Contact Lens Discomfort Management: Outcomes of Common Interventions
| Autor: | Alberto López-Miguel, Cristina Arroyo-del Arroyo, Itziar Fernández, María J. González-García, Andrea Novo-Diez, Marta Blanco-Vázquez |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Corneal staining medicine.medical_treatment media_common.quotation_subject Psychological intervention Cornea Young Adult Hygiene Ophthalmology medicine Humans Meibomian Gland Dysfunction media_common business.industry Meibomian gland dysfunction Contact Lenses Hydrophilic eye diseases body regions Contact lens Artificial tears Tear meniscus Tears Daily disposable sense organs business Conjunctiva |
| Zdroj: | Eyecontact lens. 47(5) |
| ISSN: | 1542-233X |
| Popis: | PURPOSE To assess the consecutive implementation of habitual contact lens discomfort (CLD) management strategies: lid hygiene, daily disposable CL (DDCL) fitting, and artificial tear (AT) supplementation. METHODS Contact lens (CL) wearers with CLD symptoms (CLDEQ-8 ≥12 points) were included in the study. Subjects with Meibomian gland dysfunction (MGD) were instructed to perform lid hygiene. All participants were fitted with a DDCL (delefilcon A) and evaluated 1 month later. After, half of them were randomly assigned to use AT (Povidone-2%) at least three times/day, and all participants were evaluated 1 month later. Tests performed were: lower tear meniscus area (LTMA), bulbar, limbal, and tarsal hyperemia, noninvasive tear break-up time (NITBUT), and corneal and conjunctival staining. Weighted combined clinical scores (CS) were created to analyze signs. Changes in symptoms (CLDEQ-8) and CS were analyzed using linear mixed models. RESULTS Forty-two subjects (mean age: 23.2±4.9 years) completed the study. Two CS were created, CS 1 was composed of bulbar, limbal, and tarsal hyperemia and corneal staining, and CS 2 by NITBUT, LTMA, and conjunctival staining. CLDEQ-8 was reduced after lid hygiene (mean: -2.73±2.13; P=0.012) and DDCL use (mean: -10.1±3.54; P |
| Databáze: | OpenAIRE |
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