Advertisement
Research Article| Volume 43, ISSUE 4, P395-401, August 2020

Download started.

Ok

Assessment of compliance with contact lens wear and care among university-based population in Jordan

  • May M. Bakkar
    Correspondence
    Corresponding author at: Faculty of Applied Medical Sciences, Department of Allied Medical Sciences, Jordan University of Science and Technology, Jordan.
    Affiliations
    Faculty of Applied Medical Sciences, Department of Allied Medical Sciences, Jordan University of Science and Technology, Jordan
    Search for articles by this author
  • Eman A. Alzghoul
    Affiliations
    Faculty of Applied Medical Sciences, Department of Allied Medical Sciences, Jordan University of Science and Technology, Jordan

    School of Optometry and Vision Science, University of New South Wales, Sydney, New South Wales, Australia
    Search for articles by this author
Published:February 29, 2020DOI:https://doi.org/10.1016/j.clae.2020.02.020

      Highlights

      • The study is the first report in Jordan that has addressed contact lens compliance in a university student’s population.
      • Generally, high to moderate levels of compliance were reported in the study.
      • Low levels of compliance were found in relation to cleaning and rinsing lens case and adherence to aftercare visits.
      • Smoking, longer lens experience and longer lens wear time were associated with specific non-compliant behaviours.

      Abstract

      Purpose

      this survey aimed to assess levels of compliance with contact lens wear and care among university student’s population in Jordan.

      Methods

      An interviewer-administered questionnaire was used to assess the extent of compliance among contact lens wearers toward contact lens care in a university population. The questionnaire included 12 questions regarding compliance with contact lens care, lens case/solution replacement, general hygiene procedures related to contact lens and adherence to aftercare visits.

      Results

      210 contact lens wearers were interviewed. Of the study population 187 (89 %) were females and 23 (11 %) were males. The average age of the study group was 22.35 (± 3.77) years and all the study population were students (undergraduate or postgraduate).The average compliance rate of the study population was 75 %. High level of compliance was noticeable in the following aspects; not sharing lenses with others, not sleeping while wearing lenses, hand washing before lens use and not using water to clean lenses. Moderate level of compliance was reported in the following aspects; showering/swimming with lenses, using lenses longer than recommended replacement schedule and all behaviours related to contact lens care solution. However, low levels of compliance were reported in relation to cleaning and rinsing lens case and adherence to aftercare visits.

