Abstract
INTRODUCTION: The COVID-19 pandemic significantly disrupted daily routines, including Contact Lens (CL) usage patterns. This study examines the factors influencing adherence to CL guidelines among residents in the northern West Bank, both before and during the pandemic.
METHODS: A cross-sectional analysis was conducted using a questionnaire completed by 379 CL users aged 18-35 between April 25 and May 1, 2022. The survey covered demographic data, CL history, behavioral changes, and adherence practices. A validated seven-item Likert-scale tool (Cronbach's α = 0.9025) was used to assess adherence levels. Multivariable logistic regression was performed to identify predictors of adherence change.
RESULTS: CL usage significantly declined during the pandemic from 5.2 to 3.4 days per week (p < 0.01). Approximately 35% of participants reported reduced adherence to CL safety guidelines. Guidance from optometrists or ophthalmologists was associated with improved adherence (aOR = 0.54, 95% CI: 0.33- 0.88, p = 0.013). While city residents showed better adherence compared to those in villages or camps, this was not statistically significant (aOR = 1.14, 95% CI: 0.72-1.80, p = 0.585).
DISCUSSION: Lifestyle shifts during lockdowns contributed to decreased adherence, with professional eye care guidance emerging as a key protective factor.
CONCLUSION: The pandemic negatively impacted CL hygiene behaviors, but professional support mitigated this effect. Strengthening patient education may improve adherence during future public health crises.