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History and symptom taking in contact lens fitting and aftercare.pdf
Contact Lens Anterior Eye 38 (2015) 258–265
Contents lists available at ScienceDirect
Contact Lens Anterior Eye
journal homepage: /locate/clae
History and symptom taking in contact lens ?tting and aftercare
James S. Wolffsohn a,?, Shehzad A. Naroo a, Caroline Christie b, Judith Morris b,c, Robert Conway d, Carole Maldonado-Codina e, Neil Retalic e, Christine Purslow a,f, The British Universities Committee of Contact Lens Educators (BUCCLE)
a Ophthalmic Research Group, School of Life and Health Sciences, Aston University, Birmingham B4 7ET, UK b Optometry and Visual Sciences, City University, London, UK c Institute of Optometry, London, UK d Vision Hearing Sciences Anglia Ruskin University, Cambridge, UK e Faculty of Life Sciences, The University of Manchester, Manchester, UK f Optometry and Vision Sciences, Cardiff University, Cardiff, UK
article info
Article history: Received 5 January 2015 Received in revised form 20 February 2015 Accepted 26 February 2015
Keywords: History Symptoms Compliance Risk factors Differential diagnosis Abbreviations Prescribing in?uences
abstract
Aim: To appraise history and symptom taking for contact lens consultations, to determine current practice and to make recommendations for best practice. Method: The peer reviewed academic literature was reviewed and the results informed a survey completed by 256 eye care practitioners (ECPs) on their current practice and in?uences. Results: The last eye-test date, last contact lens aftercare (for existing wearers) and reason for visit are key questions for most ECPs. Detailed use of contact lens questions are more commonly applied in aftercares than when re?tting patients who have previously discontinued wear (87% vs 56% use), whereas questions on ocular and general history, medication and lifestyle were generally more commonly utilised for new patients than in aftercares (72% vs 50%). 75% of ECPs requested patients bring a list of their medication to appointments. Differential diagnosis ques
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