Eurolens Research, Division of Pharmacy and Optometry, The University of Manchester, Manchester, UK.
School of Optometry and Vision Science, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
Cont Lens Anterior Eye. 2022 Jun;45(3):101446. doi: 10.1016/j.clae.2021.101446. Epub 2021 Apr 15.
To document contact lens prescribing trends in the United Kingdom over the past quarter of a century.
An annual survey of contact lens prescribing was conducted each year from 1996 to 2020, inclusive, by asking a random selection of optometrists and contact lens opticians to provide information relating to 10 consecutive contact lens fits between January and March.
Over the 25 year survey period, 2,671 practitioners returned survey forms, reporting a total of 25,575 contact lens fits. The mean (± standard deviation) age of lens wearers was 35 ± 15 years, of which 64 % were female. Over the survey period, rigid lens new fits decreased from 22 % to 2%. The prescribing of silicone hydrogel lenses has increased steadily since their introduction towards the end of the 1990s, and now represent 80 % of soft lens fits. Soft toric lens prescribing has gradually increased to 47 % - a value at which astigmatism ≥ 0.75DC is theoretically corrected in all contact lens wearers. Daily disposable prescribing increased steadily over the survey period and now represents 63 % of lenses prescribed. Extended wear fits remain at very low levels, except for some prescribing for overnight orthokeratology. Multi-purpose lens care solutions are ubiquitous; peroxide and other systems are now seldom prescribed. Rigid lenses and monthly replacement soft lenses are predominantly worn on a full time basis, whereas daily disposable soft lenses are mainly worn part time.
This report documents the evolution of contact lens fitting in the United Kingdom over the past 25 years. The most likely lens fit is a spherical design silicone hydrogel daily disposable contact lens prescribed for a 35 year old female and worn on a part-time basis.
记录过去四分之一个世纪英国隐形眼镜处方的趋势。
1996 年至 2020 年，每年进行一次隐形眼镜处方的年度调查，通过随机选择验光师和隐形眼镜配镜师，要求他们提供 1 月至 3 月连续 10 次隐形眼镜配镜的信息。
在 25 年的调查期间，2671 名从业者返回了调查表格，共报告了 25575 次隐形眼镜配镜。镜片佩戴者的平均（±标准偏差）年龄为 35 ± 15 岁，其中 64%为女性。在整个调查期间，硬性隐形眼镜的新配镜量从 22%下降到 2%。硅水凝胶隐形眼镜自 90 年代末推出以来，一直稳步增加，现在占软性隐形眼镜配镜量的 80%。软性散光隐形眼镜的处方量逐渐增加到 47%——理论上可以矫正所有隐形眼镜佩戴者≥0.75DC 的散光。在整个调查期间，日戴型隐形眼镜的处方量稳步增加，现在占处方量的 63%。延长佩戴的隐形眼镜仍处于非常低的水平，除了一些用于夜间角膜塑形术的处方。多功能隐形眼镜护理液无处不在；过氧化物和其他系统现在很少开处方。硬性隐形眼镜和月抛型软性隐形眼镜主要是全天佩戴，而日戴型软性隐形眼镜主要是部分时间佩戴。
本报告记录了过去 25 年英国隐形眼镜配镜的演变。最有可能的镜片配适是球面设计硅水凝胶日戴型隐形眼镜，为 35 岁女性开具，部分时间佩戴。
