Contact Lens Use Advice-Risks and Outcomes: Are Patients Drowning in Information but Starved for Knowledge?
Contact Lens Use Advice-Risks and Outcomes: Are Patients Drowning in Information but Starved for Knowledge?
Objectives: Microbial keratitis can cause significant visual morbidity and is a common reason for presentation to eye casualty clinics. Contact lens wear and poor contact lens hygiene significantly increase the risk of corneal infection. This study aimed to determine the level of contact lens hygiene awareness amongst contact lens wearers attending our service and determining whether contact lens type and hygiene attitude are related to severity of disease. Materials and Methods: This prospective questionnaire-based study included 50 consecutive patients attending the eye casualty clinic of a tertiary referral center. Visual acuity was assessed at presentation and 2 weeks after diagnosis. Patients were divided into subgroups according to contact lens type (monthly, bi-weekly, daily, and extended day and night wear) and risk group (low, medium, and high) depending on their contact lens hygiene practices. Results: Thirty-four women and 16 men were included in this study. Twenty-four patients used monthly disposable contact lenses, 16 used daily disposable contact lenses, 6 were using bi-weekly replacement lenses, and 4 patients were using extended wear (day and night) contact lenses. Twenty-five patients were diagnosed with corneal ulcer, 23 of which had some degree of poor contact lens hygiene. Best corrected visual acuity (BCVA) significantly improved after treatment. Mean BCVA was 0.24 LogMAR before treatment and 0.09 LogMAR after treatment (p<0.05). Conclusion: Our study highlights the need to improve contact lens hygiene awareness and influence hygiene practices. Patients with the poorest contact lens hygiene had slower visual recovery and a higher prevalence of corneal ulcer. Contact lens hygiene advice needs to be clear and reinforced over time.
Contact Lenses, Corneal Ulcer/epidemiology, Drowning/etiology, Female, Humans, Keratitis, Male, Prospective Studies, infection, Contact lenses, hygiene, corneal ulcer
136-141
Tsatsos, Michael
316badcf-46fc-4ba4-9fef-4d2fde02e50b
Athanasiadis, Ioannis
f897abd7-694e-4840-b165-334b4ad80b69
MacGregor, Cheryl
79ee681e-f27c-4479-9582-f668301a1c05
Sharma, Suresh Kumar
e3b6cf2d-b7ce-4c93-b385-3d551603188a
Anderson, David
602602f5-f986-42db-b0e0-dfef3205cf80
Hossain, Parwez
563de5fc-84ad-4539-9228-bde0237eaf51
21 June 2023
Tsatsos, Michael
316badcf-46fc-4ba4-9fef-4d2fde02e50b
Athanasiadis, Ioannis
f897abd7-694e-4840-b165-334b4ad80b69
MacGregor, Cheryl
79ee681e-f27c-4479-9582-f668301a1c05
Sharma, Suresh Kumar
e3b6cf2d-b7ce-4c93-b385-3d551603188a
Anderson, David
602602f5-f986-42db-b0e0-dfef3205cf80
Hossain, Parwez
563de5fc-84ad-4539-9228-bde0237eaf51
Tsatsos, Michael, Athanasiadis, Ioannis, MacGregor, Cheryl, Sharma, Suresh Kumar, Anderson, David and Hossain, Parwez
(2023)
Contact Lens Use Advice-Risks and Outcomes: Are Patients Drowning in Information but Starved for Knowledge?
Turkish journal of ophthalmology, 53 (3), .
(doi:10.4274/tjo.galenos.2023.73184).
Abstract
Objectives: Microbial keratitis can cause significant visual morbidity and is a common reason for presentation to eye casualty clinics. Contact lens wear and poor contact lens hygiene significantly increase the risk of corneal infection. This study aimed to determine the level of contact lens hygiene awareness amongst contact lens wearers attending our service and determining whether contact lens type and hygiene attitude are related to severity of disease. Materials and Methods: This prospective questionnaire-based study included 50 consecutive patients attending the eye casualty clinic of a tertiary referral center. Visual acuity was assessed at presentation and 2 weeks after diagnosis. Patients were divided into subgroups according to contact lens type (monthly, bi-weekly, daily, and extended day and night wear) and risk group (low, medium, and high) depending on their contact lens hygiene practices. Results: Thirty-four women and 16 men were included in this study. Twenty-four patients used monthly disposable contact lenses, 16 used daily disposable contact lenses, 6 were using bi-weekly replacement lenses, and 4 patients were using extended wear (day and night) contact lenses. Twenty-five patients were diagnosed with corneal ulcer, 23 of which had some degree of poor contact lens hygiene. Best corrected visual acuity (BCVA) significantly improved after treatment. Mean BCVA was 0.24 LogMAR before treatment and 0.09 LogMAR after treatment (p<0.05). Conclusion: Our study highlights the need to improve contact lens hygiene awareness and influence hygiene practices. Patients with the poorest contact lens hygiene had slower visual recovery and a higher prevalence of corneal ulcer. Contact lens hygiene advice needs to be clear and reinforced over time.
Text
TJO-53-136-En
- Version of Record
More information
Accepted/In Press date: 3 January 2023
Published date: 21 June 2023
Additional Information:
Publisher Copyright:
© 2023 by the Turkish Ophthalmological Association / Turkish Journal of Ophthalmology published by Galenos Publishing House.
Keywords:
Contact Lenses, Corneal Ulcer/epidemiology, Drowning/etiology, Female, Humans, Keratitis, Male, Prospective Studies, infection, Contact lenses, hygiene, corneal ulcer
Identifiers
Local EPrints ID: 478582
URI: http://eprints.soton.ac.uk/id/eprint/478582
ISSN: 2149-8709
PURE UUID: 57a587e1-a7c4-4035-a0c2-355d1d660204
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Date deposited: 05 Jul 2023 17:11
Last modified: 17 Mar 2024 03:04
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Contributors
Author:
Michael Tsatsos
Author:
Ioannis Athanasiadis
Author:
Cheryl MacGregor
Author:
Suresh Kumar Sharma
Author:
David Anderson
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