Basheikh Ahmed, Alattas Asmaa, Alshareef Reem, Bamahfouz Ashjan
Department of Ophthalmology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Clin Ophthalmol. 2020 Dec 24;14:4519-4522. doi: 10.2147/OPTH.S292569. eCollection 2020.
This study assesses the knowledge and attitudes of dermatologists in Saudi Arabia with regard to dry eye disease, refractive surgery, and contact lenses when prescribing isotretinoin.
A total of 150 dermatologists from major cities in Saudi Arabia were included in this cross-sectional study. Data were collected through a consent interview questionnaire.
Of the 150 dermatologists who participated, 77 (51.3%) were men. Seventy-three (48.3%) dermatologists always prescribed isotretinoin to patients and 71 (47.3%) sometimes prescribed it. One hundred forty-six (97.3%) dermatologists self-reported their awareness of the ocular side effects of the drug. One hundred twenty (80.0%) responded that it was not important to refer patients to an ophthalmologist for an eye examination before starting the isotretinoin course. Lubricant eye drops were routinely prescribed by 96% of the respondents during the isotretinoin course. Fifty (33.3%) dermatologists rarely or never asked patients about recent refractive surgery before starting the isotretinoin course. Sixty-six (44%) dermatologists rarely or never warned their patients to avoid refractive surgery for at least 6 months after the isotretinoin course is completed. One hundred ten (73.3%) dermatologists always informed their patients of contact lens intolerance as a result of isotretinoin use.
Almost all participants prescribed lubricant eye drops routinely. Most participants self-reported their knowledge regarding the ocular side effects of isotretinoin; however, more than a third did not inquire about recent refractive surgery before starting the course, and less than half did not warn patients not to undergo refractive surgery 6 months after the end of the course. This demonstrates that a significant proportion of dermatologists do not follow the appropriate practices with respect to refractive surgery when they prescribe isotretinoin. Improving the dermatologists' awareness regarding isotretinoin prescription practice is essential with respect to laser refractive surgery to prevent ocular damage.
本研究评估沙特阿拉伯皮肤科医生在开具异维A酸处方时，对干眼症、屈光手术和隐形眼镜的知识及态度。
本横断面研究纳入了沙特阿拉伯主要城市的150名皮肤科医生。通过同意访谈问卷收集数据。
参与研究的150名皮肤科医生中，77名（51.3%）为男性。73名（48.3%）皮肤科医生总是给患者开具异维A酸，71名（47.3%）有时开具。146名（97.3%）皮肤科医生自我报告知晓该药物的眼部副作用。120名（80.0%）回答说在开始异维A酸疗程前，将患者转诊至眼科医生进行眼部检查并不重要。96%的受访者在异维A酸疗程期间常规开具润滑眼药水。50名（33.3%）皮肤科医生在开始异维A酸疗程前很少或从未询问患者近期的屈光手术情况。66名（44%）皮肤科医生很少或从未警告患者在异维A酸疗程结束后至少6个月内避免进行屈光手术。110名（73.3%）皮肤科医生总是告知患者使用异维A酸会导致隐形眼镜不耐受。
几乎所有参与者都常规开具润滑眼药水。大多数参与者自我报告了他们关于异维A酸眼部副作用的知识；然而，超过三分之一的人在开始疗程前没有询问近期的屈光手术情况，不到一半的人没有警告患者在疗程结束后6个月内不要进行屈光手术。这表明相当一部分皮肤科医生在开具异维A酸处方时，在屈光手术方面没有遵循适当的做法。提高皮肤科医生对异维A酸处方实践的认识对于预防激光屈光手术导致的眼部损伤至关重要。
