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International Journal of Clinical Pharmacy

, Volume 35, Issue 2, pp 190–194 | Cite as

The management of ocular allergy in community pharmacies in the United Kingdom

  • Paramdeep Bilkhu
  • James S. WolffsohnEmail author
  • Deanna Taylor
  • Emma Gibson
  • Bhavik Hirani
  • Shehzad A. Naroo
Short Research Report

Abstract

Background Ocular allergies frequently present in pharmacy practices. However, research into the actual management of ocular allergy in pharmacies is lacking. Objective To determine and quantify history and symptom questioning of a patient with presumed allergic conjunctivitis and management strategies employed by pharmacy staff in the UK. Method A mystery shopper technique was used to simulate an episode of allergic conjunctivitis in 100 community pharmacies across the UK. Results The mean number of questions asked by pharmacy staff to the patient was 3.5 ± 2.6, with a range of 0–10. The most common question was whether the patient had a history of allergies (45 %).Ninety-one percent advised on treatment, with the remaining 9 % directly referring to the patient’s general practitioner (n = 4) or pharmacist(n = 4), but only two to their optometrist. The most common treatment suggested was sodium cromoglycate 2 % (50 %). However, many pharmacies advising treatment did not ask the patient’s age (37 %), if they wore contact lenses (43 %), or gave dosage advice (43 %). Only 5 % of pharmacies advised follow up and 14 % suggested visiting a general practitioner and 1 % an optometrist if symptoms did not resolve with treatment. Conclusion There is a need for improved ophthalmological training for pharmacy staff with respect to the management of allergic conjunctivitis.

Keywords

Allergic conjunctivitis Community pharmacy Counselling Mystery shopper Ocular allergy United Kingdom 

Notes

Acknowledgments

None.

Funding

None.

Conflict of interest

The authors have no financial or commercial conflicts of interest relating to this study.

References

  1. 1.
    Abelson MB, Leonardi A, Smith L. The mechanisms, diagnosis and treatment of allergy. Rev Ophthalmol. 2002;9(4):74–84.Google Scholar
  2. 2.
    Bielory L. Ocular allergy overview. Immunol Allergy Clin North Am. 2008;28(1):1–23.PubMedCrossRefGoogle Scholar
  3. 3.
    Wolffsohn JS. The development of specialist ocular allergy services in UK optometric practice. MBA dissertation, Aston University. 2009.Google Scholar
  4. 4.
    Bilkhu PS, Wolffsohn JS, Naroo SA. A review of non-pharmacological and pharmacological management of seasonal and perennial allergic conjunctivitis. Contact Lens Ant Eye. 2012;35:9–16.CrossRefGoogle Scholar
  5. 5.
    Shing MNK, Spence LJ. Investigating the limits of competitive intelligence gathering: is mystery shopping unethical? Bus Ethics. 2002;11(4):343–53.CrossRefGoogle Scholar
  6. 6.
    Moriarty H, McLeod D, Dowell A. Mystery shopping in health service evaluation. Br J Gen Prac. 2003;53(497):942–6.Google Scholar
  7. 7.
    Walker T, George S. Mystery shopping in psychiatric service evaluation. Psychiatrist. 2010;34:121–2.CrossRefGoogle Scholar
  8. 8.
    Bielory L. Ocular allergy treatment. Immunol Allergy Clin North Am. 2008;28(1):189–224.PubMedCrossRefGoogle Scholar
  9. 9.
    Fahy GT, Easty DL, Collum LM, Benedict-Smith A, Hillery M, Parsons DG. Randomised double masked trial of lodoxamide and sodium cromoglycate in allergic eye disease. Eur J Ophthalmol. 1992;2:144.PubMedGoogle Scholar
  10. 10.
    Miller J, Wolf EH. Antazoline phosphate and naphazoline hydrochloride, singly and in combination for the treatment of allergic conjunctivitis—a controlled, double blind clinical trial. Ann Allergy. 1975;35(2):81–6.PubMedGoogle Scholar
  11. 11.
    Trew DR, Wright LA, Smith SE. Otrivine-antistin—pupil, corneal and conjunctival responses to topical administration. Eye. 1989;3:294–7.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2012

Authors and Affiliations

  • Paramdeep Bilkhu
    • 1
  • James S. Wolffsohn
    • 1
    Email author
  • Deanna Taylor
    • 1
  • Emma Gibson
    • 1
  • Bhavik Hirani
    • 1
  • Shehzad A. Naroo
    • 1
  1. 1.Ophthalmic Research Group, School of Life and Health SciencesAston UniversityBirminghamUK

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