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强脉冲光治疗后角膜上美容隐形眼镜的色素沉着

Pigment deposition of cosmetic contact lenses on the cornea after intense pulsed-light treatment.

作者信息

Hong Sojin, Lee Jong Rak, Lim Taehyung

机构信息

HanGil Eye Hospital, Incheon, Korea.

出版信息

Korean J Ophthalmol. 2010 Dec;24(6):367-70. doi: 10.3341/kjo.2010.24.6.367. Epub 2010 Nov 23.

DOI:10.3341/kjo.2010.24.6.367
PMID:21165237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2992566/
Abstract

We report a case of corneal deposition of pigments from cosmetic contact lenses after intense pulsed-light (IPL) therapy. A 30-year-old female visited our outpatient clinic with ocular pain and epiphora in both eyes; these symptoms developed soon after she had undergone facial IPL treatment. She was wearing cosmetic contact lenses throughout the IPL procedure. At presentation, her uncorrected visual acuity was 2/20 in both eyes, and the slit-lamp examination revealed deposition of the color pigment of the cosmetic contact lens onto the corneal epithelium. We scraped the corneal epithelium along with the deposited pigments using a no. 15 blade; seven days after the procedure, the corneal epithelium had healed without any complications. This case highlights the importance of considering the possibility of ocular complications during IPL treatment, particularly in individuals using contact lenses. To prevent ocular damage, IPL procedures should be performed only after removing the lenses and applying eyeshields.

摘要

我们报告一例在强脉冲光（IPL）治疗后，来自美容隐形眼镜的色素沉积于角膜的病例。一名30岁女性因双眼眼痛和溢泪前来我院门诊就诊；这些症状在她接受面部IPL治疗后不久就出现了。在整个IPL治疗过程中她都戴着美容隐形眼镜。就诊时，她双眼的裸眼视力均为2/20，裂隙灯检查显示美容隐形眼镜的色素沉积在了角膜上皮。我们用15号刀片刮除了角膜上皮及其上沉积的色素；术后7天，角膜上皮愈合，未出现任何并发症。该病例凸显了在IPL治疗期间考虑眼部并发症可能性的重要性，尤其是对于佩戴隐形眼镜的个体。为防止眼部损伤，IPL治疗应仅在摘除隐形眼镜并佩戴眼罩后进行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ab/2992566/c2468e4240e7/kjo-24-367-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ab/2992566/93294db29143/kjo-24-367-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ab/2992566/0be6055ef6ce/kjo-24-367-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ab/2992566/c2468e4240e7/kjo-24-367-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ab/2992566/93294db29143/kjo-24-367-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ab/2992566/0be6055ef6ce/kjo-24-367-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2ab/2992566/c2468e4240e7/kjo-24-367-g003.jpg

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本文引用的文献

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Influence of cosmetically tinted soft contact lenses on higher-order wavefront aberrations and visual performance.美容染色软性接触镜对高阶波前像差和视觉性能的影响。
Graefes Arch Clin Exp Ophthalmol. 2009 Feb;247(2):225-33. doi: 10.1007/s00417-008-0973-6. Epub 2008 Oct 25.
2
Late-onset interface inflammation associated with wearing cosmetic lenses 18 months after laser in situ keratomileusis.准分子原位角膜磨镶术后18个月佩戴角膜接触镜引发的迟发性界面炎症。
Cornea. 2008 Feb;27(2):252-4. doi: 10.1097/ICO.0b013e31815bcd9c.
3
A case of acanthamoeba keratitis as a result of a cosmetic contact lens.
Ophthalmology. 2017 Nov;124(11S):S27-S33. doi: 10.1016/j.ophtha.2017.07.022.
一例因使用美容隐形眼镜导致的棘阿米巴角膜炎病例。
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Over-the-counter decorative contact lenses: Cosmetic or Medical Devices? A Case Series.非处方装饰性隐形眼镜：化妆品还是医疗器械？病例系列
Eye Contact Lens. 2005 Sep;31(5):194-200. doi: 10.1097/01.icl.0000175654.79591.03.
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IPL technology: a review.强脉冲光技术：综述
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Field restriction and vignetting in contact lenses with opaque peripheries.周边不透明隐形眼镜的视野限制和渐晕现象。
Clin Exp Optom. 1998 Jul-Aug;81(4):151-158. doi: 10.1111/j.1444-0938.1998.tb06773.x.
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Noninvasive rejuvenation of photodamaged skin using serial, full-face intense pulsed light treatments.使用连续全脸强脉冲光治疗对光损伤皮肤进行无创修复。
Dermatol Surg. 2000 Sep;26(9):835-42; discussion 843. doi: 10.1046/j.1524-4725.2000.00085.x.
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Nonablative treatment of rhytids with intense pulsed light.强脉冲光非剥脱性治疗皱纹
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