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Assessment of eye drop instillation technique in glaucoma patients

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Summary:ABSTRACT Purpose: To study the technique of eye drop instillation in glaucoma patients and identify independent factors that may influence their performance. Methods: In this cross-sectional study, 71 consecutive patients with glaucoma or ocular hypertension, self-administering topical anti-glaucoma medications for ≥6 months were evaluated. All patients instilled a tear substitute into the eye with the worst eyesight using the technique normally used at home. The following parameters were evaluated: age, number of years receiving treatment with ocular hypotensive eye drops, time spent to instill the first drop, number of drops instilled, correct location of the eye drops, contact of the bottle with the eye, closing of the eyelids or occlusion of the tear punctum, and asepsis of the hands. Results: The mean age of the patients was 66 ± 10.8 years, and patients were on ocular hypotensive drugs for 11.3 ± 7.3 (range, 2-35) years. Only 28% of the patients were able to correctly instill the eye drops (squeeze out 1 drop and instill it into the conjunctival sac without bottle tip contact). Touching the tip of the bottle to the globe or periocular tissue occurred in 62% of the patients. In 49% of the patients, the eye drops fell on the eyelids or cheek. Two or more drops were squeezed by 27% of the patients. Conclusions: The majority of glaucoma patients were unable to correctly instill eye drops. Age was an independent factor associated with eye drop instillation performance.
Main Authors:Gomes,Beatriz Fiuza
Other Authors:Paredes,Angela Flores; Madeira,Nathália; Moraes Jr,Haroldo Vieira; Santhiago,Marcony R
Subject:Glaucoma/drug therapy Medication adherence Ophthalmic solutions/therapeutic use Instillation drug
Year:2017
Country:Brazil
Document type:article
Access type:open access
Associated institution:IBICT
Language:English
Origin:Oasisbr
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author Gomes,Beatriz Fiuza
author2 Paredes,Angela Flores
Madeira,Nathália
Moraes Jr,Haroldo Vieira
Santhiago,Marcony R
author2_role author
author
author
author
author_facet Gomes,Beatriz Fiuza
Paredes,Angela Flores
Madeira,Nathália
Moraes Jr,Haroldo Vieira
Santhiago,Marcony R
author_role author
country_str BR
creators_json_txt [{\"Person.name\":\"Gomes,Beatriz Fiuza\"},{\"Person.name\":\"Paredes,Angela Flores\"},{\"Person.name\":\"Madeira,Nathália\"},{\"Person.name\":\"Moraes Jr,Haroldo Vieira\"},{\"Person.name\":\"Santhiago,Marcony R\"}]
datacite.creators.creator.creatorName.fl_str_mv Gomes,Beatriz Fiuza
Paredes,Angela Flores
Madeira,Nathália
Moraes Jr,Haroldo Vieira
Santhiago,Marcony R
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Glaucoma/drug therapy
Medication adherence
Ophthalmic solutions/therapeutic use
Instillation drug
datacite.titles.title.fl_str_mv Assessment of eye drop instillation technique in glaucoma patients
dc.creator.none.fl_str_mv Gomes,Beatriz Fiuza
Paredes,Angela Flores
Madeira,Nathália
Moraes Jr,Haroldo Vieira
Santhiago,Marcony R
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000400238
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv Arquivos Brasileiros de Oftalmologia v.80 n.4 2017
reponame:Arquivos brasileiros de oftalmologia (Online)
instname:Conselho Brasileiro de Oftalmologia (CBO)
instacron:CBO
dc.subject.none.fl_str_mv Glaucoma/drug therapy
Medication adherence
Ophthalmic solutions/therapeutic use
Instillation drug
dc.title.fl_str_mv Assessment of eye drop instillation technique in glaucoma patients
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description ABSTRACT Purpose: To study the technique of eye drop instillation in glaucoma patients and identify independent factors that may influence their performance. Methods: In this cross-sectional study, 71 consecutive patients with glaucoma or ocular hypertension, self-administering topical anti-glaucoma medications for ≥6 months were evaluated. All patients instilled a tear substitute into the eye with the worst eyesight using the technique normally used at home. The following parameters were evaluated: age, number of years receiving treatment with ocular hypotensive eye drops, time spent to instill the first drop, number of drops instilled, correct location of the eye drops, contact of the bottle with the eye, closing of the eyelids or occlusion of the tear punctum, and asepsis of the hands. Results: The mean age of the patients was 66 ± 10.8 years, and patients were on ocular hypotensive drugs for 11.3 ± 7.3 (range, 2-35) years. Only 28% of the patients were able to correctly instill the eye drops (squeeze out 1 drop and instill it into the conjunctival sac without bottle tip contact). Touching the tip of the bottle to the globe or periocular tissue occurred in 62% of the patients. In 49% of the patients, the eye drops fell on the eyelids or cheek. Two or more drops were squeezed by 27% of the patients. Conclusions: The majority of glaucoma patients were unable to correctly instill eye drops. Age was an independent factor associated with eye drop instillation performance.
