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讣告——硬性透气性角膜接触镜。

Obituary--rigid contact lenses.

机构信息

Institute of Health and Biomedical Innovation and School of Optometry, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove, Queensland, Australia.

出版信息

Cont Lens Anterior Eye. 2010 Oct;33(5):245-52. doi: 10.1016/j.clae.2010.06.009. Epub 2010 Jul 31.

Abstract

Scleral and corneal rigid lenses represented 100 per cent of the contact lens market immediately prior to the invention of soft lenses in the mid-1960s. In the United Kingdom today, rigid lenses comprise 2 per cent of all new lens fits. Low rates of rigid lens fitting are also apparent in 27 other countries which have recently been surveyed. Thus, the 1998 prediction of the author that rigid lenses--also referred to as 'rigid gas permeable' (RGP) lenses or 'gas permeable' (GP) lenses--would be obsolete by the year 2010 has essentially turned out to be correct. In this obituary, the author offers 10 reasons for the demise of rigid lens fitting: initial rigid lens discomfort; intractable rigid lens-induced corneal and lid pathology; extensive soft lens advertising; superior soft lens fitting logistics; lack of rigid lens training opportunities; redundancy of the rigid lens 'problem solver' function; improved soft toric and bifocal/varifocal lenses; limited uptake of orthokeratology; lack of investment in rigid lenses; and the emergence of aberration control soft lenses. Rigid lenses are now being fitted by a minority of practitioners with specialist skills/training. Certainly, rigid lenses can no longer be considered as a mainstream form of contact lens correction. May their dear souls (bulk properties) rest in peace.

摘要

硬性和透气性硬性角膜接触镜在 20 世纪 60 年代中期软性隐形眼镜发明之前占据了隐形眼镜市场的 100%。在今天的英国,硬性隐形眼镜在所有新配镜中占比 2%。在最近调查的 27 个其他国家,也能明显看出硬性隐形眼镜的适配率较低。因此,作者在 1998 年的预测,即硬性隐形眼镜(也称为“透气性硬性隐形眼镜”(RGP)或“透气性隐形眼镜”(GP))到 2010 年将过时,基本上已经成为现实。在这篇讣告中,作者提出了硬性隐形眼镜适配率下降的 10 个原因:硬性隐形眼镜初始佩戴不适;难以解决的硬性隐形眼镜引起的角膜和眼睑病变;软性隐形眼镜广泛的广告宣传;优越的软性隐形眼镜适配物流;缺乏硬性隐形眼镜培训机会;硬性隐形眼镜“解决问题”功能冗余;软性隐形眼镜的toric 散光镜和双焦/多焦点镜片不断改进;角膜塑形术接受度有限;对硬性隐形眼镜缺乏投资;以及具有像差控制功能的软性隐形眼镜的出现。现在,只有少数具有专业技能/培训的从业者才会为患者配硬性隐形眼镜。硬性隐形眼镜肯定不能再被视为主流的隐形眼镜矫正方式了。愿它们(大块材料)安息吧。

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