BACKGROUND Contact lens related keratitis is a frequent presentation to acute ophthalmology services. Patients often do not recall being counselled regarding the safe use of contact lenses therefore fail to comply with guidance. This study aimed to identify the content and format of advice given to patients with contact lens keratitis concerning appropriate hygiene practices, determine their compliance with this and finally characterise optometrist practices regarding contact lens advice provided to patients. METHODS All adult patients presenting with contact lens related keratitis to the acute ophthalmology clinic were asked to complete a survey. Information was collected on lens type, format of advice received and compliance. Community optometrists were asked to complete an electronic survey on their contact lens review practices and routine patient education. RESULTS All patients surveyed recalled counselling on initiation of contact lenses; however 12% (6/50) were given no advice on return visits. This advice was in written format for 20% (10/50) of patients on initiation increasing to 32% (16/50) on renewal. Many patients slept (22%), showered (44%) or swam (36%) in lenses. 92% cleaned their contact lenses appropriately, but cases were washed infrequently (19% of cases cleaned < monthly) or with tap water (27%). All optometrists surveyed claimed to provide advice to patients in either written or verbal format for new and returning contact lens users. 49% (16/33) of optometrists gave written advice to patients on initial contact lens fitting, but only 1/33 continued with written advice for repeat customers. CONCLUSION This study identified that although most patients were informed of appropriate hygiene requirements, compliance was poor. Optometrists regularly provide verbal advice but do not routinely offer written support and there is a mismatch between patient recollection and self-reported optometrist practice. It is suggested that patient education needs greater emphasis and both verbal and written information should be regularly provided on initial review and follow up assessments.

中文翻译：

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从苏格兰大学教学医院的角度来看，隐形眼镜卫生教育的患者和验光师经验之间的差异。

背景技术与隐形眼镜有关的角膜炎是急性眼科服务的常见表现。患者通常不记得曾被告知过有关安全使用隐形眼镜的建议，因此未能遵守指导原则。这项研究旨在确定有关隐形眼镜角膜炎患者有关适当卫生习惯的建议的内容和格式，确定他们的遵守情况，并最终确定有关向患者提供的隐形眼镜建议的验光师实践。方法要求所有在急性眼科诊所就诊的患有隐形眼镜相关性角膜炎的成年患者完成一项调查。收集了有关镜片类型，收到的建议的格式和遵守情况的信息。要求社区验光师完成对他们的隐形眼镜检查做法和例行患者教育的电子调查。结果所有接受调查的患者均回想起了隐形眼镜的咨询服务。但是，没有12％（6/50）的回访建议。该建议采用书面形式，适用于20％（10/50）的患者在开始时增加到32％（16/50）的患者。许多患者在晶状体上睡觉（占22％），洗澡（占44％）或游泳（占36％）。92％的人适当清洁了隐形眼镜，但不经常清洗（19％的病例<每月清洗一次）或用自来水（27％）清洗。所有接受调查的验光师都声称以书面或口头形式向患者提供建议，以吸引新的和回头的隐形眼镜使用者。49％（16/33）的验光师就初次接触镜配戴向患者提供了书面建议，但只有1/33继续为回头客提供书面建议。结论该研究发现，尽管大多数患者被告知适当的卫生要求，但依从性差。验光师会定期提供口头建议，但通常不会提供书面支持，并且患者的回忆与自我报告的验光师做法不符。建议对患者的教育应更加重视，应定期提供口头和书面信息以进行初次检查和随访评估。验光师会定期提供口头建议，但通常不会提供书面支持，患者回忆和自我报告的验光师执业情况不符。建议对患者的教育应更加重视，应定期提供口头和书面信息以进行初步检查和随访评估。验光师会定期提供口头建议，但通常不会提供书面支持，并且患者的回忆与自我报告的验光师做法不符。建议对患者的教育应更加重视，应定期提供口头和书面信息以进行初次检查和随访评估。