RAZLOZI ZA RAZVOJ KOMPLIKACIJA KOD KORISNIKA MEKIH KONTAKTNIH SOČIVA: KVALITATIVNA STUDIJA

  • Miloš
  • Jovana Milosavljević Univerzitet u Kragujevcu, Fakultet medicinskih nauka
  • Aleksandar Kočović
  • Milica Milentijević
  • Slobodan Janković
  • Srđan Stefanović
Ključne reči: meka kontaktna sočiva, suvo oko, infekcije oka, ulceracija rožnjače

Sažetak


SAŽETAK

Ciljevi: Određivanje faktora rizika i njihove prave uloge u razvoju komplikacija kod korisnika mekih kontaktnih sočiva.

Ispitanici i metod: Ova studija je bazirana na principima jednog oblika kvalitativne analize podataka- konstruktivističke utemeljene teorije. Studijsku populaciju su činile dve grupe ispitanika: 10 studenata korisnika mekih kontaktnih sočiva i 4 specijalizovana medicinska radnika iz oblasti oftalmologije. Sa svakim ispitanikom ponaosob je odrađen intervju. Na bazi audio snimaka ovih intervjua napravljeni su odgovarajući transkripti razgovora, koji su nakon toga analizirani, te se nakon izbacivanja suvišnih reči iskristalisalo 11 kategorija.

Rezultati: Preporuke oftalmologa imaju možda i presudnu ulogu u formiranju stavova koje korisnici mekih kontaktnih sočiva zauzimaju prema adekvatnoj higijeni kontaktnih sočiva: higijena ruku, odgovarajuća čistoća posudica za čuvanje mekih kontaktnih sočiva i upotreba rastvora u predviđenom vremenskom roku su imperativ za korisnike mekih kontaktnih sočiva. Spavanje sa mekim kontaktnim sočivima duže i češće od preporuka oftalmologa predstavlja jedan od najvećih faktora rizika za razvoj simptoma suvog oka, dok plivanje sa mekim kontaktnim sočivima povećava rizik za pojavu infekcije oka.

Zaključak: Glavni razlozi za pojavu komplikacija kod korisnika mekih kontaktnih sočiva su neadekvatna higijena i slabljenje komplijanse korisnika mekih kontaktnih sočiva u vremenu.

Reference

1. Dias L, Manny RE, Weissberg E, Fern KD. Myopia, contact lens use and self-esteem. Ophthalmic Physiol Opt 2013;33(5):573-8.
2. Fournié P, Touboul D, Arné JL, Colin J, Malecaze F. [Keratoconus]. J Fr Ophtalmol 2013;36(7):618-26.
3. Diec J, Papas E, Naduvilath T, Xu P, Holden BA, Lazon de la Jara P. Combined effect of comfort and adverse events on contact lens performance. Optom Vis Sci 2013;90(7):674-81.
4. Green JA, Phillips KS, Hitchins VM, Lucas AD, Shoff ME, Hutter JC, et al. Material properties that predict preservative uptake for silicone hydrogel contact lenses. Eye Contact Lens 2012;38(6):350-7.
5. Sweeney DF. Have silicone hydrogel lenses eliminated hypoxia? Eye Contact Lens 2013;39(1):53-60.
6. Beljan J, Beljan K, Beljan Z. Complications caused by contact lens wearing. Coll Antropol 2013;37 Suppl 1:179-87.
7. Young G, Young AG, Lakkis C. Review of complications associated with contact lenses from unregulated sources of supply. Eye Contact Lens 2014;40(1):58-64.
8. Burnard P. Searching for meaning: a method of analysing interview transcripts with a personal computer. Nurse Educ Today 1994;14(2):111-7.
9. Kovač Lj. Soft contact lenses. Optic house VIZIJA 2013. Available at: http://www.ocnakucavizija.rs/stranice/mekasociva.php. Last time visited: 01.07.2020.
10. Tighe BJ. A decade of silicone hydrogel development: surface properties,mechanical properties, and ocular compatibility. Eye Contact Lens 2013;39(1):4-12.
11. Suvajac G. [Soft-contact-lenses-induced complications]. Vojnosanit Pregl 2008;65(1):15-20.
12. Food and Drug Administration. Medical Devices. Everyday Eye Care. Available at: http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/HomeHealthandConsumer/ConsumerProducts/ContactLenses/ucm062594.htm. Last time visited:01.07.2020.
13. Gyawali R, Nestha Mohamed F, Bist J, Kandel H, Marasini S, Khadka J. Compliance and hygiene behaviour among soft contact lens wearers in the Maldives. Clin Exp Optom 2014;97(1):43-7.
14. Cho P, Cheng SY, Chan WY, Yip WK. Soft contact lens cleaning: rub or no-rub? Ophthalmic Physiol Opt 2009;29(1):49-57.
15. Food and Drug Administration. Contact lenses. Types of contact lenses. Available at: http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/HomeHealthandConsumer/ConsumerProducts/ContactLenses/ucm062319.htm. Last time visisted: 01.07.2020.
16. Food and Drug Administration. Medical Devices. Advice for Patients With Soft Contact Lenses:New Information on Risk of Serious Fungal Infection. Available at: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/PatientAlerts/ucm064709.htm. Last time visited:01.07.2020.
17. Abbouda A, Restivo L, Bruscolini A, Pirraglia MP, De Marco F, La Cava M, et al. Contact Lens Care among Teenage Students in Italy: A Cross-Sectional Study. Semin Ophthalmol 2014;9:1-7.
18. Food and Drug Administration. Medical Devices. Contact Lens Risks. Available at: http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/HomeHealthandConsumer/ConsumerProducts/ContactLenses/ucm062589.htm. Last time visited:01.07.2020.
19. Feys J. [Rules and regulations concerning contact lens-related infection]. J Fr Ophtalmol 2004;27(4):420-3.
20. Ward SK, Dogru M, Wakamatsu T, Ibrahim O, Matsumoto Y, Kojima T, et al. Passive cigarette smoke exposure and soft contact lens wear. Optom Vis Sci 2010;87(5):367-72.
21. McMonnies CW. Psychological and other mechanisms for end-of-day soft lens symptoms. Optom Vis Sci 2013;90(6):e175-81.
22. Tran N, Graham AD, Lin MC. Ethnic differences in dry eye symptoms: effects of corneal staining and length of contact lens wear. Cont Lens Anterior Eye 2013;36(6):281-8.
23. Patel A, Hammersmith K. Contact lens-related microbial keratitis: recent outbreaks. Curr Opin Ophthalmol 2008;19(4):302-6.
24. Keay L, Edwards K, Naduvilath T, Forde K, Stapleton F. Factors affecting the morbidity of contact lens-related microbial keratitis: a population study. Invest Ophthalmol Vis Sci 2006;47(10):4302-8.
25. Verhelst D, Koppen C, Van Looveren J, Meheus A, Tassignon MJ; Belgian Keratitis Study Group. Contact lens-related corneal ulcers requiring hospitalization: a 7-year retrospective study in Belgium. Acta Ophthalmol Scand 2006;84(4):522-6.
26. Mah-Sadorra JH, Yavuz SG, Najjar DM, Laibson PR, Rapuano CJ, Cohen EJ. Trends in contact lens-related corneal ulcers. Cornea 2005;24(1):51-8.
27. Stapleton F, Keay L, Edwards K, Naduvilath T, Dart JK, Brian G, et al. The incidence of contact lens-related microbial keratitis in Australia. Ophthalmology 2008;115(10):1655-62.
Objavljeno
2021/01/12
Rubrika
Originalni naučni članak