Adherence to treatment in visually impaired individuals

Bikbov MM, Israfilova GZ, Gilmanshin TR, Zainullin RM, Yakupova EM
About authors

Ufa Eye Research Institute, Ufa, Russia

Correspondence should be addressed: Gulnara Z. Israfilova
Pushkinа, 90, 450008, Ufa, Russia; ur.liam@aranlug_avolifarsi

About paper

Author contribution: Bikbov ММ — study concept and design, advising, editing; Israfilova GZ, Gilmanshin TR — data acquisition and processing, manuscript writing and editing.

Compliance with ethical standards: the study was approved by the Ethics Committee of the Ufa Eye Research Institute and conducted in accordance with the fundamental ethical principles of the Declaration of Helsinki, GСP (Good Clinical Practice) principles, and current regulatory requirements; the informed consent was submitted by all study participants.

Received: 2022-02-01 Accepted: 2022-02-15 Published online: 2022-02-22

Adherence to treatment is one of the major challenges posed by modern medicine. Today, cataract is the leading cause of reversible blindness and visual disability. The study was aimed to assess adherence to timely surgical treatment in individuals with cataract. The data of the cross-sectional, population-based Ural Eye and Medical Study were assessed. Among 546 participants, there were 46.3% men and 53.7% women, 59.6% urban resudents, 40.4% rural residents. Their average age was 66.36 ± 9.47 years (40–88 years). Statistical data analysis was performed using the IBM SPSS Statistic software package. The findings showed that the lack of awareness of the disorder and low interest in surgery were the main factors, affecting the patients' motivation for cataract treatment. At the same time, the frequency of ophtalmology visits was inversely related to the patients' age (OR 1.24; 95% CI 1.04–1.49) and the duration of vision loss (OR 1.08; 95% CI 0.81–1.43), and directly related to the cataract diagnosis age (OR 1.20; 95% CI 1.04–1.38), the presence of ophthalmologist in the community clinic (OR 1.71; 95% CI 1.29–2.26), trust in the doctor (OR 3.62; 95% CI 3.02–4.35), ophthalmologist's explanation of the cataract complications and advanced treatment methods (OR 1.62; 95% CI 1.34–1.97). Understanding the main factors, contributing to low treatment adherence in patients with cataracts, would make it possible to optimize the measures to improve healthcare delivery to such patients, associated with the increased coverage of surgical treatment.

Keywords: quality of life, adherence to surgical treatment, cataract, awareness