      Conclusion

      High to moderate levels of compliance were reported generally by participants. However, better strategies are recommended to further increase levels of compliance among contact lens wearers in Jordan related to adherence to aftercare visits. While this study is targeted contact lens wearers from a university student’s population, a future study is recommended to include larger sample of contact lens wearers from the general lay population.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Contact Lens and Anterior Eye
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Keay L.
        • Edwards K.
        • Naduvilath T.
        • Taylor H.R.
        • Snibson G.R.
        • Forde K.
        • et al.
        Microbial keratitis predisposing factors and morbidity.
        Ophthalmology. 2006; 113: 109-116https://doi.org/10.1016/j.ophtha.2005.08.013
        • Morgan P.B.
        • Efron N.
        • Toshida H.
        • Nichols J.J.
        An international analysis of contact lens compliance.
        Cont Lens Anterior Eye. 2011; 34: 223-228https://doi.org/10.1016/j.clae.2011.08.001
        • Stapleton F.
        • Keay L.
        • Edwards K.
        • Naduvilath T.
        • Dart J.K.
        • Brian G.
        • et al.
        The incidence of contact lens-related microbial keratitis in Australia.
        Ophthalmology. 2008; 115: 1655-1662https://doi.org/10.1016/j.ophtha.2008.04.002
        • Sapkota K.
        Level of compliance in contact lens wearing medical doctors in Nepal.
        Cont Lens Anterior Eye. 2015; 38: 456-460https://doi.org/10.1016/j.clae.2015.05.010
        • Wu Y.T.
        • Willcox M.
        • Zhu H.
        • Stapleton F.
        Contact lens hygiene compliance and lens case contamination: a review.
        Cont Lens Anterior Eye. 2015; 38: 307-316https://doi.org/10.1016/j.clae.2015.04.007
        • Bhandari M.
        • Hung P.R.
        Habits of contact lens wearers toward lens care in Malaysia.
        Med J Malaysia. 2012; 67: 274-277
        • Wu Y.
        • Carnt N.
        • Stapleton F.
        Contact lens user profile, attitudes and level of compliance to lens care.
        Cont Lens Anterior Eye. 2010; 33: 183-188https://doi.org/10.1016/j.clae.2010.02.002
        • Claydon B.E.
        • Efron N.
        Non-compliance in contact lens wear.
        Ophthalmic Physiol Opt. 1994; 14: 356-364
        • Efron N.
        The truth about compliance.
        Cont Lens Anterior Eye. 1997; 20: 79-86https://doi.org/10.1016/S1367-0484(97)80002-1
        • Robertson D.M.
        • Cavanagh H.D.
        Non-compliance with contact lens wear and care practices: a comparative analysis.
        Optom Vis Sci. 2011; 88: 1402-1408https://doi.org/10.1097/OPX.0b013e3182333cf9
        • Dumbleton K.
        • Richter D.
        • Bergenske P.
        • Jones L.W.
        Compliance with lens replacement and the interval between eye examinations.
        Optom Vis Sci. 2013; 90: 351-358https://doi.org/10.1097/OPX.0b013e318288afcb
        • Fogel J.
        • Zidile C.
        Contact lenses purchased over the internet place individuals potentially at risk for harmful eye care practices.
        Optometry. 2008; 79: 23-35https://doi.org/10.1016/j.optm.2007.07.013
        • Chalmers R.L.
        • Wagner H.
        • Kinoshita B.
        • Sorbara L.
        • Mitchell G.L.
        • Lam D.
        • et al.
        Is purchasing lenses from the prescriber associated with better habits among soft contact lens wearers?.
        Cont Lens Anterior Eye. 2016; 39: 435-441https://doi.org/10.1016/j.clae.2011.03.001
        • Dumbleton K.A.
        • Richter D.
        • Woods C.A.
        • Aakre B.M.
        • Plowright A.
        • Morgan P.B.
        • et al.
        A multi-country assessment of compliance with daily disposable contact lens wear.
        Cont Lens Anterior Eye. 2013; 36: 304-312https://doi.org/10.1016/j.clae.2013.05.004
        • Khan M.H.
        • Mubeen S.M.
        • Chaudhry T.A.
        • Khan S.A.
        Contact lens use and its compliance for care among healthcare workers in Pakistan.
        Indian J Ophthalmol. 2013; 61: 334-337https://doi.org/10.4103/0301-4738.97552
        • Becmeur P.H.
        • Abry F.
        • Bourcier T.
        • Meyer N.
        • Sauer A.
        [Risk factors for contact lens-related microbial keratitis: a multicenter case-control study].
        J Fr Ophtalmol. 2017; 40: 224-231
        • Dumbleton K.A.
        • Woods C.A.
        • Jones L.W.
        • Fonn D.
        The relationship between compliance with lens replacement and contact lens-related problems in silicone hydrogel wearers.
