Department of Ophthalmology, Juntendo University Graduate School of Medicine, 2-1-1 Hongo Bunkyo-ku, Tokyo, Japan, 113-8421.
Department of Ophthalmology, Juntendo Tokyo Koto Geriatric Medical Center, Juntendo University School of Medicine, Tokyo, Japan.
Sci Rep. 2021 Aug 5;11(1):15939. doi: 10.1038/s41598-021-95318-7.
To assess the safety of cosmetic contact lenses and to identify other factors of contact lens (CL)-related complications for Japanese females. A web-based, cross-sectional, observational survey of complications related to CL use was performed. The frequencies of complications were compared between transparent and cosmetic CLs. Besides lens pigmentation, age, replacement schedule, total experience, daily wear time, location of purchase, stacking of CLs, CL exchange with friends, compliance to hygiene procedure, replacement of CLs at intervals longer than recommended, and CL wear overnight were considered as risk factors. Logistic regression analyses were performed to calculate the odds ratios. A total of 3803 Japanese females were analyzed. The frequency of adverse events was 33.4% (95%CI 31.3-35.4%) and 35.7% (95%CI 33.5-38.0%) for transparent and cosmetic CLs, respectively. In a multivariate model, statistically significant factors associated with complications included the following: quarterly schedule lenses, replacement at intervals longer than recommended, compliance to hygiene procedure, overnight wearing, purchase at physical shops and on the internet, and longer daily wearing time. Most of the risk-increasing behaviors are preventable. The role of public health ophthalmology is to increase awareness and to improve CL use behaviors.
为了评估美容隐形眼镜的安全性，并确定其他与隐形眼镜（CL）相关并发症的因素，我们针对日本女性进行了一项基于网络的、横断面的、观察性的隐形眼镜使用并发症调查。比较了透明隐形眼镜和美容隐形眼镜的并发症发生率。除了镜片色素沉着外，年龄、更换时间表、总经验、每日佩戴时间、购买地点、镜片叠戴、与朋友交换隐形眼镜、遵守卫生程序、超过推荐时间更换隐形眼镜以及夜间佩戴隐形眼镜都被认为是危险因素。进行了逻辑回归分析来计算比值比。共分析了 3803 名日本女性。不良事件的发生率分别为透明隐形眼镜 33.4%（95%CI 31.3-35.4%）和美容隐形眼镜 35.7%（95%CI 33.5-38.0%）。在多变量模型中，与并发症相关的统计学显著因素包括：每季度更换镜片、超过推荐时间更换镜片、遵守卫生程序、夜间佩戴、在实体店和互联网购买以及更长的每日佩戴时间。大多数增加风险的行为都是可以预防的。公共卫生眼科的作用是提高认识和改善隐形眼镜的使用行为。
