Assessment of Knowledge & Attitude among Contact Lens users who visited Tertiary Eye care Hospital: A Pilot Study

Assessment of Knowledge & Attitude among Contact Lens users who visited Tertiary Eye care Hospital: A Pilot Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Assessment of Knowledge & Attitude among Contact Lens users who visited Tertiary Eye care Hospital: A Pilot Study Razia Bano, Dr. Ashish Chander This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8645400/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background: The demand for contact lenses is driven by factors such as increasing cases of refractive errors and the rising popularity of cosmetic lenses. The purpose of this study to evaluate patient knowledge and behaviour regarding contact lens wear Methods: This is a cross-sectional study with 34 participants from Era Hospital Lucknow. Data was collected using pre-approved questionnaire and ophthalmic examination. Data was analysed using Microsoft Excel 2019 and IBM SPSS Statistics 20.0. Descriptive statistics (frequency, mean ± SD) summarized all variables. One-way ANOVA (F-test) assessed variability within groups, and the P-value < 0.05 was considered statistically significant. Result : On the basis of hygiene 94.1% reported cleaning their hands before inserting their lenses. whereas 85.3% of respondents replaced CLs as recommended (p < 0.001). Just 58.8% (n = 20) reported seeing a doctor frequently (p = 0.467). 11.8% (n = 4) users reported wearing lenses for more than eight hours per day, (p < 0.001). On the basis of compliance by lens type 100% of RGP users and 93.3% of soft users reported cleaning their hands (p = 1.000). Conclusion: Despite all the recommendations & compliance behaviour there’s a still need of patient education to change attitude related compliance of routine checkup. When contrasting RGP/Hard & Soft/Hydrogel lens, there were no high variation despite the fact that RGP wearers seemed to be a little more obedient. Contact lens Knowledge Hydrogel Lens RGP Lens Figures Figure 1 I. BACKGROUND Contact lenses are widely used across the globe, with millions relying on them for vision correction, cosmetic enhancement, and therapeutic purposes. The global contact lens market was valued at $ 18.6 billion in 2023 and is projected to grow at a CAGR of 8.9% from 2024 to 2030. ( 1 ) The market is expected to reach $ 19.83 billion worldwide in 2025, with steady growth anticipated in the coming years. 2,3 The demand for contact lenses is driven by factors such as increasing cases of refractive errors, advancements in lens technology, and the rising popularity of cosmetic lenses. Additionally, daily disposable lenses are gaining traction due to their convenience and hygiene benefits.( 3 ) Yvonne Wu et. Al. conducted study in 2010 on title “Contact lens user profile, attitudes and level of compliance to lens care”. In this study author concluded that Common non-compliant behaviors among lens users including not washing their hands properly, and not taking proper care of their lenses. Online lens purchases were linked to a lack of knowledge about follow-up visits. That needs more patient education regarding usage of CLs.( 13 ) Ajay Kumar Vijay et.al. conducted study on topic “Contact lens storage case hygiene practice and storage case contamination”. The author concluded that, in comparison to the P. aeruginosa isolate, the S. aureus isolate produced less dense biofilms that were more resilient to hygienic practices. These substantial biofilms could not be removed by rinsing (with MPS or hot water) and then letting the area air dry for six hours. The best method for both strains was to rinse with the MPS, then wipe the tissue and let it air dry.( 15 , 16 ) Based on the concept of the material used in their manufacture, the following three categories of contact lenses can be differentiated: hard lenses, rigid gas-permeable lenses, and soft lenses. In a number of nations, 40.5% of adults between the ages of 15 and 25 reported using contact lenses, with women making up the majority of those afflicted.( 1 ) Types of lenses • Soft Disposable Lenses : Represent about 93% of all contact lens use in the United States, with daily disposables accounting for a rapidly growing segment, now nearly half of new soft lens fittings. • Rigid Gas Permeable (RGP) Lenses : Comprise roughly 7% of users. Within RGPs, specialized designs like scleral lenses (for keratoconus or severe dry eye) and orthokeratology (overnight corneal reshaping) are growing in niche popularity but still represent a small fraction of overall fits.( 4 , 5 ) The shift toward disposable soft lenses aligns with convenience and safety benefits. RGPs remain an important option for patients with irregular corneas or high astigmatism and are sometimes more durable, but they require specialized fitting and consistent wear time for adaptation.( 5 ) Daily disposable lenses One of the most significant shifts in recent years is the surge in daily disposable contact lenses. Formerly considered premium-priced, single-use lenses now make up close to half of new soft lens fits. Practitioners note that daily disposables reduce the risk of contamination associated with cleaning and storing lenses, which translates into fewer lens-related eye infections.