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治疗护理中的隐形眼镜:对过去创新、当前应用及未来方向的全面综述

Contact Lenses in Therapeutic Care: A Comprehensive Review of Past Innovations, Present Applications, and Future Directions.

作者信息

Shuaibu Ayishetu, Topah Efioshiomoshi Kings, Suleman Ayuba, D'Esposito Fabiana, Tognetto Daniele, Gagliano Caterina, Zeppieri Marco, Musa Mutali

机构信息

Department of Optometry, University of Benin, Benin City, Nigeria.

Department of Optometry, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University, Kano, Nigeria.

出版信息

Adv Exp Med Biol. 2025 Jan 23. doi: 10.1007/5584_2024_842.

DOI:10.1007/5584_2024_842
PMID:39841382
Abstract

Contact lenses have become integral tools in the realm of ocular therapeutics, extending beyond their primary function of refractive correction to encompass a diverse array of therapeutic applications. This review explores the evolving role of contact lenses in managing various ocular conditions, highlighting their efficacy in enhancing patient outcomes. Initially developed to correct refractive errors, contact lenses now serve as effective vehicles for delivering medications directly to the ocular surface, offering targeted treatment for conditions such as dry eye syndrome and corneal ulcers. Their ability to provide sustained moisture and facilitate drug absorption makes them indispensable in promoting corneal healing and managing chronic ocular surface diseases. Specialized contact lenses designed for irregular corneas, such as those affected by keratoconus, provide both optical correction and structural support, significantly improving visual acuity and patient comfort. Additionally, orthokeratology lenses have shown promise in controlling myopia progression in children by reshaping the cornea overnight, thereby reducing reliance on corrective eyewear during waking hours. In post-surgical settings, therapeutic contact lenses aid in epithelial regeneration and minimize discomfort, accelerating recovery and improving surgical outcomes. They also play a crucial role in protecting the cornea from external irritants and promoting a stable tear film, crucial for maintaining ocular health. Looking ahead, ongoing advancements in contact lens materials and designs promise further innovation in ocular therapeutics, paving the way for personalized treatment strategies and improved patient care. As such, contact lenses continue to evolve as essential therapeutic tools, offering tailored solutions for a spectrum of ocular conditions and contributing to enhanced quality of life for patients worldwide.

摘要

隐形眼镜已成为眼部治疗领域不可或缺的工具,其作用已超越屈光矫正的主要功能,涵盖了各种各样的治疗应用。这篇综述探讨了隐形眼镜在管理各种眼部疾病中不断演变的作用,突出了它们在改善患者治疗效果方面的功效。隐形眼镜最初是为矫正屈光不正而开发的,现在已成为将药物直接递送至眼表的有效载体,为干眼症和角膜溃疡等病症提供靶向治疗。它们提供持续湿润并促进药物吸收的能力,使其在促进角膜愈合和管理慢性眼表疾病方面不可或缺。为不规则角膜设计的特殊隐形眼镜,如受圆锥角膜影响的角膜,既能提供光学矫正又能提供结构支撑,显著提高视力和患者舒适度。此外,角膜塑形镜已显示出有望通过在夜间重塑角膜来控制儿童近视进展,从而减少清醒时间对矫正眼镜的依赖。在术后环境中,治疗性隐形眼镜有助于上皮再生并将不适感降至最低,加速恢复并改善手术效果。它们在保护角膜免受外部刺激物影响和促进稳定泪膜形成方面也起着关键作用,这对维持眼部健康至关重要。展望未来,隐形眼镜材料和设计的不断进步有望在眼部治疗方面带来进一步创新,为个性化治疗策略和改善患者护理铺平道路。因此,隐形眼镜作为重要的治疗工具不断发展,为一系列眼部疾病提供量身定制的解决方案,并为全球患者提高生活质量做出贡献。

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本文引用的文献

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Customized Scleral Lenses: An Alternative Tool for Severe Dry Eye Disease-A Case Series.定制巩膜镜:重症干眼病的一种替代工具——病例系列
J Clin Med. 2024 Jul 4;13(13):3935. doi: 10.3390/jcm13133935.
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Retinal image quality for multifocal lenses with on- and off-axis annular zones.具有轴上和轴外环形区域的多焦点镜片的视网膜图像质量。
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From Eye Care to Hair Growth: Bimatoprost.从眼部护理到头发生长:比马前列素。
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Awareness and Attitude Regarding Contact Lens Use Among Female Students at the University of Bisha: A Cross-Sectional Study.比沙大学女学生对隐形眼镜使用的认知与态度:一项横断面研究。
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Eyedrop Instillation Techniques, Difficulties, and Currently Available Solutions: A Literature Review.滴眼剂滴注技术、难点及当前可用解决方案:文献综述
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Herpes simplex keratitis: A brief clinical overview.单纯疱疹性角膜炎:简要临床概述。
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Evaluation of the results of contact lens assisted corneal cross-linking treatment in keratoconus patients with thin corneas.评估角膜交联治疗在薄角膜圆锥角膜患者中角膜接触镜辅助治疗的效果。
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Comparison of the long-term effects of atropine in combination with Orthokeratology and defocus incorporated multiple segment lenses for myopia control in Chinese children and adolescents.比较阿托品联合角膜塑形术和离焦多焦点设计软性接触镜控制中国儿童青少年近视的长期疗效。
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Orthokeratology effect on the corneoscleral profile: Beyond the bull's eye.角膜塑形术对角膜巩膜轮廓的影响:超越靶心。
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10
Contact Lens with pH Sensitivity for On-Demand Drug Release in Wearing Situation.具有 pH 敏感性的隐形眼镜,可在佩戴状态下按需释放药物。
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