Lens wearers non-compliance—Is there an association with lens case contamination?

Kuzman, Tomislav; Kutija, Marija Barišić; Juri, Jelena; Jandroković, Sonja; Škegro, Ivan; Olujić, Sanja Masnec; Kordić, Rajko; Cerovski, Branimir

doi:10.1016/j.clae.2013.08.004

Cited by 40 publications

(67 citation statements)

References 20 publications

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“…Bui et al found good compliance in 32%, average compliance in 44%, and non-compliance in 24% in established general CL wearers which is in agreement with our findings [12]. Kuzman et al found total compliance in only 21% of their asymptomatic general CL wearing subjects [8]. The higher rate of compliance in our subjects (both in MDs and control subjects) could be because these subjects were provided with written CL care and maintenance guidelines [16].…”

Section: Discussionsupporting

confidence: 89%

“…Hand washing before handling lenses, avoiding water contact and not sleeping with lenses were the best compliant behaviors with a compliance rate of 95% each. These behaviors were better in comparison to that of other studies [6][7][8]10,19]. Wu et al found a compliance rate of 89% in proper hand washing behavior and 40% no contact of lens with water [6].…”

Section: Discussionmentioning

confidence: 69%

“…These ten behaviors were chosen to include all the modifiable compliant behaviors, which were incorporated in the previous studies [5][6][7][8][9]. Each behavior was graded from one to four, with one being "total compliance" and four being "total non-compliance".…”

Section: Methodsmentioning

confidence: 99%

“…Several studies determined the non-compliance rate in the range of 8-85% [5][6][7][8]. They considered the following behaviors: hand washing before handling CL, CL cleaning and storage with proper solution in the correct way, sleeping with CL, water contact with CL, lens replacement, lens case replacement, recommended wearing hour, lens cleaning and follow-up visit [5][6][7][8]. However, a recent multinational survey determined an unexpectedly high noncompliance rate of 99.8% in conventional CL wearers [9].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Level of compliance in contact lens wearing medical doctors in Nepal

Sapkota

2015

Contact Lens and Anterior Eye

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 69%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Level of compliance in contact lens wearing medical doctors in Nepal

Sapkota

2015

Contact Lens and Anterior Eye

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“…In a recent study, only 11 out of 52 patients were fully compliant with uncontaminated lens cases. Male gender, longer lens case use and swimming in a pool while wearing lenses were positive predictors for contamination, while regular lens solution replacement was a negative predictor [19].…”

Section: Contact Lens-associated Fungal Keratitismentioning

confidence: 96%

Fungal Keratitis: Update for 2014

Stone

Tan

2014

Curr Ophthalmol Rep

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Fungal keratitis is a challenging problem worldwide, and many obstacles remain to the effective prevention, diagnosis, and therapy of this vision-threatening condition. Recent research has highlighted progress in each of these facets of the clinical approach to keratomycosis. Increased awareness of contact lens-associated fungal keratitis has prompted regulators to pay greater attention to testing of contact lens solutions under realworld conditions. Related research has also delved into the mechanisms of fungal biofilm formation and related therapeutic targets. Advances in polymerase chain reaction methodologies promise to increase the rapidity and accuracy of diagnosis, thereby decreasing the delay in instituting appropriate therapy. Antifungal pharmacologic agents remain the first line of therapy, with the newer azole antifungal voriconazole being utilized in innovative ways, such as via intrastromal injection. Large prospective studies such as the Mycotic Ulcer Treatment Trial have helped delineate optimal treatment algorithms, and variations in surgical techniques and postoperative regimens continue to be refined. Natamycin may still be more effective than other recently utilized antifungals for the treatment of Fusarium infections, but treatment failure is still a concern. Post-keratoplasty immunosuppression may benefit from the use of topical calcineurin inhibitors such as cyclosporine and tacrolimus, given their intrinsic antifungal properties. It can be argued that the prevention, diagnosis, and treatment of fungal keratitis lag behind the state of the art for bacterial keratitis, but dramatic improvements are undoubtedly on the horizon.

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