( 7 ) Addressing unhygienic procedures, nighttime usage, and contact lens solution-induced problems will continue to be an issue in eye care practice as long as patients wear contact lenses consistently to correct their refractive defect.( 1 , 2 ) Despite the higher annual expense, many wearers find the convenience and enhanced safety worth the cost. Some also report better end-of-day comfort, as each pair of lenses is used only once.( 8 ) II. METHODOLOGY This is questionnaire based cross sectional, prospective clinical based pilot study. All patients consent form was signed and verbal explanation of the protocol was done before giving questionnaire form. Data were analysed using Microsoft Excel 2019 (Microsoft Corporation, Redmond, WA, USA) and IBM SPSS Statistics 20.0 (IBM Corp., Armonk, NY, USA). Independent t-tests compared mean differences in parameters. Descriptive statistics (frequency, mean ± SD) summarized all variables. One-way ANOVA (F-test) assessed variability within groups, and the P-value < 0.05 was considered statistically significant. III. RESULT 34 contact lens (CL) users who were myopic/hyperopic patients and the inclusion criteria of this study. Table 1 summarizes the distribution of the sample, which was used as the foundation for further analysis. Despite the sample's small size, it yielded enough information to investigate wear behaviours, sanitary compliance, lens type preferences, and demographic tendencies. Demographic Distribution According to gender analysis, the sample's composition was 64.7% female (n = 22) and 35.3% male (n = 12) (Table.1). The percentage of female users was higher, but the difference was not statistically significant (p = 0.086). Therefore, it cannot be said that the gender distribution in this study is substantially biased. In terms of age, 76.5% of participants (n = 26) were in the 18–25 age range, whereas 23.5% (n = 8) were in the 25–35 age range. The statistical significance of this distribution (p = 0.002) confirmed that the study's contact lens wearers were significantly overrepresented among younger individuals (18–25 years old). When combined, these findings imply that the average CL user in this group was a female between the ages of 18 and 25, which is in line with more general data showing that young women make up the majority of CL adopters. Table.1 Demographic and Clinical Characteristics of Contact Lens Users (n = 34) Variable Category n Percentage % P Value Gender Female 22 64.7 Male 12 35.3 Age 18–25 26 76.5 25–35 8 23.5 Lens type Soft/hydrogel 30 88.2 p < 0.001* RGP/Hard 4 11.8 Replacement schedule Daily 12 35.3 0.401* Annually 10 29.4 Weekly 6 17.6 Monthly 6 17.6 (Note: p-value: probability value, *: Significant) Table.2 Hygiene & follow-up percentage Variable Yes (n) Percentage% P Value Wash hands before insertion 32 94.1 < 0.001 Change solution daily 21 61.8 0.171 Replace CLs as advised 29 85.3 8 hours 4 11.8 < 0.001 Sleep with CLs Occasionally 1 2.9 < 0.001 (Note: p-value: probability value, *: Significant) Lens Type Distribution 88.2% (n = 30) reported using soft/hydrogel lenses, which were significantly more common than the 11.8% (n = 4) who reported using rigid gas permeable (RGP) or hard lenses. It was determined that this preference was extremely significant (p < 0.001), indicating that soft lenses predominate in this demographic. (Table 1). Replacement Schedule Daily (35.3%, n = 12), annual (29.4%, n = 10), weekly (17.6%, n = 6), and monthly (17.6%, n = 6) replacement schedules were distributed. Graph 2 shows that the differences between these groups were not statistically significant (p = 0.401). This suggests that, despite the prevalence of daily disposables and yearly replacement schedules, there was no discernible preference for a particular replacement mechanism. (Table 1). Hygiene and Follow-up Compliance Compliance practices as follows- • 94.1% (n = 32) reported cleaning their hands before inserting their lenses, which was a highly significant rate (p < 0.001). • 61.8% of the sample (n = 21) changed their answer every day; nevertheless, this difference was not statistically significant (p = 0.171). • 85.3% (n = 29) of respondents replaced CLs solution as recommended, a highly significant result (p < 0.001). • Just 58.8% (n = 20) reported seeing a doctor frequently, and this difference was not statistically significant (p = 0.467). Therefore, even though hand cleanliness and replacement compliance were very good, there were gaps in routine follow-up and solution replacement, which still need patient education. Wear Behaviour Just 11.8% (n = 4) of users reported wearing lenses for more than eight hours per day. The fact that this difference was so significant (p < 0.001) indicates that most people followed safe wear guidelines. Similarly, nighttime wear was very uncommon in this population, as only 2.9% (n = 1) acknowledged to occasionally sleeping with CLs, which is likewise a statistically significant finding (p < 0.001). These results show that there is little participation in high-risk behaviors and that the wear pattern is generally safe. Compliance by Lens Type When contrasting RGP/Hard and soft/hydrogel users- • 100% of RGP users and 93.3% of soft users reported cleaning their hands. There was no significant change (p = 1.000). • Seventy-five percent