Lemp Michael A
Department of Ophthalmology, Georgetown University, George Washington University, Washington, District of Columbia, USA.
Curr Opin Allergy Clin Immunol. 2008 Oct;8(5):457-60. doi: 10.1097/ACI.0b013e32830e6adc.
Ocular allergic conditions and contact lens wear affect a large percentage of the population; the implications for interaction of allergy and changes induced by contact lens wear are significant. In addition, contact lenses are used in the treatment of severe forms of ocular allergic disease.
The major themes of this review are the effects of contact lens wear on tear-film dynamics and structure, the effects of ocular allergy on tear dynamics and structure, the intersection of these two influences, management of contact lens wear in the allergic patient and the use of contact lenses to manage severe ocular allergic disease.
The use of newer oral and topical antiallergic drugs in contact lens patients, changes in recommendation for use and wearing schedules and recommendations for the use of scleral lenses in severe allergic-based ocular surface disease are discussed.
眼部过敏疾病和隐形眼镜佩戴影响着很大一部分人群；过敏与隐形眼镜佩戴所引起变化之间相互作用的影响重大。此外，隐形眼镜还用于治疗严重形式的眼部过敏性疾病。
本综述的主要主题包括隐形眼镜佩戴对泪膜动力学和结构的影响、眼部过敏对泪液动力学和结构的影响、这两种影响的交叉点、过敏患者隐形眼镜佩戴的管理以及使用隐形眼镜治疗严重眼部过敏性疾病。
讨论了在隐形眼镜佩戴者中使用新型口服和局部抗过敏药物、使用和佩戴时间表建议的变化以及在严重的基于过敏的眼表疾病中使用巩膜镜的建议。
