| Autor: |
Gaume Giannoni, Amber, Robich, Matt, Berntsen, David A., Jones-Jordan, Lisa A., Mutti, Donald O., Myers, Jill, Shaw, Kimberly, Walker, Maria K., Walline, Jeffrey J. |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Optom Vis Sci |
| Popis: |
SIGNIFICANCE. Children are being fitted at younger ages with soft contact lenses for myopia control. This three-year investigation of adverse events related to contact lens wear in 7–11 year old participants helps optometrists understand what to expect when fitting children with soft contact lenses. PURPOSE. The purpose of this paper is to report the frequency and type of ocular and non-ocular adverse events related to soft contact lens wear in children. METHODS. Seven to 11 year old children wore soft contact lenses for three years. Adverse events were defined by a slit lamp examination finding of grade 3 or worse; parental report of a clinically meaningful change (determined by the examiner) in eyes, vision, or health; or a clinically meaningful response (determined by examiner) to a symptom checklist. Adverse events were categorized and reported by examiners and finalized by the executive committee. The presence or absence of an infiltrate and a list of diagnoses was determined at the conclusion of the study. RESULTS. The 294 participants wore their contact lenses 73.0 ± 26.5 hours per week, and 220 (74.8%) encountered at least one adverse event. Of the 432 adverse events, 75.2% were ocular and 24.8% were non-ocular. Contact lens wear was probably or definitely related to 60.6% of the ocular and 2.8% of the non-ocular adverse events. None of the ocular adverse events were serious, severe, or caused permanent contact lens discontinuation. The corneal infiltrate incidence was 185 cases/10,000 patient-years of wear (95% CI: 110—294). The incidence of moderate ocular adverse events that were definitely or probably related to contact lens wear was 405 cases/10,000 patient-years of wear (95% CI: 286—557). CONCLUSIONS. The adverse events experienced by 7–11 year old myopic children rarely required meaningful treatment and never led to permanent discontinuation of contact lens wear or loss of best-corrected vision. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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