Journal List > J Korean Ophthalmol Soc > v.56(12) > 1010159

Kim, Lee, and Lee: The Impact of Written Information on the Compliance with Contact Lens Care

Abstract

Purpose

To evaluate the impact of written information on the compliance with proper contact lens (CL) care.

Methods

The patients prescribed CLs by a single ophthalmologist in a clinic from January 2008 to August 2009 were enrolled in the present study. The patients were randomly divided into 2 groups, the verbal and written information (VWI) group and verbal information (VI) group. The patients in the VWI group received verbal and written information on proper CL care and the VI group received the same information only verbally. Patients who were followed-up more than 2 weeks after CL wear were asked 10 questions regarding CL care and statistical analysis was performed for each question on CL care. The Mann Whitney U-test was used for comparison between the 2 groups and Pearson’s test was used for the correlation analyses.

Results

A total of 23 patients were included in this study. Ten patients were assigned to the VWI group, and 13 patients to the VI group. The most desirable score for the CL care was 100 points. The VWI group showed 85.2 ± 13.4 points and the VI group showed 71.5 ± 10.1 points ( p = 0.030, Mann-Whitney U-test). Of the 10 questions, daily replacement of the lens care solution and the use of tap water showed significant correlation with the discomfort induced by the CL and rinsing process before CL insertion showed significant correlation with the CL intolerance ( p = 0.008, p = 0.004 and p = 0.015, respectively, Pearson’s correlation test).

Conclusions

The patients in the written information group showed better compliance for overall CL care. Adding the written in-formation to the verbal explanation can enhance the patient’s compliance with the proper CL care. Enhancing the compliance of CL care with written information can be expected to decrease the complications and improve the comfort of wearing CLs.

References

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Figure 1.
The written information for the contact lens care. It contains where to clean the lenses, how to scrub the lenses, and how to care the lenses and their cases.
jkos-56-1848f1.tif
Figure 2.
The questionnaire of the contact lens care. It con-tains the preparation and process for the care of contact lenses and the management of lens storage solution and cases. The re-sults of Q10 was analyzed in reverse, as it scores negatively for good compliance.
jkos-56-1848f2.tif
Figure 3.
The mean score (%) of each question and total for the contact lens care. Asterisks (*) indicates significant differ-ence between the Verbal and written information group (VWI group) and the Verbal information group (VI group) for the place of lens care and the average score ( p-value < 0.05 by Mann-Whitney U-test). Error bars indicate 95% confidence interval of means. s = seconds.
jkos-56-1848f3.tif
Table 1.
Demographic characteristics of subjects of both groups
Verbal and written information group Verbal information group p-value*
Number of patients (eyes) 10 13
Age (years) 27.1 ± 6.9 20.9 ± 4.3 0.260
Daily lens use (hours/day) 11.3 ± 4.9 9.7 ± 3.2 0.346
Lens discomfort (%) 22.0 ± 16.9 30.8 ± 20.2 0.254
Lens intolerance (times/month) 0.44 ± 1.33 1.29 ± 1.82 0.174

Values are presented as mean ± SD unless otherwise indicated.* Mann-Whitney U-test.

Table 2.
The correlation between the discomfort of contact lens and each question
Pearson’s correlation coefficient (r) p-value
Q1 (Hand washing before lens care) -0.365 0.095
Q2 (Rubbing lens ≥ 20 s during cleaning) +0.373 0.087
Q3 (Rinsing after cleaning lens) -0.312 0.168
Q4 (Storing lens in disinfecting solution) -0.182 0.417
Q5 (Daily replacement of lens solution) -0.548 0.008*
Q6 (Drying lens cases) -0.250 0.261
Q7 (Rinsing before lens insertion) +0.038 0.868
Q8 (Recapping lens solution immediately after use) -0.241 0.281
Q9 (Avoiding restroom for lens care) -0.174 0.438
Q10 (Avoiding tap water for lens care) +0.593 0.004*

s = seconds.* p < 0.05, Pearson’s correlation test.

Table 3.
The correlation between the contact lens intolerance and each question
Pearson’s correlation coefficient (r) p-value
Q1 (Hand washing before lens care) -0.460 0.073
Q2 (Rubbing lens ≥ 20 s during cleaning) -0.201 0.455
Q3 (Rinsing after cleaning lens) -0.192 0.493
Q4 (Storing lens in disinfecting solution) +0.092 0.735
Q5 (Daily replacement of lens solution) +0.271 0.311
Q6 (Drying lens cases) -0.443 0.086
Q7 (Rinsing before lens insertion) -0.597 0.015*
Q8 (Recapping lens solution immediately after use) -0.194 0.471
Q9 (Avoiding restroom for lens care) +0.166 0.538
Q10 (Avoiding tap water for lens care ) -0.312 0.239

s = seconds.* p < 0.05, Pearson’s correlation test.

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