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Jose A Paczka, Monica Atilano, Montserrat Romo Sainz, Luz America Giorgi Sandoval, Yesenia Yolanda Dorantes Diez; Glaucoma Eyedrop Instillation Profile in Patients Evaluated in Public and Private Practice Sites. Invest. Ophthalmol. Vis. Sci. 2017;58(8):4588. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
This study evaluated the performance profile to administer topical hypotensive medications of patients with glaucoma attending either a public hospital or a private specialized glaucoma center.
This prospective study included consecutive patients with glaucoma visiting either the department of ophthalmology in a large tertiary public hospital or a private referral glaucoma center. Patients completed an 11-item questionnaire regarding aspects of patients’ eye drop administration. Attending ophthalmologists verbally applied such questionnaire to the participants at the time of their regular clinical visit. In addition to providing demographic and general data, relevant information included type of glaucoma, best-corrected visual acuity, visual field indexes, number of glaucoma medications and time since first use of glaucoma eye drop administration ever.
A total of 129 questionnaires were applied to 60 patients at the public hospital and 69 patients at the private glaucoma center. All patients self-administered their drops and had a diagnosis glaucoma during a mean of 4.9 ± 3.1 and 5.6 ± 3.5 years (public site vs. private site, respectively). The proportion of female participants was statistically larger in the private site (P=0.02) as compared to the public one. No statistically difference (P>0.05) was found regarding age (65.9 ± 9.9 vs. 67.3 ± 12.9 years), type of glaucoma, level of education, mean best-corrected visual acuity (LogMAR), mean DM, mean DSM, time using glaucoma drops, and number of glaucoma medications, according to the kind of practice site. On respect of eye drop technique as described by the specific applied questionnaire: a larger proportion of patients attending the private site reported to receive prior information on how to instill eye drops (P=0.0001), and remember to shake the bottle before use (P=0.01); in contrast, a larger proportion of patients attending the public site informed to often have the drops missing the eye (P=0.005).
Differences on specific aspects of self-administration glaucoma eye drops were demonstrated in this study in patients attending either public or private practices. Recognizing the reasons for such differences and the significance of the findings to the process of disease control warrants further investigation at different clinical settings.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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