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与隐形眼镜相关的微生物角膜炎的发病率及其相关的发病率
K H Cheng1, S L Leung, H W Hoekman
1Rotterdam Eye Hospital, The Netherlands.
Lancet (London, England)
|July 27, 1999
概括
微生物角膜炎的发病率在长时间佩戴的软隐形眼镜中最高. 由于眼睛感染的重大风险,应避免在夜间佩戴隐形眼镜.
科学领域:
- 眼科医生 眼科 眼科
- 流行病学 流行病学
- 微生物学 微生物学
背景情况:
- 在一般的隐形眼镜佩戴人群中,与隐形眼镜相关的微生物角质炎的发病率和发病率仍然不确定.
- 这项研究旨在调查这些流行病学方面.
研究的目的:
- 为了确定与不同类型的隐形眼镜佩戴有关的微生物角质炎的发病率.
- 评估与微生物角膜炎相关的眼部发病率.
- 识别风险因素并为公共卫生建议提供信息.
主要方法:
- 在荷兰进行了一项前性流行病学研究.
- 对眼科医生进行了调查,以在3个月内确定新的微生物角质炎病例.
- 年度全国性调查估计了1994年至1997年的隐形眼镜佩戴率.
主要成果:
- 确定了92例微生物角质炎的病例.
- 每1万用户的发病率:1.1 (每日刚性气体透气),3.5 (每日软) 和20.0 (延长磨损软).
- 长时间佩戴软透镜的使用者发生率明显更高 (p<0.00001). 伪omonas角膜炎导致较差的视觉结果.
结论:
- 长时间佩戴软眼镜的微生物角质炎的发病率与以前的美国数据相似.
- 尽管取得了进展,但隐形眼镜材料的改进并没有减少其发生率.
- 强烈建议不建议在夜间佩戴隐形眼镜.
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