Compliance with Hygiene Rules Related to Use of Contact Lenses and Its Impact Among Users: A Cross-Sectional Study
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 5
Abstract
Background: Although the use of contact lenses is a practical and aesthetic solution due to its ability to provide an effective vision correction and comfort, users are exposed to increased risk of complications because of inadequate related-hygiene. Objectives: To assess the level of compliance among contact lens wearers with related hygiene rules and the prevalence of associated eye complaints, and to determine the demographic factors of compliance and the correlation between compliance and eye complications. Materials & Methods: A Cross-sectional study was conducted at ophthalmology clinic of a tertiary care hospital and a large shopping mall in Jeddah, Saudi Arabia. Contact lens wearers (N=500). Most of the participants were young aged (21-40 years; 89.2%) females (95.8%) with a high educational level (university+; 85.4%), who were regular (30.2%) or irregular (69.2%) contact lens wearers. Participants were interviewed regarding their compliance with general hygiene rules related to contact lens, such as use of sterile solution, change of solution, lens washing, etc. (10 items). A compliance score (0-10) was calculated as the number of rules to which the participant is fully compliant. Ocular symptoms like eye pain, redness, and blurred vision, were investigated. Sociodemographic data were analyzed as factors for compliance and correlation of compliance scores with the presence and number of ocular complaints. Results: Contact lenses were used for cosmetic purpose (47.8%), and for refractive errors (38.6%); and most frequent lens type was monthly (42.6%). Results showed that 22.6% participants changed sterile solution daily; 15.8% changed the lens box monthly, 81.2% washed their hands before, 89.6% washed lens before and 33.2% after wearing the lenses, and 37.2% followed the correct washing method. The mean (SD) compliance score was 4.67 (1.60) and females had a moderately higher score than men (P=.036). The majority of participants (93.0%) reported eye complaints and 73.6% had two or more concomitant symptoms. Sleeping with lenses was associated with reduced eye complaints (P=.015), while infrequent change of the solution was associated with higher risk (P=.027). No statistically significant correlation was found with other hygiene rules or compliance score. Conclusions: Contact lens wearers have poor compliance with several hygiene rules resulting in the high prevalence of eye complaints. Therefore, it is important to educate the target population to prevent serious eye complications. Limitations: Subjective measurement of eye complaints relying only on self-reported symptoms.
Authors and Affiliations
Saad M. Huraib, Saleh Bakkar, Kholud Abdujawad, Haitham Huraib, Hani Alrehaily
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