Contact Lenses in Pediatrics Study in Singapore

Lim, Liangzhong; Moody, Kurt; Tan, Donald; Yew, K.C.; Ming, Por Yong; Long, Quah Boon

doi:10.1097/icl.0b013e3181abb5bb

Cited by 37 publications

(20 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It should be noted that a study that involved the use of low Dk soft contact lenses during a 3-month period in Singaporean children aged 8 to 11 years on a daily disposable basis did not report any infiltrative events. 33 And a multicenter retrospective chart review of 3549 soft contact lens wearers for significant infiltrative and inflammatory events found that use of soft contact lenses in young patients aged 8 to 15 years was associated with a lower risk of events compared with teens and young adults. 34 Whatever the mechanism, the low incidence, the asymptomatic nature of the majority of infiltrates, and the mild nature of the condition are promising for the use of daily wear contact lenses in children.…”

Section: Discussionmentioning

confidence: 99%

“…1–9 Also, importantly, evidence suggests that contact lenses may play a significant role in controlling the progression of myopia. 10–13 Despite the utility of contact lenses in children, there exists a general perception that contact lenses are not suitable for use in children.…”

mentioning

confidence: 99%

“…With regard to handling and managing contact lens wear, there now exists evidence that children aged 8 years and older can independently manage lens insertion and removal and also successfully wear contact lenses. 7,9 There have been reports of microbial keratitis with contact lens wear in children and were mainly case reports or case series attending emergency departments and involving overnight lens wear or other predisposing risk factors. 14–16 Although this information is useful in identifying the issues, there is little evidence from large well-designed clinical trials on the rate of complications with long-term use of contact lens wear in children.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Adverse Events during 2 Years of Daily Wear of Silicone Hydrogels in Children

Sankaridurg

Chen

Naduvilath³

et al. 2013

Optometry and Vision Science

View full text Add to dashboard Cite

Purpose Type and incidence of adverse events and rate of discontinuations for 2 years of daily wear with silicone hydrogel contact lenses in Chinese children with myopia. Methods Two hundred forty children aged 7 to 14 years were enrolled in a prospective randomized clinical trial from November 2008 to April 2009. Children with myopia of up to −3.50 diopters (D) spherical equivalent with astigmatism less than or equal to −0.75 D were randomized to one commercial and three experimental lens designs of Lotrafilcon B silicone hydrogel lenses (four groups) used bilaterally on a daily wear, monthly replacement schedule. The main outcome measures were incidence per 100 patient-years (incidence, in percentage) of adverse events and rate of discontinuations. Results There were no events of microbial keratitis. Fifty-five adverse events (incidence, 14.2%) were seen. There were also 12 recurrent events. The type and incidence percentage were contact lens papillary conjunctivitis (16 events, 4.1%), superior epithelial arcuate lesions (SEALs, six events, 1.5%), corneal erosions (eight events, 2.1%), infiltrative keratitis (five events, 1.3%), asymptomatic infiltrative keratitis (seven events, 1.8%), and asymptomatic infiltrates (13 events, 3.42%). There were differences in the incidence of SEALs between groups (p = 0.023), with the incidence of SEALs being greater with one of the experimental designs. No event resulted in any vision loss. Seventy participants (29.2%) discontinued, with one-third (26 participants, 10.8%) occurring in the first month of lens wear. Discomfort and non–lens-related reasons such as safety concern and disinterest were frequently cited reasons for discontinuations. Conclusions Adverse events with daily wear of silicone hydrogels in children were mainly mechanical in nature, and significant infiltrative events were few. The large number of dropouts in the early days of lens wear and their reasons for discontinuation suggest that adaptation and patient motivation are critical for survival in lens wear.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Adverse Events during 2 Years of Daily Wear of Silicone Hydrogels in Children

Sankaridurg

Chen

Naduvilath³

et al. 2013

Optometry and Vision Science

View full text Add to dashboard Cite

show abstract

“…In fact, older children/adolescents have more myopia (Czepita et al, 2007;Holguin et al, 2006;Murthy et al, 2002). A main reason reported for dissatisfaction with spectacles is the preference of not wearing them or using contact lenses (Li et al, 2009;Walline et al, 2005;Yawn et al, 1998), even when researchers used fashionable glasses (Zeng et al, 2009). This dislike is found crossculturally, although there are cultural differences in the reasons for noncompliance (Congdon et al, 2008;Wedner et al, 2008).…”

Section: Effect Of Glasses On the Children Who Wear Themmentioning

confidence: 97%

Do glasses change children’s perceptions? Effects of eyeglasses on peer- and self-perception

Jellesma

2013

European Journal of Developmental Psychology

View full text Add to dashboard Cite

“…[1][2][3][4] A comparison of SCL fittings for children (8 to 11 years) and teens (13 to 17 years) demonstrated an increase in the time required to train SCL application and removal. 5 However, once trained, children were equally adept at lens application and removal and their lens wear schedules were similar to the teenage group.…”

mentioning

confidence: 99%