about the difficulties experienced by parents when administering eye drops to their young children.The challenges of administering eye drops to children are accentuated by their poor cooperation, but little has been documented about the difficulties experienced by parents when administering eye drops to their young children. This qualitative study explores parents' experiences of administering eye drops to their children in online forum discussions and blog posts. Methods: The written exchanges between parents participating in online forum discussions and blog posts relating to the administration of eye drops to young children were thematically analysed. Results: We found 64 forum discussion threads and 4 blog posts, representing 464 unique contributors expressing their experiences of eye drop administration to young children. Three major themes were identifiedadministration difficulties, administration techniques and role of health care professionals. Besides describing their children's distress, parents discussed their own discomfort as the administrator of eye drops; alluding to feeling 'horrible' and 'cruel'. Parents used a variety of techniques to facilitate adherence with medication, including restraining the child, role-play, reassurance, distraction or reward. The recommended strategies for eye drop administration occasionally included reiteration of professional advice, but were dominated by parents' own ideas/suggestions; interestingly health care professionals were considered diagnosticians and prescribers, but not sources of practical advice on administration. Conclusion: Parental narratives shared on the internet have highlighted significant young child and parental distress associated with eye drop administration. The analysis of digital social networks has the potential to identify patient problems that health professionals may not have previously recognised nor appreciated the magnitude. The current study reveals that parents' experiences dominated the online discourse with their own advice and suggestions regarding administrating eye drops to young children but little did they recall on the advice from healthcare professionals, highlighting the need for clinicians in improving their explanations to parents about eye drop administration.

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Eye drop administration in patients attending and not attending a glaucoma education center

Cited by 16 publications

References 17 publications

A cross-sectional study of the actual use of eye drops in a Saudi community

A cross-sectional study of the actual use of eye drops in a Saudi community

Material, Immunological, and Practical Perspectives on Eye Drop Formulation

'The mean mummy way' – Experiences of parents instilling eye drops to their young children as described in online forums and blogs

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