佩戴环境对角膜接触镜佩戴安全性的影响
周颖,谭钢,赵志纯,李娟
710004 陕西省西安市第四医院眼科(周颖、李娟);421001 湖南省衡阳市,南华大学附属第一医院眼科(周颖、谭钢、赵志纯)
The Safety of Contact Lens Wear in Different Environments
Ying Zhou1, 2, Gang Tan2, Zhichun Zhao2, Juan Li1
1Department of Ophthalmology, Xi'an No.4 Hospital, Xi'an 710004, China
2Department of Ophthalmology, the First Affiliated Hospital of University of South China, Hengyang
421001, China
摘要 据统计现今约有1.4 亿人佩戴角膜接触镜(CL)。目前,对于CL使用的安全性评价主要集中在材料及佩戴者自身因素两方面,然而对于行业各异、生活工作环境各异的佩戴者来说,不同的佩戴环境是否会对佩戴者产生安全隐患?CL佩戴环境成了评价其佩戴安全性不可忽视的因素。但是,目前对于在不同环境下佩戴CL的安全性并未达成共识,现对不同环境对CL佩戴者的影响进行综述,以期对CL验配者和佩戴者有所启发。
关键词 :
角膜接触镜 ,
佩戴环境 ,
安全性
Abstract :More and more patients with ametropia are wearing contact lenses (CLs) to correct refractive errors.According to statistics, globally there are 140 million CL wearers. At present, the evaluation of CL safety is mainly based on the material and the wearer's own factors. However, for different wearers working in different industries and environment, the safety hazards are often unknown. The environment of the CL wearer has becoming an indispensable factor to evaluate the safety of CL wear. However, there is currently no consensus on the safety of wearing CLs in different environments. Therefore, this review aimed to achieve a more comprehensive understanding of the impact of different environments on CL wearers to achieve the goal of wearing CLs safely.
Key words :
contact lens
environment
safety
收稿日期: 2017-09-02
基金资助: 国家自然科学基金(81400424);2017年陕西省创新人才推进计划项目-青年科技新星项目(2017KJXX-87);陕西省科学技术研究发展计划项目(2014K11-03-07-04)
通讯作者:
李娟(ORCID:0000-0001-9831-3686),Email:cornea@163.com
引用本文:
周颖,谭钢,赵志纯,李娟. 佩戴环境对角膜接触镜佩戴安全性的影响[J]. 中华眼视光学与视觉科学杂志, 2018, 20(8): 509-512.
Ying Zhou1, 2, Gang Tan2, Zhichun Zhao2, Juan Li1. The Safety of Contact Lens Wear in Different Environments. Chinese Journal of Optometry Ophthalmology and Visual science, 2018, 20(8): 509-512. DOI: 10.3760/cma.j.issn.1674-845X.2018.08.010.
链接本文:
https://www.cjoovs.com/CN/10.3760/cma.j.issn.1674-845X.2018.08.010. 或 https://www.cjoovs.com/CN/Y2018/V20/I8/509
[1]
葛坚. 眼科学. 北京: 人民卫生出版社, 2015: 144-150.
[1]
葛坚. 眼科学. 北京: 人民卫生出版社, 2015: 144-150.
[2]
余利华, 姜珺, 毛欣杰, 等. 圆锥角膜患者配戴RGPCL前后
[2]
余利华, 姜珺, 毛欣杰, 等. 圆锥角膜患者配戴RGPCL前后
视觉相关生活质量的比较. 中华眼视光学与视觉科学杂志,
20
18, 20(3): 145-149. DOI: 10.3760/cma.j.issn.1674-845X.
视觉相关生活质量的比较. 中华眼视光学与视觉科学杂志,
20
18, 20(3): 145-149. DOI: 10.3760/cma.j.issn.1674-845X.
20
18.03.004
20
18.03.004
[3]
孙平, 韦严, 亢晓丽. 角膜接触镜矫正婴幼儿先天性白内障术
[3]
孙平, 韦严, 亢晓丽. 角膜接触镜矫正婴幼儿先天性白内障术
后无晶状体眼. 中华眼视光学与视觉科学杂志, 2016, 18(2):
12
5-128. DOI: 10.3760/cma.j.issn.1674-845X.2016.02.015.
