ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2014-3-63-67ophthalmology-191Research ArticleКЛИНИЧЕСКИЕ И ЭКСПЕРИМЕНТАЛЬНЫЕ ИССЛЕДОВАНИЯCLINICAL & EXPERIMENTAL RESEARCHВозможная связь инфекционных поражений роговицы с ношением контактных линз различного дизайна при коррекции аметропии у детейPossible association between corneal infections and contact lenses wearing to correct ametropia in childrenМарковаЕ. Ю.MarkovaE. Yu.markova_ej@mail.ruФроловМ. А.LobanovaI. V.КургановаО. В.FrolovM. A.ЛобановаИ. В.KurganovaO. V.Морозовская Детская Городская Клиническая Больница Российский университет Дружбы НародовРоссияMorozov Children’s Clinical HospitalRussian FederationРоссийский университет Дружбы НародовRussian FederationКафедра глазных болезней медицинского факультета, РНИМ У им. Н. И. ПироговаRussian FederationРоссийский университет Дружбы Народов Кафедра глазных болезней медицинского факультета, РНИМ У им.Н. И . ПироговаRussian Federation2014121020141136367Copyright © Маркова Е.Ю., Фролов М.А., Курганова О.В., Лобанова И.В., 20142014Маркова Е.Ю., Фролов М.А., Курганова О.В., Лобанова И.В.Markova E.Y., Lobanova I.V., Frolov M.A., Kurganova O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/191

Исследована возможная связь инфекционных поражений роговицы с ношением контактных линз (КЛ) различного дизайна при коррекции аметропии у детей. За период с 2011 по апрель 2014 гг. в Морозовскую ДГКБ поступило и пролечилось 20 детей (7 мальчиков и 13 девочек) в возрасте от 9 до 17 лет с диагнозом «посттравматический кератит», все пациенты пользовались для коррекции аметропии контактными линзами (жесткие — 1 случай, мягкие — 9 случаев, ортокератологические — 10 случаев), анамнез использования КЛ составил от 6 месяцев до 4 лет. Несмотря на то, что КЛ, в том числе ОК, дают как лучшее качество зрения, так и лучшее качество жизни по сравнению с очками, и имеются убедительные данные о торможении прогрессирования близорукости, об улучшении показателей аккомодации у пациентов с миопией, при массе достоинств контактные линзы имеют и недостатки: пациенты, пользующиеся КЛ требуют более пристального внимания со стороны офтальмолога, поскольку риск возникновения патологических изменений со стороны роговицы у пациентов с КЛ возрастает. Даже самые совершенные контактные линзы остаются инородным телом для глаза, особенно, для глаза ребенка, и могут вызывать широкий спектр осложнений, в том числе, тяжелых. Безопасность и эффективность КЛ зависит от корректности подбора, соблюдения пациентом всех рекомендаций по применению линз, а также тщательности мониторинга состояния роговицы.

Possible association between corneal infections and contact lenses (CLs) wearing of various design to correct ametropia in children was analyzed. Between 2011 and April 2014, 20 children (7 boys, 13 girls) aged 9‑17 years which were diagnosed with traumatic keratitis were admitted to Morozov Children’s Hospital. All patients used CLs (rigid, n = 1; soft, n = 9; orthokeratology, n = 10) to correct ametropia for 6‑48 months. There are pretty strong evidences that CLs (including orthokeratology ones) provide better quality of vision and life as compared with spectacles, reduce myopia progression, and promote better accommodation. However, in spite of these advantages, CLs have disadvantages as well. People who wear CLs may require frequent eye care specialist follow-up due to the higher risk of corneal disorders. Even nearly perfect CL represents a foreign body (especially for a children eye) that may provoke numerous complications including severe ones. With accurate fitting, proper care, and careful monitoring of the cornea, CLs should be safe and effective.

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The authors declare that there are no conflicts of interest present.