title: Eye drop administration in patients attending and not attending a glaucoma education center.
abstract: BACKGROUND
  To assess the technique of glaucoma eye drop instillation in patients who have and have not attended glaucoma education sessions. To compare this with their subjective perception of eye drop use and identify factors associated with improved performance.
  
  
  METHODS
  An observational study of 55 participants who instill their topical glaucoma medication for more than 1 year. Twenty-five patients attended (A) glaucoma teaching sessions >1 year before the study and were compared to thirty patients who never attended (NA). Patients completed a self-reporting questionnaire. They instilled their eye drop, and the technique was video-recorded digitally and later graded by two masked investigators. The results were analyzed using Fisher's exact test and Chi-square test. Predictors were assessed using logistic regression models.
  
  
  RESULTS
  There was no significant difference in overall performance scores between the two groups. Good technique was observed in 16% of (A) group versus 23% (NA) group, (P = 0.498). There was a mismatch between patient's subjective and actual performance. Female gender and higher educational level were found to be predictors of good performance of drop instillation on univariable logistic regression analysis.
  
  
  CONCLUSIONS
  Glaucoma patients are challenged with eye drop instillation despite receiving education on drop administration. There is a discrepancy between patient's perceptions and observed technique of drop administration.
authors.affiliation: Department of Ophthalmology, Sultan Qaboos University Hospital, Oman; McGill University Health Centre, Montreal, Canada.
authors.forename: Aisha
authors.initials: A
authors.lastname: Al-Busaidi
authors.affiliation: Royal Victoria Hospital, Montreal, Canada.
authors.forename: Debbie Anne
authors.initials: DA
authors.lastname: Samek
authors.affiliation: Department of Ophthalmology, Jewish General Hospital, Montreal, Canada.
authors.forename: Oscar
authors.initials: O
authors.lastname: Kasner
keywords: Drop administration; education; eye drops; glaucoma