后无晶状体眼. 中华眼视光学与视觉科学杂志, 2016, 18(2):
12
5-128. DOI: 10.3760/cma.j.issn.1674-845X.2016.02.015.
[4]
Tyhurst K, McNett R, Bennett E. The safety and efficacy of
[4]
Tyhurst K, McNett R, Bennett E. The safety and efficacy of
contact lens wear in the industrial and chemical workplace.
Optometry, 2007, 78(11): 596-604. DOI: 10.1016/j.optm.2007.
contact lens wear in the industrial and chemical workplace.
Optometry, 2007, 78(11): 596-604. DOI: 10.1016/j.optm.2007.
02
021.
02
021.
[5]
Loriot J, Tourte J. Hazards of contact lenses used by workers.
[5]
Loriot J, Tourte J. Hazards of contact lenses used by workers.
Int Arch Occup Environ Health, 1990, 62(2): 105-108.
Int Arch Occup Environ Health, 1990, 62(2): 105-108.
[6]
Segal EB. Contact lenses and chemicals. Chem Health Safety,
[6]
Segal EB. Contact lenses and chemicals. Chem Health Safety,
19
97, 4: 33-37.
19
97, 4: 33-37.
[7]
Messana K. The last word on contacts. Occup Health Saf, 2001,
[7]
Messana K. The last word on contacts. Occup Health Saf, 2001,
70
(2): 68-69.
70
(2): 68-69.
[8]
Contact lenses in an industrial environment. Aaohn J, 1990,
[8]
Contact lenses in an industrial environment. Aaohn J, 1990,
9(
2): 72-73.
9(
2): 72-73.
[9]
Schulte P, Ahlers H, Jackson L, et al. Current Intelligence
[9]
Schulte P, Ahlers H, Jackson L, et al. Current Intelligence
Bulletin 59: Contact lens use in a chemical environment.
Bulletin 59: Contact lens use in a chemical environment.
National Institute for Occupational Safety and Health, 2005:
National Institute for Occupational Safety and Health, 2005:
1-
3.[10] Kok-van Aalphen CC, van der Linden JW, Visser R, et al.
1-
3.[10] Kok-van Aalphen CC, van der Linden JW, Visser R, et al.
Protection of the police against tear gas with soft lenses. Mil
Protection of the police against tear gas with soft lenses. Mil
Med, 1985, 150(8): 451-454.
Med, 1985, 150(8): 451-454.
[11]
Eng WG, Rasco JL, Marano JA. Low atmospheric pressure
[11]
Eng WG, Rasco JL, Marano JA. Low atmospheric pressure
effects on wearing soft contact lenses. Aviat Space Environ
effects on wearing soft contact lenses. Aviat Space Environ
Med, 1978, 49(1 Pt 1): 73-75.
Med, 1978, 49(1 Pt 1): 73-75.
[12]
王善祥, 强东昌, 臧斌等. 高空低气压对佩戴软性角膜接触
镜的透明度和视觉功能的影响. 航天医学与医学工程, 2011,
[12]
王善祥, 强东昌, 臧斌等. 高空低气压对佩戴软性角膜接触
24
(2): 104-107.
镜的透明度和视觉功能的影响. 航天医学与医学工程, 2011,
[13]
谢培英. 角膜接触镜与氧代谢. 中国眼镜科技杂志, 2009, 7:
24
(2): 104-107.
46
-49.
[13]
谢培英. 角膜接触镜与氧代谢. 中国眼镜科技杂志, 2009, 7:
[14]
Cullen AP. The environment. In: Bennett ES, Weissman BA.
46
-49.
Clinical contact lens practice. Philadelphia: J.B. Lippincott,
[14]
Cullen AP. The environment. In: Bennett ES, Weissman BA.
19
91: 1-28.
