Davis Duehr Dean Eye Care, Madison, WI, USA.
Eye Contact Lens. 2010 Nov;36(6):352-5. doi: 10.1097/ICL.0b013e3181f8bc25.
To determine whether children who wear contact lenses truly have fewer dry eye complaints than adults do.
Ninety-four pediatric contact lens wearers, aged 8 to 14 years, were recruited and given the Contact Lens Dry Eye Questionnaire (CLDEQ) short form. The survey is designed to diagnose dry eye syndrome by obtaining information on the frequency of dryness and light sensitivity and their corresponding intensity levels within the first 2 hr of putting in the lenses, in the middle of the day, and at the end of the day. The responses were scored by multiplying the frequency by the average intensity and a constant. A composite score was calculated by subtracting the photophobia score from the dryness score, and the results were compared with those of adult samples from the literature. The questionnaire also asked whether the subject believed he or she had dry eyes while wearing contact lenses. Subjects who believed that they had dry eyes and exhibited a CLDEQ composite score >0.03 were diagnosed with dry eye. Subjects who were unsure if they had dry eyes or said they did not have dry eyes but scored >1.29 were also diagnosed with dry eye.
The average (±SD) age of the sample was 11.7 ± 1.5 years, 56.4% were female, 59.6% were white, and 19.1% were black. The mean (±SD) CLDEQ composite score was 0.25 ± 0.50 (range = -1.20 to 1.45). In the literature, the adult mean (±SD) CLDEQ composite score was 1.02 ± 0.80 (range = -0.74 to 4.50). Of the 94 surveys collected, 4.3% of children were categorized as having dry eye compared with 56.2% of the adults who completed the CLDEQ survey in the adult study.
Pediatric contact lens wearers have fewer complaints about dry eyes than do adult contact lens wearers, which may be because of improved tear film, differences in reporting of symptoms, or modality of contact lens wear.
确定佩戴隐形眼镜的儿童是否真的比成年人干眼症的抱怨少。
招募了 94 名 8 至 14 岁的儿科隐形眼镜佩戴者，并对他们进行了隐形眼镜干眼症问卷（CLDEQ）短表调查。该调查通过获取佩戴隐形眼镜后 2 小时内、中午和晚上的眼睛干燥和光敏感频率及其相应强度的信息，来诊断干眼症综合征。调查结果通过将频率乘以平均强度和常数进行评分。通过从干燥评分中减去畏光评分来计算综合评分，并将结果与文献中的成人样本进行比较。问卷还询问了被调查者在佩戴隐形眼镜时是否认为自己患有干眼症。被诊断为干眼症的标准是：被调查者认为自己有干眼症，且 CLDEQ 综合评分>0.03；不确定自己是否有干眼症或表示自己没有干眼症但评分>1.29。
样本的平均（±SD）年龄为 11.7 ± 1.5 岁，56.4%为女性，59.6%为白人，19.1%为黑人。CLDEQ 综合评分的平均（±SD）为 0.25 ± 0.50（范围为-1.20 至 1.45）。在文献中，成年组的平均（±SD）CLDEQ 综合评分为 1.02 ± 0.80（范围为-0.74 至 4.50）。在 94 份收集的问卷中，4.3%的儿童被归类为干眼症，而在完成成人研究中 CLDEQ 问卷的成年人中，56.2%被归类为干眼症。
与成年隐形眼镜佩戴者相比，儿科隐形眼镜佩戴者对干眼症的抱怨较少，这可能是因为泪膜改善、症状报告差异或隐形眼镜佩戴方式不同。
