Fogt Jennifer Swingle, Roth Madison, Travis Beth A, Bickle Katherine M, Gardner Hope Patterson
College of Optometry, The Ohio State University, Columbus, OH, USA.
Procare Vision Center, Granville, OH, USA.
Clin Optom (Auckl). 2025 Jul 2;17:185-193. doi: 10.2147/OPTO.S526434. eCollection 2025.
Contact lens dropout is known to occur frequently in presbyopic patients. The purpose of this study was to assess the rate of patient-reported success, defined by willingness to continue lens wear after the study, when fitting previous presbyopic contact lens dropout patients with a single-use multifocal contact lens.
Presbyopes who had previously discontinued contact lens wear due to poor vision were recruited and fit with delefilcon A multifocal contact lenses. Participants were prescribed lenses following the fitting guide, wore lenses for 1 week to allow for adaptation, and returned for a follow-up visit. After confirmation of optimized lens powers, lenses were dispensed for one month of wear. A final visit was completed to assess vision and respond to survey questions, including 0-100 visual analog scale (VAS) surveys of lens wear experiences. Participants also scored their likelihood of continuing with study lenses upon study completion and whether the participant would recommend the study lenses to a friend. Success with fitting the study lenses was defined as those participants who selected "very likely" or "likely" to continue wearing the study lenses after the conclusion of the study.
Twenty-five participants completed all study visits. Median (Interquartile range) binocular LogMAR acuity with the study lenses was -0.10 (0.16) at distance (20/16 Snellen acuity equivalent) and 0.00 (0.12) at near (20/20 Snellen acuity equivalent). The median (IQR) satisfaction score was 84 (29.75) on a scale of 0-100. Eighty percent of the participants said they were very likely or likely to continue wearing the multifocal lenses after the conclusion of the study. All twenty-five of the participants said they would recommend the study lenses to a friend.
The objective and subjective findings of this study suggest that presbyopic contact lens dropouts can be refit with the study multifocal contact lens.
已知老花眼患者中隐形眼镜停用情况频繁发生。本研究的目的是评估当为之前停用老花隐形眼镜的患者验配一次性多焦点隐形眼镜时，以患者报告的成功为标准（定义为研究结束后继续佩戴镜片的意愿）的成功率。
招募之前因视力不佳而停止佩戴隐形眼镜的老花眼患者，并为其验配delefilcon A多焦点隐形眼镜。参与者按照验配指南配镜，佩戴镜片1周以适应，然后返回进行随访。在确认镜片度数优化后，发放镜片供佩戴1个月。完成最后一次就诊以评估视力并回答调查问卷问题，包括关于镜片佩戴体验的0 - 100视觉模拟量表（VAS）调查。参与者还对研究结束后继续佩戴研究镜片的可能性以及是否会向朋友推荐研究镜片进行评分。成功验配研究镜片的定义为那些在研究结束后选择“非常可能”或“可能”继续佩戴研究镜片的参与者。
25名参与者完成了所有研究就诊。佩戴研究镜片时，远距离双眼最小分辨角对数视力（LogMAR）中位数（四分位间距）为 -0.10（0.16）（相当于20/16斯内伦视力），近距离为0.00（0.12）（相当于20/20斯内伦视力）。满意度评分中位数（IQR）在0 - 100分制中为84（29.75）。80%的参与者表示在研究结束后非常可能或可能继续佩戴多焦点镜片。所有25名参与者均表示会向朋友推荐研究镜片。
本研究的客观和主观结果表明，老花隐形眼镜停用者可以重新验配本研究中的多焦点隐形眼镜。
