College of Health and Life Sciences, Aston University, Birmingham B4 7ET, UK.
Optometry Department, Birmingham and Midland Eye Centre, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, B18 7QH, UK.
Cont Lens Anterior Eye. 2022 Oct;45(5):101594. doi: 10.1016/j.clae.2022.101594. Epub 2022 Apr 1.
The aim of this study was to evaluate the types of contact lenses fitted by hospital optometrists within the Midlands region of the United Kingdom (UK).
A questionnaire was sent to all the lead optometrists of the Midlands Hospital Optometry Group (MHOG). This group includes optometry hospital eye departments within the Midlands region of the UK. The questionnaire requested information of their last ten contact lens fitting appointments. Details of the patient's age, gender, lens type, wearing times, and presenting condition were retrospectively taken from the patients' records using the appointment diary to identify the last ten patients fitted with contact lenses.
Details from a total of 109 contact lens fits were collected. This included 45 females and 64 males with a mean age of 39.4 ± 17.4 years. The mean wearing time was 6.3 ± 1.0 days per week and 10.7 ± 5.1 h per day. Sixty-one percent of the contact lenses fitted were for patients with keratoconus and over half of all the contact lenses fitted were corneal rigid gas permeable lenses.
This study highlighted that the main reason for fitting contact lenses in hospital contact lens practice is primary corneal ectasia, and mainly keratoconus. Whilst most patients with keratoconus were fitted with corneal rigid gas permeable contact lenses, around 1 in 6 were fitted with soft contact lenses. This study addresses a gap in the literature about contact lenses fitted in UK hospitals and how they differ from community contact lens practice.
本研究旨在评估英国（UK）中部地区医院验光师所适配的隐形眼镜类型。
向英国中部医院验光师集团（MHOG）的所有首席验光师发送了一份调查问卷。该集团包括英国中部地区的医院眼科配镜部门。问卷要求提供他们最近十次隐形眼镜配镜预约的信息。从患者记录中使用预约日记回顾性地获取患者的年龄、性别、镜片类型、佩戴时间和就诊情况等详细信息，以确定最后十位佩戴隐形眼镜的患者。
共收集了 109 次隐形眼镜适配的详细信息。其中包括 45 名女性和 64 名男性，平均年龄为 39.4 ± 17.4 岁。平均佩戴时间为每周 6.3 ± 1.0 天，每天 10.7 ± 5.1 小时。适配的隐形眼镜中有 61%用于圆锥角膜患者，超过一半的隐形眼镜为硬性透气性角膜接触镜。
本研究表明，医院隐形眼镜实践中适配隐形眼镜的主要原因是原发性角膜扩张，主要是圆锥角膜。虽然大多数圆锥角膜患者适配硬性透气性角膜接触镜，但约有 1/6 的患者适配软性隐形眼镜。本研究填补了关于英国医院适配隐形眼镜的文献空白，并探讨了它们与社区隐形眼镜实践的差异。