of RGP users and sixty percent of soft users reported daily solution changes; this difference was not statistically significant (p = 0.61). Statistical research revealed that there were no appreciable variations in compliance by lens type, despite the fact that RGP wearers seemed to be a little more obedient when it came to changing their solutions. Graph.1 Compliance by lens type IV. DISCUSSION In this study we concluded that on the basis of attitude and hygiene perspective around 94.1% users clean their hands which is highly significant and 85.3% replaced CLs solution as recommended by the doctors/optometrist around 58.8% reported routine checkup frequently as per recommendation after prescription of refractive correction and that was not statistically significant, therefore it still needs patient education to change attitude related compliance of routine checkup, solution replacement and clinic visit as per recommendation by their doctors/optometrist. On the basis of wear behaviour 88.2% reported wearing lenses less than 8 hours/day, it indicate that most people followed safe wear guidelines to avoid corneal damage, also nighttime wear were very uncommon as only 2.9% (n = 1) acknowledged to occasionally sleeping with CLs. So it concluded that the wear pattern is generally safe. V. CONCLUSION When contrasting RGP/Hard & Soft/Hydrogel lens, Statistical research revealed that there was no high variation in compliance by lens type, despite the fact that RGP wearers seemed to be a little more obedient when it comes to changing their contact lens solutions. Poor lens hygiene and inadequate lens washing before storage may result from improper advice given to contact lens wearers during examinations or from a lack of knowledge about aftercare visits. Limitation of the study The study was conducted on very small sample, Therefore for best analysis It’s recommended to increase sample size for future studies. Declarations Ethical committee of Teerthanker Mahavir University Moradabad Uttar Pradesh India approved this study. Author Contribution Contributor 1 Contributor 2Concepts Yes YesDesign Yes YesDefinition of intellectual content Yes NoLiterature search Yes NoClinical studies Yes YesExperimental studies Yes YesData acquisition Yes YesData analysis Yes NoStatistical analysis Yes NoManuscript preparation Yes NoManuscript editing Yes YesManuscript review Yes YesGuarantor Yes Yes References Waghmare SV, Jeria S. A Review of Contact Lens-Related Risk Factors and Complications. Cureus. 2022;14(10):e30118. https://doi.org/10.7759/cureus.30118 . Alipour F, Khaheshi S, Soleimanzadeh M, Heidarzadeh S, Heydarzadeh S. Contact Lens-related Complications: A Review. J ophthalmic Vis Res. 2017;12(2):193–204. https://doi.org/10.4103/jovr.jovr_159_16 . Shigeyasu CMD, Yamada PD, Fukuda MMDPD, Koh MMDPD, Shizuka MD, Suzuki PD, Toshida TMDPD, Oie HMDPD, Nejima YMDPD, Eguchi RMDPD, Kawasaki HMDPD, Nishida RMDPD. Kohji M.D., Ph.D.; for the Research Group of Severe Contact Lens-associated Ocular Complications. Severe Ocular Complications Associated With Wearing of Contact Lens in Japan. Eye & Contact Lens: Science & Clinical Practice 48(2):p 63–68, February 2022. | 10.1097/ICL.0000000000000870 Teo L, Lim L, Tan DT, et al. A survey of contact lens complications in Singapore. Eye Contact Lens. 2011;37(1):16–9. 10.1097/icl.0b013e3182048f99 . PMID: 21139501. Microbial keratitis predisposing factors and morbidity, Keay L, Edwards K, Naduvilath T, Taylor HR, Snibson GR, Forde K, Stapleton F. Ophthalmology. 2006;113:109–16. [DOI] [PubMed] [Google Scholar]. Contact lens storage case hygiene practice and storage case contamination, Vijay AK, Willcox M, Zhu H, Stapleton F. Eye Contact Lens. 2015;41:91–7. [DOI] [PubMed] [Google Scholar]. Corticosteroids for bacterial keratitis: the Steroids for Corneal Ulcers Trial (SCUT), Srinivasan M, Mascarenhas J, Rajaraman R, et al. Arch Ophthalmol. 2012;130:143–50. [DOI] [PMC free article] [PubMed] [Google Scholar]. Strategies for the management of microbial keratitis, Allan BD, Dart JK, Br. J Ophthalmol. 1995;79:777–86. 10.1136/bjo.79.8.777 . [DOI] [PMC free article] [PubMed] [Google Scholar]. Ocular complications in, Najmee N, Hamzah F, Saliman N. contact lens wear and the risk factors: A retrospective analysis. Zainodin E. Environ-Behav Proc J. 2021;15:105–10. [Google Scholar]. Prevalence of contact lens-related complications: UCLA contact lens study, Forister JF, Forister EF, Yeung KK, Ye P, Chung MY, Tsui A, Weissman BA. Eye Contact Lens. 2009;35:176–80. 10.1097/ICL.0b013e3181a7bda1 . [DOI] [PubMed] [Google Scholar]. The incidence of contact lens-related microbial keratitis in Australia, Stapleton F, Keay L, Edwards K, Naduvilath T, Dart JK, Brian G, Holden BA. Ophthalmology. 2008;115:1655–62. [DOI] [PubMed] [Google Scholar]. Nonulcerative complications of contact lens wear, Stapleton F, Dart J, Minassian D. Relative risks for different lens types. Arch Ophthalmol. 1992;110:1601–6. [DOI] [PubMed] [Google Scholar]. Wu Y, Carnt N, Stapleton F. Contact lens user profile, attitudes and level of compliance to lens care. Contact lens & anterior eye. J Br Contact Lens Association. 