ASSESSMENT OF EYE DROP INSTALLATION TECHNIQUE AMONG PATIENTS ATTENDING OUTPATIENT CLINIC AT PT. JLNGMC, CHAMBA

SHALOO NEGI; ADITYA KASHYAP; SMRITI SHARMA

doi:10.22159/ijcpr.2024v16i4.5004

Authors

SHALOO NEGI Department of Ophthalmology Pt Jlngmc, District Chamba, Himachal Pradesh, India https://orcid.org/0000-0002-5993-0355
ADITYA KASHYAP Department of Ophthalmology Pt Jlngmc, District Chamba, Himachal Pradesh, India
SMRITI SHARMA Department of Ophthalmology Pt Jlngmc, District Chamba, Himachal Pradesh, India https://orcid.org/0000-0003-0472-4586

DOI:

https://doi.org/10.22159/ijcpr.2024v16i4.5004

Keywords:

Eye drops, Installation technique, Ophthalmic, Eye, Ocular

Abstract

Objective: A good eye drops installation technique and its knowledge is vital for curing eye ailments and preventing eye from harmful effects of over-dose and under-dose of drugs. The current study assessed the eye drop installation technique and corrected it by imparting them education regarding the same.

Methods: A total of 120 patients were enrolled in the cross-sectional study using consecutive sampling technique till the sample size was achieved in a tertiary care hospital. The participants were observed by the trained observers for their steps of technique for installing eye drops and the errors were noted which were corrected by the observers and followed up till 3 visits to observe a change in the steps of technique.

Results: The mean age of study participants was 41.44±15.4 y. Majority of them were in the age group 18-30 y (35%), females (55.8%), and belonging to upper middle socio-economic status (31.7%). Majority of study participants had 6/6 VA in right eye (65%) and left eye (61.7%). “Drop land on first attempt” and “direct bottle towards eyes” showed maximum improvement of 45.8% each followed by “tilt head while putting” showed 45 % improvement between 1^st visit and 3^rd visit. “Trouble putting drops” showed least improvement by 20% between 1^st and 3^rd visit. All the favorable ophthalmic practices showed a statically significant (<0.05) increase in their proportion in each visit.

Conclusion: A high prevalence of errors while installing eye drops among participants were observed which were improved by educating them about right steps, as observe in follow up visits.

Downloads

Download data is not yet available.

References

Patel A, Cholkar K, Agrahari V, Mitra AK. Ocular drug delivery systems: an overview. World J Pharmacol. 2013;2(2):47-64. doi: 10.5497/wjp.v2.i2.47, PMID 25590022.

Xinbo G, Qiongman Y, Wenmin H. Evaluating eye drop instillation technique and its determinants in glaucoma patients. J Ophthalmol. 2018.

Gomes BF, Paredes AF, Madeira N, Moraes HV Jr, Santhiago MR. Assessment of eye drop instillation technique in glaucoma patients. Arq Bras Oftalmol. 2017;80(4):238-41. doi: 10.5935/0004-2749.20170058, PMID 28954024.

Eaton AM, Gordon GM, Konowal A, Allen A, Allen M, Sgarlata A. A novel eye drop application monitor to assess patient compliance with a prescribed regimen: a pilot study. Eye (Lond). 2015;29(10):1383-91. doi: 10.1038/eye.2015.155, PMID 26358235.

Kass MA, Hodapp E, Gordon M, Kolker AE, Goldberg I. Part I. Patient administration of eyedrops: interview-part I. Ann Ophthalmol. 1982;14(8):775-9. PMID 7125474.

Dietlein TS, Jordan JF, Luke C, Schild A, Dinslage S, Krieglstein GK. Self-application of Single-use eyedrop containers in an elderly population: comparisons with standard eyedrop bottle and with younger patients. Acta Ophthalmol. 2008;86(8):856-9. doi: 10.1111/j.1755-3768.2007.01155.x, PMID 18494743.

Tatham AJ, Sarodia U, Gatrad F, Awan A. Eye drop instillation technique in patients with glaucoma. Eye (Lond). 2013;27(11):1293-8. doi: 10.1038/eye.2013.187, PMID 23970024.

Usgaonkar U, Zambaulicar V, Shetty A. Subjective and objective assessment of the eye drop instillation technique: a hospital-based cross-sectional study. Indian J Ophthalmol. 2021;69(10):2638-42. doi: 10.4103/ijo.IJO_3333_20, PMID 34571604.

Feng A, O’Neill J, Holt M, Georgiadis C, Wright MM, Montezuma SR. Success of patient training in improving proficiency of eyedrop administration among various ophthalmic patient populations. Clin Ophthalmol. 2016;10:1505-11. doi: 10.2147/OPTH.S108979, PMID 27570445.

Templeton WC III, Eiferman RA, Snyder JW, Melo JC, Raff MJ. Serratia keratitis transmitted by contaminated eyedroppers. Am J Ophthalmol. 1982;93(6):723-6. doi: 10.1016/0002-9394(82)90467-6, PMID 7046448.

Stringer W, Bryant R. Dose uniformity of topical corticosteroid preparations: difluprednate ophthalmic emulsion 0.05% versus branded and generic prednisolone acetate ophthalmic suspension 1%. Clin Ophthalmol. 2010;4(1):1119-24. doi: 10.2147/OPTH.S12441, PMID 20957058.

Mathur P. Hand Hygin (November); 2011. p. 611-20.

De Kraker ME, Tartari E, Tomczyk S, Twyman A, Francioli LC, Cassini A. Implementation of hand hygiene in health-care facilities: results from the WHO hand hygiene self-assessment framework global survey 2019. Lancet Infect Dis. 2022;22(6):835-44. doi: 10.1016/S1473-3099(21)00618-6, PMID 35202600.

Infection prevention and control; 2023. Available from: https://www.who.int/teams/integrated-health-services/infection-prevention-control/hand-hygiene