History and symptom taking in contact lens fitting and aftercare

, James S. Wolffsohn, Shehzad A. Naroo, Caroline Christie, Judith Morris, Robert Conway, Carole Maldonado-Codina, Neil Retalic, Christine Purslow, R. Conway, Y. Norgett, G. Mouat, K. Evans, C. Purslow, C. Christie, B. Huntjens, J. Morris, A. Lloyd, K. Oliver, L. Madden & 8 others A. Cochrane, P. Richardson, N. Retallic, L. Simo, J. Savage, J. Underwood, D. Dunning, T. Harknett

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    Aim: To appraise history and symptom taking for contact lens consultations, to determine current practice and to make recommendations for best practice. 

    Method: The peer reviewed academic literature was reviewed and the results informed a survey completed by 256 eye care practitioners (ECPs) on their current practice and influences. 

    Results: The last eye-test date, last contact lens aftercare (for existing wearers) and reason for visit are key questions for most ECPs. Detailed use of contact lens questions are more commonly applied in aftercares than when refitting patients who have previously discontinued wear (87% vs 56% use), whereas questions on ocular and general history, medication and lifestyle were generally more commonly utilised for new patients than in aftercares (72% vs 50%). 75% of ECPs requested patients bring a list of their medication to appointments. Differential diagnosis questioning was thorough in most ECPs (87% of relevant questions asked). Attempts to optimise compliance included oral instruction (95% always) and written patient instructions (95% at least sometimes). Abbreviations were used by 39% of respondents (26% used ones provided by a professional body). 

    Conclusion: There is scope for more consistency in history and symptom taking for contact lens consultations and recommendations are made.

    LanguageEnglish
    Pages258-265
    Number of pages8
    JournalContact Lens and Anterior Eye
    Volume38
    Issue number4
    DOIs
    Publication statusPublished - 1 Aug 2015

    Fingerprint

    Aftercare
    Contact Lenses
    History
    Referral and Consultation
    Practice Guidelines
    Compliance
    Life Style
    Appointments and Schedules
    Differential Diagnosis

    Keywords

    • Abbreviations
    • Compliance
    • Differential diagnosis
    • History
    • Prescribing influences
    • Risk factors
    • Symptoms

    Cite this

    Aston University. / History and symptom taking in contact lens fitting and aftercare. In: Contact Lens and Anterior Eye. 2015 ; Vol. 38, No. 4. pp. 258-265.
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    History and symptom taking in contact lens fitting and aftercare. / Aston University.

    In: Contact Lens and Anterior Eye, Vol. 38, No. 4, 01.08.2015, p. 258-265.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - History and symptom taking in contact lens fitting and aftercare

    AU - Wolffsohn, James S.

    AU - Naroo, Shehzad A.

    AU - Christie, Caroline

    AU - Morris, Judith

    AU - Conway, Robert

    AU - Maldonado-Codina, Carole

    AU - Retalic, Neil

    AU - Purslow, Christine

    AU - Conway, R.

    AU - Norgett, Y.

    AU - Mouat, G.

    AU - Evans, K.

    AU - Purslow, C.

    AU - Christie, C.

    AU - Huntjens, B.

    AU - Morris, J.

    AU - Lloyd, A.

    AU - Oliver, K.

    AU - Madden, L.

    AU - Cochrane, A.

    AU - Richardson, P.

    AU - Retallic, N.

    AU - Simo, L.

    AU - Savage, J.

    AU - Underwood, J.

    AU - Dunning, D.

    AU - Harknett, T.

    PY - 2015/8/1

    Y1 - 2015/8/1

    N2 - Aim: To appraise history and symptom taking for contact lens consultations, to determine current practice and to make recommendations for best practice. Method: The peer reviewed academic literature was reviewed and the results informed a survey completed by 256 eye care practitioners (ECPs) on their current practice and influences. Results: The last eye-test date, last contact lens aftercare (for existing wearers) and reason for visit are key questions for most ECPs. Detailed use of contact lens questions are more commonly applied in aftercares than when refitting patients who have previously discontinued wear (87% vs 56% use), whereas questions on ocular and general history, medication and lifestyle were generally more commonly utilised for new patients than in aftercares (72% vs 50%). 75% of ECPs requested patients bring a list of their medication to appointments. Differential diagnosis questioning was thorough in most ECPs (87% of relevant questions asked). Attempts to optimise compliance included oral instruction (95% always) and written patient instructions (95% at least sometimes). Abbreviations were used by 39% of respondents (26% used ones provided by a professional body). Conclusion: There is scope for more consistency in history and symptom taking for contact lens consultations and recommendations are made.

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    KW - Abbreviations

    KW - Compliance

    KW - Differential diagnosis

    KW - History

    KW - Prescribing influences

    KW - Risk factors

    KW - Symptoms

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    DO - 10.1016/j.clae.2015.03.002

    M3 - Article

    VL - 38

    SP - 258

    EP - 265

    JO - Contact Lens and Anterior Eye

    T2 - Contact Lens and Anterior Eye

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    SN - 1367-0484

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