2010;33(4):183–8. https://doi.org/10.1016/j.clae.2010.02.002 . Dumbleton K, Woods CA, Jones LW, Fonn D. The impact of contemporary contact lenses on contact lens discontinuation. Eye Contact Lens. 2013;39(1):93–9. https://doi.org/10.1097/ICL.0b013e318271caf4 . Vijay AK, Willcox M, Zhu H, Stapleton F. Contact lens storage case hygiene practice and storage case contamination. Eye Contact Lens. 2015;41(2):91–7. https://doi.org/10.1097/ICL.0000000000000070 . Wu Y, Carnt N, Willcox M, Stapleton F. Contact lens and lens storage case cleaning instructions: whose advice should we follow? Eye Contact Lens. 2010;36(2):68–72. https://doi.org/10.1097/ICL.0b013e3181cf8aff . Abengózar-Vela A, Pinto FJ, González-Méijome JM, Ralló M, Serés C, Calonge M, González-García MJ. Contact lens case cleaning procedures affect storage solution pH and osmolality. Optometry Vis science: official publication Am Acad Optometry. 2011;88(12):1414–21. https://doi.org/10.1097/OPX.0b013e318230375f . Graph Graph 1 is available in the Supplementary Files section. Additional Declarations No competing interests reported. Supplementary Files floatimage3.png Graph.1The graph representing Compliance by lens type. (6) Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-8645400","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":580014089,"identity":"8b50d575-902d-4559-977d-ac5f54b7dff5","order_by":0,"name":"Razia Bano","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA80lEQVRIiWNgGAWjYBACAyjNw8De2HDgA5DFxk60Fp7DBx/OAGlhJlILA4NEWrIxD4hBSIs5+9mDjytq6mT4Z+SYSdv82ibPx8zA+OFjDm4tlj15yYZnjrHxSJx5Yyad23fbsI2ZgVly5jY8DjuQYybZwMbDw3AcaEtuz21GoBY2Zl58Ws6/AWr5J8EjD9Qrbdlz256wlhtAWxrbDHgMTgC9z/DjdiJBLZYz3hgbNvYl8BieAQZyb8Pt5DZmxma8fjHnzzF82PCtzl7uODAqf/y5bTu/vfngh494tKACxjYw2UCsehD4Q4riUTAKRsEoGCkAAKj3T8ctA55jAAAAAElFTkSuQmCC","orcid":"","institution":"Teerthanker Mahavir University Moradabad Uttar Pradesh","correspondingAuthor":true,"prefix":"","firstName":"Razia","middleName":"","lastName":"Bano","suffix":""},{"id":580014090,"identity":"af8a7f69-302e-460d-8c1d-5c40cdf19e10","order_by":1,"name":"Dr. Ashish Chander","email":"","orcid":"","institution":"Teerthanker Mahavir University Moradabad Uttar Pradesh","correspondingAuthor":false,"prefix":"Dr.","firstName":"Ashish","middleName":"","lastName":"Chander","suffix":""}],"badges":[],"createdAt":"2026-01-20 05:55:24","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-8645400/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-8645400/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":101268967,"identity":"fed65341-69b7-4e41-bdaf-97f6be09211a","added_by":"auto","created_at":"2026-01-28 01:26:29","extension":"jpeg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":256113,"visible":true,"origin":"","legend":"\u003cp\u003ePatient with cosmetic lens with -2.00DS Myopia correction Power, presented with itching/burning sensation due to not following the compliance. \u003csup\u003e(18)\u003c/sup\u003e\u003c/p\u003e","description":"","filename":"floatimage1.jpeg","url":"https://assets-eu.researchsquare.com/files/rs-8645400/v1/0ef7c356524fa1d4f1059eec.jpeg"},{"id":104936912,"identity":"b6e2b87d-69cb-409a-b3a2-b8585610da2f","added_by":"auto","created_at":"2026-03-19 01:25:30","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":948627,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-8645400/v1/1e6f71ab-d1ed-404f-8626-be095c722728.pdf"},{"id":101298027,"identity":"1797775d-4288-464b-9b3c-2156425c4ae5","added_by":"auto","created_at":"2026-01-28 09:29:48","extension":"png","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":32802,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eGraph.1\u003c/strong\u003eThe graph representing\u003cstrong\u003e \u003c/strong\u003eCompliance by lens type.\u003csup\u003e(6)\u003c/sup\u003e\u003c/p\u003e","description":"","filename":"floatimage3.png","url":"https://assets-eu.researchsquare.com/files/rs-8645400/v1/afa5ea2df834123722803fdc.png"}],"financialInterests":"No competing interests reported.","formattedTitle":"Assessment of Knowledge \u0026 Attitude among Contact Lens users who visited Tertiary Eye care Hospital: A Pilot Study","fulltext":[{"header":"I. BACKGROUND","content":"\u003cp\u003eContact lenses are widely used across the globe, with millions relying on them for vision correction, cosmetic enhancement, and therapeutic purposes. The global contact lens market was valued at \u003cspan\u003e$\u003c/span\u003e18.6\u0026nbsp;billion in 2023 and is projected to grow at a CAGR of 8.9% from 2024 to 2030. (\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e)\u003c/p\u003e \u003cp\u003eThe market is expected to reach \u003cspan\u003e$\u003c/span\u003e19.83\u0026nbsp;billion worldwide in 2025, with steady growth anticipated in the coming years.\u003csup\u003e2,3\u003c/sup\u003e\u003c/p\u003e \u003cp\u003eThe demand for contact lenses is driven by factors such as increasing cases of refractive errors, advancements in lens technology, and the rising popularity of cosmetic lenses. Additionally, daily disposable lenses are gaining traction due to their convenience and hygiene benefits.(\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e)\u003c/p\u003e \u003cp\u003eYvonne Wu et. Al. conducted study in 2010 on title \u0026ldquo;Contact lens user profile, attitudes and level of compliance to lens care\u0026rdquo;. In this study author concluded that Common non-compliant behaviors among lens users including not washing their hands properly, and not taking proper care of their lenses. Online lens purchases were linked to a lack of knowledge about follow-up visits. That needs more patient education regarding usage of CLs.