Clinical Ophthalmology (Jan 2018)
Satisfaction and convenience of using terpenoid-impregnated eyelid wipes and teaching method in people without blepharitis
Abstract
Tian Yu Qiu,1 Sharon Yeo,2 Louis Tong1–4 1Yong Loo Lin School of Medicine, National University of Singapore, 2Singapore Eye Research Institute, 3Singapore National Eye Centre, 4Duke-NUS Medical School, Singapore Purpose: Demodex infestations cause blepharitis and are difficult to treat. Recently, a new type of eyelid wipes with terpenoids has been found effective. We aim to evaluate patient satisfaction after short-term use and compare two teaching modalities on the techniques of use.Patients and methods: Eligible participants were taught to use eyelid wipes (Cliradex®) by either live or online video demonstration based on random allocation. Participants used the wipes twice daily for a week. All participants had prior evaluation of socioeconomic status, dry eye symptoms, and meibomian gland features. After 1 week, competence of use was assessed by participants showing their technique to the investigator, and a questionnaire on comfort, ease, and convenience of use was administered. Higher scores indicate greater satisfaction, and these levels are compared among the two teaching modalities using chi square.Results: A total of 50 participants were recruited, with a mean age of 42±16 years, and 88% of the participants were females. Overall, median comfort level was 4.0 (range: 1–6), ease level was 5.0 (3–6), and convenience level was 5.0 (2–6). Median stinging was 2.0 (1–4), which corresponded to some but mild stinging. The median competence level was 4.0 (2–4), which corresponded to excellent competence. These satisfactory levels (ease, comfort, and convenience) experienced were not significantly associated with different socioeconomic indicators, that is, housing type, income, highest education level, and were not different between teaching methods (p>0.05).Conclusion: Short-term use of Cliradex eyelid wipes seems to be acceptable to most people. The teaching instructions before using these wipes were equally effective – whether live or online video demonstration was used. Keywords: dry eye, blepharitis, meibomian gland dysfunction, Demodex, eyelid wipes
