Risk factors for adverse reaction of Ortho-K lens
10.3760/cma.j.issn.1674-2907.2018.26.013
- VernacularTitle:角膜塑形镜不良反应的危险因素分析
- Author:
Ying XIA
1
;
Qingyan ZENG
;
Jiang DONG
;
Miao MA
;
Jing YAO
;
Hanying ZHAN
Author Information
1. 武汉爱尔眼科医院汉口医院护理部
- Keywords:
Myopia;
Ortho-K lens;
Adverse reaction;
Risk factors
- From:
Chinese Journal of Modern Nursing
2018;24(26):3156-3159
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors for adverse reaction of Ortho-K lens so as to provide a reference for formulating targeted intervention measures.Methods From May 2014 to May 2016, retrospective analysis was used to clinical data from 990 patients with Ortho-K lens of Hankou Hospital, Wuhan Aier Eye Hospital. The reasons for adverse reaction of Ortho-K lens were found out through consulting medical record, telephone follow-up or asking and the related risk factors were analyzed.Results Among 990 patients with Ortho-K lens, there were 144 of them with adverse reaction with 14.55％ for the incidence. Single factor analysis showed that there were statistical differences in history of ocular disease, schirmer tests, mobility of eyeglass, sediment of eyeglass, time of wearing glasses, health habit, cleaning solution for eyeglass among patients with Ortho-K lens (χ2=28.73,17.68,67.1,64.29,43.25,38.01,3.81;P<0.05). Multivariate Logistic regression analysis revealed that the independent risk factors for adverse reaction of Ortho-K lens included secretion of tears, mobility of eyeglass, sediment of eyeglass, time of wearing glasses, health habit and cleaning solution.Conclusions The major factors for adverse reaction of Ortho-K lens are schirmer tests, mobility of eyeglass, sediment of eyeglass, time of wearing glasses, health habit and cleaning solution. Hospitals should constantly optimize the process, improve optometry technology, promote healthy behaviors of patients to make them form a good living and health habit as well as eye care habit, strengthen education and guidance to ensure patients master correct cleaning and disinfection methods, effectively control time of wearingglasses. We recommend the 0.9％ sodium chloride solution and professional cleaning solution to deal with eyeglass and nursing devices.
