Clinical factors associated with contact lens dropout

Pucker, Andrew D.; Jones‐Jordan, Lisa A.; Marx, Sebastian; Powell, Daniel R.; Kwan, Justin; Srinivasan, Sruthi; Sickenberger, Wolfgang; Jones, Lyndon

doi:10.1016/j.clae.2018.12.002

Cited by 52 publications

(47 citation statements)

References 42 publications

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“…8 This result has since been confirmed by Pucker et al who found that contact lens dropouts were significantly more likely to wear their contact lenses fewer days per week and fewer hours per day than successful contact lens wearers. 9 These results further support comfort being an issue for many wearers. Lastly, Pritchard et al found that subjects who resumed contact lens wear primarily did so for cosmetic reasons (23%) and because the discomfort/irritation symptoms that they were experiencing had resolved (23%).…”

Section: Frequency Of Contact Lens Dropoutmentioning

confidence: 54%

“…16 In addition, Pucker et al did not find a difference in age when starting contact lens wear between successful contact lens wears and contact lens dropouts, but the authors note that successful contact lens wears had worn lenses longer than the dropouts which conflicts with the results from other studies. 9 Thus, based on the above work, there are no definitive associations between sex nor age and contact lens dropout. Unfortunately, the data on age is muddied by patients becoming presbyopic, which has the potential to cause some patients to drop out of contact lenses because of the visual changes associated with advancing age.…”

Section: Patient Factors (Sex Age)mentioning

confidence: 88%

“…8 The cessation of contact lens use is also commonly referred to in the literature as contact lens dropout. 9 Contact lens dropout has historically plagued market growth, especially since the inception of daily wear, reusable contact lenses. 8,10 Likewise, the introduction of better contact lens designs and materials have failed to curb contact lens dropout rates across the world.…”

Section: Introductionmentioning

confidence: 99%

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<p>A Review of Contact Lens Dropout</p>

Pucker¹,

Tichenor

2020

OPTO

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Purpose: Contact lens (CL) dropout is likely a major factor contributing to the near stagnant growth in the CL market. The purpose of this review is to summarize the current state of knowledge related to the frequency of CL dropout and the factors associated with it. Methods: PubMed.gov was searched on or before March 22, 2020, with the terms "contact lens" with "dropout" or "cessation" or "disruption" or "discomfort". Pertinent articles were collected. The references from these articles were likewise searched to identify additional relevant articles. Only manuscripts written in English were included. No study design or date exclusions were imposed on this review. Results: This literature review found that CL dropout was frequent across developed countries, with a CL dropout frequency that ranged between 12.0% and 27.4% (pooled mean = 21.7%). The top cited reason for CL dropout in established CL wearers was discomfort, while vision was the top reason in neophyte CL wearers. If given the chance, CL dropouts are often able to successfully resume CL wear up to 74% of the time. While the literature is mixed with regard to factors promoting CL dropout, meibomian gland dysfunction appears to promote CL dropout. Conclusion: CL dropout is a frequently encountered condition that may be curtailed by early detection, patient education, alterative CL options, or early treatment of underlying ocular surface diseases such as meibomian gland dysfunction.

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Section: Frequency Of Contact Lens Dropoutmentioning

confidence: 54%

Section: Patient Factors (Sex Age)mentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

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<p>A Review of Contact Lens Dropout</p>

Pucker¹,

Tichenor

2020

OPTO

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“…Faster adaptation is therefore unlikely to result in increased contact lens discontinuation as a result of tear-film related factors. [31][32][33][34] The study evaluated subjective scores for comfort prior to lens wear, overall comfort with the lenses, visual quality with the lenses, lens awareness and end of day comfort over the two weeks post-fitting. In addition, subjective handling aspects relating to ease of application and removal were assessed at each follow-up visit.…”

Section: Discussionmentioning

confidence: 99%

Fast versus gradual adaptation of soft daily disposable contact lenses in neophyte wearers

