Eyelid Margin and Meibomian Gland Characteristics and Symptoms in Lens Wearers
| Autor: | Lyndon Jones, Amir M. Moezzi, David A. Berntsen, Jason J. Nichols, Sheila B. Hickson-Curran, Philip B. Morgan, Stephanie Cox, Neil Chatterjee |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Adolescent Contact Lenses Meibomian gland 03 medical and health sciences Young Adult 0302 clinical medicine Margin (machine learning) Surveys and Questionnaires medicine Humans Aged Lid margin business.industry Eyelids Meibomian Glands Middle Aged Refractive Errors Contact lens Ophthalmology medicine.anatomical_structure Patient Satisfaction Lens (anatomy) 030221 ophthalmology & optometry Optometry Female Eyelid business 030217 neurology & neurosurgery |
| Zdroj: | Cox, S M, Berntsen, D A, Chatterjee, N, Hickson-Curran, S B, Jones, L W, Moezzi, A M, Morgan, P & Nichols, J J 2016, ' Eyelid Margin and Meibomian Gland Characteristics and Symptoms in Lens Wearers ', Optometry and Vision Science, vol. 93, no. 8, pp. 901-908 . https://doi.org/10.1097/OPX.0000000000000900 |
| ISSN: | 1538-9235 |
| DOI: | 10.1097/OPX.0000000000000900 |
| Popis: | PURPOSE: To describe the lid margin characteristics of contact lens wearers and relate them to comfort during lens wear. METHODS: Three study sites enrolled habitual contact lens wearers. Subjects completed the Comfort domain of the Contact Lens User Experience (CLUE) questionnaire, and each eye was graded for the presence of mucocutaneous junction (MCJ) displacement, lid margin irregularity, and lid margin vascularity. Examiners counted the number of meibomian gland (MG) orifices in the central centimeter of the lower eyelid and the number of those that showed pouting/plugging and vascular invasion. MG expressibility was graded according to the Shimazaki schema. Subjects were grouped based on presence/absence of each characteristic, total number of orifices (≥5 vs. 0). Descriptive statistics are reported. A linear model was used to assess the fixed effect of each characteristic on combined CLUE score and each CLUE statement, if the effect on combined CLUE score showed p < 0.10. RESULTS: The study included 203 subjects (67.5% female) with mean age (±SD) of 30.3 ± 9.6 years. The most commonly observed characteristics were orifice pouting/plugging, compromised MG expressibility, and lid margin vascularity (35.0, 30.3, and 20.4%, respectively). MCJ displacement and MG expressibility had an effect on the combined CLUE score such that individual CLUE statements were analyzed (p = 0.01 and p = 0.06, respectively). MCJ displacement had an effect on comfort upon insertion (p = 0.01), comfort after 5 minutes (p = 0.03), end-of-day comfort (p = 0.01), and ability to maintain ocular moisture (p = 0.030). MG expressibility had a significant effect on general comfort (p = 0.01), comfort throughout the day (p = 0.02), and the ability to maintain ocular moisture (p = 0.02). CONCLUSIONS: MCJ displacement and MG expressibility have an effect on contact lens comfort. |
| Databáze: | OpenAIRE |
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