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CLEAR – Medical use of contact lenses
Contact Lens & Anterior Eye ( IF 4.1 ) Pub Date : 2021-03-25 , DOI: 10.1016/j.clae.2021.02.002
Deborah S Jacobs 1 , Karen G Carrasquillo 2 , Paul D Cottrell 3 , Fernando J Fernández-Velázquez 4 , Raquel Gil-Cazorla 5 , Isabelle Jalbert 6 , Andrew D Pucker 7 , Kellen Riccobono 8 , Danielle M Robertson 9 , Loretta Szczotka-Flynn 10 , Lynne Speedwell 11 , Fiona Stapleton 6
Affiliation  

The medical use of contact lenses is a solution for many complex ocular conditions, including high refractive error, irregular astigmatism, primary and secondary corneal ectasia, disfiguring disease, and ocular surface disease. The development of highly oxygen permeable soft and rigid materials has extended the suitability of contact lenses for such applications. There is consistent evidence that bandage soft contact lenses, particularly silicone hydrogel lenses, improve epithelial healing and reduce pain in persistent epithelial defects, after trauma or surgery, and in corneal dystrophies. Drug delivery applications of contact lens hold promise for improving topical therapy. Modern scleral lens practice has achieved great success for both visual rehabilitation and therapeutic applications, including those requiring retention of a tear reservoir or protection from an adverse environment. This report offers a practical and relevant summary of the current evidence for the medical use of contact lenses for all eye care professionals including optometrists, ophthalmologists, opticians, and orthoptists. Topics covered include indications for use in both acute and chronic conditions, lens selection, patient selection, wear and care regimens, and recommended aftercare schedules. Prevention, presentation, and management of complications of medical use are reviewed.



中文翻译:

CLEAR – 隐形眼镜的医疗用途

隐形眼镜的医疗用途是许多复杂眼部疾病的解决方案,包括高屈光不正、不规则散光、原发性和继发性角膜扩张、毁容疾病和眼表疾病。高透氧性软质和硬质材料的开发扩大了隐形眼镜在此类应用中的适用性。有一致的证据表明,绷带软性隐形眼镜,特别是硅水凝胶镜片,可以改善上皮愈合并减轻持续性上皮缺损、创伤或手术后以及角膜营养不良的疼痛。隐形眼镜的药物输送应用有望改善局部治疗。现代巩膜镜实践在视觉康复和治疗应用方面取得了巨大成功,包括需要保留泪液储存器或保护免受不利环境影响的那些。本报告为所有眼科护理专业人员(包括验光师、眼科医生、配镜师和矫形师)提供了有关隐形眼镜医疗用途的当前证据的实用和相关摘要。涵盖的主题包括用于急性和慢性疾病的适应症、镜片选择、患者选择、佩戴和护理方案以及推荐的善后计划。综述了医疗使用并发症的预防、表现和管理。涵盖的主题包括用于急性和慢性疾病的适应症、镜片选择、患者选择、佩戴和护理方案以及推荐的善后计划。综述了医疗使用并发症的预防、表现和管理。涵盖的主题包括用于急性和慢性疾病的适应症、镜片选择、患者选择、佩戴和护理方案以及推荐的善后计划。综述了医疗使用并发症的预防、表现和管理。

更新日期:2021-03-25
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