(\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e)\u003c/p\u003e \u003cp\u003eAjay Kumar Vijay et.al. conducted study on topic \u0026ldquo;Contact lens storage case hygiene practice and storage case contamination\u0026rdquo;. The author concluded that, in comparison to the P. aeruginosa isolate, the S. aureus isolate produced less dense biofilms that were more resilient to hygienic practices. These substantial biofilms could not be removed by rinsing (with MPS or hot water) and then letting the area air dry for six hours. The best method for both strains was to rinse with the MPS, then wipe the tissue and let it air dry.(\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e, \u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e)\u003c/p\u003e \u003cp\u003eBased on the concept of the material used in their manufacture, the following three categories of contact lenses can be differentiated: hard lenses, rigid gas-permeable lenses, and soft lenses. In a number of nations, 40.5% of adults between the ages of 15 and 25 reported using contact lenses, with women making up the majority of those afflicted.(\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e)\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003eTypes of lenses\u003c/b\u003e \u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003e\u0026bull; \u003cb\u003eSoft Disposable Lenses\u003c/b\u003e: Represent about 93% of all contact lens use in the United States, with daily disposables accounting for a rapidly growing segment, now nearly half of new soft lens fittings.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e\u0026bull; \u003cb\u003eRigid Gas Permeable (RGP) Lenses\u003c/b\u003e: Comprise roughly 7% of users. Within RGPs, specialized designs like scleral lenses (for keratoconus or severe dry eye) and orthokeratology (overnight corneal reshaping) are growing in niche popularity but still represent a small fraction of overall fits.(\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e, \u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e)\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003eThe shift toward disposable soft lenses aligns with convenience and safety benefits. RGPs remain an important option for patients with irregular corneas or high astigmatism and are sometimes more durable, but they require specialized fitting and consistent wear time for adaptation.(\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e)\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eDaily disposable lenses\u003c/b\u003e \u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003eOne of the most significant shifts in recent years is the surge in daily disposable contact lenses. Formerly considered premium-priced, single-use lenses now make up close to half of new soft lens fits. Practitioners note that daily disposables reduce the risk of contamination associated with cleaning and storing lenses, which translates into fewer lens-related eye infections.(\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e)\u003c/p\u003e \u003cp\u003eAddressing unhygienic procedures, nighttime usage, and contact lens solution-induced problems will continue to be an issue in eye care practice as long as patients wear contact lenses consistently to correct their refractive defect.(\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e, \u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e)\u003c/p\u003e \u003cp\u003eDespite the higher annual expense, many wearers find the convenience and enhanced safety worth the cost. Some also report better end-of-day comfort, as each pair of lenses is used only once.(\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e)\u003c/p\u003e"},{"header":"II. METHODOLOGY","content":"\u003cp\u003eThis is questionnaire based cross sectional, prospective clinical based pilot study.\u003c/p\u003e \u003cp\u003eAll patients consent form was signed and verbal explanation of the protocol was done before giving questionnaire form. Data were analysed using Microsoft Excel 2019 (Microsoft Corporation, Redmond, WA, USA) and IBM SPSS Statistics 20.0 (IBM Corp., Armonk, NY, USA). Independent t-tests compared mean differences in parameters. Descriptive statistics (frequency, mean\u0026thinsp;\u0026plusmn;\u0026thinsp;SD) summarized all variables. One-way ANOVA (F-test) assessed variability within groups, and the P-value\u0026thinsp;\u0026lt;\u0026thinsp;0.05 was considered statistically significant.\u003c/p\u003e"},{"header":"III. RESULT","content":"\u003cp\u003e34 contact lens (CL) users who were myopic/hyperopic patients and the inclusion criteria of this study. Table\u0026nbsp;1 summarizes the distribution of the sample, which was used as the foundation for further analysis. Despite the sample's small size, it yielded enough information to investigate wear behaviours, sanitary compliance, lens type preferences, and demographic tendencies.