系统回顾调查停止佩戴隐形眼镜后角膜稳定所需的时间

IF 3.7 2区 医学 Q1 OPHTHALMOLOGY
Ali Abid, Himal Kandel, Stephanie Watson
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Following the removal of CLs, the included studies reported stabilisation of corneal parameters as follows: for soft CLs, 2–11.6 weeks (median 2.1 weeks); for hard CLs, 1–22 weeks (median 7.6 weeks); for orthokeratology lenses, 1–2 weeks (median 1.6 weeks) and for tinted lenses, 2–3 hours. Factors influencing stabilisation included lens material, water content, wear modality, CL fit and patient age. Two studies were found to be of excellent methodological quality, 11 were assessed as good and two as fair. No studies were found to be of poor quality. Conclusion Corneal stabilisation time post-CL cessation was variable and dependent on the lens type and fit, patient age and method of determining corneal stabilisation. Personalised recommendations and standardised assessments are essential for optimising diagnostic and surgical outcomes. Further research is needed to develop comprehensive guidelines for consistent CL removal protocols. PROSPERO registration number CRD42023484401. 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引用次数: 0

摘要

全球约有1.4亿人使用隐形眼镜(CLs),它会导致角膜翘曲,改变角膜几何形状。这影响了角膜成像,影响了诊断评估、随访和术前评估。本系统综述旨在确定角膜成像前最佳的CL停止时间。方法对多个数据库进行系统的文献检索。通过角膜成像技术评估cl停止后角膜稳定性的研究被纳入。使用改进的Downs和Black检查表对质量进行评定。结果15项研究符合纳入标准;13项前瞻性观察性研究,1项回顾性研究和1项观察性病例系列研究。其中五项研究包括一个对照组。在移除CLs后,纳入的研究报告了角膜参数的稳定情况如下:对于软CLs, 2-11.6周(中位2.1周);硬CLs为1-22周(中位7.6周);角膜塑形镜1-2周(中位1.6周),着色镜2-3小时。影响稳定性的因素包括晶状体材料、含水量、佩戴方式、晶状体配合度和患者年龄。两项研究的方法学质量优良,11项为良好,两项为一般。没有发现质量差的研究。结论人工晶状体停药后的角膜稳定时间是可变的,与晶状体类型和适合度、患者年龄和角膜稳定的测定方法有关。个性化建议和标准化评估对于优化诊断和手术结果至关重要。需要进一步的研究来制定一致的CL切除方案的综合指南。普洛斯彼罗注册号CRD42023484401。数据共享不适用,因为没有为本研究生成和/或分析数据集。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Systematic review investigating the time taken for corneal stabilisation following contact lens cessation
Background Contact lenses (CLs), used by approximately 140 million people globally, can induce corneal warpage, altering corneal geometry. This impacts corneal imaging, influencing diagnostic assessments, follow-ups and pre-operative evaluations. This systematic review aimed to determine the optimal CL cessation period before corneal imaging. Methods A systematic literature search was conducted across multiple databases. Studies were included if they assessed corneal stabilisation post-CL cessation by using corneal imaging techniques. Quality was rated using the modified Downs and Black checklist. Results Fifteen studies met the inclusion criteria; 13 prospective observational studies, one retrospective and one observational case series. Five of these studies included a control group. Following the removal of CLs, the included studies reported stabilisation of corneal parameters as follows: for soft CLs, 2–11.6 weeks (median 2.1 weeks); for hard CLs, 1–22 weeks (median 7.6 weeks); for orthokeratology lenses, 1–2 weeks (median 1.6 weeks) and for tinted lenses, 2–3 hours. Factors influencing stabilisation included lens material, water content, wear modality, CL fit and patient age. Two studies were found to be of excellent methodological quality, 11 were assessed as good and two as fair. No studies were found to be of poor quality. Conclusion Corneal stabilisation time post-CL cessation was variable and dependent on the lens type and fit, patient age and method of determining corneal stabilisation. Personalised recommendations and standardised assessments are essential for optimising diagnostic and surgical outcomes. Further research is needed to develop comprehensive guidelines for consistent CL removal protocols. PROSPERO registration number CRD42023484401. Data sharing not applicable as no datasets generated and/or analysed for this study.
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来源期刊
CiteScore
10.30
自引率
2.40%
发文量
213
审稿时长
3-6 weeks
期刊介绍: The British Journal of Ophthalmology (BJO) is an international peer-reviewed journal for ophthalmologists and visual science specialists. BJO publishes clinical investigations, clinical observations, and clinically relevant laboratory investigations related to ophthalmology. It also provides major reviews and also publishes manuscripts covering regional issues in a global context.
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