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[佩戴硬性和软性隐形眼镜后的异常并发症]

[Unusual complications after wearing hard and soft contact lenses].

作者信息

Roth H W, Teuchert J

机构信息

Institut für Wissenschaftliche Kontaktoptik, Ulm-Wiblingen.

出版信息

Fortschr Ophthalmol. 1990;87(4):369-73.

PMID:2210565
Abstract

In a clinical long-term study over a period of 10 years with 3850 patients wearing hard and soft contact lenses, unusual reactions of the cornea and perilimbal conjunctiva have been observed in 3% of all cases. Mainly corneal abrasions, cracks, clouds and mosaics have been observed, which were analyzed as being rare contact lens complications. The causes were lack of proper maintenance of the contact lenses, such as mistakes in cleaning and disinfecting the lenses, mishandling or toxic and allergic reactions due to cleaning and disinfection solutions. Only exact ophthalmological monitoring of the anterior parts of the eye and laboratory tests on the worn lenses permit differentiation between primary eye diseases and contact lens-induced complications.

摘要

在一项为期10年的临床长期研究中,对3850名佩戴硬性和软性隐形眼镜的患者进行观察,发现所有病例中有3%出现了角膜和角膜缘结膜的异常反应。主要观察到角膜擦伤、裂纹、混浊和斑纹,这些被分析为罕见的隐形眼镜并发症。原因是隐形眼镜缺乏适当的保养,如清洁和消毒镜片时的失误、处理不当或清洁和消毒溶液引起的毒性和过敏反应。只有对眼睛前部进行精确的眼科监测以及对所佩戴的镜片进行实验室检测,才能区分原发性眼病和隐形眼镜引起的并发症。

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