软性角膜接触镜并发症临床分析

The Clinical Analysis on the Complications of Wearing Soft Corneal Contact Lens.

目的 观察配戴软性角膜接触镜致眼部并发症的原因。方法 选择2004年1月～2005年2月在我院门诊就诊并配戴软性角膜接触镜患者120例205眼，详细记录其临床表现、并进行视力、裂隙灯、荧光素角膜染色、泪膜破裂时间检查，最后做出诊断和分析。结果 单纯球结膜充血30眼，巨乳头性结膜炎42眼，干眼症86眼，角膜缘睫状充血及新生血管21眼，角膜病变62眼。结论 配戴角膜接触镜可以引起单纯球结膜充血、巨乳头性结膜炎、干眼症、角膜缘睫状充血及新生血管生成、角膜病变等多种并发症，应严格掌握适应证，注意个人卫生，遵守配戴规则，定期检查。

Objective To investigate the complications associated with wearing soft corneal contact lens. Methods This study involved 120 patients （205 eyes） wearing soft corneal contact lens from January 2004 to February 2005. The examination included eyesight, slit lamp, corneal fluorescein staining, break - up time of tear film before final diagnosis. Results There were 30 eyes of simple conjuncrival congestion, 42 eyes of macropapillary conjunctivitis, 86 eyes of xerophthalmia, 62 eyes of keratopathy and 21 eyes of ciliary congestion and forming of new vessels. Conclusions Many complications such as simple conjunctival congestion, macropapillary conjunctivitis, xerophthalmia et al will be caused by wearing soft corneal contact lens. This indicates that wearing soft corneal contact lens should be strictly controlled and patients should be followed -up regularly.