Long-term evolution of signs and symptoms in contact lens wearers

  1. Laura Valencia-Nieto 1
  2. Alberto López-de la Rosa 1
  3. Alberto López-Miguel 1
  4. María J González-García 1
  1. 1 Universidad de Valladolid
    info

    Universidad de Valladolid

    Valladolid, España

    ROR https://ror.org/01fvbaw18

Journal:
Ciencia y Tecnología para la Salud Visual y Ocular

ISSN: 1692-8415,  2389-8801

Year of publication: 2023

Volume: 21

Issue: 2

Type: Article

DOI: 10.19052/SV.VOL21.ISS2.6 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Ciencia y Tecnología para la Salud Visual y Ocular

Abstract

The purposes of the study were to describe the evolution of contact lens (CL) prescription patterns during a long-term period in the same sample of CL wearers evaluated in a protocolized manner, and to determine the predisposing factors responsible for the changes observed in CL fittings. Data on clinical files (CL type, wearing time, visual acuity, symptoms, and clinical signs) of CL wearers who attended a Spanish eye setting between 2010 and 2020 were collected. The profile of CL wearers was compared between 2010 and 2020. The CL characteristics were compared between CL types, replacements, and designs. Finally, factors predicting a change in CL fitting were assessed. Seventy-four CL wearers (28 men and 46 women) aged 39.0 ± 9.1 years old were included. Silicone hydrogel (p = 0.01) and daily disposable (p < 0.001) CL fittings increased during the follow-up period. The main reasons for CL refitting were the appearance or increase of clinical signs and/or symptoms. CL wearing time and visual acuity differed between CL types and replacements (p ≤ 0.02). Both, rigid and conventional replacement CL wear were associated with a lower probability of CL fitting changes (p ≤ 0.03). In conclusion, this study provides useful clinical information about the profile of successful long-term CL wearers in the last decade. Adequate aftercare examinations of long-term CL wearers can avoid worsening of signs and symptoms. Hydrogel and frequent replacement CL wearers are more likely to undergo CL refitting when compared to rigid corneal and conventional CL wearers.