        Cont Lens Anterior Eye. 2011; 34: 216-222
        • Reddy S.C.
        • Tajunisah I.
        Contact lens-related infectious keratitis in Malaysia.
        Ann Ophthalmol (Skokie). 2008; 40: 39-44
        • Sauer A.
        • Meyer N.
        • Bourcier T.
        Risk factors for contact lens-related microbial keratitis: a case-control multicenter study.
        Eye Contact Lens. 2016; 42: 158-162https://doi.org/10.1097/ICL.0000000000000180
        • Morgan P.
        International contact lens prescribing in.
        Contact Lens Spectr. 2008; 2009: 23
        • Haddad M.F.
        • Bakkar M.
        • Gammoh Y.
        • Morgan P.
        Trends of contact lens prescribing in Jordan.
        Cont Lens Anterior Eye. 2016; 39: 385-388https://doi.org/10.1016/j.clae.2016.06.004
        • Yung A.M.
        • Boost M.V.
        • Cho P.
        • Yap M.
        The effect of a compliance enhancement strategy (self-review) on the level of lens care compliance and contamination of contact lenses and lens care accessories.
        Clin Exp Optom. 2007; 90: 190-202https://doi.org/10.1111/j.1444-0938.2007.00147.x
        • Morgan P.
        Contact lens compliance and reducing the risk of keratitis.
        Optician. 2007; : 20-25
        • Rah M.J.
        • Merchea M.M.
        • Doktor M.Q.
        Reducing dropout of contact lens wear with Biotrue multipurpose solution.
        Clin Ophthalmol. 2014; 8: 293-299https://doi.org/10.2147/OPTH.S54521
        • Chun M.W.
        • Weissman B.A.
        Compliance in contact lens care.
        Am J Optom Physiol Opt. 1987; 64: 274-276
        • Abbouda A.
        • Restivo L.
        • Bruscolini A.
        • Pirraglia M.P.
        • De Marco F.
        • La Cava M.
        • et al.
        Contact Lens care among teenage students in Italy: a cross-sectional study.
        Semin Ophthalmol. 2016; 31: 226-232https://doi.org/10.3109/08820538.2014.962155
        • Bowden T.
        • Nosch D.S.
        • Harknett T.
        Contact lens profile: a tale of two countries.
        Cont Lens Anterior Eye. 2009; 32: 273-282https://doi.org/10.1016/j.clae.2009.09.002
        • Bui T.H.
        • Cavanagh H.D.
        • Robertson D.M.
        Patient compliance during contact lens wear: perceptions, awareness, and behavior.
        Eye Contact Lens. 2010; 36: 334-339https://doi.org/10.1097/ICL.0b013e3181f579f7
        • Jun J.
        • Zhiwen B.
        • Feifu W.
        • Lili L.
        • Fan L.
        Level of compliance in Orthokeratology.
        Eye Contact Lens. 2018; 44: 330-334https://doi.org/10.1097/ICL.0000000000000516
        • Tajunisah I.
        • Ophth M.
        • Reddy S.C.
        • Phuah S.J.
        Knowledge and practice of contact lens wear and care among medical students of University of Malaya.
        Med J Malaysia. 2008; 63: 207-210
        • Taslipinar Uzel A.G.
        • Uzel M.M.
        • Yuksel N.
        • Akcay E.K.
        Contact Lens compliance with ophthalmologists and other health professionals.
        Eye Contact Lens. 2018; 44: S127-S130https://doi.org/10.1097/ICL.0000000000000439
        • Kuzman T.
        • Kutija M.B.
        • Juri J.
        • Jandrokovic S.
        • Skegro I.
        • Olujic S.M.
        • et al.
        Lens wearers non-compliance - is there an association with lens case contamination?.
        Cont Lens Anterior Eye. 2014; 37: 99-105https://doi.org/10.1016/j.clae.2013.08.004
        • Noushad B.
        • Saoji Y.
        • Bhakat P.
        • Thomas J.
        Contact lens compliance among a group of young, university-based lens users in South India.
        Australas Med J. 2012; 5: 168-174https://doi.org/10.4066/AMJ.20121049
        • Gyawali R.
        • Nestha Mohamed F.
        • Bist J.
        • Kandel H.
        • Marasini S.
        • Khadka J.
        Compliance and hygiene behaviour among soft contact lens wearers in the Maldives.
        Clin Exp Optom. 2014; 97: 43-47https://doi.org/10.4066/AMJ.20121049
        • Hickson-Curran S.
        • Chalmers R.L.
        • Riley C.
        Patient attitudes and behavior regarding hygiene and replacement of soft contact lenses and storage cases.
        Cont Lens Anterior Eye. 2011; 34: 207-215https://doi.org/10.1016/j.clae.2010.12.005
        • O’Donnell C.
        • Efron N.
        Non-compliance with lens care and maintenance in diabetic contact lens wearers.
        Ophthalmic Physiol Opt. 2004; 24: 504-510https://doi.org/10.1111/j.1475-1313.2004.00229.x
        • Dumbleton K.A.
        • Spafford M.M.
        • Sivak A.
