Patient age, years of lens wear, use of multipurpose care products, silicone hydrogels, and extended wear were all significantly associated with CIEs with SCL wear. Use of SCLs in young patients aged 8 to 15 years was associated with a lower risk of infiltrative events compared with teens and young adults. In terms of safety outcomes, SCLs appear to be an acceptable method of delivering optics designed to manage myopia progression in children and young teens in the future.
Patient age influences lens wearing behaviors, environmental exposures, and other determinants of health that may contribute to increased CIEs in younger wearers. Targeted, age-specific education should be considered for both new and established SCL wearers.
Purpose
To understand soft contact lens (SCL) and gas permeable lens (GP) wearers’ behaviors and knowledge regarding exposure of lenses to water.
Methods
The Contact Lens Risk Survey (CLRS) and health behavior questions were completed online by a convenience sample of 1,056 SCL and 85 GP wearers age 20–76 years. Participants were asked about exposing their lenses to water and their understanding of risks associated with these behaviors. Chi-square analyses examined relationships between patient behaviors and perceptions.
Results
GP wearers were more likely than SCL wearers to ever rinse or store lenses in water (rinsing: 91% GP, 31% SCL, p<0.001; storing: 33% GP, 15% SCL p<0.001). Among SCL wearers, males were more likely to store (24% vs 13%, p=0.003) or rinse (41% vs 29%, p=0.012) their lenses in water. Showering while wearing lenses was more common in SCL wearers (86%) than GP wearers (67%) (p<0.0001). Swimming while wearing lenses was reported by 62% of SCL wearers and 48% of GP wearers (p=0.027). Wearers who rinsed (SCL; p<0.0001, GP; p=0.11) or stored lenses in water (SCL; p<0.0001, GP p=0.007) reported this behavior had little or no effect on their infection risk, compared with those that did not. Both SCL (p<0.0001) and GP wearers (p<0.0001) perceived that distilled water was safer than tap water for storing or rinsing lenses.
Conclusion
Despite previously published evidence of Acanthamoeba keratitis’ association with water exposure, most SCL, and nearly all GP wearers regularly expose their lenses to water, with many unaware of the risk.
Unilateral elevation of IOP affects both the metabolic activity of cortical neurons and the expressed levels of GAP-43, SYN, GABAa receptor protein, and CAMKIIalpha, as measured immunohistochemically in the primary visual cortex of adult monkeys. Because these neurochemicals are thought to be necessary for synaptic plasticity, their redistribution may support functional recovery of cortical neurons after damage to retinal ganglion cells induced by elevated IOP.
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