5 results on '"Kinoshita BT"'
Search Results
2. Contact lens assessment in youth: methods and baseline findings.
- Author
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Lam DY, Kinoshita BT, Jansen ME, Mitchell GL, Chalmers RL, McMahon TT, Richdale K, Sorbara L, Wagner H, and CLAY Study Group
- Published
- 2011
- Full Text
- View/download PDF
3. Multicenter Testing of a Risk Assessment Survey for Soft Contact Lens Wearers With Adverse Events: A Contact Lens Assessment in Youth Study.
- Author
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Sorbara L, Zimmerman AB, Mitchell GL, Richdale K, Lam DY, Kinoshita BT, Chalmers RL, and Wagner H
- Subjects
- Adolescent, Adult, Age Distribution, Age Factors, Female, Humans, Incidence, Keratitis epidemiology, Male, Ontario epidemiology, Prognosis, Reproducibility of Results, Risk Factors, Sex Distribution, Sex Factors, United States epidemiology, Young Adult, Contact Lenses, Hydrophilic adverse effects, Keratitis etiology, Refractive Errors therapy, Risk Assessment methods, Surveys and Questionnaires
- Abstract
Purpose: To test the ability of responses to the Contact Lens Assessment in Youth (CLAY) Contact Lens Risk Survey (CLRS) to differentiate behaviors among participants with serious and significant (S&S) contact lens-related corneal inflammatory events, those with other events (non-S&S), and healthy controls matched for age, gender, and soft contact lens (SCL) wear frequency., Methods: The CLRS was self-administered electronically to SCL wearers presenting for acute clinical care at 11 clinical sites. Each participant completed the CLRS before their examination. The clinician, masked to CLRS responses, submitted a diagnosis for each participant that was used to classify the event as S&S or non-S&S. Multivariate logistic regression analyses were used to compare responses., Results: Comparison of responses from 96 participants with S&S, 68 with non-S&S, and 207 controls showed that patients with S&S were more likely (always or fairly often) to report overnight wear versus patients with non-S&S (adjusted odds ratio [aOR], 5.2; 95% confidence interval [CI], 1.4-18.7) and versus controls (aOR, 5.8; CI, 2.2-15.2). Patients with S&S were more likely to purchase SCLs on the internet versus non-S&S (aOR, 4.9; CI, 1.6-15.1) and versus controls (aOR, 2.8; CI, 1.4-5.9). The use of two-week replacement lenses compared with daily disposables was significantly higher among patients with S&S than those with non-S&S (aOR, 4.3; CI, 1.5-12.0). Patients with S&S were less likely to regularly discard leftover solution compared with controls (aOR, 2.5; CI, 1.1-5.6)., Conclusions: The CLRS is a clinical survey tool that can be used to identify risky behaviors and exposures directly associated with an increased risk of S&S events.
- Published
- 2018
- Full Text
- View/download PDF
4. Water Exposure is a Common Risk Behavior Among Soft and Gas-Permeable Contact Lens Wearers.
- Author
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Zimmerman AB, Richdale K, Mitchell GL, Kinoshita BT, Lam DY, Wagner H, Sorbara L, Chalmers RL, Collier SA, Cope JR, Rao MM, Beach MJ, and Yoder JS
- Subjects
- Adult, Aged, Contact Lenses microbiology, Contact Lenses parasitology, Contact Lenses statistics & numerical data, Contact Lenses, Hydrophilic microbiology, Contact Lenses, Hydrophilic parasitology, Female, Health Behavior, Humans, Male, Middle Aged, Risk-Taking, Surveys and Questionnaires, Young Adult, Contact Lens Solutions adverse effects, Contact Lenses, Hydrophilic statistics & numerical data, Eye Infections epidemiology, Health Knowledge, Attitudes, Practice, Patients psychology, Water adverse effects
- Abstract
Purpose: To understand soft contact lens (SCL) and gas-permeable (GP) lens wearers' behaviors and knowledge regarding exposure of lenses to water., Methods: The Contact Lens Risk Survey (CLRS) and health behavior questions were completed online by a convenience sample of 1056 SCL and 85 GP lens wearers aged 20 to 76 years. Participants were asked about exposing their lenses to water and their understanding of risks associated with these behaviors. Chi-square analyses examined relationships between patient behaviors and perceptions., Results: GP lens wearers were more likely than SCL wearers to ever rinse or store lenses in water (rinsing: 91% GP, 31% SCL, P < 0.001; storing: 33% GP, 15% SCL P < 0.001). Among SCL wearers, men were more likely to store (24% vs. 13%, P = 0.003) or rinse (41% vs. 29%, P = 0.012) their lenses in water. Showering while wearing lenses was more common in SCL wearers (86%) than GP lens wearers (67%) (P < 0.0001). Swimming while wearing lenses was reported by 62% of SCL wearers and 48% of GP lens wearers (P = 0.027). Wearers who rinsed (SCL; P < 0.0001, GP; P = 0.11) or stored lenses in water (SCL; P < 0.0001, GP P = 0.007) reported that this behavior had little or no effect on their infection risk, compared with those who did not. Both SCL (P < 0.0001) and GP lens wearers (P < 0.0001) perceived that distilled water was safer than tap water for storing or rinsing lenses., Conclusions: Despite previously published evidence of Acanthamoeba keratitis' association with water exposure, most SCL, and nearly all GP lens wearers, regularly expose their lenses to water, with many unaware of the risk.
- Published
- 2017
- Full Text
- View/download PDF
5. Age, behavior, environment, and health factors in the soft contact lens risk survey.
- Author
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Wagner H, Richdale K, Mitchell GL, Lam DY, Jansen ME, Kinoshita BT, Sorbara L, and Chalmers RL
- Subjects
- Adolescent, Adult, Age Factors, Attitude to Health, Child, Contact Lens Solutions therapeutic use, Disinfection standards, Female, Health Surveys, Humans, Keratitis etiology, Male, Patient Compliance, Risk Factors, United States epidemiology, Young Adult, Contact Lenses, Hydrophilic adverse effects, Keratitis epidemiology, Risk-Taking, Social Environment
- Abstract
Purpose: Previous studies have reported that the risk of corneal infectious and inflammatory events (CIEs) with soft contact lens (SCL) wear is highest in late adolescence and early adulthood. This study assesses the associations between patient age and other factors that may contribute to CIEs in young SCL wearers., Methods: After ethics approvals and informed consent, a nonclinical population of young SCL wearers was surveyed in five US cities. Data from 542 SCL wearers aged 12-33 years were collected electronically. Responses were analyzed by age bins (12-14, 15-17, 18-21, 22-25, 26-29, and 30-33 years) using chi-square test., Results: The cohort was 34% male and balanced across age bins. There were several significant associations between survey response and age (in bins). Wearers aged 18-21 years reported more recent nights with less than 6 hours of sleep (p < 0.001), more colds/flu (p = 0.049), and higher stress levels (p < 0.001). Wearers 18-21 and those 22-25 years were more likely to wear SCLs when showering (p < 0.001) and also reported more frequent naps with SCLs (p < 0.001). They reported sleeping in SCLs after alcohol use (p = 0.031), when traveling (p = 0.001), and when away from home (p = 0.024). Lower rates of regular hand washing before lens application (p = 0.054) was also associated with these groups. In addition, the relationship between reactive replacement and recommended replacement was dependent on age (p < 0.0001)., Conclusions: Patient age influences lens wearing behaviors, environmental exposures, and other determinants of health that may contribute to increased CIEs in younger wearers. Targeted, age-specific education should be considered for both new and established SCL wearers.
- Published
- 2014
- Full Text
- View/download PDF
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