Patterns and prevalence of ophthalmic self-medication in Bulgaria: results from a cross-sectional survey - Report - MDSpire

Patterns and prevalence of ophthalmic self-medication in Bulgaria: results from a cross-sectional survey

  • By

  • Mladena Radeva

  • Elitsa Hristova

  • Andreas Kontny

  • Zornitsa Zlatarova

  • Igor Resnick

  • May 29, 2026

  • 0 min

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Clinical Report: Prevalence and Trends of Self-Medication with Ophthalmic Products in Bulgaria

Overview

This study reveals a high prevalence of ophthalmic self-medication in Bulgaria, with 63.7% of adults using over-the-counter eye medications. Key motivations include accessibility barriers and perceived low necessity for specialist consultation, highlighting potential risks associated with self-treatment.

Background

Ophthalmic self-medication is a growing public health concern, as inappropriate use of eye medications can lead to serious complications such as delayed diagnosis and vision impairment. In Bulgaria, limited data exist on this practice, despite the healthcare system's provision of specialized services. Understanding the prevalence and determinants of self-medication is crucial for improving patient safety and care.

Data Highlights

CharacteristicPercentage
Prevalence of self-medication63.7%
Common complaints (infectious conditions)37.3%
Common complaints (dry-eye symptoms)23.1%
Participants considering self-medication safe66.2%
Reported adverse reactions0.6%

Key Findings

  • 63.7% of respondents reported using over-the-counter ophthalmic medications.
  • Primary motivations for self-medication included lack of time (41.1%) and perceived unnecessary consultation (33.7%).
  • 66.2% of participants considered self-medication to be safe.
  • 39.6% reported poor or no knowledge of ophthalmic medications.
  • Adverse reactions were rare, occurring in only 0.6% of self-treated respondents.

Clinical Implications

Healthcare professionals should be aware of the high prevalence of ophthalmic self-medication and the associated risks. Targeted patient education on the safe use of ophthalmic products and improved access to specialist care are essential to mitigate potential complications. Pharmacists can play a key role in guiding appropriate self-care practices.

Conclusion

The findings indicate a significant trend of ophthalmic self-medication in Bulgaria, driven by accessibility issues and misconceptions about the necessity of professional consultation. Addressing these factors is vital for enhancing patient safety and care outcomes.

Related Resources & Content

  1. BMC Psychiatry, Springer, 2026 -- Trends in Psychopharmacological Medication Usage in Ukraine from 2010 to 2022
  2. Contact Lens Spectrum, 2021 -- INTERNATIONAL CONTACT LENS PRESCRIBING IN 2020
  3. Drug Safety, 2017 -- Assessment of Common Symptoms Potentially Linked to Medications Reported by Patients During Clinical Medication Reviews: A Cross-Sectional Observational Analysis
  4. Drug Safety, 2013 -- Prevalence and Impact of Adverse Drug Reactions from Self-Medication: A Multicenter Cross-Sectional Study in Emergency Departments
  5. AAO Conjunctivitis Guideline Summary 2024 Preferred Practice Pattern - Guideline Central
  6. Ophthalmology Management, 2026 -- More Than 3 Million Eye Drops Recalled Nationwide
  7. Antimicrobial consumption in the EU/EEA (ESAC-Net) - Annual Epidemiological Report 2024
  8. AAO Conjunctivitis Guideline Summary 2024 Preferred Practice Pattern - Guideline Central
  9. More Than 3 Million Eye Drops Recalled Nationwide | Ophthalmology Management
  10. Antimicrobial consumption in the EU/EEA (ESAC-Net) - Annual Epidemiological Report 2024

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