Abstract
Background
The rate and reasons for discontinuation of contact lens wear by young patients are
not well known. The Contact Lenses in Pediatrics (CLIP) Study surveyed participants
3 months after the final study visit to determine the percentage of participants who
continued to wear contact lenses after study conclusion. The factors associated with
continued contact lens wear and differences in behaviors between the children and
teens were also determined to provide insights to practitioners who provide refractive
correction for patients in those age groups.
Methods
Three months after the CLIP Study completion, participants and parents returned mailed
surveys that assessed post-study lens purchase and symptoms related to contact lens
wear if contact lenses wear had been continued. Responses were compared between the
children and teens using χ2 or Fisher's exact test.
Results
Almost 92% of the surveys were returned. Eighty percent of teens’ parents reported
purchasing lenses after the study, vs. 63% of the children's parents (p = 0.02). Symptoms reported at the last study visit were not significantly associated
with future purchase, though there was a trend towards more light sensitivity in those
who did not purchase more contact lenses (23.1% vs. 11.8%). Satisfaction with contact
lenses was high among both those purchasing additional contact lenses and those who
did not. Both children and teens reported similar frequencies of symptoms such as
burning, itching or tearing eyes 3 months following study completion. Teens reported
having contact-lens-related dry eyes more frequently than children.
Conclusions
A large proportion of children and an even higher proportion of teens continued wearing
their lenses 3 months after completing the CLIP Study. Children and teens reported
similar contact lens comfort and low frequencies of most symptoms, though teens experienced
more dry-eye symptoms. Overall, reports of symptoms in this sample were lower than
had been reported in adult populations by other investigators.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Contact Lens and Anterior EyeAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Daily disposable contact lens wear in myopic children.Optom Vis Sci. 2004; 81: 255-259
- Spectacles, contact lenses, and children's self-concepts: a longitudinal study.Optom Vis Sci. 1997; 74: 1044-1048
- Piers-Harris children's self-concept scale.Western Pyschological Services, Los Angeles1983
- Benefits of contact lens wear for children and teens.Eye Contact Lens. 2007; 33: 317-321
- A randomized trial of the effect of soft contact lenses on myopia progression in children.Invest Ophthalmol Vis Sci. 2008; 49: 4702-4706
- Myopia progression in adolescent wearers of soft contact lenses and spectacles.Optom Vis Sci. 1999; 76: 474-479
- Contact Lenses in Pediatrics (CLIP) Study: chair time and ocular health.Optom Vis Sci. 2007; 84: 896-902
- The Adolescent and Child Health Initiative to Encourage Vision Empowerment (ACHIEVE) study design and baseline data.Optom Vis Sci. 2006; 83: 37-45
- Will young children comply and follow instructions to successfully wear soft contact lenses?.CLAO J. 1995; 21: 86-92
- A randomized trial of the effects of rigid contact lenses on myopia progression.Arch Ophthalmol. 2004; 122: 1760-1766
- The Children's Overnight Orthokeratology Investigation (COOKI) pilot study.Optom Vis Sci. 2004; 81: 407-413
- The longitudinal orthokeratology research in children (LORIC) in Hong Kong: a pilot study on refractive changes and myopic control.Curr Eye Res. 2005; 30: 71-80
- Long-term clinical results: 3 years of up to 30-night continuous wear of lotrafilcon A silicone hydrogel and daily wear of low-Dk/t hydrogel lenses.Eye Contact Lens. 2007; 33: 74-80
- The frequency of ocular symptoms during spectacle and daily soft and rigid contact lens wear.Optom Vis Sci. 1999; 76: 705-711
- Multi-centre evaluation of two daily disposable contact lenses.Cont Lens Anterior Eye. 2007; 30: 125-133
- The clinical performance of a silicone hydrogel lens for daily wear in an Asian population.Eye Contact Lens. 2006; 32: 65-71
- Performance of Lotrafilcon B silicone hydrogel contact lenses in experienced low-Dk/t daily lens wearers.Eye Contact Lens. 2007; 33: 272-277
Greiner KL, Walline JJ. Dryness report in pediatrics (DRIP) study. Optom Vis Sci 83:E-abstract 060004; 2006.
- Subjective and objective assessments of the effect of orthokeratology—a cross-sectional study.Curr Eye Res. 2004; 28: 121-127
- An assessment of consecutively presenting orthokeratology patients in a Hong Kong based private practice.Clin Exp Optom. 2003; 86: 331-338
- Characterization of ocular surface symptoms from optometric practices in North America.Cornea. 2001; 20: 610-618
Article info
Publication history
Published online: May 04, 2009
Identification
Copyright
© 2009 British Contact Lens Association. Published by Elsevier Inc. All rights reserved.
