Relationship Between Contact Lens and Pinguecula

Abstract

Purpose: To investigate the effects of contact lens (CL) on the frequency of pinguecula, and the relationship between dry eye disease and pinguecula. Methods: Two hundred and 33 cases of soft CL wearers and 230 age-matched nonwearers were enrolled in the study. Schirmer I test (ST) scores and tear break-up time (TBUT) were determined in all participants. A questionnaire including ocular surface disease index (OSDI), age, sex, and duration of CL wear was implemented to the participants before the examination. Results: The prevalence of pinguecula was 27.8% (n: 65) in the CL group and 26.5% (n: 61) in the control group. There was no significant difference between the groups (P=0.841). The prevalence of pinguecula increased with age in both groups. There was no significant difference in the prevalence of pinguecula when users were divided into three groups according to the duration of CL wear (P=0.575). The TBUT scores were lower, and the OSDI scores were higher in the CL group. The TBUT scores were lower in patients with pinguecula in both groups. The OSDI scores were higher in the CL group. There was no significant difference regarding the OSDI scores between patients with pinguecula and healthy participants in the CL group; however, OSDI scores were significantly higher in patients with pinguecula in control group. There were no significant differences in the ST scores between the groups, and between patients with pinguecula and healthy participants. Conclusion: This is the second study that evaluates the effects of soft CL wearing on pinguecula prevalence. We found that CL wearing does not affect the prevalence of pinguecula. Considering the OSDI scores in patients with pinguecula in the CL group, CL may suppress the irritant symptoms of pinguecula.

Batı Türkiye'de pinguecula prevalansı ve ilişkili faktörler

“…Pinguecula may cause itching, burning and foreign body sensation similar to dry eye disease [22]. Ocular Surface Disease Index (OSDI) is a subjective survey which evaluates participants in terms of dry eye disease symptoms [16,21]. We found that OSDI scores are higher in patients with pinguecula similar to previous.…”

“…Schirmer test results are more controversial. Although there are more studies showing that schirmer test results do not differ in patients with pinguecula [3,5,21,23], there are also studies showing a significant decrease in schirmer test results [22]. However, authors attributed this decreased ST results to the possible inflammation in the eyes with pinguecula [22].…”

“…In previous studies, it has been suggested that surface elevation and irregularity due to pinguecula cause tear film instability and a shorter TBUT score [3,5,16,21,22]. Schirmer test results are more controversial.…”

A New Contact Lens Sensor System for Continuous Intraocular Pressure Monitoring: Evaluation of Safety and Tolerability

“…17,22 The mean increase of OSDI after IOP measurement is 8.9, which is similar to that reported by some commercial contact lenses. 22,23 Dry eye is a prevalent contact lens-related complication. 24 The increase of OSDI indicated that CLS caused or aggravated dry eye symptoms to a certain degree, which was also explicable in consideration of the shortening of TBUT after lens removal.…”

Associations between Binocular Vision Disorders and Contact Lens Dissatisfaction

“…The CVDS may have utility in distinguishing symptoms that result from accommodative disorders. 231,248 The OSDI has been extensively used in CL studies as the outcome measure when comparing ocular surface differences between CL wearers, 108,[417][418][419][420] the effect of CL wear j Parts of Chapter 2 (parts of Table 2.4) have been submitted for publication in the manuscript titled "Associations between binocular vision disorders and contact lens dissatisfaction". See Appendix A…”