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水包油型乳剂与用于隐形眼镜再湿润的非脂质眼药水的比较研究。

A Comparative Study Between an Oil-in-Water Emulsion and Nonlipid Eye Drops Used for Rewetting Contact Lenses.

作者信息

Guthrie Sarah E, Jones Lyndon, Blackie Caroline A, Korb Donald R

机构信息

Centre for Contact Lens Research (S.E.G., L.J.), School of Optometry and Vision Science, University of Waterloo, Waterloo, Canada; Ocular Research of Boston Inc. (C.A.B., D.R.K.), Boston, MA; and TearScience Inc. (C.A.B., D.R.K.), Morrisville, NC.

出版信息

Eye Contact Lens. 2015 Nov;41(6):373-7. doi: 10.1097/ICL.0000000000000138.

Abstract

OBJECTIVES

The purpose of this study was to determine the clinical impact of using SYSTANE BALANCE Lubricant Eye Drops (Alcon, Fort Worth, TX), an oil-in-water emulsion, as a rewetting eye drop in symptomatic contact lens wearers.

METHODS

Subjects who had previously experienced contact lens discomfort (CLD), with a mean lens wearing history of 18.6±12.8 years, were randomly assigned to use a Test (SYSTANE BALANCE Lubricant Eye Drops; n=76) or control (habitual nonlipid contact lens rewetting eye drop; n=30) drop over their contact lenses within 5 min of lens insertion and then subsequently at 2 hr intervals up to a maximum of 4 drops per eye daily for a 1-month period. Assessments of subjective comfort, comfortable wearing time, lid wiper epitheliopathy (LWE), and corneal staining were conducted at baseline and after 1 month, after 6 hr of lens wear.

RESULTS

Comfort, wearing time, LWE, and corneal staining all showed statistically significant improvements in the test group using SYSTANE BALANCE Lubricant Eye Drops at the 1-month visit compared with baseline data (all P<0.01) and compared with the control group at the 1-month visit (P<0.01, P=0.01, P<0.01, and P=0.03, respectively).

CONCLUSIONS

The use of SYSTANE BALANCE Lubricant Eye Drops as a rewetting drop in a group of wearers who experienced symptoms of CLD improved subjective comfort scores, increased comfortable wearing time, and reduced signs of LWE and corneal staining, when compared with the use of non-lipid-containing contact lens rewetting eye drops.

摘要

目的

本研究旨在确定使用水包油乳剂的思然倍润眼药水(爱尔康公司,沃思堡,德克萨斯州)作为有症状的隐形眼镜佩戴者的润眼液的临床效果。

方法

曾经历过隐形眼镜不适(CLD)、平均佩戴隐形眼镜史为18.6±12.8年的受试者被随机分配,在插入隐形眼镜后5分钟内,于隐形眼镜上滴用试验用药(思然倍润眼药水;n = 76)或对照用药(习惯性使用的非脂质隐形眼镜润眼液;n = 30),随后每隔2小时滴用一次,每只眼睛每天最多滴4次,为期1个月。在基线时以及佩戴隐形眼镜6小时后、1个月后进行主观舒适度、舒适佩戴时间、睑缘上皮病变(LWE)和角膜染色的评估。

结果

与基线数据相比(所有P<0.01)以及与1个月访视时的对照组相比(分别为P<0.01、P = 0.01、P<0.01和P = 0.03),在1个月访视时,使用思然倍润眼药水的试验组在舒适度、佩戴时间、LWE和角膜染色方面均显示出统计学上的显著改善。

结论

与使用不含脂质的隐形眼镜润眼液相比,在一组有CLD症状的佩戴者中,使用思然倍润眼药水作为润眼液可提高主观舒适度评分,增加舒适佩戴时间,并减少LWE和角膜染色的迹象。

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