Najjar Dany M, Aktan S Gulderen, Rapuano Christopher J, Laibson Peter R, Cohen Elisabeth J
Cornea Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
Am J Ophthalmol. 2004 Jan;137(1):170-2. doi: 10.1016/s0002-9394(03)00722-0.
To report a case series of contact lens-related corneal ulcers in compliant patients with no apparent predisposing factors.
Retrospective case series.
Charts of 70 patients with contact lens-related corneal ulcers from July 1999 to June 2002 were reviewed. Lens care hygiene and method of disinfection, as well as frequency of lens replacement, were recorded. Only patients who followed recommended guidelines for contact lens wear were included in the study.
Of the 70 patients, 21 (30%) developed corneal ulcers despite being compliant with the guidelines for contact lens wear. All patients used multipurpose solutions for cleaning, disinfecting, and storing daily wear soft contact lenses.
Standard lens care hygiene does not seem to be sufficient in preventing the development of corneal ulcers in patients using conventional and frequent replacement daily wear soft contact lenses.
报告一系列在依从性良好且无明显易感因素的患者中发生的与隐形眼镜相关的角膜溃疡病例。
回顾性病例系列研究。
回顾了1999年7月至2002年6月期间70例与隐形眼镜相关的角膜溃疡患者的病历。记录镜片护理卫生情况、消毒方法以及镜片更换频率。本研究仅纳入遵循推荐的隐形眼镜佩戴指南的患者。
在这70例患者中，21例（30%）尽管遵循隐形眼镜佩戴指南，但仍发生了角膜溃疡。所有患者均使用多功能护理液清洁、消毒和储存日戴型软性隐形眼镜。
对于使用传统型和频繁更换型日戴软性隐形眼镜的患者，标准的镜片护理卫生措施似乎不足以预防角膜溃疡的发生。
