Department of Nursing, Gangneung-Wonju National University, Wonju-si, Gangwon-do, South Korea.
College of Nursing, Chung-Ang University, Dongjak-gu, Seoul, South Korea.
Cont Lens Anterior Eye. 2021 Feb;44(1):30-34. doi: 10.1016/j.clae.2020.02.013. Epub 2020 Mar 10.
The purpose of this study was to compare the efficacy of artificial tears and warm compress with an eyelid warming mask (EWM) in alleviating dry eye syndrome (DES) in contact lens wearers METHODS: This study was a prospective, randomized, active-controlled trial. Participants included 81 university students aged 19 or over, who had been wearing contact lenses for more than 1 year; they were randomly categorized into three groups. In the artificial tear group, one single-use artificial tear was administered every day as needed over a period of 4 weeks. In the EWM group, participants were instructed to apply a warm compress using a disposable EWM for 30 min before bedtime daily. Participants in the control group maintained their normal lifestyle without any treatment regimen. Ocular Surface Disease Index (OSDI) and Schirmer test scores for all participants were checked before the experiment and after 4 weeks.
After treatment, the EWM and artificial tears group had significantly decreased OSDI scores compared with the control group. However, there was no significant difference between the former two groups. The post-treatment Schirmer test scores for the right eye did not differ between three groups, whereas those for the left eye were significantly higher in the two treatment groups than in the control group. However, there was no significant difference between the EWN and artificial tears groups.
Contact lens wearers who were instructed to apply a warm compress using EWM had significantly increased OSDI and Schirmer test scores, indicating that it has a positive effect on DES. In conclusion, applying a warm compress with EWM can be recommended as a treatment for DES in contact lens wearers who use lenses for an extended period.
本研究旨在比较人工泪液和热敷与眼睑热敷眼罩(EWM)在缓解隐形眼镜佩戴者干眼症(DES)中的疗效。
本研究为前瞻性、随机、主动对照试验。纳入 81 名年龄在 19 岁及以上、佩戴隐形眼镜超过 1 年的大学生,随机分为三组。人工泪液组每天按需滴用单剂量人工泪液,持续 4 周。EWM 组每天睡前使用一次性 EWM 热敷 30 分钟。对照组保持正常生活方式,不进行任何治疗。所有参与者在实验前和 4 周后检查眼表疾病指数(OSDI)和泪液分泌试验(Schirmer 试验)评分。
治疗后,EWM 和人工泪液组的 OSDI 评分均明显低于对照组,但两组间无显著差异。三组间右眼治疗后 Schirmer 试验评分无差异,而左眼治疗组明显高于对照组,但 EWM 和人工泪液组间无差异。
指导佩戴者使用 EWM 进行热敷可显著提高 OSDI 和 Schirmer 试验评分,表明其对 DES 有积极作用。因此,建议将 EWM 热敷作为长期佩戴隐形眼镜的 DES 患者的治疗方法。