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Quality-of-life outcomes of long-term contact lens wear: A systematic review
Affiliation:1. The Eye Center, Southern College of Optometry Memphis, TN, USA;2. Anglia Ruskin University, Vision and Hearing Sciences Research Centre, Cambridge, United Kingdom;3. Mark Wainwright Analytical Centre, University New South Wales, Sydney, Australia;1. Contact Lens Department, Unit of Medical Research Foundation, India;2. Elite School of Optometry, India;1. Ophthalmology Department, Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal;2. Orthoptics Department, School of Health, Polytechnic of Porto, Porto, Portugal;1. School of Optometry and Vision Science, UNSW Sydney, Australia;2. Optometry and Vision Science Research Group, Aston University, Birmingham, United Kingdom;3. Bausch & Lomb Contact Lens Centre, L V Prasad Eye Institute, Hyderabad, India;4. School of Medical Sciences, University of Hyderabad, Hyderabad, India;5. The Cornea Institute, L V Prasad Eye Institute, Hyderabad, India;6. Jhaveri Microbiology Centre, L V Prasad Eye Institute, Hyderabad, India
Abstract:PurposeThe aim of this review was to evaluate the evidence on quality-of-life outcomes of long-term contact lens wear.MethodsA search for original articles that used validated measures to evaluate patient-reported outcomes (PROs) in long-term (≥2 years) contact lens wearers was conducted in Medline Ovid, PubMed, Scopus, Web of Science, Cochrane, CINAHL, and PsycInfo databases. The information including PRO measure (name, type, content) and key quality-of-life outcomes findings were extracted.ResultsSeven articles that used 4 PRO measures to evaluate quality of life outcomes of long-term contact lens wear met the inclusion criteria. The median (range) number of contact lens wearers in these studies was 116 (31–247). The studies were conducted in 4 countries: USA, Spain, China, and Russia. All studies were conducted in myopic populations. None of the studies provided information on psychometric properties, validity and reliability of the PRO measures used. Five studies were conducted in children of which 3 studies evaluated PROs of myopia control contact lens wear. The studies reported that contact lens wear, including myopia control lens wear, was an effective method of refractive correction in children and adults in the long term in PRO-perspective, and resulted in a better quality of life status than with glasses. However, long-term dry eye and discomfort related symptoms were reported.ConclusionOverall, contact lens use improved quality of life status in children and adults. More research is required to better understand the long-term quality-of-life outcomes of contact lens wear.
Keywords:Contact lenses  Dry eye  Patient-reported outcomes  Quality of life  Questionnaires  Refractive error  Symptoms
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