The role of a complete clinical examination for the safety of wearing contact lenses for myopia control (literature review)

Abstract

Introduction. In the light of E.S. Avetisov’s hereditary-physiological theory of the pathogenesis of myopia and works devoted to the infl uence of peripheral myopic and hyperopic defocus on refraction, it makes sense to consider myopia as a multifactorial disease, so patients with myopia should receive comprehensive monitoring and treatment from related specialists. However, in practice, the general somatic status of patients and the presence of concomitant diseases in them are often not studied. Purpose: to analyze literature data on the impact of patients’ comorbidities on their wearing of contact lenses, to assess potential risk factors in such patients, and to draw the attention of an ophthalmologist to the importance of a complete clinical examination. Materials and methods. An analysis was made of publications on such resources as Pubmed, eLibrary, Medline over the past 30 years. 43 literature sources were analyzed, of which 37 were published no later than 10 years. Results. The authors of these publications describe how taking drugs from the group of retinoids, the presence of allergic conjunctivitis, thyroid diseases, rheumatoid arthritis, diabetes mellitus, and the characteristics of the patient’s psycho-emotional state can infl uence the incidence of complications when using contact lenses. Conclusions. Taking into account numerous studies on the relationship between the progression of myopia and general somatic diseases, as well as the features of contact correction in childhood with comorbidities, we can say that a complete clinical examination of each patient is of high importance.