Mohammadzadeh Maryam, Jafari Fatemeh, Lashay Alireza, Yaseri Mehdi, Motamed-Gorji Nazgol, Alizadeh Yousef, Shokoohian Mansooreh, Tavakoli Roya, Khalili Fahimeh, Tahkor Abolfazl, Alinia Zahra, Fatahiasl Jafar, Alipour Fateme
Translational Ophthalmology Research Center (M.M., F.J., A.L., F.A.), Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran; Tehran University of Medical Sciences (M.Y.), Tehran; Tehran University of Medical Sciences Digestive Disease Research Center (N.M.-G.), Tehran; Eye Research Center (Y.A., M.S.), Guilan University of Medical Sciences, Rasht; Non-Communicable Diseases Research Center (R.T.), Rafsanjan University of Medical Sciences, Rafsanjan; Liver and Gastrointestinal Diseases Research Center (F.K.), University of Medical Sciences, Tabriz; Health Promotion Research Center (A.T.), Zahedan University of Medical Sciences, Zahedan; Geriatric Ophthalmology Research Center (Z.A.), Shahid Sadoughi University of Medical Sciences, Yazd; and Ahvaz Jundishapur University of Medical Sciences (J.F.), Ahvaz.
Eye Contact Lens. 2025 May 21;51(8):348-353. doi: 10.1097/ICL.0000000000001188.
To determine the age- and gender-specific prevalence of contact lens wearers among Iranian adults aged 31 to 70 years (results from the nationwide Persian Cohort Eye Study).
This multicenter population-based cross-sectional study used a cluster sampling procedure to recruit 48,618 Iranian participants aged 31 to 70 years (mean age: 42.9±7.9 SD) from six different provinces between 2015 and 2020. Demographic characteristics and medical and ocular history of participants were gathered through the interview. All participants underwent a thorough history-taking interview and a comprehensive optometric examination in the clinic. We used logistic regression on the multilevel analysis to determine the effect of different variables on contact lens use.
In total, 228 participants (0.34%, of all) used contact lenses. Among them, 141 subjects (0.22%) used corrective lenses, 82 subjects (0.13%) wore cosmetic lenses, and five subjects wore both. The mean age of the population was 42.9±7.9 SD (31-70 years). There was an inverse association between advancing age and both lens wear (adjusted ORs: 0.26, 0.15). Wearing both types of lenses was correlated with being female (adjusted ORs: 3.22, 9.03), having higher education (adjusted ORs: 7.94, 5.49), and high wealth score index (adjusted ORs: 3.64, 1.46). The mean spherical equivalent of the whole population, corrective lens, and cosmetic lens users were -1.46±2.91 D, -2.04±3.42 D, and -0.55±1.21 D, respectively. Most cosmetic lens users were emmetropes (68.75%), while myopia was the most frequent refractive error among corrective lens wearers (67.88%). There was a significant difference in usage between centers. Professional prescriptions and other unknown sources were the main purchase sources for corrective and cosmetic lens users, respectively.
The prevalence of contact lens use in the older adult population of Iran is very low, highlighting an important opportunity for public health and eye care professionals. The population-based information reported in this article indicates a significant gap in public and professional awareness and attitudes toward contact lens use, emphasizing the need for targeted educational initiatives and accessibility improvements. These findings offer valuable insights for future eye care planning, policy development, and potential growth in contact lens practice and marketing in Iran.
确定31至70岁伊朗成年人中佩戴隐形眼镜者的年龄和性别特异性患病率（来自全国性的波斯队列眼研究结果）。
这项基于人群的多中心横断面研究采用整群抽样程序，于2015年至2020年期间从六个不同省份招募了48,618名31至70岁的伊朗参与者（平均年龄：42.9±7.9标准差）。通过访谈收集参与者的人口统计学特征以及医学和眼部病史。所有参与者在诊所接受了全面的病史询问访谈和综合验光检查。我们在多水平分析中使用逻辑回归来确定不同变量对隐形眼镜使用的影响。
总共有228名参与者（占所有参与者的0.34%）使用隐形眼镜。其中，141名受试者（0.22%）使用矫正镜片，82名受试者（0.13%）佩戴美容镜片，5名受试者同时佩戴两种镜片。人群的平均年龄为42.9±7.9标准差（31至70岁）。年龄增长与两种镜片佩戴均呈负相关（调整后的比值比：0.26，0.15）。佩戴两种类型镜片均与女性（调整后的比值比：3.22，9.03）、受过高等教育（调整后的比值比：7.94，5.49）以及高财富得分指数（调整后的比值比：3.64，1.46）相关。整个人群、矫正镜片使用者和美容镜片使用者的平均等效球镜分别为-1.46±2.91 D、-2.04±۳.42 D和-0.55±1.21 D。大多数美容镜片使用者为正视眼（68.75%），而近视是矫正镜片佩戴者中最常见的屈光不正（67.88%）。各中心之间的使用情况存在显著差异。专业处方和其他未知来源分别是矫正镜片和美容镜片使用者的主要购买来源。
伊朗老年人群中隐形眼镜的使用率非常低，这凸显了公共卫生和眼保健专业人员面临的一个重要机遇。本文报告的基于人群的信息表明，公众和专业人员对隐形眼镜使用的认识和态度存在显著差距，强调了有针对性的教育举措和提高可及性的必要性。这些发现为伊朗未来的眼保健规划、政策制定以及隐形眼镜实践和营销的潜在增长提供了有价值的见解。
