一项为期3年的前瞻性研究，比较日抛型隐形眼镜与频繁更换型及传统日戴型隐形眼镜的临床性能。

A 3-year prospective study of the clinical performance of daily disposable contact lenses compared with frequent replacement and conventional daily wear contact lenses.

作者信息

Solomon O D, Freeman M I, Boshnick E L, Cannon W M, Dubow B W, Kame R T, Lanier J C, Lopanik R W, Quinn T G, Rigel L E, Sherrill D D, Stiegmeier M J, Teiche R S, Zigler L G, Mertz G W, Nason R J

机构信息

Solomon, Scholiton, Marcotty, & Roth, MD's Inc., Beachwood, OH, USA.

出版信息

CLAO J. 1996 Oct;22(4):250-7.

PMID:8906382

Abstract

PURPOSE

To determine the clinical performance of daily disposable contact lens wear compared to conventional daily wear contact lenses and frequent replacement contact lenses.

METHODS

This 3-year prospective study was conducted in 12 U.S. practices. Of 338 eligible subjects enrolled (126 conventional daily wear, 144 frequent replacement, and 68 daily disposable), 229 subjects disposable group were compared with the conventional daily wear group and two sub-groups of frequent replacement subjects: (a) those with replacement at 2-weak intervals and (b) those with replacement at 1 or 3 months.

RESULTS

Comparing the daily disposable and conventional daily wear groups, the daily disposable subjects were more likely to be asymptomatic, reported fewer symptoms of redness, cloudy vision and grittiness/dirty sensation, reported better vision and overall satisfaction, and had fewer lens surface deposits, complications, tarsal abnormalities, and unscheduled visits, while conventional daily wear subjects reported better lens handling. Comparing the daily disposable and frequent replacement (1/3 months) groups, daily disposable subjects reported fewer symptoms of foreign body sensation, redness, cloudy vision and grittiness/dirty sensation, reported better subjective vision, comfort and overall satisfaction, and has fewer lens surface deposits, complications, and tarsal abnormalities, while frequent replacement (1/3 months) subjects reported fewer dryness symptoms and better lens handling. Comparing the daily disposable and frequent replacement (2-weeks) groups, daily disposable subjects reported better subjective vision and overall satisfaction and had fewer lens surface deposits and tarsal abnormalities, while frequent replacement (2-weeks) subjects reported fewer photophobia symptoms.

CONCLUSIONS

The results indicate that daily disposable wear may be the most trouble-free way of wearing contact lenses.

摘要

目的

确定与传统日戴型隐形眼镜和频繁更换型隐形眼镜相比，日抛型隐形眼镜的临床使用效果。

方法

这项为期3年的前瞻性研究在美国的12家医疗机构开展。在338名符合条件的受试者中（126名传统日戴型、144名频繁更换型和68名日抛型），将229名日抛型组受试者与传统日戴型组以及频繁更换型受试者的两个亚组进行比较：（a）每两周更换一次的受试者；（b）每月或每三个月更换一次的受试者。

结果

比较日抛型和传统日戴型组，日抛型受试者更可能没有症状，报告的眼红、视物模糊和沙砾感/异物感症状更少，视力和总体满意度更好，镜片表面沉积物、并发症、睑板异常和非计划就诊次数更少，而传统日戴型受试者报告镜片操作更好。比较日抛型和频繁更换型（每月/每三个月）组，日抛型受试者报告的异物感、眼红、视物模糊和沙砾感/异物感症状更少，主观视力、舒适度和总体满意度更好，镜片表面沉积物、并发症和睑板异常更少，而频繁更换型（每月/每三个月）受试者报告的干眼症状更少且镜片操作更好。比较日抛型和频繁更换型（每两周）组，日抛型受试者报告的主观视力和总体满意度更好，镜片表面沉积物和睑板异常更少，而频繁更换型（每两周）受试者报告的畏光症状更少。