PMID- 21493121 OWN - NLM STAT- MEDLINE DCOM- 20120126 LR - 20181201 IS - 1476-5411 (Electronic) IS - 1367-0484 (Linking) VI - 34 IP - 5 DP - 2011 Oct TI - The relationship between compliance with lens replacement and contact lens-related problems in silicone hydrogel wearers. PG - 216-22 LID - 10.1016/j.clae.2011.03.001 [doi] AB - PURPOSE: To evaluate the relationship between compliance with replacement frequency (RF) and contact lens (CL)-related problems in silicone hydrogel (SiHy) wearers. METHODS: 501 SiHy wearers from seven optometry offices completed surveys regarding their lens wear and any CL related problems which they may have experienced in the preceding 12 months. File review was subsequently conducted at their optometry offices to confirm the information provided. RESULTS: 49% of respondents were wearing 2-week replacement (2WR) and 51% 1-month replacement (1MR) SiHy lenses. 67% wore their lenses for longer than the manufacturers' recommended RF (MRRF) and 60% for longer than their optometrist's recommended RF (ORRF). The mean RF was 2.6x the MRRF for 2WR and 1.5x for 1MR wearers (p<0.001) with median values of 31 and 37 days, respectively. Twenty-three percent reported signs or symptoms consistent with potential complications relating to CL wear. This rate was significantly higher for wearers who were non-compliant with the ORRF than compliant wearers (26% versus 18%, p=0.028). It was also higher for those multipurpose solution users who reported never/almost never rubbing and rinsing their lenses when compared with those who did this every night (29% versus 17%, p=0.007). CONCLUSIONS: Two thirds of the SiHy wearers did not comply with the MRRF and 2WR wearers stretched the replacement interval of their lenses to a greater degree than 1MR wearers. Failing to replace lenses when recommended and failing to rub and rinse lenses were associated with a higher rate of patient-reported CL problems. CI - Copyright (c) 2011 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved. FAU - Dumbleton, Kathryn A AU - Dumbleton KA AD - Centre for Contact Lens Research, University of Waterloo, Ontario, Canada. kdumble@uwaterloo.ca FAU - Woods, Craig A AU - Woods CA FAU - Jones, Lyndon W AU - Jones LW FAU - Fonn, Desmond AU - Fonn D LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20110413 PL - England TA - Cont Lens Anterior Eye JT - Contact lens & anterior eye : the journal of the British Contact Lens Association JID - 9712714 RN - 0 (Silicones) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Contact Lenses, Extended-Wear/psychology/*statistics & numerical data MH - Disposable Equipment/*statistics & numerical data MH - Female MH - Follow-Up Studies MH - *Guideline Adherence MH - Humans MH - Male MH - Middle Aged MH - *Patient Compliance MH - *Silicones MH - Surveys and Questionnaires MH - Young Adult EDAT- 2011/04/16 06:00 MHDA- 2012/01/27 06:00 CRDT- 2011/04/16 06:00 PHST- 2011/01/10 00:00 [received] PHST- 2011/03/09 00:00 [revised] PHST- 2011/03/16 00:00 [accepted] PHST- 2011/04/16 06:00 [entrez] PHST- 2011/04/16 06:00 [pubmed] PHST- 2012/01/27 06:00 [medline] AID - S1367-0484(11)00041-5 [pii] AID - 10.1016/j.clae.2011.03.001 [doi] PST - ppublish SO - Cont Lens Anterior Eye. 2011 Oct;34(5):216-22. doi: 10.1016/j.clae.2011.03.001. Epub 2011 Apr 13.