Vision Specific Quality of Life of Pediatric Contact Lens Wearers
ABSTRACT Several studies have shown that children are capable of wearing and caring for contact lenses, but it is not known whether the benefits outweigh the risks associated with contact lens wear. The purpose of this article is to compare the vision-related quality of life benefits of children randomized to wear spectacles or contact lenses for 3 years using the Pediatric Refractive Error Profile.
The Pediatric Refractive Error Profile was administered to 484 children who wore glasses at baseline. The children were then randomly assigned to wear contact lenses (n = 247) or spectacles (n = 237) for 3 years. The survey was administered at the baseline examination, at 1 month, and every 6 months for 3 years.
During 3 years, the overall quality of life improved 14.2 +/- 18.1 units for contact lens wearers and 2.1 +/- 14.6 units for spectacle wearers (p < 0.001). In all scales except the visual performance scales (Distance Vision, Near Vision, and Overall Vision), the quality of life improved more for older subjects than younger subjects. The three scales with the largest improvement in quality of life for contact lens wearers were Activities, Appearance, and Satisfaction with Correction.
Myopic children younger than 12 years of age report better vision-related quality of life when they are fit with contact lenses than when they wear glasses. Older children, children who participate in recreational activities, children who are motivated to wear contact lenses, and children who do not like their appearance in glasses will benefit most.
SourceAvailable from: etd.ohiolink.edu
[Show abstract] [Hide abstract]
ABSTRACT: To compare clinical and subjective quality-of-life (QoL) data for teenagers wearing daily disposable contact lenses or spectacles. This open-label study randomized subjects (aged 13 to 19 years) with no previous contact lens wear experience to nelfilcon A (DAILIES AquaComfort Plus) contact lenses or spectacles for 6 months. A full clinical workup, as well as subjective QoL measures using the Pediatric Refractive Error Profile and Quality of Life Impact of Refractive Correction questionnaires, was conducted at baseline and at week 4 and months 3 and 6, with an additional study visit at week 2 for subjects randomized to wear contact lenses. A total of 110 teenagers were enrolled in the study; 13 discontinued before study completion, 10 (17.5%) from the contact lens group and 3 (5.7%) from the spectacle group (p = 0.04). Visual acuity was good for both groups at all study visits. Biomicroscopy assessments were similar at baseline for both groups. Significant differences in Pediatric Refractive Error Profile responses were noted between vision correction groups across visits for appearance (p < 0.001), satisfaction (p < 0.001), activities (p < 0.001), peer perception (p = 0.003), and overall score (p < 0.001). For Quality of Life Impact of Refractive Correction, the contact lens group gave more favorable responses than the spectacle group (p = 0.02). After 6 months of wearing contact lenses, teenagers had a more positive attitude toward comfort, vision, and safety with contact lenses. No serious adverse events were reported during the study. The daily disposable lenses used in this study are suitable for vision correction for teenagers, offering improvements in QoL measures during the first month of wear, including appearance, satisfaction, activities, and peer perceptions, without negatively impacting vision or eye health. Teenagers were able to handle contact lenses with the same amount of confidence as spectacles.Optometry and vision science: official publication of the American Academy of Optometry 01/2015; 92(1):44-52. DOI:10.1097/OPX.0000000000000454 · 2.04 Impact Factor
[Show abstract] [Hide abstract]
ABSTRACT: This study aims to investigate the association of compliance amongst lens wearers and lens case contamination as assessed by the microbial profile of lens cases. Fifty-two asymptomatic lens wearers filled out questionnaires seeking demographic data and several aspects of compliance to lens wear. Subsequently, contamination profiles of the inside bottom and rim of their lens cases was obtained for bacteria, fungi and Acanthamoeba. The association of the self-reported responses in the questionnaire with contamination profile of the lens case was then analyzed. Based on compliance criteria, 21% of the participants were described as fully compliant lens wearers. Contamination of lens case was prevalent in 42% of the cases. Frequent non-compliant behaviours reported by study participants included, showering and sleeping with contact lenses, and irregular lens case replacement. In comparison to soft contact lens wearers prevalence of non-compliance and contamination amongst rigid gas permeable (RGP) lens wearers was significantly greater. There was a statistically significant correlation between bacterial contamination and current case age. These results suggest that majority of lens wearers do not fully comply with recommendations for lens wear and case care. Crucially, none of the fully compliant patients had contaminated lens cases. However it would appear that several non-compliant behaviours significantly increase the risks of case contamination. These results suggest that greater efforts should be invested with lens wearers to ensure enhanced compliance as this is likely to reduce the possibility of case contamination.Contact lens & anterior eye: the journal of the British Contact Lens Association 09/2013; 37(2). DOI:10.1016/j.clae.2013.08.004 · 2.00 Impact Factor