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person_str_mv Gomes,Beatriz Fiuza
Paredes,Angela Flores
Madeira,Nathália
Moraes Jr,Haroldo Vieira
Santhiago,Marcony R
publishDate 2017
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spelling Assessment of eye drop instillation technique in glaucoma patientsGomes,Beatriz FiuzaParedes,Angela FloresMadeira,NatháliaMoraes Jr,Haroldo VieiraSanthiago,Marcony RGlaucoma/drug therapyMedication adherenceOphthalmic solutions/therapeutic useInstillation drugopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000400238URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000400238URLHasVersion2017-08-01ABSTRACT Purpose: To study the technique of eye drop instillation in glaucoma patients and identify independent factors that may influence their performance. Methods: In this cross-sectional study, 71 consecutive patients with glaucoma or ocular hypertension, self-administering topical anti-glaucoma medications for ≥6 months were evaluated. All patients instilled a tear substitute into the eye with the worst eyesight using the technique normally used at home. The following parameters were evaluated: age, number of years receiving treatment with ocular hypotensive eye drops, time spent to instill the first drop, number of drops instilled, correct location of the eye drops, contact of the bottle with the eye, closing of the eyelids or occlusion of the tear punctum, and asepsis of the hands. Results: The mean age of the patients was 66 ± 10.8 years, and patients were on ocular hypotensive drugs for 11.3 ± 7.3 (range, 2-35) years. Only 28% of the patients were able to correctly instill the eye drops (squeeze out 1 drop and instill it into the conjunctival sac without bottle tip contact). Touching the tip of the bottle to the globe or periocular tissue occurred in 62% of the patients. In 49% of the patients, the eye drops fell on the eyelids or cheek. Two or more drops were squeezed by 27% of the patients. Conclusions: The majority of glaucoma patients were unable to correctly instill eye drops. Age was an independent factor associated with eye drop instillation performance.engtext/htmlConselho Brasileiro de OftalmologiaArquivos Brasileiros de Oftalmologia v.80 n.4 2017reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBOjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85
spellingShingle Assessment of eye drop instillation technique in glaucoma patients
Gomes,Beatriz Fiuza
Glaucoma/drug therapy
Medication adherence
Ophthalmic solutions/therapeutic use
Instillation drug
status SINGLETON
status_str VoR
subject.fl_str_mv Glaucoma/drug therapy
Medication adherence
Ophthalmic solutions/therapeutic use
Instillation drug
title Assessment of eye drop instillation technique in glaucoma patients
title_full Assessment of eye drop instillation technique in glaucoma patients
title_fullStr Assessment of eye drop instillation technique in glaucoma patients
title_full_unstemmed Assessment of eye drop instillation technique in glaucoma patients
title_short Assessment of eye drop instillation technique in glaucoma patients
title_sort Assessment of eye drop instillation technique in glaucoma patients
topic Glaucoma/drug therapy
Medication adherence
Ophthalmic solutions/therapeutic use
Instillation drug
topic_facet Glaucoma/drug therapy
Medication adherence
Ophthalmic solutions/therapeutic use
Instillation drug
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000400238
visible 1

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