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Inflammatory and Mechanical Complications Associated With 3 Years of up to 30 Nights of Continuous Wear of Lotrafilcon A Silicone Hydrogel Lenses.

Donshik P, Long B, Dillehay SM, Bergenske P, Barr JT, Secor G, Yoakum J, Chalmers RL

From University of Connecticut Health Center (P.D.), Farmington, CT; CIBA Vision Corporation (B.L., S.M.D., P.B.), Duluth, GA; The Ohio State University College of Optometry (J.T.B.), Columbus, OH; private practice (G.S.), Huntington Beach, CA; Groat Eyecare Associates (J.Y.), Greensboro, NC; and Atlanta, GA (R.L.C.).

PURPOSE.: To report the ocular complications occurring during a 3-year clinical trial of subjects wearing lotrafilcon A silicone hydrogel lenses for up to 30 nights of continuous wear. METHODS.: Nineteen sites enrolled 317 subjects (286 current wearers and 31 new wearers), who were dispensed lotrafilcon A lenses with 3 years of follow-up. RESULTS.: By the 1-month visit, continuous wear of up to 30 nights was recommended for 87% of subjects. The 27 lens-related adverse events included 15 (2.4%) eyes in year 1, seven (1.3%) eyes in year 2, and five (0.8%) eyes in year 3. Lens-related inflammatory events involved 12 (1.9%) eyes in year 1 and five (0.8%) eyes each in years 2 and 3. One third of the inflammatory events occurred in the first 3 months. Mechanical events included two superior epithelial arcuate lesions and one case of bilateral contact lens papillary conjunctivitis in years 1 and 2. No subjects experienced microbial keratitis during the 3-year trial. Two subjects with events discontinued from the trial. CONCLUSIONS.: These results show that the rate of contact lens adverse events occurring with lotrafilcon A is low in this cohort, with the highest likelihood occurring during the first 3 months of the study. There was a decrease in the rate of events during the later years of the study. Although clinicians should understand the likelihood of adverse inflammatory and mechanical events and their possible recurrence, the rate of these events may be lower in practice than previously reported.

Published 16 July 2007 in Eye Contact Lens, 33(4): 191-195.
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