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Ethnic differences in dry eye symptoms: effects of corneal staining and length of contact lens wear.
- Source :
-
Contact lens & anterior eye : the journal of the British Contact Lens Association [Cont Lens Anterior Eye] 2013 Dec; Vol. 36 (6), pp. 281-8. Date of Electronic Publication: 2013 Jul 11. - Publication Year :
- 2013
-
Abstract
- Purpose: To explore the relationships among length of contact lens (CL) wear, degree of corneal staining and severity of dryness symptoms, and to determine whether these relationships differ between Asians and non-Asians.<br />Methods: Adapted soft CL wearers (n=395; 180 Asian, 215 non-Asian) were required to discontinue CL wear for at least 24h and report to the University of California, Berkeley Clinical Research Center (UCB-CRC). Fluorescein corneal staining was graded according to Brien Holden Vision Institute scales. Length of CL wear was reported by subjects and subjective dryness ratings were collected using the UCB-CRC Dry Eye Flow Chart (DEFC).<br />Results: More Asian CL wearers exhibited corneal staining compared to non-Asians, and Asian CL wearers had a higher mean grade of corneal staining (p<0.001), as well as a higher mean DEFC classification (p<0.001). The difference between Asians and non-Asians in grades of corneal staining extent and depth were significant (p<0.001). Among non-Asian CL wearers, dryness symptoms decreased with more years of CL wear and increased in the presence of corneal staining, which was not the case for Asian CL wearers.<br />Conclusions: Asian soft CL wearers reported more severe dryness symptoms and demonstrated more severe corneal staining overall compared to non-Asians. Among non-Asians, dryness symptoms were less severe on average with increased years of CL wear and more severe in the presence of corneal staining. Dryness severity does not appear to be related to years of CL wear or corneal staining among Asians.<br /> (Copyright © 2013 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Adolescent
Adult
California epidemiology
Causality
Female
Humans
Male
Prevalence
Reproducibility of Results
Risk Factors
Sensitivity and Specificity
Staining and Labeling
Young Adult
Asian statistics & numerical data
Contact Lenses statistics & numerical data
Cornea pathology
Dry Eye Syndromes diagnosis
Dry Eye Syndromes ethnology
Fluorophotometry statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1476-5411
- Volume :
- 36
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Contact lens & anterior eye : the journal of the British Contact Lens Association
- Publication Type :
- Academic Journal
- Accession number :
- 23850062
- Full Text :
- https://doi.org/10.1016/j.clae.2013.06.001