Bibliographic References

  • Papas E. On the relationship between soft contact lens oxygen transmissibilityand induced limbal hyperaemia. Exp Eye Res. 1998;67(2):125-31.
  • Holden BA, Sweeney DF, Vannas A, Nilsson KT, Efron N. Effects of long-term extended contact lens wear on the human cornea. Invest Ophthalmol Vis Sci. 1985;26(11):1489-1501.
  • Covey M, Sweeney DF, Terry R, Sankaridurg PR, Holden BA. Hypoxic effects on the anterior eye of high-Dk soft contact lens wearers are negligible. Optom Vis Sci. 2001;78(2):95-9.
  • Dumbleton K. Adverse events with silicone hydrogel continuous wear. Cont Lens Anterior Eye. 2002;25(3):137-46.
  • Lin MC, Yeh TN. Mechanical complications induced by silicone hydrogel contact lenses. Eye Contact Lens. 2013;39(1):115-24.
  • Wagner H. Polish up your practice: Today’s contact lens surfaces. Review of Optometry. 2018.
  • Morgan PB, Efron N. Global contact lens prescribing 2000-2020. Clin Exp Optom. 2022;105(3):298-312.
  • Morgan PB, Efron N. Quarter of a century of contact lens prescribing trends in the United Kingdom (1996-2020). Cont Lens Anterior Eye. 2022;45(3):101446.
  • Chalmers RL, Keay L, McNally J, Kern J. Multicenter case-control study of the role of lens materials and care products on the development of corneal infiltrates. Optom Vis Sci. 2012;89(3):316-25.
  • Weed K, Fonn D, Potvin R. Discontinuation of contact lens wear. Optom Vis Sci. 1993;70:140.
  • Pritchard N,Fonn D, Brazeau D. Discontinuation of contact lens wear: Asurvey. Int Contact Lens Clin. 1999;26(6):157-162.
  • Dumbleton K, Woods CA, Jones LW, FonnD. The impact of contemporary contact lenses on contact lens discontinuation. Eye Contact Lens. 2013;39(1):93-9.
  • Nichols JJ, Willcox MDP, Bron AJ, Belmonte C, Ciolino JB, Craig JP, Dogru M, Foulks GN, Jones L, Nelson JD, Nichols KK, Purslow C, Schaumberg DA, Stapleton F, Sullivan DA.Members of the TFOS International Workshop on Contact Lens Discomfort. The TFOS International Workshop on Contact Lens Discomfort: Executive Summary. Invest Ophthalmol Vis Sci. 2013;54(11):TFOS7-13.
  • Pucker AD, Tichenor AA. A review of contact lens dropout. Clin Optom (Auckl). 2020;12:85-94.
  • Pucker AD, Jones Jordan LA, Marx S, Powell DR, Kwan JT, Srinivasan S, Sickenberger W, Jones L.Contact Lens Assessment of Symptomatic Subjects (CLASS) study group. Clinical factors associated with contact lens dropout. Cont Lens Anterior Eye. 2019;42(3):318-24.
  • Berry M, Pult H, Purslow C, Murphy PJ. Mucins and ocular signs in symptomatic and asymptomatic contact lens wear. Optom Vis Sci. 2008;85(10):e930-8.
  • Young G, Chalmers R, Napier L, Kern J, Hunt C, Dumbleton K. Soft contact lens-related dryness with and without clinical signs. Optom Vis Sci. 2012;89(8):1125-32.
  • Pult H, Murphy PJ, Purslow C. A novel method to predict the dry eye symptoms in new contact lens wearers. Optom Vis Sci. 2009;86(9):e1042-50.
  • Tahhan N, Naduvilath TJ, Woods C, Papas E. Review of 20 years of soft contact lens wearer ocular physiology data. Cont Lens Anterior Eye. 2022 Feb;45(1):101525.
  • Morgan PB, Woods CA, Tranoudis IG et al.International contact lens prescribing in 2022. Contact Lens Spectrum. 2023;38:28-35.21.
  • Rathi VM, Mandathara PS, Dumpati S. Contact lens in keratoconus. Indian J Ophthalmol. 2013;61(8):410-5.
  • Claydon BE, Efron N, Woods C. A prospective study of the effect of education on non-compliant behaviour in contact lens wear. Ophthalmic Physiol Opt. 1997;17(2):137-146.
  • Hind J, Williams O, Oladiwura D, Macdonald E. The differences between patient and optometrist experiences of contact lens hygiene education from the perspective of a Scottish university teaching hospital. Cont Lens Anterior Eye. 2020;43(2):185-8.
  • Efron N. The truth about compliance. Cont Lens Anterior Eye. 1997;20(3):79-86.
  • Arroyo Del Arroyo C, Fernández I, Novo Díez A, Blanco Vázquez M, López Miguel A, González García MJ. Contact lens discomfort management: Outcomes of common interventions. Eye Contact Lens. 2021;47(5):256-64.
  • Giannaccare G, Blalock W, Fresina M, Vagge A, Versura P. Intolerant contact lens wearers exhibit ocular surface impairment despite 3 months wear discontinuation. Graefes Arch Clin Exp Ophthalmol. 2016;254(9):1825-31.
  • Ortiz Toquero S, Pérez S, Rodríguez G, de Juan V, Mayo Iscar A, Martin R. The influence of the refractive correction on the vision-related quality of life in keratoconus patients. Qual Life Res. 2016;25(4):1043-51.
  • Aydin Kurna S, Altun A, Gencaga T, Gencaga T, Akkaya S, Sengor T. Vision related quality of life in patients with keratoconus. J Ophthalmol. 2014:694542.
  • Sheedy JE, Harris MG, Poon L, Sakuda T. Task and visual performance with contact lenses and spectacles. Optom Vis Sci. 1992;69(5):337-341.
  • Chalmers RL, Young G, Kern J, Napier L, Hunt C. Soft contact lens-related symptoms in North America and the United Kingdom. Optom Vis Sci. 2016;93(8):836-847.
  • Lorente Velázquez A, García Montero M, Gómez Sanz FJ, Rico Del Viejo L, Hernández Verdejo JL, Madrid Costa D. Comparison of the impact of nesofilcon. A hydrogel contact lens on the ocular surface and the comfort of presbyopic and non-presbyopic wearers. Int J Ophthalmol. 2019;12(4):640-646.
  • Chalmers RL, Begley CG, Moody K, Hickson Curran SB. Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8) andopinion of contact lens performance. Optom Vis Sci. 2012;89(10):1435-1442.
  • Arroyo Del Arroyo C, Fernández I, López de la Rosa A, Pinto Fraga J, González García MJ, López Miguel A. Design of a questionnaire for detecting contact lens discomfort: The contact lens discomfort index. Clin Exp Optom. 2022;105(3):268-74.
Data source: Dialnet