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[电脑工作者及隐形眼镜佩戴者的眼部和视觉改变:范围综述]

[Ocular and visual alterations in computer workers contact lens wearers: scoping review].

作者信息

Tauste Francés Ana, Ronda-Pérez Elena, Seguí Crespo María del Mar

出版信息

Rev Esp Salud Publica. 2014 Mar-Apr;88(2):203-15. doi: 10.4321/S1135-57272014000200004.

DOI:10.4321/S1135-57272014000200004
PMID:24914860
Abstract

BACKGROUND

The high number of computer workers wearing contact lenses raises the question whether the sum of these two risk factors for eye health may cause a worsening of Computer Vision Syndrome. The aim of this review is to synthesize the knowledge about ocular and visual alterations related with computer use in contact lens wearers.

METHODS

International review of scientific papers (2003-2013) in Spanish and English, using Scoping Review method, in Medline through PubMed and in Scopus.

RESULTS

The initial search provided 114 references, after applying inclusion/exclusion criteria six of them were included. All of them reveal that symptoms when using computer are more prevalent in contact lens wearers, with values of symptoms presentation prevalence ranging from 95.0% to 16.9% in wearers and from 57.5% to 9.9% in non-wearers, and four times more likely to develop dry eye [OR: 4.07 (95% CI: 3.52 to 4.71)].

CONCLUSION

Computer workers suffer more ocular and visual disturbances if they also are contact lens users, but studies are few and non conclusive. Likewise, further research regarding contact lens type and their conditions of use, both in symptoms and tear quality and ocular surface are needed. Silicone hydrogel lenses are associated with more comfort.

摘要

背景

大量佩戴隐形眼镜的电脑工作者引发了这样一个问题,即这两个影响眼睛健康的风险因素加在一起是否会导致计算机视觉综合征恶化。本综述的目的是综合有关隐形眼镜佩戴者使用电脑相关的眼部和视觉改变的知识。

方法

使用范围综述方法,对2003年至2013年西班牙语和英语的科学论文进行国际综述,检索途径为通过PubMed的Medline数据库和Scopus数据库。

结果

初步检索得到114篇参考文献,应用纳入/排除标准后纳入其中6篇。所有这些文献均表明,使用电脑时的症状在隐形眼镜佩戴者中更为普遍,佩戴者的症状出现患病率在95.0%至16.9%之间,非佩戴者在57.5%至9.9%之间,且患干眼症的可能性高出四倍[比值比:4.07(95%置信区间:3.52至4.71)]。

结论

如果电脑工作者同时也是隐形眼镜使用者,他们会遭受更多的眼部和视觉干扰,但相关研究较少且尚无定论。同样,需要进一步研究隐形眼镜类型及其使用条件,包括症状、泪液质量和眼表情况。硅水凝胶镜片带来的舒适度更高。

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