Gao Xinbo, Yang Qiongman, Huang Wenmin, Chen Tingting, Zuo Chengguo, Li Xinyan, Gao Wuyou, Xiao Huiming
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China.
J Ophthalmol. 2018 Apr 8;2018:1376020. doi: 10.1155/2018/1376020. eCollection 2018.
To evaluate eye drop instillation technique and to explore its determinants in glaucoma patients.
One hundred and thirteen patients diagnosed with glaucoma and self-administering topical antiglaucoma eye drops for at least 1 month were evaluated. All patients instilled artificial tear solution in one eye as they would do at home. The whole process was evaluated by two study staff. A comprehensive score system associated with eye drop instillation techniques was used to quantify the instillation technique and explore its determinants such as demographic and clinical characteristics.
Half of the patients (48.67%) finished the administration of eye drop on first attempt.1.7 eye drops were squeezed out on average. 43 patients (37.17%) got contact with ocular surface or adnexa. Only 19.7% patients had eye drop instillation techniques being defined as well. 11 patients (9.7%) had prior instruction regarding using eye drops, while only 4 patients knew to occlude the tear duct by pressing the dacryocyst area. Older age and worse visual acuity were found to be independent risk factors for worse instillation technique.
Eye drop instillation technique in glaucoma patients deserves great attention from eye care practitioners during their lifelong follow-up, especially those aged older and have worse visual acuity.
评估青光眼患者滴眼剂滴注技术，并探究其影响因素。
对113例诊断为青光眼且自行使用局部抗青光眼滴眼剂至少1个月的患者进行评估。所有患者按照在家中的方式在一只眼中滴入人工泪液。整个过程由两名研究人员进行评估。采用与滴眼剂滴注技术相关的综合评分系统来量化滴注技术，并探究其影响因素，如人口统计学和临床特征。
一半的患者（48.67%）首次尝试即完成滴眼剂给药。平均挤出1.7滴。43例患者（37.17%）的滴眼剂接触到眼表或附件。仅有19.7%的患者滴眼剂滴注技术达标。11例患者（9.7%）曾接受过滴眼剂使用的指导，而只有4例患者知道通过按压泪囊区来阻塞泪道。年龄较大和视力较差被发现是滴注技术较差的独立危险因素。
青光眼患者的滴眼剂滴注技术在其终身随访期间值得眼科护理人员高度关注，尤其是年龄较大且视力较差的患者。