\u003c/p\u003e \u003cp\u003e \u003cb\u003eDemographic Distribution\u003c/b\u003e \u003c/p\u003e \u003cp\u003eAccording to gender analysis, the sample's composition was 64.7% female (n\u0026thinsp;=\u0026thinsp;22) and 35.3% male (n\u0026thinsp;=\u0026thinsp;12) (Table.1). The percentage of female users was higher, but the difference was not statistically significant (p\u0026thinsp;=\u0026thinsp;0.086). Therefore, it cannot be said that the gender distribution in this study is substantially biased.\u003c/p\u003e \u003cp\u003eIn terms of age, 76.5% of participants (n\u0026thinsp;=\u0026thinsp;26) were in the 18\u0026ndash;25 age range, whereas 23.5% (n\u0026thinsp;=\u0026thinsp;8) were in the 25\u0026ndash;35 age range. The statistical significance of this distribution (p\u0026thinsp;=\u0026thinsp;0.002) confirmed that the study's contact lens wearers were significantly overrepresented among younger individuals (18\u0026ndash;25 years old).\u003c/p\u003e \u003cp\u003eWhen combined, these findings imply that the average CL user in this group was a female between the ages of 18 and 25, which is in line with more general data showing that young women make up the majority of CL adopters.\u003c/p\u003e \u003cp\u003e \u003cb\u003eTable.1 Demographic and Clinical Characteristics of Contact Lens Users (n\u0026thinsp;=\u0026thinsp;34)\u003c/b\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Taba\" border=\"1\"\u003e \u003ccolgroup cols=\"5\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariable\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCategory\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003en\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePercentage %\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eP Value\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eGender\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e22\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e64.7\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e35.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAge\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e18\u0026ndash;25\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e26\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e76.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e25\u0026ndash;35\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e23.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eLens type\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eSoft/hydrogel\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e30\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e88.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003ep\u0026thinsp;\u0026lt;\u0026thinsp;0.001*\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eRGP/Hard\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e11.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eReplacement schedule\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eDaily\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e12\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e35.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e\u003cb\u003e0.401*\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAnnually\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e29.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWeekly\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e17.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMonthly\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e17.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003e(Note: p-value: probability value, *: Significant)\u003c/b\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003eTable.2 Hygiene \u0026amp; follow-up percentage\u003c/b\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Tabb\" border=\"1\"\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariable\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eYes (n)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003ePercentage%\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eP Value\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eWash hands before insertion\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003e32\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e94.1\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eChange solution daily\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003e21\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003e61.8\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.171\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eReplace CLs as advised\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e29\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e85.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVisit doctor frequently\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e20\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e58.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.467\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003e(Note: p-value: probability value, *: Significant)\u003c/b\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Tabc\" border=\"1\"\u003e \u003ccolgroup cols=\"5\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariable\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCategory\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003en\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003e%\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eP Value\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDaily wear hours\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u0026gt;\u0026thinsp;8 hours\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e11.