Wolffsohn

Dhirajlal

Vianya-Estopà

et al. 2020

Contact Lens and Anterior Eye

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Purpose: Despite the widespread practice of gradually adapting all new soft contact lens wearers (neophytes), there is little evidence-based research underpinning such practice. This work determined if a gradual adaptation period is necessary for neophytes when fitted with modern hydrogel or silicone-hydrogel daily disposable contact lenses. Method: At four sites, neophytes (19-32 years) were randomly assigned to an adaptation schedule: fast (10 hours wear from the first day) or gradual (4 hours on the first day, increasing their wear-time by 2 hours on each subsequent day until they had reached 10 hours) and hydrogel (n=24 fast; n=21 gradual) or silicone-hydrogel (n=10 fast; n=10 gradual) contact lenses. Masked investigators graded ocular surface physiology and non-invasive tear breakup-time (NIBUT). A range of subjective scores (using 0-100 visual analogue scales) were recorded at the initial visit and after 10 hours of lens wear, 4-6 days and 12-14 days after initial fitting. Subjective scores were also repeated after 7 days. Results: There was no difference (p>0.05) in ocular surface physiology between the fast and gradual adaptation groups at any time point in either lens type. NIBUT was similar at all time points for both adaptation groups in both lens types with the exception that the gradual adaptation silicone-hydrogel wearers had a slightly longer NIBUT (p=0.007) than the fast adaptation group. Subjective scores were also similar across the visits and lens types with the exception of 'lens awareness' and 'ease of lens removal' which were better (p<0.05) in the fast compared with the gradual adaptation hydrogel lens group at day 7. Additionally, 'end-ofday discomfort' was better (p=0.02) in the fast compared with the gradual adaptation hydrogel lens group at 12-14 days. Conclusion: There appears to be no benefit in soft contact lens adaptation for neophytes with modern contact lens materials.

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“…7 However, most signs of dry eye, with the exception of meibomian glands structure and function, have minimal predictive value for contact lens wear discontinuation. 8 Some studies have found differences in the area of meibomian gland atrophy of soft contact lens wearers compared with non-wearers. 9 These structural changes were reported to be dependent on the number of years of contact lens wear.…”

Section: Introductionmentioning

confidence: 99%

Meibomian glands structure in daily disposable soft contact lens wearers: a one‐year follow‐up study

Llorens‐Quintana

Garaszczuk

Szczesna‐Iskander

2020

Ophthalmic Physiologic Optic

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Purpose To assess the impact of daily disposable soft contact lenses on meibomian gland morphology over a period of 12 months. Methods Forty‐one subjects (33 experienced and 8 neophytes) were fitted with either silicone‐hydrogel or hydrogel daily contact lenses. The study protocol included four visits: baseline, day‐2 for contact lens fit and follow‐up measurements, as well as after 6 and 12 months of lens wear. Non‐contact infrared meibography images were acquired with Keratograph 5M topographer (http://www.oculus.de) and analysed with an automated method, which objectively estimates the area of gland atrophy, gland length and width, number of glands and gland irregularity. Protocol at follow‐up visits also included symptom assessment with the Ocular Surface Disease Index and clinical assessment of tear meniscus height, bulbar and limbal redness, tear osmolarity, non‐invasive fluorescein break‐up time and ocular surface staining. Results Statistically significant differences were found in gland atrophy (p = 0.02) and length (p = 0.008) between experienced and novel contact lens wearers at the baseline visit. Changes over time (after 6 and 12 months) were found in gland atrophy (p = 0.02) and the number of glands (p = 0.01) in subjects fitted with hydrogel contact lenses. Changes in gland atrophy between baseline and 12 months of lens wear correlated with changes in corneal staining (r = 0.40, p = 0.03) and fluorescein break‐up time in subjects fitted with silicone‐hydrogel lenses (r = 1−0.43, p = 0.02). Conclusions Contact lens wear impacts meibomian gland morphology. However, changes are either long‐term or characteristic to an early phase. Subjects with no history of contact lens wear exhibit better meibomian gland condition than experienced wearers. During one year of contact lens wear, meibomian gland morphology changes in subjects wearing daily disposable hydrogel lenses.

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Clinical factors associated with contact lens dropout

Cited by 52 publications

References 42 publications

<p>A Review of Contact Lens Dropout</p>

<p>A Review of Contact Lens Dropout</p>

Fast versus gradual adaptation of soft daily disposable contact lenses in neophyte wearers

Meibomian glands structure in daily disposable soft contact lens wearers: a one‐year follow‐up study

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