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| Meta-analysis of corneal infiltrates due to chronic use of silicone hydrogel contact lens and hydrogel contact lens |
| LI Jie, LU Hong, XING lina. |
| Center for Medical Device Evaluation, China Food and Drug Administration, Beijing 100081, China |
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Abstract Objective To estimate the incidence of corneal infiltrates among chronic wearers of silicone hydrogel soft contact lens and hydrophilic soft contact lens and to evaluate the biocompatibility from a clinical perspective.Methods A systematic search was conducted using such online databases as Pub Med and CNKI. After literature selection, data extraction, and methodological quality assessment, a meta-analysis was performed using the Stata 12.0 software.Results Finally four prospective comparative studies were included. Wearers who used silicone hydrogel soft contact lens were 77 percent less vulnerable to corneal infiltrates than those who used hydrophilic contact lens (OR=0.23, 95% CI=0.23-0.36). The incidence of corneal stromal infiltration among users of silicone hydrogel soft contact lens was 0.3%, compared with 1.4% among users of hydrophilic soft contact lens.Conclusions Chronic wearers of silicone hydrogel soft contact lens are at lower risk of corneal infiltrates than users of hydrophilic soft contact lens, but it is important for ophthalmologists to instruct patients to use soft contact lens properly and care about the follow-up of patients.
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2017, Vol. 28 
