Department of Ophthalmology, The Fourth Affiliated Hospital of China Medical University, Shenyang 110005, China.
Department of Ophthalmology, Dalian Third People's Hospital Affiliated to Dalian Medical University, Dalian 116033, China.
Biointerphases. 2023 Sep 1;18(5). doi: 10.1116/6.0002618.
Unlike conventional glasses, corneal contact lenses (CLs) can directly contact the surface of the tear film through the application of biopolymer materials, to achieve therapeutic and cosmetic purposes. Since the advent of polymethylmethacrylate, a material that has gained widespread use and attention, statistically, there are now more than 150 × 106 people around the world who wear corneal contact lenses. However, the associated complications caused by the interaction of contact lenses with the ocular surface, tear film, endogenous and environmental microorganisms, and components of the solution affect nearly one-third of the wearer population. The application of corneal contact lenses in correcting vision and myopia control has been widely recognized. With the development of related materials, corneal contact lenses are applied to the treatment of ocular surface diseases, including corneal bandage lenses, drug-loaded corneal contact lenses, biosensors, and other new products, while minimizing the side effects associated with CL wear. This paper summarized the development history and material properties of CLs, focused on the current main clinical applications and mechanisms, as well as clarified the possible complications in wearing therapeutic contact lenses and the direction for improvement in the future.
不同于传统眼镜,角膜接触镜(CL)可通过应用生物聚合材料直接与泪膜表面接触,从而达到治疗和美容的目的。自聚甲基丙烯酸甲酯问世以来,这种材料得到了广泛的应用和关注,目前全球有超过 150×10^6 人佩戴角膜接触镜。然而,接触镜与眼表面、泪膜、内源性和环境微生物以及溶液成分相互作用所引起的相关并发症,影响了近三分之一的佩戴者人群。角膜接触镜在矫正视力和控制近视方面的应用已得到广泛认可。随着相关材料的发展,角膜接触镜已应用于治疗眼表疾病,包括角膜绷带镜、载药角膜接触镜、生物传感器等新产品,同时最大程度地减少了与 CL 佩戴相关的副作用。本文总结了 CL 的发展历史和材料特性,重点介绍了目前主要的临床应用和作用机制,并阐明了佩戴治疗性接触镜可能出现的并发症以及未来的改进方向。