Colomé-Campos J, Martínez-Salcedo I, Martorell-Hallado M C, Romero-Aroca P
Servicio de Oftalmología, Hospital Comarcal de Mora, Mora d'Ebre, España.
Servicio de Oftalmología, Hospital Comarcal de Mora, Mora d'Ebre, España.
Arch Soc Esp Oftalmol. 2014 May;89(5):177-81. doi: 10.1016/j.oftal.2014.02.008. Epub 2014 Apr 17.
To objectively evaluate the ability and skills of patients older than 65 years to successfully administer a topical ocular eye drop.
A prospective study was conducted on a group of 25 patients with a diagnosis of dry eye or glaucoma, undergoing daily treatment with eye drops for at least one year. The procedure was recorded with a video camera at the time of the application.
Of the total, 64% were diagnosed with glaucoma and 36% with dry eye. Almost half (44%) needed a single attempt to apply the drop, and 56% required 2 attempts. In terms of the number of eye drops applied, 52% managed with a single drop, 16% 2 drops, a 12% 3 drops, and 20% 4 or more eye drops. Areas where the eye drop was deposited in the first attempt was, 32% into the conjunctival sac, 32% on the outer corner of the eye, 8% in the inner angle, 8% in the nose, 12% on the cheek, 8% in other areas.
Self-administration of eye drops by the elderly is a complex activity that can have an effect on the expected results.
客观评估65岁以上患者成功使用局部眼药水的能力和技巧。
对一组25名诊断为干眼症或青光眼的患者进行前瞻性研究，这些患者每天使用眼药水治疗至少一年。在应用眼药水时用摄像机记录整个过程。
总体上，64%被诊断为青光眼，36%为干眼症。几乎一半（44%）的患者滴眼药水时只需一次尝试，56%的患者需要两次尝试。就滴入的眼药水数量而言，52%的患者只需一滴，16%的患者需两滴，12%的患者需三滴，20%的患者需四滴或更多。首次尝试时眼药水滴入的部位，32%滴入结膜囊，32%滴在眼角外侧，8%滴在内眼角，8%滴入鼻中，12%滴在脸颊上，8%滴在其他部位。
老年人自行滴眼药水是一项复杂的活动，可能会影响预期效果。
