Non‐compliance in contact lens wear

Non‐compliance is emerging as a critical issue in the contact lens field. This problem has been studied at depth in general health care situations and is seen as the responsibility of both practitioner and patient (client) working in a health care partnership. The contact lens practitioner and patient present a specific case for the study of non‐compliance in areas such as hygiene, solution use, appointment attendance and wearing limes. From 40 to 91% of contact lens patients have been reported as non‐compliant in the use of recommended care and maintenance regimens and many of these are confused or ignorant about their behaviour. In order to arrive at a general set of conclusions from the studies published to date, it is important to understand the methodology of each study, its purpose, the definition of non‐compliance used and the way the results were analyzed and described. This review summarizes the research into non‐compliance in the contact tens field to date. A set of general conclusions is drawn and a model for compliance in the context of contact tens practice is proposed.

[1]  N. Efron,et al.  Non‐compliance in general health care , 1994, Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians.

[2]  J. Stein,et al.  Compliance and Contact Lens Care: A New Assessment Method , 1993, Optometry and vision science : official publication of the American Academy of Optometry.

[3]  M. Collins,et al.  Initial compliance with lens care instructions , 1993 .

[4]  J. Stein,et al.  A new method to assess contact lens care compliance. , 1993, The CLAO journal : official publication of the Contact Lens Association of Ophthalmologists, Inc.

[5]  Trick Lr.  Patient Compliance--Don't Count on It! , 1993 .

[6]  Phillips Lj,et al.  Replacement and care compliance in a planned replacement contact lens program. , 1993 .

[7]  B. J. Clark,et al.  Microbial contamination of contact lens cases in the west of Scotland. , 1993, The British journal of ophthalmology.

[8]  D. Frazer,et al.  Risks of keratitis and patterns of use with disposable contact lenses. , 1992, Archives of ophthalmology.

[9]  F. Stapleton,et al.  Nonulcerative complications of contact lens wear. Relative risks for different lens types. , 1992, Archives of ophthalmology.

[10]  B. Spilker.  Methods of Assessing and Improving Patient Compliance in Clinical Trials , 1992 .

[11]  N. Efron,et al.  Microbial flora in eyes of current and former contact lens wearers , 1992, Journal of clinical microbiology.

[12]  Richard T. Kelly,et al.  Assessing User Compliance with Procedures for Soft Contact Lens Care , 1991 .

[13]  T. Edrington,et al.  Bacterial contamination rate of soft contact lens cases , 1991 .

[14]  G. Hearn,et al.  Clinician Interpersonal Communication Skills and Contact Lens Wearers' Motivation, Satisfaction, and Compliance , 1990, Optometry and vision science : official publication of the American Academy of Optometry.

[15]  L. Wilson,et al.  Microbial contamination of contact lens storage cases and solutions. , 1990, American journal of ophthalmology.

[16]  P. Asbell,et al.  A study of patient compliance in a contact lens-wearing population. , 1990, The CLAO journal : official publication of the Contact Lens Association of Ophthalmologists, Inc.

[17]  D. Bruckner,et al.  Microbial contamination of contact lens care systems. , 1987, American journal of ophthalmology.

[18]  C. McMonnies.  Contact lens aftercare: a detailed analysis , 1987 .

[19]  B. Weissman,et al.  Compliance in contact lens care. , 1987, American journal of optometry and physiological optics.

[20]  L. Carney,et al.  Patient Compliance and Its Influence on Contact Lens Wearing Problems , 1986, American journal of optometry and physiological optics.

[21]  L. Carney,et al.  Compliance with care and maintenance procedures amongst contact lens wearers , 1986 .

[22]  Nathan Efyon,et al.  Does solution cost affect compliance among contact lens wearers , 1995 .

[23]  F. Stapleton,et al.  Contact lens hygiene compliance in a universitypopulation , 1993 .

[24]  P. Asbell,et al.  Compliance in the care of disposable contact lenses: the effect of patients' health beliefs. , 1993, The CLAO journal : official publication of the Contact Lens Association of Ophthalmologists, Inc.

[25]  L. J. Phillips,et al.  Replacement and care compliance in a planned replacement contact lens program. , 1993, Journal of the American Optometric Association.

[26]  L. R. Trick.  Patient compliance--don't count on it! , 1993, Journal of the American Optometric Association.

[27]  A discussion paper on contact lens maintenance systems. International Committee on Contact Lenses. , 1992, Annals of ophthalmology.

[28]  C. McKenney,et al.  Comparative case contamination: Three disinfection systems , 1991 .

[29]  E. Cohen,et al.  Patterns of lens care practices and lens product contamination in contact lens associated microbial keratitis. , 1989, The CLAO journal : official publication of the Contact Lens Association of Ophthalmologists, Inc.

[30]  M. Kass,et al.  Compliance with ocular therapy. , 1980, Survey of ophthalmology.