A Systematic Review of Eye Drops Instillation and Development of a New Method for General Population
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Abstract
Objective: To undertake a systematic review regarding techniques for eye drop instillation for general population. Methods: The researchers systematically searched information from 1) clinical practice guidelines 2) clinical recommendations from health agencies and organizations in various countries 3) clinical research from International electronic databases including PubMed, Scopus, CENTRAL, CINAHL, Web of Science, Google Scholar, Open Gray and DART-Europe, and Thai electronic databases including ThaiLIS, ThaiJO and Thai Index Medicus, from their inception until November 2018. The study included both randomized and non-randomized trials with a control group which evaluated eye drops instillation techniques in healthy volunteers or patients with no disabilities. The interested outcomes were administering drops to the lower part of the eye with the tip of the bottle not touching anything. Results: The search identified 1 clinical practice guideline, 13 clinical recommendations and 13 studies consistent with the inclusion criteria. The quality of the clinical practice guideline and the clinical recommendations were appraised using the AGREE II. Only 12 clinical recommendations satisfied the criteria. The quality of randomized and non-randomized controlled trials were evaluated using the ROB and ROBINS-I respectively. Eleven were high in the quality of study. Various evidence led to important issues applicable to the revision of Thai recommendations for eye drop administration. The proposed technique was 1) cleaning the eyes 2) taking care of the bottle cover after opening 3) head positioning 4) preparation of the eye by gently pulling the lower lid down to form a pocket before administration of the drops and 5) finger alignment. Conclusion: This research obtains a new eye drops instillation technique which is more effective, safer and more convenient for general population.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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