Factors in the success of new contact lens wearers.pdfVIP

Factors in the success of new contact lens wearers.pdf

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Factors in the success of new contact lens wearers.pdf

Contact Lens and Anterior Eye 40 (2017) 15–24 Contents lists available at ScienceDirect Contact Lens and Anterior Eye journal homepage: /locate/clae Factors in the success of new contact lens wearers Anna Sulley, BSc, MCOptom, FAOOa,*, Graeme Young, MPhil, PhD, FCOptom, DCLP, FAAOb, Chris Hunt, MScb a Johnson Vision Care Companies, Johnson Johnson Medical Ltd., Pinewood Campus, Nine Mile Ride, Wokingham, RG40 3EW, UK b Visioncare Research Ltd, UK ARTICLE INFO Article history: Received 13 April 2015 Received in revised form 1 September 2016 Accepted 19 October 2016 Keywords: Contact lenses New contact lens wearer Discontinuation Dropout Lapsed ABSTRACT Purpose: To determine the ?rst-year retention rate for patients ?tted with contact lenses (CLs) and identify factors associated with retention and dropout. Methods: This multi-site study was a retrospective chart review of the status of neophyte CL wearers ?tted in representative UK eye care practices. Results: Consecutive records for 524 patients at 29 sites were reviewed. Mean age at dispensing was 34 years (range 8–79), 68% were under 45 years and 61% female. Soft CLs were ?tted to 98% of patients. After 12 months, 388 were still CL wearers, a retention rate of 74% (95% CI: 70.1–77.6). Of the 136 lapsed, 25% discontinued during the ?rst month and 47% within 60 days. The main reasons cited for discontinuation included poor distance vision (26%; of whom, 37% were toric and 51% multifocal), poor near vision (16%), discomfort (14%) and handling problems (15%). In 32% of cases, the reasons for discontinuation were unknown. For 71% of dropouts, no alternative lens or management strategy had been tried. Signi?cant factors associated with retention in univariate analysis were: age (younger), sphere power (higher), lens type (sphere vs multifocal) and purchase frequency (regular). Multivariate analysis showed lens sphere power, purchase frequency and lens material to be signi?cant factors. There was a wide variation in rete

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