Eurolens Research, Division of Pharmacy and Optometry, University of Manchester, United Kingdom.
Optometry and Vision Science, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
Cont Lens Anterior Eye. 2024 Dec;47(6):102285. doi: 10.1016/j.clae.2024.102285. Epub 2024 Aug 5.
Extended wear has long been considered as the ultimate contact lens modality in terms of user convenience. The purpose of this work is to update earlier surveys by describing international trends in extended wear soft lens fitting between 2000 and 2023, inclusive.
An annual contact lens prescribing survey was sent to eye care practitioners in up to 71 countries between 2000 and 2023, inclusive. Data relating to 282,142 soft contact lens fits undertaken in 20 countries returning reliable longitudinal data were analysed in respect of extended wear soft lens fitting.
Over the duration of the work there was a very small decrease in the prescribing of extended wear soft lenses (p < 0.0001). More detailed inspection shows that prescribing of these lenses steadily increased from 5.8 % of all soft lens fits in 2000 to 11.6 % in 2007, then steadily decreased to 5.2 % in 2023. Of all soft contact lenses prescribed to males, 9.2 % were fitted for extended wear, compared with 6.7 % for females (p < 0.0001). The mean age of extended wear soft lens wearers at fitting was 34.7 ± 14.7 years, compared to 31.1. ± 14.10 years for daily soft lens wearers (p < 0.0001). Analysis of 1,948 recent extended wear soft lens fits (2019-2023, inclusive), in terms of material type, revealed that, on average, 86 % and 14 % of extended wear soft lenses were fitted using silicone hydrogel and hydrogel materials, respectively.
A modest increase in extended wear soft lens prescribing from 2000 to 2007 corresponded with the introduction of high oxygen transmissibility silicone hydrogel lenses. However, prescribing of this lens type declined thereafter, probably due to ongoing concerns over their increased rate of microbial keratitis, resulting in a prescribing rate in 2023 (5.2%) that was little different to that observed in 2000 (5.8%).
就用户便利性而言，长期佩戴一直被认为是软性隐形眼镜的终极佩戴模式。本研究旨在更新之前的研究，描述 2000 年至 2023 年期间全球范围内软性隐形眼镜长戴方式的变化趋势。
我们向 2000 年至 2023 年期间多达 71 个国家的眼科医生发送了年度隐形眼镜处方调查。对来自 20 个国家的、提供可靠纵向数据的 282142 例软性隐形眼镜适配数据进行了分析，以了解软性长戴隐形眼镜的适配情况。
在研究期间，软性长戴隐形眼镜的处方量略有下降（p<0.0001）。更详细的检查显示，从 2000 年长戴软性隐形眼镜的处方量占所有软性隐形眼镜的 5.8%稳步增加到 2007 年的 11.6%，然后稳定下降到 2023 年的 5.2%。在所有男性软性隐形眼镜的处方中，有 9.2%的人适合长戴软性隐形眼镜，而女性则为 6.7%（p<0.0001）。长戴软性隐形眼镜的平均配镜年龄为 34.7±14.7 岁，而日戴软性隐形眼镜的平均配镜年龄为 31.1±14.1 岁（p<0.0001）。对 1948 例近期长戴软性隐形眼镜（2019-2023 年）的适配材料进行分析发现，平均而言，86%和 14%的长戴软性隐形眼镜分别使用硅水凝胶和水凝胶材料。
从 2000 年到 2007 年长戴软性隐形眼镜的处方量适度增加，这与高透氧性硅水凝胶镜片的推出相吻合。然而，此后这种镜片类型的处方量下降，可能是由于人们对其微生物角膜炎发生率增加的持续关注，导致 2023 年的处方率（5.2%）与 2000 年（5.8%）相比变化不大。
