glazmagThe EYE ГЛАЗThe EYE GLAZ2222-44082686-8083Академия медицинской оптики и оптометрии10.33791/2222-4408-2019-3-13-20glazmag-122Research ArticleОРИГИНАЛЬНЫЕ НАУЧНЫЕ СТАТЬИORIGINAL ARTICLESЭпидемиология гигантского папиллярного конъюнктивита, индуцированного ношением контактных линз: ретроспективное исследованиеEpidemiology of contact lens-induced giant papillary conjunctivitis: a retrospective studyМягковА. В.MyagkovA. V.

доктор медицинских наук, профессор, директор

Med.Sc.D., Professor, Director

6425908@mail.ruДеминаЕ. И.DyominaE. I.

врач-офтальмолог

ophthalmologist

ФорбсВ.ForbesV.

оптометрист

optometrist

НОЧУ ДПО «Академия медицинской оптики и оптометрии»РоссияAcademy of Medical Optics and OptometryRussian Federation201909102019213 (127)1320Copyright © Академия медицинской оптики и оптометрии, 20192019Академия медицинской оптики и оптометрииАкадемия медицинской оптики и оптометрииhttps://www.theeyeglaz.com/jour/about/submissions#copyrightNoticehttps://www.theeyeglaz.com/jour/article/view/122Цель

Цель: определить взаимосвязь частоты возникновения гигантского папиллярного конъюнктивита (ГПК), индуцированного ношением контактных линз, с режимами, сроками ношения и материалами контактных линз. Появление новых материалов и дизайнов контактных линз наряду с изменением сроков их ношения изменили структуру осложнений у пользователей мягких контактных линз (МКЛ). В настоящее время крайне редко встречаются инфекционные и гипоксические осложнения, однако на первый план вышли токсико-аллергические реакции, возникающие у пользователей контактных линз (КЛ).

Материал и методы

Материал и методы. В ретроспективном когортном клиническом исследовании приняли участие 1 668 пользователей МКЛ с различными сроками ношения и материалами. Пациенты находились под наблюдением с 2008 по 2018 годы.

Результаты

Результаты. В результате проведенного исследования была выявлена взаимосвязь между длительностью ношения МКЛ, сроком плановой замены и частотой возникновения ГПК.

Выводы

Выводы. Любой пользователь МКЛ независимо от срока плановой замены и материала линз является потенциальным пациентом с ГПК. На выраженность процесса ГПК влияет стаж ношения МКЛ и длительность срока плановой замены. МКЛ ежедневной замены являются более безопасными в отношении течения ГПК в отличие от линз двухнедельной и ежемесячной замены. При ношении однодневных МКЛ риск возникновения ГПК одинаков для гидрогелевых и силикон-гидрогелевых материалов. акцентирование внимания на соблюдение правил пользования и ухода за МКЛ является основной мерой профилактики формирования ГПК.

Purpose

Purpose: The purpose of the study is to determine the correlation between the incidence of giant papillary conjunctivitis induced by the use of contact lenses (CLPC) and contact lens material, replacement schedule or wearing time. The emergence of new materials and designs of contact lenses along with modifications in the replacement and wearing schedule have changed the structure of complications in users of soft contact lenses (SCLs). At present, infectious and hypoxic complications are extremely rare; on the other hand, toxic-allergic reactions that arise in users of contact lenses (CLs) have come to the fore.

Material and methods

Material and methods. A retrospective cohort clinical study involved 1 668 users of SCL of various materials and with different replacement and wearing schedules. Patients were monitored from 2008 to 2018.

Results

Results. As a result of the study, it was found that the CLPC incidence correlate with the wearing time and replacement schedule of the SCLs.

Conclusion

Conclusion. Any SCL user, regardless of the SCL material and lens replacement schedule may potentially have CLPC. The severity of the CLPC process depends on SCLs wearing time and replacement schedule. Daily disposable SCLs are safer as opposed to 2-week disposable and monthly contact lenses. In case of wearing daily SCLs, the risk of CLPC is the same for hydrogel and silicone-hydrogel lenses. Focusing on compliance with the rules of SCLs, use and care is the major measure that helps to prevent the formation of CLPC.

 

 

мягкие контактные линзыпапиллярный конъюнктивитгидрогелевые контактные линзысиликон-гидрогелевые контактные линзыосложнения у пользователей МКЛлиссаминовый зеленыйsoft contact lensespapillary conjunctivitishydrogel contact lensessilicone-hydrogel contact lensescomplications in SCL userslissamine greenReferencesAaron B., Zimmerman A.N. Contemporary CL complication. Tips for when eyes experience insults due to hypoxia, mechanical irritation, toxicity, or microbial contamination. December 1, 2018. https://www.clspectrum.com/issues/2018/ december-2018/contemporary-cl-complicationsAaron B., Zimmerman A.N. Contemporary CL complication. Tips for when eyes experience insults due to hypoxia, mechanical irritation, toxicity, or microbial contamination. December 1, 2018. https://www.clspectrum.com/issues/2018/ december-2018/contemporary-cl-complicationsEfron N. Why are we still fitting reusable soft contact lenses? Clin Exp Optom. 2014;97:386-388. doi.10.1111/cxo.12170Efron N. 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The authors declare that there are no conflicts of interest present.