1 Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, Texas.
2 Department of Obstetrics & Gynecology, University of Texas Medical Branch, Galveston, Texas.
J Womens Health (Larchmt). 2019 Mar;28(3):403-409. doi: 10.1089/jwh.2018.7358. Epub 2019 Jan 2.
To assess use, knowledge, and complications of cosmetic contact lenses (CCLs) among women of reproductive age.
A cross-sectional, anonymous self-administered survey assessing cosmetic or decorative contact lens knowledge and experiences was completed by 686 women in Texas in 2017. Main outcome measures were use, knowledge, and associated complications.
Almost 1 in 4 women (164/686) reported prior use of CCLs and most had worn the lenses >3 times. Women born in the United States, who knew someone who wore cosmetic lenses, or had visited an eye doctor in the past year were more likely to have used CCLs. Knowledge scores were low and the majority of cosmetic lens users experienced complications (61%). The most frequently reported complications were eye pain and discomfort (35%); itchy, watery eyes (34%); and red, swollen eyes (28%). Borrowing lenses was significantly associated with medical complications (88% of borrowers reported complications). Among 18 respondents who sought medical attention for a CCL-related problem, only 11% obtained care within 24 hours. Few participants had discussed CCL use with an eye doctor in the past year.
Many U.S. women have used CCLs obtained from unauthorized sources. Knowledge of safe practices is very limited and most users develop complications. Interventions are needed to educate the public about the risk of CCL use to reduce adverse outcomes.
评估育龄妇女对美容隐形眼镜（CCL）的使用、认知和相关并发症。
2017 年，德克萨斯州的 686 名女性参与了一项横断面、匿名的自我管理调查，以评估她们对美容或装饰性隐形眼镜的知识和经验。主要结局指标为使用情况、认知度和相关并发症。
近 1/4 的女性（164/686）报告曾使用过 CCL，且大多数人佩戴次数>3 次。在美国出生、认识佩戴美容隐形眼镜的人或过去一年曾看过眼科医生的女性，更有可能使用过 CCL。知识得分较低，大多数美容隐形眼镜使用者都出现了并发症（61%）。最常报告的并发症是眼睛疼痛和不适（35%）；眼睛痒、流泪（34%）；眼红、肿胀（28%）。借戴隐形眼镜与医疗并发症显著相关（88%的借镜者报告有并发症）。在 18 名因 CCL 相关问题寻求医疗帮助的受访者中，只有 11%在 24 小时内获得了治疗。过去一年中，很少有参与者与眼科医生讨论过 CCL 的使用情况。
许多美国女性使用了未经授权来源的 CCL。她们对安全使用的认知非常有限，大多数使用者会出现并发症。需要进行干预，向公众宣传使用 CCL 的风险，以减少不良后果。
