Southern College of Optometry, Memphis, Tennessee, USA.
School of Optometry, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Ophthalmic Physiol Opt. 2024 Jun;44(4):686-692. doi: 10.1111/opo.13299. Epub 2024 Mar 3.
To determine the number of previous contact lens (CL) wearers who could be comfortably refitted into delefilcon A (DAILIES TOTAL1®) CLs.
This was a 6-month, three-visit study that recruited subjects who discontinued CLs within the past 2 years because of discomfort or dryness symptoms. Subjects were required to have Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire scores ≤3 and to be able to wear spherical study CLs. Subjects were asked to complete a ±50 comfort visual analogue scale (VAS) at 1 month and a Likert questionnaire after 1 and 6 months of CL wear to understand the subjects' CL experience.
All 60 subjects who were fitted with the study CLs were still wearing them after 1 month, while one subject had dropped out by 6 months. Subjects had a median (interquartile range) age of 24.0 (7.0) years (71.7% female). They reported a median VAS score of 44.0 (8.0) units at the 1-month visit, with all reporting a comfortable score. At the 1-month/6-month visits, 98.3%/93.2%, 86.5%/78.0% and 93.2%/91.5% of subjects responded that they were very satisfied or satisfied with their vision, their end-of-day CL comfort and overall CL comfort, respectively. The same subjects responded that they were very likely or likely to continue to wear the study CLs at 1 (89.6%) and 6 months (80.7%) and to recommend the study CLs to a friend at 1 (98.3%) and 6 months (93.2%).
The results suggest that when encountering a CL dropout, a practitioner could educate a patient about trying an alternative CL and consider delefilcon A lenses as an option.
确定有多少以前戴过隐形眼镜（CL）的人可以舒适地改戴德妃康（DAILIES TOTAL1®）CL。
这是一项为期 6 个月、3 次就诊的研究，招募了在过去 2 年内因不适或干燥症状而停止佩戴 CL 的受试者。受试者需要有≤3 的标准患者眼干燥评估（SPEED）问卷评分，并能够佩戴研究用的球面隐形眼镜。要求受试者在 1 个月时完成±50 舒适度视觉模拟评分（VAS），在 1 个月和 6 个月时完成利克特问卷，以了解受试者的隐形眼镜佩戴体验。
所有 60 名佩戴研究用隐形眼镜的受试者在 1 个月后仍在佩戴，而 1 名受试者在 6 个月后退出。受试者的中位（四分位间距）年龄为 24.0（7.0）岁（71.7%为女性）。他们在 1 个月就诊时报告的中位 VAS 评分为 44.0（8.0）单位，所有受试者均报告舒适度评分较高。在 1 个月/6 个月就诊时，分别有 98.3%/93.2%、86.5%/78.0%和 93.2%/91.5%的受试者表示对他们的视力、一天结束时的隐形眼镜舒适度和总体隐形眼镜舒适度非常满意或满意。同样的受试者表示，他们非常有可能（89.6%）或有可能（80.7%）在 1 个月和 6 个月时继续佩戴研究用隐形眼镜，并在 1 个月（98.3%）和 6 个月（93.2%）时向朋友推荐研究用隐形眼镜。
结果表明，当遇到隐形眼镜佩戴者脱落时，从业者可以教育患者尝试其他隐形眼镜，并考虑使用德妃康 A 镜片作为选择。