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSleep with CLs\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOccasionally\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e2.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003e(Note: p-value: probability value, *: Significant)\u003c/b\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003eLens Type Distribution\u003c/b\u003e \u003c/p\u003e \u003cp\u003e88.2% (n\u0026thinsp;=\u0026thinsp;30) reported using soft/hydrogel lenses, which were significantly more common than the 11.8% (n\u0026thinsp;=\u0026thinsp;4) who reported using rigid gas permeable (RGP) or hard lenses. It was determined that this preference was extremely significant (p\u0026thinsp;\u0026lt;\u0026thinsp;0.001), indicating that soft lenses predominate in this demographic. (Table\u0026nbsp;1).\u003c/p\u003e \u003cp\u003e \u003cb\u003eReplacement Schedule\u003c/b\u003e \u003c/p\u003e \u003cp\u003eDaily (35.3%, n\u0026thinsp;=\u0026thinsp;12), annual (29.4%, n\u0026thinsp;=\u0026thinsp;10), weekly (17.6%, n\u0026thinsp;=\u0026thinsp;6), and monthly (17.6%, n\u0026thinsp;=\u0026thinsp;6) replacement schedules were distributed. Graph 2 shows that the differences between these groups were not statistically significant (p\u0026thinsp;=\u0026thinsp;0.401). This suggests that, despite the prevalence of daily disposables and yearly replacement schedules, there was no discernible preference for a particular replacement mechanism. (Table\u0026nbsp;1).\u003c/p\u003e \u003cp\u003eHygiene and Follow-up Compliance\u003c/p\u003e \u003cp\u003e \u003cb\u003eCompliance practices as follows-\u003c/b\u003e \u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003e\u0026bull; 94.1% (n\u0026thinsp;=\u0026thinsp;32) reported cleaning their hands before inserting their lenses, which was a highly significant rate (p\u0026thinsp;\u0026lt;\u0026thinsp;0.001).\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e\u0026bull; 61.8% of the sample (n\u0026thinsp;=\u0026thinsp;21) changed their answer every day; nevertheless, this difference was not statistically significant (p\u0026thinsp;=\u0026thinsp;0.171).\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e\u0026bull; 85.3% (n\u0026thinsp;=\u0026thinsp;29) of respondents replaced CLs solution as recommended, a highly significant result (p\u0026thinsp;\u0026lt;\u0026thinsp;0.001).\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e\u0026bull; Just 58.8% (n\u0026thinsp;=\u0026thinsp;20) reported seeing a doctor frequently, and this difference was not statistically significant (p\u0026thinsp;=\u0026thinsp;0.467).\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003eTherefore, even though hand cleanliness and replacement compliance were very good, there were gaps in routine follow-up and solution replacement, which still need patient education.\u003c/p\u003e \u003cp\u003e \u003cb\u003eWear Behaviour\u003c/b\u003e \u003c/p\u003e \u003cp\u003eJust 11.8% (n\u0026thinsp;=\u0026thinsp;4) of users reported wearing lenses for more than eight hours per day. The fact that this difference was so significant (p\u0026thinsp;\u0026lt;\u0026thinsp;0.001) indicates that most people followed safe wear guidelines.\u003c/p\u003e \u003cp\u003eSimilarly, nighttime wear was very uncommon in this population, as only 2.9% (n\u0026thinsp;=\u0026thinsp;1) acknowledged to occasionally sleeping with CLs, which is likewise a statistically significant finding (p\u0026thinsp;\u0026lt;\u0026thinsp;0.001).\u003c/p\u003e \u003cp\u003eThese results show that there is little participation in high-risk behaviors and that the wear pattern is generally safe.\u003c/p\u003e \u003cp\u003e \u003cb\u003eCompliance by Lens Type\u003c/b\u003e \u003c/p\u003e \u003cp\u003eWhen contrasting RGP/Hard and soft/hydrogel users-\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003e\u0026bull; 100% of RGP users and 93.3% of soft users reported cleaning their hands. There was no significant change (p\u0026thinsp;=\u0026thinsp;1.000).\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e\u0026bull; Seventy-five percent of RGP users and sixty percent of soft users reported daily solution changes; this difference was not statistically significant (p\u0026thinsp;=\u0026thinsp;0.61).\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003eStatistical research revealed that there were no appreciable variations in compliance by lens type, despite the fact that RGP wearers seemed to be a little more obedient when it came to changing their solutions.\u003c/p\u003e \u003cp\u003e \u003cb\u003eGraph.1 Compliance by lens type\u003c/b\u003e \u003c/p\u003e"},{"header":"IV. DISCUSSION","content":"\u003cp\u003eIn this study we concluded that on the basis of attitude and hygiene perspective around 94.1% users clean their hands which is highly significant and 85.3% replaced CLs solution as recommended by the doctors/optometrist around 58.8% reported routine checkup frequently as per recommendation after prescription of refractive correction and that was not statistically significant, therefore it still needs patient education to change attitude related compliance of routine checkup, solution replacement and clinic visit as per recommendation by their doctors/optometrist.