        • Jones L.W.
        Exploring compliance: a mixed-methods study of contact lens wearer perspectives.
        Optom Vis Sci. 2013; 90: 898-908https://doi.org/10.1097/OPX.0b013e3182956c46
        • Tilia D.
        • Lazon de la Jara P.
        • Zhu H.
        • Naduvilath T.J.
        • Holden B.A.
        The effect of compliance on contact lens case contamination.
        Optom Vis Sci. 2014; 91: 262-271https://doi.org/10.1097/OPX.0000000000000163
        • Lam J.S.
        • Tan G.
        • Tan D.T.
        • Mehta J.S.
        Demographics and behaviour of patients with contact lens-related infectious keratitis in singapore.
        Ann Acad Med Singapore. 2013; 42: 499-506
        • Yeung K.K.
        • Forister J.F.
        • Forister E.F.
        • Chung M.Y.
        • Han S.
        • Weissman B.A.
        Compliance with soft contact lens replacement schedules and associated contact lens-related ocular complications: the UCLA Contact Lens study.
        Optometry. 2010; 81: 598-607https://doi.org/10.1016/j.optm.2010.01.013
        • Bibars A.R.
        • Obeidat S.R.
        • Khader Y.
        • Mahasneh A.M.
        • Khabour O.F.
        The effect of waterpipe smoking on periodontal health.
        Oral Health Prev Dent. 2015; 13: 253-259https://doi.org/10.3290/j.ohpd.a32671
        • Bruna-Barranco I.
        • Lue A.
        • Gargallo-Puyuelo C.J.
        • Arroyo M.T.
        • Alfambra E.
        • Montero J.
        • et al.
        Young age and tobacco use are predictors of lower medication adherence in inflammatory bowel disease.
        Eur J Gastroenterol Hepatol. 2019; 31: 948-953https://doi.org/10.1097/MEG.0000000000001436
        • Esan H.
        • Shuter J.
        • Weinberger A.H.
        The relationship of anxiety and smoking behaviors to medication adherence among cigarette smokers living with HIV.
        Addict Behav. 2019; 90: 301-305
        • Hald K.
        • Larsen F.B.
        • Nielsen K.M.
        • Meillier L.K.
        • Johansen M.B.
        • Larsen M.L.
        • et al.
        Medication adherence, biological and lifestyle risk factors in patients with myocardial infarction: a ten-year follow-up on socially differentiated cardiac rehabilitation.
        Scand J Prim Health Care. 2019; 37: 182-190https://doi.org/10.1080/02813432.2019.1608046
        • Lee J.
        • Jee S.R.
        • Kim H.W.
        • Baek D.H.
        • Song G.A.
        • Moon W.
        • et al.
        Factors associated with low adherence to oral 5-aminosalicylic acid in patients with ulcerative colitis.
        PLoS One. 2019; 14e0214129https://doi.org/10.1371/journal.pone.0214129
        • Yung M.S.
        • Boost M.
        • Cho P.
        • Yap M.
        Microbial contamination of contact lenses and lens care accessories of soft contact lens wearers (university students) in Hong Kong.
        Ophthalmic Physiol Opt. 2007; 27: 11-21https://doi.org/10.1111/j.1475-1313.2006.00427.x
        • McMonnies C.W.
        Improving patient education and attitudes toward compliance with instructions for contact lens use.
        Cont Lens Anterior Eye. 2011; 34: 241-248https://doi.org/10.1016/j.clae.2011.06.007
        • Ariwaka Y.
        • Ichijima H.
        • Shimamoto S.
        • Sakata H.
        • Cavanagh H.D.
        Effects of a contact lens subscriber replacement program on patient lens care behavior in Japan.
        Cont Lens Anterior Eye. 2016; 39: 47-52https://doi.org/10.1016/j.ophtha.2008.04.002
        • Efron N.
        • Morgan P.B.
        Rethinking contact lens aftercare.
        Clin Exp Optom. 2017; 100: 411-431https://doi.org/10.1111/cxo.12588
        • Livi S.
        • Zeri F.
        • Baroni R.
        Health beliefs affect the correct replacement of daily disposable contact lenses: predicting compliance with the Health Belief Model and the Theory of Planned Behaviour.
        Cont Lens Anterior Eye. 2017; 40: 25-32
        • Ichijima H.
        • Karino S.
        • Sakata H.
        • Cavanagh H.D.
        Improvement of subjective symptoms and eye complications when changing from 2-Week frequent replacement to daily disposable contact lenses in a subscriber membership system.
        Eye Contact Lens. 2016; 42: 190-195https://doi.org/10.1097/ICL.0000000000000167
        • Ichijima H.
        • Shimamoto S.
        • Ariwaka Y.
        • Muraki K.
        • Cavanagh H.D.
        Compliance study of contact lens wearers in Japan, part 1: internet survey of actual circumstances of lens use.
        Eye Contact Lens. 2014; 40: 169-174https://doi.org/10.1097/ICL.0000000000000028