glazmagThe EYE ГЛАЗThe EYE GLAZ2222-44082686-8083Академия медицинской оптики и оптометрии10.33791/2222-4408-2021-1-29-39glazmag-228Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSУход за контактными линзами: прошлое, настоящее и будущее (обзор литературы)Contact Lens Care: Past, Present and Future (a Literature Review)МаркосянА. Г.MarkosyanA. G.

 Маркосян Армида Григорьевна, кандидат медицинских наук, врач-офтальмолог клиники, врач-офтальмолог 

121099, Москва, 1-й Смоленский переулок, д.7125047,  Москва, 3-я Тверская-Ямская ул., д.12, стр.1

 Armida G. Markosyan, PhD (Med.), Ophthalmologist 

7, 1st Smolensky pereulok, Moscow, 121099

12, bld. 1, 3-ya Tverskaya-Yamskaya Str., Moscow, 125047

markosyan_armida@mail.ruМЦ OOO «ГВМ Интернешионал»; ООО «ОптикалНэт»Россия“GVM International” Medical Center; “OpticalNet” Medical CenterRussian Federation2021230320212312939Copyright © Академия медицинской оптики и оптометрии, 20212021Академия медицинской оптики и оптометрииАкадемия медицинской оптики и оптометрииhttps://www.theeyeglaz.com/jour/about/submissions#copyrightNoticehttps://www.theeyeglaz.com/jour/article/view/228Введение

Введение. Количество пользователей контактных линз продолжает расти, превышая общее число 125 миллионов человек в мире. Тенденцией современной контактной коррекции зрения является создание индивидуальных средств коррекции зрения и специальных средств по уходу за линзами, максимально удовлетворяющих потребностям пациентов всех возрастных групп.

Цель

Цель. Изучить эволюцию средств по уходу за контактными линзами, их свойства, характеристики состава, надежность очистки и дезинфекции, совместимость с материалами контактных линз, а также влияние растворов по уходу за контактными линзами на микробиом глаза на основе обзора данных литературы.

Материал и методы исследования. Проведен анализ публикаций на таких ресурсах, как Pubmed, BCLA, Elibrary, Elsevier, Medline за последние 20 лет, проанализировано 48 источников литературы. Результаты . Анализ литературных источников показал, что эволюция как контактных линз, так и средств ухода за ними не снизила, а ужесточила систему контроля за безопасностью ношения. Изучены не только состав и характеристики каждого компонента многофункциональных систем для ухода и дезинфекции контактных линз, но и свойства микробиома глаза и его изменение при ношении контактных линз. При прочих равных показателях отмечено, что пероксидные системы для ухода за контактными линзами по сравнению с многофункциональными растворами обеспечивают более надежную защиту от загрязнения всех типов линз, а также лучше дезинфицируют линзы, защищая глаз от возможных микробных, токсических и аллергических осложнений. Также проанализировано поведение пациентов методом анкетирования и выявлены их «страхи» по ношению КЛ и уходу за ними в период пандемии COVID-19.

Выводы

Выводы . Выбор средства по уходу за линзами для пациента должен быть одобрен специалистами по контактной коррекции зрения и офтальмологами. Средства по уходу за контактными линзами должны обеспечивать идеальную очистку линз, максимальную дезинфекцию, увлажнение и быть совместимыми с  материалом линз. Их нужно подбирать с  учетом индивидуальных особенностей поверхности глаза, образа жизни и состояния здоровья пациента. Необходимо постоянно просвещать и информировать пациентов о важности средств по уходу за линзами для здоровья глаз, а также уделять особое внимание уходу в период пандемии для безопасного ношения контактных линз.

Introduction

Introduction. The number of contact lens users continues to increase, exceeding the total of more than 125 million people in the world. The trend of modern vision correction with contact lenses is the creation of customized contact lenses and specialty lens care products that better meet the needs of patients of all age groups.

Purpose

Purpose. To study the evolution of contact lens care products, their properties, composition characteristics, reliability of cleaning and disinfection, advantages and disadvantages of multifunctional solutions and peroxide systems, compatibility with contact lens materials as well as the effct of contact lens care solutions on the eye microbiome based on a literature data review.

Material and methods

Material and methods. The analysis of scientifi publications available on Pubmed, BCLA, Elibrary, Elsevier and Medline for the last 20 years was carried out; 48 sources of literature were analyzed.

Results

Results. The analysis of literature has shown that the evolution of both contact lenses and contact lens care products has tightened the control over the safety of wearing. We have studied not only the composition and characteristics of each component of contact lens care and disinfection systems, but also the properties of the eye microbiome and its changes whilst wearing contact lenses. It is noted that under otherwise equal conditions, peroxide systems for contact lens care provide more reliable protection against contamination of all types of lenses, as well as ensure a better disinfection, protecting the eye from possible microbial, toxic and allergic complications. We also analyzed patients’ behavior and identifid their concerns during the COVID-19 pandemic.

Conclusion

Conclusion. The patient’s choice of a lens care product must be approved by contact lens specialist and ophthalmologist. Contact lens care products should ensure perfect cleaning, maximum disinfection, hydration and be compatible with lens materials; they should be selected taking into account the patient-specifi characteristics of the ocular surface, lifestyle and health condition. It is necessary to continuously educate and inform patients about the importance of lens care products, and special attention should be paid to care during a pandemic for the safe wearing of CL.

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The authors declare that there are no conflicts of interest present.