Title: Knowledge, Attitude and Practice Regarding Ocular Topical Steroid among Patients Visiting Tertiary Care Hospital at Rampurhat, West Bengal
Author: Dr Raktima Baksi (Mandal)
DOI: https://dx.doi.org/10.18535/jmscr/v8i1.43
Abstract
Background: It has been observed that majority of rural patients attending eye outpatient department (OPD) in a tertiary care hospital at Rampurhat, West Bengal, are in the habit of misusing steroid medications through self-medication, treatment by quacks, pharmacists, and general practitioners for various eye conditions which can lead to various complications in eye.
Materials and Methods: We conducted a prospective, cross-sectional study in ophthalmology OPD at tertiary care hospital in Rampurhat, West Bengal. A total of 150 patients of both sexes, aged between 15 and 70 years who visited hospital for the first time in eye OPD from May 2018 to April 2019 were interviewed. All patients underwent a short semi-structured questionnaire, especially prepared by the author. The results were statistically analyzed to come to a conclusion.
Results: A total of 112 patients reported using eye drops. Only 36 of them were using steroid eye drops of their own with or without antibiotics or other substances. By calculating binomial probability and normal approximation with this sample, it can be inferred that a significant number of patients do use self-prescribed steroid eye drops (P < 0.02).
Conclusion: There is a menacing state of affairs in rural/semi-urban areas of Eastern India regarding misuse of eye drops, at least in regions of our study, which encourage bigger multicentric studies, and also, immediate measures should be taken to improve awareness and literacy on this issue.
Keywords: Misuse of eye drop, Ocular medicine, Topical steroids
References
- Abelson MB, Butrus S. Corticosteroids in ophthalmic practice. Chapter 23. In: Albert DM et al., eds. Albert & Jakobiec’s Principles and Practice of Ophthalmology,3rd ed. Philadelphia: Saunders Elsevier; 2008.
- British Medical Association and Royal Pharmaceutical Society of Great Britain. British National Formulary. 69th ed. London: British Medical Association and Royal Pharmaceutical Society of Great Britain; 2015.
- Davies DM, Ferner RE, de Glanville H. Davies’s Text Book of Adverse Drug Reactions. London, England: Lippincott-Raven Publishers; 1998.
- Flach AJ. Cutan Ocul Toxicol.1991; 10(4):253-277.
- Duvall B, Kershner R. Ophthalmic Medications and Pharmacology, 2nd ed. Thorofare, N.J.: Slack; 2006.
- Blenkinsopp A, Bradley C. Patients, society and the increase in self medication. BMJ 1996;9:629-32.
- Kadri R, Hegde S, Kudva AA, Achar A, Shenoy SP. Self-medication with over the counter ophthalmic preparations: Is it safe? Int J Biol Med Res 2011;2:528-30.
- Tayanithi P, Aramwit P. Self-medicated over the counter ophthalmic solutions in central Bangkok. J Med Assoc Thai 2005;88 Suppl 4:S330-4.
- Soparkar CN, Wilhelmus KR, Koch DD, Wallace GW, Jones DB. Acute and chronic conjunctivitis due to over-the-counter ophthalmic decongestants. Arch Ophthalmol 1997;115:34-8.
- Tappeiner C, Sarra GM, Abegg M. Abuse of vasoconstrictive eyedrops mimicking an ocular pemphigoid. Eur J Ophthalmol 2009;19:129-32.
- Rumelt MB. Blindness from misuse of over-the-counter eye medications. Ann Ophthalmol 1988;20:26-7, 30.
- Omolase CO, Afolabi AO, Mahmoud AO, Omolase BO. Ocular self-medication in Owo, Nigeria. Niger J Postgrad Med 2008;1:8-11.