Efron Nathan, Woods Craig A, Morgan Philip B
Optometry and Vision Science, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
Department of Optometry and Visual Science, UNSW Sydney, Sydney, Australia.
Clin Exp Optom. 2025 Mar;108(2):123-134. doi: 10.1080/08164622.2025.2451346. Epub 2025 Jan 12.
Knowledge of contact lens prescribing trends can (a) assist practitioners to benchmark their own prescribing habits, (b) help the contact lens industry understand preferred products, and (c) support academics in scholarly writings.
This work aims to document contact lens prescribing trends in Australia over the past quarter of a century.
An annual survey of contact lens prescribing trends was conducted in Australia each year from 2000 to 2024, inclusive, by asking optometrists to provide information relating to 10 consecutive contact lens fits undertaken between January and March.
Over the 25-year survey period, a total of 20,281 contact lens fits were reported. Lens wearers were 34.4 ± 14.7 years of age and 65% were female. Over the survey period, rigid lenses increased from 13% to 21% of all lens fits. Of all soft lens fits, silicone hydrogel lenses increased from 22% to 96%; soft torics increased from 24% to 30%; daily disposables increased from 7% to 63%; soft extended wear decreased from 16% to 5%; multifocals increased from 5% to 26%; and myopia control (first fit in 2011) reached 3% by 2024. Rigid lens extended wear (primarily orthokeratology) increased from 0.3% to 17% of rigid lens fits, primarily for myopia control. Multi-purpose lens care solutions are ubiquitous, and peroxide systems are seldom prescribed. Rigid lenses and monthly replacement soft lenses are largely worn full time, whereas daily disposables are worn full time and part time in equal measure. Australian and global prescribing trends are broadly consistent.
Contact lens fitting trends this century can be characterised as: soft lenses - significant increase in silicone hydrogels, daily disposables, torics and multifocals; rigid lenses - dominance of high-Dk materials, and recent resurgence in scleral and orthokeratology fits. There is little extended wear fitting. Multi-purpose care systems are ubiquitous.
了解隐形眼镜的处方趋势能够（a）帮助从业者评估自身的处方习惯，（b）帮助隐形眼镜行业了解受欢迎的产品，以及（c）为学者的学术著作提供支持。
这项工作旨在记录过去25年澳大利亚隐形眼镜的处方趋势。
2000年至2024年（含）期间，澳大利亚每年都会对隐形眼镜处方趋势进行年度调查，要求验光师提供1月至3月期间连续进行的10次隐形眼镜验配的相关信息。
在25年的调查期内，共报告了20281次隐形眼镜验配。佩戴者年龄为34.4±14.7岁，65%为女性。在调查期间，硬性镜片在所有镜片验配中的占比从13%增至21%。在所有软性镜片验配中，硅水凝胶镜片从22%增至96%；软性散光镜片从24%增至30%；日抛型镜片从7%增至63%；软性长戴型镜片从16%降至5%；多焦点镜片从5%增至26%；到2024年，近视控制（2011年首次验配）达到3%。硬性镜片长戴（主要是角膜塑形术）在硬性镜片验配中的占比从0.3%增至17%，主要用于近视控制。多功能镜片护理液随处可见，而过氧化氢系统很少被处方。硬性镜片和月抛型软性镜片大多为全时佩戴，而日抛型镜片全时佩戴和部分时间佩戴的比例相当。澳大利亚和全球的处方趋势大致一致。
本世纪隐形眼镜验配趋势的特点是：软性镜片——硅水凝胶镜片、日抛型镜片、散光镜片和多焦点镜片显著增加；硬性镜片——高透氧材料占主导，近期巩膜镜和角膜塑形术验配有所回升。长戴型验配很少。多功能护理系统随处可见。
