Purpose

The purpose of this study was to compare the efficacy of artificial tears and warm compress with an eyelid warming mask (EWM) in alleviating dry eye syndrome (DES) in contact lens wearers

Methods

This study was a prospective, randomized, active-controlled trial. Participants included 81 university students aged 19 or over, who had been wearing contact lenses for more than 1 year; they were randomly categorized into three groups. In the artificial tear group, one single-use artificial tear was administered every day as needed over a period of 4 weeks. In the EWM group, participants were instructed to apply a warm compress using a disposable EWM for 30 min before bedtime daily. Participants in the control group maintained their normal lifestyle without any treatment regimen. Ocular Surface Disease Index (OSDI) and Schirmer test scores for all participants were checked before the experiment and after 4 weeks.

Results

After treatment, the EWM and artificial tears group had significantly decreased OSDI scores compared with the control group. However, there was no significant difference between the former two groups. The post-treatment Schirmer test scores for the right eye did not differ between three groups, whereas those for the left eye were significantly higher in the two treatment groups than in the control group. However, there was no significant difference between the EWN and artificial tears groups.

Conclusion

Contact lens wearers who were instructed to apply a warm compress using EWM had significantly increased OSDI and Schirmer test scores, indicating that it has a positive effect on DES. In conclusion, applying a warm compress with EWM can be recommended as a treatment for DES in contact lens wearers who use lenses for an extended period.

中文翻译：

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眼睑保暖面膜与人工泪液对隐形眼镜配戴者干眼症状的疗效比较

目的

本研究的目的是比较人工泪液和温热敷与眼睑保暖面罩 (EWM) 在缓解隐形眼镜佩戴者的干眼症 (DES) 方面的功效

方法

本研究是一项前瞻性、随机、活性对照试验。参与者包括81名19岁及以上戴隐形眼镜一年以上的大学生；他们被随机分为三组。在人工泪液组中，在 4 周的时间里，每天根据需要施用 1 次一次性人工泪液。在 EWM 组中，参与者被指示在每天睡前使用一次性 EWM 热敷 30 分钟。对照组的参与者在没有任何治疗方案的情况下保持正常的生活方式。在实验前和 4 周后检查所有参与者的眼表疾病指数 (OSDI) 和 Schirmer 测试分数。

结果

治疗后，与对照组相比，EWM 和人工泪液组的 OSDI 评分显着降低。然而，前两组之间没有显着差异。治疗后右眼的 Schirmer 测试分数在三组之间没有差异，而左眼的分数在两个治疗组中显着高于对照组。然而，EWN 和人工泪液组之间没有显着差异。

结论

被指示使用 EWM 进行热敷的隐形眼镜佩戴者的 OSDI 和 Schirmer 测试分数显着增加，表明它对 DES 有积极影响。总之，对于长期使用镜片的隐形眼镜配戴者，可以推荐使用 EWM 热敷作为 DES 的治疗方法。