J Korean Ophthalmol Soc > Volume 55(10); 2014 > Article
Journal of the Korean Ophthalmological Society 2014;55(10):1445-1451.
DOI: https://doi.org/10.3341/jkos.2014.55.10.1445    Published online October 15, 2014.
Clinical Features and Compliance in Patients with Cosmetic Contact Lens-Related Complications.
Hun Jin Choi, Jung Hoon Yum, Jong Hyun Lee, Do Hyung Lee, Jin Hyoung Kim
Department of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. jhk0924@hanmail.net
미용콘택트렌즈 관련 합병증 환자의 임상양상 및 치료 순응도 실태
최헌진⋅염정훈⋅이종현⋅이도형⋅김진형
Department of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
Abstract
PURPOSE
To investigate the clinical features and compliance of cosmetic contact lens (CL)-related complications compared with soft CL-related complications. METHODS: We performed a retrospective chart review of 97 patients (194 eyes) regarded as having CL-related complications at the outpatient clinic. The portion of complications, gender, age, and chief complaints at the initial visit were analyzed, as was compliance to cosmetic and soft CL-related guidelines for use. RESULTS: A total of 97 patients (49 patients with cosmetic CL-related complications and 43 patients with soft CL-related complications) were evaluated. The mean age of the subjects using cosmetic CL was 19.8 years (14-31 years), and all the patients were female. The chief complaints at the initial visit included ocular pain, injection, blurred vision, dryness, itching and foreign body sensation. The main complications included corneal erosion, sterile corneal infiltrate, allergic disease, neovascularization, corneal ulcer and dry eye syndrome. No statistical difference was found regarding chief complaints or complications. The proportion of patients lost to follow-up was 47% in cosmetic CL-related and 20% in soft CL-related complications, a significant difference (p = 0.015). CONCLUSIONS: Because young females are the most common CL patients and do not always fully comply with the guidelines for use, ophthalmologists need to warn these patients about the risk of serious complications.
Key Words: Compliance;Contact lens-related complication;Cosmetic contact lens;Soft contact lens


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