Clinical contact lens practice. Philadelphia: J.B. Lippincott,
[15]
Liu SK, Cai S, Chen Y, et al. The effect of pollutional haze on
pulmonary function. J Thorac Dis, 2016, 8(1): E41-56. DOI:
19
91: 1-28.
[15]
Liu SK, Cai S, Chen Y, et al. The effect of pollutional haze on
pulmonary function. J Thorac Dis, 2016, 8(1): E41-56. DOI:
10
3978/j.issn.2072-1439.2016.01.18.
[16]
李娟, 丁小艳, 王亚虹, 等. PM2.5 对小鼠泪膜功能和角膜上
10
3978/j.issn.2072-1439.2016.01.18.
皮组织结构的影响. 眼科新进展, 2017, 37(3): 201-204. DOI:
[16]
李娟, 丁小艳, 王亚虹, 等. PM2.5 对小鼠泪膜功能和角膜上
10
13389/j.cnki.rao.2017.0052.
皮组织结构的影响. 眼科新进展, 2017, 37(3): 201-204. DOI:
[17]
Dong Z, Ding X, Li Y, et al. Short-term deposition of PM2.5
10
13389/j.cnki.rao.2017.0052.
particles on contact lens surfaces: Effect on oxygen permeability
and refractive index. Curr Eye Res, 2018: 1-6. DOI: 10.1080/
[17]
Dong Z, Ding X, Li Y, et al. Short-term deposition of PM2.5
02
713683.2018.1476552.
particles on contact lens surfaces: Effect on oxygen permeability
and refractive index. Curr Eye Res, 2018: 1-6. DOI: 10.1080/
02
713683.2018.1476552.
[18]
Young G, Potts M, Sulley A. The effect of temperature on soft
[18]
Young G, Potts M, Sulley A. The effect of temperature on soft
contact lens diameter. Eye Contact Lens, 2016, 42(5): 298-302.
contact lens diameter. Eye Contact Lens, 2016, 42(5): 298-302.
[19]
Madden LC, Tomlinson A, Simmons PA. Effect of humidity
variations in a controlled environment chamber on tear
[19]
Madden LC, Tomlinson A, Simmons PA. Effect of humidity
evaporation after dry eye therapy. Eye Contact Lens, 2013,
39
(2): 169-174. DOI: 10.1097/ICL.0b013e318283dfc6.
variations in a controlled environment chamber on tear
[20]
刘宁, 杨林, 赵长华. 佩戴角膜接触镜与框架眼镜在体育运动
evaporation after dry eye therapy. Eye Contact Lens, 2013,
39
(2): 169-174. DOI: 10.1097/ICL.0b013e318283dfc6.
[20]
刘宁, 杨林, 赵长华. 佩戴角膜接触镜与框架眼镜在体育运动
中利弊的探讨. 郑州铁路职业技术学院学报, 2008, 20(2): 48-
49
, 54. DOI: 10.3969/j.issn.1008-6811.2008.02.022.
中利弊的探讨. 郑州铁路职业技术学院学报, 2008, 20(2): 48-
49
, 54. DOI: 10.3969/j.issn.1008-6811.2008.02.022.
[21]
Zimmerman AB, Richdale K, Mitchell GL, et al. Water exposure
[21]
Zimmerman AB, Richdale K, Mitchell GL, et al. Water exposure
is a common risk behavior among soft and gas-permeable
contact lens wearers. Cornea, 2017, 36(8): 995-1001. DOI:
is a common risk behavior among soft and gas-permeable
contact lens wearers. Cornea, 2017, 36(8): 995-1001. DOI:
10
1097/ICO.0000000000001204.
10
1097/ICO.0000000000001204.
[22]
Choo J, Vuu K, Bergenske P, et al. Bacterial populations on
[22]
Choo J, Vuu K, Bergenske P, et al. Bacterial populations on
silicone hydrogel and hydrogel contact lenses after swimming in
silicone hydrogel and hydrogel contact lenses after swimming in
a chlorinated pool. Optom Vis Sci, 2005, 82(2): 134-137.
a chlorinated pool. Optom Vis Sci, 2005, 82(2): 134-137.
