CORNEAL ULCERS ASSOCIATED WITH DAILY-WEAR AND EXTENDED-WEAR CONTACT-LENSES
CORNEAL ULCERS ASSOCIATED WITH DAILY-WEAR AND EXTENDED-WEAR CONTACT-LENSES
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DOI：
10.1016/0002-9394(86)90210-2
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发表时间：
1986-07-01
影响因子：
4.2
通讯作者：
PETTIT, TH
中科院分区：
文献类型：
--
作者：
MONDINO, BJ;WEISSMAN, BA;PETTIT, TH
在21个月的时间里，我们使用每日配戴的隐形眼镜治疗了11名患者的角膜溃疡，使用延长佩戴的隐形眼镜治疗了29名患者。由于更多的患者使用日常佩戴的镜片而不是延长佩戴的镜片，这表明使用延长佩戴镜片的患者发生角膜溃疡的风险更大。从11名患者中的9名患者和29名使用长期配戴镜片的患者中的20名患者的角膜刮片中获得阳性细菌培养。在日常佩戴组中，11名患者在使用和消毒隐形眼镜时都没有做到令人满意的护理：3名患者在操作隐形眼镜前没有洗手，8名患者连夜佩戴，2名患者没有使用任何消毒系统，4名患者的隐形眼镜盒、溶液或眼药水受到污染。在延长配戴组中，17名患者在使用和消毒隐形眼镜时没有进行令人满意的护理：12名患者的隐形眼镜护理系统受到污染，2名患者没有使用任何消毒系统，5名患者报告在操作隐形眼镜前没有洗手，2名患者每隔一个月以上对隐形眼镜进行消毒。我们无法在12名患者护理延长配戴镜片的方式中发现任何缺陷，这表明即使护理是令人满意的，这些隐形眼镜也可能存在问题。
Over a 21-month period, we treated corneal ulcers in 11 patients using daily-wear contact lenses and 29 patients using extended-wear contact lenses. Since more patients use daily-wear than extended-wear lenses, this suggests that patients using extended-wear lenses are at greater risk for the development of corneal ulcers. Positive bacterial cultures were obtained from the corneal scrapings of nine of 11 patients using daily-water lenses and 20 of 29 patients using extended-wear lenses. In the daily-wear group, all 11 patients failed to exercise satisfactory care in using and disinfecting their contact lenses: three did not wash their hands before manipulating the contact lenses, eight wore them overnight, two did not use any disinfecting system, and four had contaminated contact lens cases, solutions, or drops. In the extended-wear group, 17 patients failed to exercise satisfactory care in using and disinfecting their contact lenses: 12 had contaminated contact lens care systems, two did not use any disinfection system, five reported not washing their hands before contact lens manipulation, and two disinfected their contact lenses at intervals of more than a month. We were unable to identify any defect in the way 12 patients took care of their extended-wear lenses, suggesting that there may be a problem with these contct lenses even when care is satisfactory.