Noncompliance is an important health care issue. This report presents
results of assessments of three different lens care systems and direct
ly compares compliance with each and the potential impact on patients'
safety and comfort. Methods involved trained interviewers, patient de
monstrations, a panel of experts, statistical analyses, and an assessm
ent of the clinical significance of patients' noncompliant behaviors.
These methods were able to discriminate among the levels of compliance
with the lens care systems assessed. The three regimens were comparab
le regarding steps significant to lens wearing comfort with approximat
ely one-third of all patients noncompliant with at least one of these
steps. The same cannot be said regarding safety, however, with the inc
idence of noncompliance at 55, 84, and 91% for the three regimens. The
se findings indicate that simplicity alone cannot overcome noncomplian
ce and the design of the system is an important consideration when mak
ing recommendations regarding lens care.