Davies Isaiah, Williams Andrew M, Muir Kelly W
Duke University School of Medicine, Durham, North Carolina, USA.
Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Surv Ophthalmol. 2017 May-Jun;62(3):332-345. doi: 10.1016/j.survophthal.2016.12.009. Epub 2016 Dec 21.
One aspect to eye drop adherence is successful instillation of the drops; however, it is well known that many patients struggle with this task. Difficulties may include aiming their drops, extending their neck, preventing excess drop leakage, avoiding contamination of the bottle tip, and generating enough force to expel a drop from the bottle. Instillation aids are devices that aim to ameliorate one or more of these barriers. We review the literature on instillation aids to describe the options available to patients and to report evaluations of their efficacy. Most instillation aids studied improved objective or subjective outcomes of eye drop instillation, including improved rates of successful administration and increased patient satisfaction compared with standard eye-drop bottles. Although further research is warranted, instillation aids may be an underutilized resource for the many patients who struggle to administer their own eye drops.
眼药水依从性的一个方面是成功滴入眼药水；然而，众所周知，许多患者在这项任务上存在困难。困难可能包括对准眼药水、伸长脖子、防止眼药水过度渗漏、避免瓶口污染以及产生足够的力量将一滴眼药水挤出瓶子。滴入辅助工具是旨在改善这些障碍中的一个或多个的装置。我们回顾了关于滴入辅助工具的文献，以描述患者可用的选择并报告对其疗效的评估。与标准眼药水瓶相比，大多数研究的滴入辅助工具改善了眼药水滴入的客观或主观结果，包括提高了成功给药率和患者满意度。尽管有必要进行进一步研究，但对于许多难以自行滴入眼药水的患者来说，滴入辅助工具可能是一种未被充分利用的资源。
