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Ocular Immunology and Inflammation Volume 29, 2021 - Issue 5
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Original Article

Adherence to Topical Medication in Patients with Inflammatory Eye Disease

Hedayat Javidia Inflammatory Eye Disease Service, Birmingham & Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
, MBChB,
Nat Poonita Inflammatory Eye Disease Service, Birmingham & Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
,
Radhika P. Patela Inflammatory Eye Disease Service, Birmingham & Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
, MBBS,
Robert J. Barrya Inflammatory Eye Disease Service, Birmingham & Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK;b Academic Unit of Ophthalmology, Institute of Inflammation and Ageing University of Birmingham, Birmingham, UK
, PhD, FRCOphth,
Saaeha Rauza Inflammatory Eye Disease Service, Birmingham & Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK;b Academic Unit of Ophthalmology, Institute of Inflammation and Ageing University of Birmingham, Birmingham, UK
, PhD, FRCOphth &
Philip I. Murraya Inflammatory Eye Disease Service, Birmingham & Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK;b Academic Unit of Ophthalmology, Institute of Inflammation and Ageing University of Birmingham, Birmingham, UKCorrespondence[email protected]
, PhD, FRCOphth
Pages 890-895 | Received 01 Aug 2019, Accepted 26 Nov 2019, Published online: 16 Jan 2020
 
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ABSTRACT

Purpose: To evaluate adherence to topical medication in patients with inflammatory eye disease.

Methods: Questionnaire survey of patients attending inflammatory eye disease clinics. Treatment regimen was validated against hospital-generated clinic letters.

Results: There were 86 patients (52 uveitis and 34 ocular surface disease) with 30% (26/86) failing to identify one or more of the medications they were using, and 28% (24/86) unable to offer the correct indication for their treatment. A total of 64% (55/86) failed to use their medication as advised (27% on a daily basis); the commonest reason being forgetfulness. In patients using multiple eye drops, 26% left insufficient time intervals between successive eye drops, and 58% (50/86) reported not being given any instruction on drop instillation.

Conclusions: We highlight poor adherence to topical medication in patients with inflammatory eye disease. We recommend a dedicated practitioner providing a proactive approach to patient education to improve adherence.

Declaration of Interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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