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非转诊人群中连续佩戴软性隐形眼镜的并发症。

Complications of continuous-wear soft contact lenses in a nonreferral population.

作者信息

Spoor T C, Hartel W C, Wynn P, Spoor D K

出版信息

Arch Ophthalmol. 1984 Sep;102(9):1312-3. doi: 10.1001/archopht.1984.01040031062024.

DOI:10.1001/archopht.1984.01040031062024
PMID:6591900
Abstract

Serious corneal complications occurred in an otherwise successful experience with continuous-wear soft contact lenses (SCLs) for aphakic correction. One hundred twenty eyes were fit, and 92% attained visual acuity of 20/40 or better. Severe corneal complications were observed in 13 eyes, including bacterial ulcers (six), apical erosions (three), and severe superficial vascularization (four). Corneal ulcers occurred in nondiabetic as well as diabetic subjects. Continuous-wear SCLs are not innocuous; as for any other drug or device, continuous, long-term medical supervision is necessary to minimize potentially severe complications and visual loss.

摘要

在使用连续佩戴软性角膜接触镜(SCL)矫正无晶状体眼的过程中,尽管总体效果良好,但仍出现了严重的角膜并发症。共对120只眼进行了验配,其中92%的患者视力达到或优于20/40。在13只眼中观察到了严重的角膜并发症,包括细菌性溃疡(6只眼)、角膜顶端糜烂(3只眼)和严重的浅层血管化(4只眼)。角膜溃疡在非糖尿病患者和糖尿病患者中均有发生。连续佩戴SCL并非毫无风险;与任何其他药物或器械一样,需要持续、长期的医学监测,以尽量减少潜在的严重并发症和视力丧失。

相似文献

1
Complications of continuous-wear soft contact lenses in a nonreferral population.非转诊人群中连续佩戴软性隐形眼镜的并发症。
Arch Ophthalmol. 1984 Sep;102(9):1312-3. doi: 10.1001/archopht.1984.01040031062024.
2
Gram-negative corneal ulcers in elderly aphakic eyes with extended-wear lenses.
Ophthalmology. 1984 Jan;91(1):60-3. doi: 10.1016/s0161-6420(84)34339-1.
3
Extended-wear aphakic soft contact lenses and corneal ulcers.长戴型无晶状体软性角膜接触镜与角膜溃疡
Br J Ophthalmol. 1982 Oct;66(10):663-6. doi: 10.1136/bjo.66.10.663.
4
Serious corneal complications associated with extended-wear soft contact lenses for myopia.
Ann Ophthalmol. 1986 Apr;18(4):141-3.
5
[Corneal ulcer with hypopyon during extended-wear of a hydrophilic soft lens in an aphakic patient. Study of a case].
Bull Soc Ophtalmol Fr. 1983 Dec;83(12):1355-61.
6
Corneal ulcers associated with extended-wear soft contact lenses.与长戴型软性隐形眼镜相关的角膜溃疡
Am J Ophthalmol. 1984 Apr;97(4):476-81. doi: 10.1016/s0002-9394(14)76131-8.
7
Corneal ulcer and adverse reaction rates in premarket contact lens studies.上市前隐形眼镜研究中的角膜溃疡和不良反应发生率。
Am J Ophthalmol. 1991 Apr 15;111(4):457-65. doi: 10.1016/s0002-9394(14)72381-5.
8
Intracorneal hemorrhage secondary to aphakic contact lens wear.
Cornea. 1992 Jan;11(1):73-6. doi: 10.1097/00003226-199201000-00011.
9
Corneal ulcers associated with cosmetic extended wear soft contact lenses.与美容性长戴型软性隐形眼镜相关的角膜溃疡
Ophthalmology. 1987 Feb;94(2):109-14. doi: 10.1016/s0161-6420(87)33491-8.
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Corneal infiltrates and extended-wear contact lenses.角膜浸润与长戴型隐形眼镜
J Am Optom Assoc. 1985 Mar;56(3):198-201.

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Comprehensive Review of the Effects of Diabetes on Ocular Health.糖尿病对眼部健康影响的综合综述
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