\u003c/p\u003e \u003cp\u003eOn the basis of wear behaviour 88.2% reported wearing lenses less than \u0026lt;\u0026thinsp;8 hours/day, on the other hand around 11.8% reported wearing lenses more than \u0026gt;\u0026thinsp;8 hours/day, it indicate that most people followed safe wear guidelines to avoid corneal damage, also nighttime wear were very uncommon as only 2.9% (n\u0026thinsp;=\u0026thinsp;1) acknowledged to occasionally sleeping with CLs.\u003c/p\u003e \u003cp\u003eSo it concluded that the wear pattern is generally safe.\u003c/p\u003e"},{"header":"V. CONCLUSION","content":"\u003cp\u003eWhen contrasting RGP/Hard \u0026amp; Soft/Hydrogel lens, Statistical research revealed that there was no high variation in compliance by lens type, despite the fact that RGP wearers seemed to be a little more obedient when it comes to changing their contact lens solutions. Poor lens hygiene and inadequate lens washing before storage may result from improper advice given to contact lens wearers during examinations or from a lack of knowledge about aftercare visits.\u003c/p\u003e \u003cp\u003e \u003cstrong\u003eLimitation of the study\u003c/strong\u003e \u003cp\u003eThe study was conducted on very small sample, Therefore for best analysis It\u0026rsquo;s recommended to increase sample size for future studies.\u003c/p\u003e \u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003eEthical committee of Teerthanker Mahavir University Moradabad Uttar Pradesh India approved this study.\u003c/p\u003e\u003ch2\u003eAuthor Contribution\u003c/h2\u003e\u003cp\u003eContributor 1 Contributor 2Concepts Yes YesDesign Yes YesDefinition of intellectual content Yes NoLiterature search Yes NoClinical studies Yes YesExperimental studies Yes YesData acquisition Yes YesData analysis Yes NoStatistical analysis Yes NoManuscript preparation Yes NoManuscript editing Yes YesManuscript review Yes YesGuarantor Yes Yes\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eWaghmare SV, Jeria S. 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Optometry Vis science: official publication Am Acad Optometry. 2011;88(12):1414\u0026ndash;21. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.1097/OPX.0b013e318230375f\u003c/span\u003e\u003cspan address=\"10.1097/OPX.0b013e318230375f\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"},{"header":"Graph","content":"\u003cp\u003eGraph 1 is available in the Supplementary Files section.\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Contact lens, Knowledge, Hydrogel Lens, RGP Lens","lastPublishedDoi":"10.21203/rs.3.rs-8645400/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-8645400/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cem\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e\u003c/em\u003e The demand for contact lenses is driven by factors such as increasing cases of refractive errors and the rising popularity of cosmetic lenses. The purpose of this study to evaluate patient knowledge and behaviour regarding contact lens wear\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e\u003c/em\u003eThis is a cross-sectional study with 34 participants from Era Hospital Lucknow. Data was collected using pre-approved questionnaire and ophthalmic examination. Data was analysed using Microsoft Excel 2019 and IBM SPSS Statistics 20.0. Descriptive statistics (frequency, mean ± SD) summarized all variables. One-way ANOVA (F-test) assessed variability within groups, and the P-value \u0026lt; 0.05 was considered statistically significant.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eResult\u003c/strong\u003e\u003c/em\u003e: On the basis of hygiene 94.1% reported cleaning their hands before inserting their lenses. whereas 85.3% of respondents replaced CLs as recommended (p \u0026lt; 0.001). Just 58.8% (n = 20) reported seeing a doctor frequently (p = 0.467). 11.8% (n = 4) users reported wearing lenses for more than eight hours per day, (p \u0026lt; 0.001).\u003c/p\u003e\n\u003cp\u003eOn the basis of compliance by lens type 100% of RGP users and 93.3% of soft users reported cleaning their hands (p = 1.000).\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e\u003c/em\u003eDespite all the recommendations \u0026amp; compliance behaviour there’s a still need of patient education to change attitude related compliance of routine checkup. When contrasting RGP/Hard \u0026amp; Soft/Hydrogel lens, there were no high variation despite the fact that RGP wearers seemed to be a little more obedient.\u003c/p\u003e","manuscriptTitle":"Assessment of Knowledge \u0026amp; Attitude among Contact Lens users who visited Tertiary Eye care Hospital: A Pilot Study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-01-28 01:26:24","doi":"10.21203/rs.3.rs-8645400/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"6ae1b446-f085-4c86-810b-bfe7d3d86d36","owner":[],"postedDate":"January 28th, 2026","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2026-03-19T01:25:05+00:00","versionOfRecord":[],"versionCreatedAt":"2026-01-28 01:26:24","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8645400","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8645400","identity":"rs-8645400","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}