Jones L W, Jones D A
School of Optometry, University of Waterloo, Ontario, Canada.
Cont Lens Anterior Eye. 2001;24(2):73-9. doi: 10.1016/s1367-0484(01)80016-3.
Contact lenses can induce changes in the epithelium, stroma and endothelium of the cornea, all of which can be observed clinically using the slit-lamp biomicroscope. These complications include epithelial microcysts, vacuoles and staining, stromal oedema and vascularization, and endothelial polymegethism and blebs. Each complication can be attributed to one or more aetiological factors such as hypoxia, hypercapnia, tissue acidosis, trauma, hypersensitivity and toxicity. This review outlines the way in which these complications manifest clinically, and consideration is given to management strategies and likely prognoses. Early detection of these conditions and appropriate action can usually prevent more serious ocular complications.
隐形眼镜可引起角膜上皮、基质和内皮的变化，所有这些变化均可使用裂隙灯生物显微镜进行临床观察。这些并发症包括上皮微囊肿、空泡和染色、基质水肿和血管化，以及内皮细胞大小不均和水泡。每种并发症可归因于一种或多种病因，如缺氧、高碳酸血症、组织酸中毒、创伤、超敏反应和毒性。本综述概述了这些并发症在临床上的表现方式，并考虑了管理策略和可能的预后。早期发现这些情况并采取适当行动通常可预防更严重的眼部并发症。
