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Exploring the factors which impact overall satisfaction with single vision contact lenses
Affiliation:1. Centre for Ocular Research & Education (CORE), School of Optometry & Vision Science, University of Waterloo, 200 University Avenue West, Waterloo, Ontario N2L 3G1, Canada;2. CooperVision Incorporated, 6101 Bollinger Canyon Rd, Suite 500, San Ramon, CA 94583, USA;3. Centre for Eye and Vision Research (CEVR), 17W Hong Kong Science Park, Hong Kong;1. Centre for Ocular Research & Education, Waterloo, Canada;2. School of Optometry & Vision Science, University of Waterloo, Waterloo, Canada;3. Schaeffer Eye Center, Birmingham, Alabama, United States;4. BBR Optometry, Hereford, United Kingdom;1. Illinois College of Optometry, Chicago, IL, USA;2. OCULUS Inc, Arlington, Washington;3. North Suburban Vision Consultants and International Keratoconus Academy, Deerfield IL, USA;1. Department of Ophthalmology, Korea University College of Medicine, Seoul, Republic of Korea;2. Department of Ophthalmology, Korea University Ansan Hospital, Gyeonggi-do, Republic of Korea;3. Department of Ophthalmology, Korea University Guro Hospital, Seoul, Republic of Korea;4. Department of Ophthalmology, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China;5. Department of Ophthalmology and Visual Science, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea;6. Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Republic of Korea;1. Department of Psychology, University of Milano Bicocca, Milano, Italy;2. Institute of Research and Studies in Optics and Optometry, Vinci, Italy;3. School of Mathematical, Physical and Natural Sciences (Optics and Optometry), University of Florence, Italy;1. Department of Ophthalmology, New Zealand National Eye Centre, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand;2. Dr. Heiko Pult - Optometry and Vision Science Research, Steingasse 15, 69469 Weinheim, Germany;3. Contact Lens & Anterior Eye Research Unit (CLEAR), School of Biomedical & Life Sciences, Cardiff University, Cardiff, UK
Abstract:PurposeTo explore the impact of subjective factors (lens handling, comfort and vision) on overall single vision contact lens satisfaction.MethodsCorrelation analysis of a prospective, randomised, double-masked, bilateral crossover study involving 55 adapted lens wearers fitted with somofilcon A (SiHy) (clariti® 1 day, CooperVision) and etafilcon A (Hy) (1 DAY ACUVUE® MOIST, Johnson & Johnson Vision) was conducted. Subjective ratings of lens handling, comfort and vision collected after 1 week of lens wear for each lens type were correlated with overall satisfaction. Data were analysed by combining data for both lens types and also for each lens separately.ResultsFor the combined analysis, significant correlations (p < 0.01) were found between subjective ratings of overall satisfaction and ratings of handing for application (r = 0.64), handling for removal (r = 0.50), comfort upon application (r = 0.59), comfort at end of day (r = 0.61), overall satisfaction with comfort (r = 0.88) and overall satisfaction with vision (r = 0.64).Correlation analysis of the per lens data showed that lens specific correlations of overall satisfaction with handling for lens application varied greatly with lens material (SiHy: r = 0.26, p = 0.05 vs Hy: r = 0.72, p < 0.01). Correlation strength of comfort upon application/at end of day with overall satisfaction also varied with lens material (Application: SiHy: r = 0.40 vs Hy: r = 0.61; End of day: SiHy: r = 0.76 vs Hy: r = 0.58; all p ≤ 0.01).ConclusionOverall satisfaction was significantly correlated with the specific subjective evaluations of handling, vision and comfort. Correlations of overall satisfaction and ease of handling for each lens type suggest that, for habitual contact lens wearers, dissatisfaction with handling at the time of lens application can play a major role in overall dissatisfaction with a lens. Handling for application had a similar correlation (r) value as vision, suggesting that handling for application should not be underestimated when considering overall patient satisfaction.
Keywords:Comfort  Vision  Handling  Soft contact lens
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