Bouchard C S, Trimble S N
Department of Ophthalmology, Loyola University Chicago, Maywood, IL 60153, USA.
CLAO J. 1996 Apr;22(2):106-8.
Although therapeutic hydrogel contact lenses have been used for many years, there have been few reports on the therapeutic use of disposable lenses. We evaluated lens fit, duration of wear, efficacy of therapy, complications, and concurrent treatment in patients with corneal or anterior segment problems who were managed with Acuvue contact lenses for therapeutic purposes.
We managed 38 patients with corneal or anterior segment disease during 1992-1994. The duration of lens wear ranged from several days to 12 months. Six patients were fit for mechanical reasons, six were fit for symptomatic relief, and 26 were fit as an adjunct to healing. Technical failures included lenses with inadequate movement and lenses that fell out of the eye. Therapeutic failures occurred when lens use did not help resolve the anterior segment problem.
Seventy-one percent of patients were fit successfully, and 66% of patients were therapeutic successes. Complications with contact lens fitting included lens loss, discomfort, corneal ulceration, and tight lens syndrome.
Although we found some difficulty in lens fitting, Acuvue lenses may provide a useful, disposable, and less expensive alternative to the traditional bandage contact lens.
尽管治疗性水凝胶隐形眼镜已使用多年，但关于一次性隐形眼镜治疗用途的报道却很少。我们评估了使用爱尔康隐形眼镜进行治疗的角膜或眼前节疾病患者的镜片适配情况、佩戴时长、治疗效果、并发症及同时进行的治疗。
1992年至1994年期间，我们对38例角膜或眼前节疾病患者进行了治疗。镜片佩戴时长从数天到12个月不等。6例因机械性原因配镜，6例为缓解症状配镜，26例作为愈合辅助手段配镜。技术失败包括镜片活动不足和镜片脱出眼外。当使用镜片无助于解决眼前节问题时，则发生治疗失败。
71%的患者配镜成功，66%的患者治疗成功。隐形眼镜配镜的并发症包括镜片丢失、不适、角膜溃疡和紧镜片综合征。
尽管我们发现镜片适配存在一些困难，但爱尔康镜片可能为传统绷带式隐形眼镜提供一种有用、一次性且成本较低的替代方案。