[23]
Richdale K, Lam DY, Wagner H, et al. Case-control pilot study
[23]
Richdale K, Lam DY, Wagner H, et al. Case-control pilot study
of soft contact lens wearers with corneal infiltrative events and
of soft contact lens wearers with corneal infiltrative events and
healthy controls. Invest Ophthalmol Vis Sci, 2016, 57(1): 47-55.
DOI: 10.1167/iovs.15-18512.
healthy controls. Invest Ophthalmol Vis Sci, 2016, 57(1): 47-55.
DOI: 10.1167/iovs.15-18512.
[24]
Sorbara L, Zimmerman AB, Mitchell GL, et al. Multicenter
[24]
Sorbara L, Zimmerman AB, Mitchell GL, et al. Multicenter
testing of a risk assessment survey for soft contact lens wearers
testing of a risk assessment survey for soft contact lens wearers
with adverse events: A contact lens assessment in youth
study. Eye Contact Lens, 2018, 44(1): 21-28. DOI: 10.1097/
ICL.0000000000000305.
with adverse events: A contact lens assessment in youth
study. Eye Contact Lens, 2018, 44(1): 21-28. DOI: 10.1097/
ICL.0000000000000305.
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[2]
田乐, 李德卫, 彭予苏, 等. 角膜屈光术前睑板腺形态的影响因素 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(8): 589-595.
[3]
丁雯芝, 张金燕, 蒋冬冬, 等. 基于微信平台的管理模式在青少年配戴角膜塑形镜后的随访应用 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(6): 432-437.
[4]
中华医学会眼科学分会眼视光学组,中国医师协会眼科医师分会眼视光专业委员会,中国老年医学学会眼科学分会,等. 硬性透气性角膜接触镜试戴片临床使用管理专家共识 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(6): 408-412.
[5]
刘珠珠, 魏瑞华. 周边离焦软性角膜接触镜对儿童青少年近视控制效果的研究进展 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(5): 391-395.
[6]
刘艳, 陈国富, 蒋益, 等. 周边离焦软性角膜接触镜在近视矫治中的光学质量及对比敏感度视力分析 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(4): 252-256.
[7]
张静, 王晓川, 万磊, 等. 中国北方原发性圆锥角膜人口统计学特征及治疗结果 [J]. 中华眼视光学与视觉科学杂志, 2023, 25(3): 219-225.
[8]
中国眼谷& moody角膜接触镜技术创新研究院. 彩色角膜接触镜规范验配白皮书 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(7): 481-484.
[9]
中华医学会眼科学分会眼视光学组,中国医师协会眼科医师分会眼视光专业委员会. 低浓度阿托品滴眼液在儿童青少年近视防控中的应用专家共识(2022) [J]. 中华眼视光学与视觉科学杂志, 2022, 24(6): 401-409.
[10]
赵文辰,何鲜桂,许迅.. 角膜塑形镜临床应用的安全性研究进展 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(3): 235-240.
[11]
陈敏锋, 林川, 吴文凤, 等.. 改良式多焦软性角膜接触镜矫正老视的视觉效果 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(2): 137-142.
[12]
阳珊, 李莹. 重视角膜生物力学特性在提高激光角膜屈光手术远期安全性中的作用 [J]. 中华眼视光学与视觉科学杂志, 2022, 24(10): 721-.
[13]
林惠玲 江帆 郑辉浒 吴戈 许斌敏 姜珺. 儿童青少年配戴多焦软性角膜接触镜对调节聚散功能的影响 [J]. 中华眼视光学与视觉科学杂志, 2021, 23(9): 669-674.
[14]
潘一果 保金华 李雪 黄莹莹 陈浩. 多焦软性角膜接触镜对周边屈光度及周边角膜屈光力的影响 [J]. 中华眼视光学与视觉科学杂志, 2021, 23(9): 662-668.
[15]
陈君虹 陈思萍 潘雅丽 朱欣欣 侯立杰. 多焦点角膜接触镜配戴后角膜屈光力的变化及其与眼轴增长的相关性 [J]. 中华眼视光学与视觉科学杂志, 2021, 23(6): 427-433.