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Dear contact lens wearer,

My name is Divani Moodley. I am an optometrist conducting a research study for a Master of Optometry degree at UKZN Westville campus.
You are being invited to consider participating in a study to determine the compliance of contact lens wear and care in a sample of contact lens wearers in Durban, KwaZulu-Natal. The aim and purpose of this research is to establish the current level of compliance as well as to identify any contact lens compliance related problem areas. The study is expected to include 117 subjects between the ages of 18-60 years, living in and attending a contact lens practice in Durban, KwaZulu-Natal as well as have been wearing contact lenses for a year or longer. It will involve a brief questionnaire which you will kindly be asked to fill out which entails your wear and care habits with regard to your contact lenses. If you choose to participate, the duration is expected to be 10 minutes.
The study does not involve any risks and/or discomforts. I hope that the study will benefit you as it will allow me to obtain results that would be extremely useful to optometrists in determining how we can improve patient compliance with contact lenses and make your wearing experience as a contact lens wearer safer and more enjoyable.
This study has been ethically reviewed and approved by the UKZN Biomedical research Ethics Committee (approval number_).
In the event of any problems or concerns/questions you may contact the researcher on 0718985709/email [email protected] or the Biomedical Research Ethics Committee, contact details as follows:

BIOMEDICAL RESEARCH ETHICS ADMINISTRATION
Research Office, Westville Campus
Govan Mbeki Building
Private Bag X 54001
Durban
4000
KwaZulu-Natal, SOUTH AFRICA
Tel: 27 31 2604769 – Fax 27 31 2604609

Your participation in this research study is voluntary. You are encouraged to ask any questions regarding this research study before deciding whether to participate or not.
Cost: There is no cost or compensation involved in participating in this study.
Confidentiality: Whilst all efforts will be made to keep your information confidential, total confidentiality cannot be guaranteed. All information obtained during this study will be kept in a locked cupboard for 5 years after which it will be shredded. Your information may be disclosed if required by law or organizations that inspect this study for quality assurance. It will not be used individually, but be used to report group findings. Your name will not be used in any report related to the study.
Withdrawal: You may withdraw freely at any point of the study without penalty or facing any consequences.
Consent:
I have been informed about the study entitled, “A study to determine compliance of contact lens wear and care in a sample of contact lens wearers in Durban, KwaZulu-Natal” by Divani Moodley.

I understand the purpose and procedures of the study.
I have been given an opportunity to ask questions about the study and have had answers to my satisfaction.
I declare that my participation in this study is entirely voluntary and that I may withdraw at any time without affecting any treatment or care that I would usually be entitled to.


 
 
 
 
How old are you?
 
18-30
 
31-40
 
41-60
 
 
 
Do you live in Durban, KwaZulu-Natal?
 
Yes
 
No
 
 
 
Which race do you belong to? (For statistical purposes only)
 
Black
 
Indian
 
White
 
Coloured
 
Other
 
 
 
 
Do you wear hard or soft contact lenses?
 
Hard
 
Soft
 
 
 
How long have you been wearing contact lenses?
 
Less than a year
 
More than a year
 
 
 
Are you wearing monthly, two-weekly or daily soft lenses?
 
Monthly
 
Two-weekly
 
Daily
 
 
 
When last have you attended a contact lens check-up?
 
Less than a year
 
Less than 2 years
 
More than 2 years
 
 
 
How many days do you wear your lenses for before throwing them out?
 
Stated number of days
 
Always more than stated number of days
 
 
 
How often do sleep wearing your lenses?
 
Never
 
Occasionally
 
Often
 
 
 
Do you wash your hands before inserting and removing your lenses?
 
Yes, always
 
Sometimes
 
Never
 
 
 
What do you use to clean/store your lenses?
 
Solution
 
Water
 
 
 
Where do you store your contact lenses?
 
Lens case/vial
 
Other
 
 
 
 
Do you replace your solution or top up?
 
Replace
 
Top up
 
 
 
Do you cover your lenses completely in solution?
 
Yes
 
No
 
 
 
Do you close your lens case tightly?
 
Yes
 
No
 
 
 
Do you clean your case?
 
Yes
 
No
 
 
 
How often do you change your case?
 
Monthly
 
Annually
 
Never
 
 
 
Do you close the cap of your solution bottle tightly?
 
Yes
 
No
 
 
 
Do you ever check the expiry date of your solution?
 
Yes
 
No
 
 
 
Do you use expired solution?
 
Yes
 
No
 
 
 
Do you ever share your contact lens case with other people?
 
Yes
 
No
 
 
 
Are you informed about and do you attend after care appointments?
 
Yes, Yes
 
No, No
 
Yes, No
 
No, Yes
 
 
 
Have you been told about the complications that can arise from contact lens misuse?
 
Yes
 
No