Dry eye syndrome, associated with the wearing of contact lenses. Features of the therapeutic approach
<br> Egorov E.A.<br> <br> Pirogov Russian National Research Medical University, Moscow<br> <br> The growing prevalence of the «dry eye» syndrome (DES) in young patients is associated, among other things, with an increase in the availability of contact vision correc...
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| Format: | Article |
| Language: | Russian |
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Prime-Media
2018-07-01
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| Series: | РМЖ "Клиническая офтальмология" |
| Online Access: | http://clinopht.com/upload/iblock/565/565ee459d3039d484db4d6b54832fe9d.pdf |
| Summary: | <br>
Egorov E.A.<br>
<br>
Pirogov Russian National Research Medical University, Moscow<br>
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The growing prevalence of the «dry eye» syndrome (DES) in young patients is associated, among other things, with an increase in the availability of contact vision correction. For many years of wearing contact lenses (CL), signs of DES are detected in 100% of cases. To prevent the emergence of DES symptoms, a detailed understanding of the effects of CL on the surface of the cornea is required. The article deals with the mechanisms of the development of DES in the patients wearing CL and the ways of their correction. The appointment of a certain combination of artificial tears and the selection of an individual treatment regimen for the patient can prevent the development of DES and suppress the already existing disorders of the tear film and the ocular surface.<br>
The article also discusses the possibility of moistening the eye surface and the corrective effect on the structure of the tear film, as well as the peculiarities of tolerance of various artificial tear preparations depending on their physicochemical composition.<br>
The data of clinical studies confirming the effectiveness of the inclusion of innovative eye drops, based on cationic emulsion, <br>
in the treatment regimen of DES are presented. Special attention is paid to hyaluronic acid (HA) preparations, the dependence <br>
of the moisturizing effect on the HA molecular weight. The balanced composition of these innovative eye drops, their hypotonicity, absence of a preserving agent provides a pronounced moisturizing protective effect, reduces the risk of damage to the cells of the epithelium of the ocular surface and eye tissues, prevents the development of eye surface diseases and increases the adherence of patients to contact correction.<br>
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<b>Key words:</b> contact lenses, contact correction, tear lipid layer disorders, osmoprotection, nanoemulsion.<br>
<b>For citation:</b> Egorov E.A. Dry eye syndrome, associated with the wearing of contact lenses. Features of the therapeutic approach. RMJ “Clinical ophthalmology”. 2018;2:66–69.<br> |
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| ISSN: | 2311-7729 2619-1571 |