A comparison of the self-reported dry eye practices of New Zealand optometrists and ophthalmologists

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dc.contributor.author Xue, AL en
dc.contributor.author Downie, LE en
dc.contributor.author Ormonde, Susan en
dc.contributor.author Craig, Jennifer en
dc.date.accessioned 2017-08-06T23:03:39Z en
dc.date.available 2016-12-12 en
dc.date.issued 2017-03 en
dc.identifier.citation Ophthalmic & Physiological Optics, 37(2):191-201 Mar 2017 en
dc.identifier.issn 0275-5408 en
dc.identifier.uri http://hdl.handle.net/2292/34833 en
dc.description.abstract The aim of this cross-sectional survey was to evaluate the self-reported clinical practices of New Zealand optometrists and ophthalmologists with respect to the diagnosis and management of dry eye disease. It also sought to compare these behaviours with the current research evidence base.An anonymous survey was distributed electronically to New Zealand eye care clinicians (optometrists n = 614, ophthalmologists n = 113) to determine practitioner interest in dry eye disease, practice experience, practice modality, preferred diagnostic and management strategies, and information used to guide patient care.Respondents from both professions (response rates, optometrists: 26%, ophthalmologists: 26%) demonstrated similarly strong knowledge of tear film assessment. Ninety percent of respondents ranked patient symptoms and meibomian gland evaluation as the most valuable and common diagnostic approaches. Conversely, standardised grading scales and validated dry eye questionnaires were infrequently adopted. Both professions tailored dry eye management according to severity, indicating eyelid hygiene and non-preserved lubricants as mainstay therapies. Ophthalmologists prescribed systemic tetracyclines significantly more often than optometrists for moderate (48% vs 11%) and severe (72% vs 32%) dry eye (p < 0.05). Continuing education conferences were acknowledged as the primary information source used to guide dry eye management practices by both professions.Consistent with evidence-based guidelines, New Zealand eye care professionals combine subjective and objective techniques to diagnose and stratify dry eye management according to disease severity. There is potential to improve dissemination of research evidence into clinical practice, with continuing education via professional conferences the favoured mode of delivery. en
dc.description.uri https://www.ncbi.nlm.nih.gov/pubmed/28211183 en
dc.format.medium Print en
dc.language English en
dc.publisher Wiley / The College of Optometrists en
dc.relation.ispartofseries Ophthalmic & Physiological Optics en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://sherpa.ac.uk/romeo/issn/0275-5408/ https://authorservices.wiley.com/author-resources/Journal-Authors/licensing-open-access/open-access/self-archiving.html en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Humans en
dc.subject Dry Eye Syndromes en
dc.subject Cross-Sectional Studies en
dc.subject Health Knowledge, Attitudes, Practice en
dc.subject Optometry en
dc.subject New Zealand en
dc.subject Self Report en
dc.subject Practice Patterns, Physicians' en
dc.subject Ophthalmologists en
dc.subject Optometrists en
dc.title A comparison of the self-reported dry eye practices of New Zealand optometrists and ophthalmologists en
dc.type Journal Article en
dc.identifier.doi 10.1111/opo.12349 en
pubs.issue 2 en
pubs.begin-page 191 en
pubs.volume 37 en
dc.rights.holder Copyright: Wiley / The College of Optometrists en
dc.identifier.pmid 28211183 en
pubs.author-url http://onlinelibrary.wiley.com/doi/10.1111/opo.12349/abstract en
pubs.end-page 201 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 615677 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Ophthalmology Department en
dc.identifier.eissn 1475-1313 en
pubs.record-created-at-source-date 2017-08-07 en
pubs.online-publication-date 2017-02-17 en
pubs.dimensions-id 28211183 en

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