Contact Lens Discomfort (CLD) Treatment with MY MASK Light Modulation® LED mask
DOI:
https://doi.org/10.15626/sjovs.v17i2.4212Keywords:
contact lens, dry eye, discomfort, meibomian glandsAbstract
The purpose of this study was to understand how the use of the light modulation LED mask MY MASK affects Contact Lens Discomfort (CLD).
Forty-two (42) soft contact lens wearers with dry eye symptoms were recruited for a 3-week descriptive observational study. Treatment using the light modulation LED mask was applied three times, each lasting 15 minutes; on day 1, day 3 and after one week. Symptoms of CLD were quantified with the help of a specific questionnaire (CLDEQ-8) before and after treatment. Ocular surface and tear film measurements were conducted at baseline and 1 week after the last treatment.
Visual acuity remained stable (0.00 LogMAR ± 0.10). The number of symptomatic contact lens wearers decreased by 43% (18 out of 42 subjects), as indicated by the CLDEQ-8 scores (t−test=5.14; p < 0.001) (R2=0.218). Non-invasive tear film breakup time (NIBUT) improved significantly. Before treatment, 70% of eyes (59 out of 84) showed a NIBUT of less than 10 s; after treatment, 26% had values below this cut-off (t-test=3.06; p=0.001) (R2=0.241). Meibography values did not change (t-test= 1.17; p= 0.121) (R2 = 0.872). TearScope showed considerable improvement in tear film lipid layer thickness and the data obtained through the Gland Evaluator also demonstrated an improvement.
Treatment using MY MASK light modulation LED could be an interesting option in improving the aspects that characterise CLD. Additional research is required to establish the reliability of the observed improvement and investigate the necessity of repeated treatments as a means of stabilising or sustaining satisfaction in contact lens wearers.
References
Arita, R., Itoh, K., Inoue, K., Kuchiba, A., Yamaguchi, T., & Amano, S. (2009). Contact lens wear is associated with decrease of meibomian glands. Ophthalmology (Rochester, Minn.), 116(3), 379–384. https://doi.org/10.1016/j.ophtha.2008.10.012
Chalmers, R. L., Keay, L., Hickson-Curran, S. B., & Gleason, W. J. (2016). Cut-off score and responsiveness of the 8-item Contact Lens Dry Eye Questionnaire (CLDEQ-8) in a large daily disposable contact lens registry. Contact Lens & Anterior Eye, 39(5), 342–352. https://doi.org/10.1016/j.clae.2016.04.005
Craig, J. P., Willcox, M. D. P., Argüeso, P., Maissa, C., Stahl, U., Tomlinson, A., Wang, J., Yokoi, N., & Stapleton, F. (2013). The TFOS International Workshop on Contact Lens Discomfort: Report of the contact lens interactions with the tear film subcommittee. Investigative Ophthalmology & Visual Science, 54(11), TFOS123–TFOS156. https://doi.org/10.1167/iovs.13-13235
D’Souza, S., Padmanabhan Nair, A., Iyappan, G., Dickman, M. M., Thakur, P., Mullick, R., Kundu, G., Sethu, S., Ghosh, A., & Shetty, R. (2022). Clinical and molecular outcomes after combined intense pulsed light therapy with low-level light therapy in recalcitrant evaporative dry eye disease with meibomian gland dysfunction. Cornea, 41(9), 1080–1087. https://doi.org/10.1097/ICO.0000000000002954
Dumbleton, K., Woods, C. A., Jones, L. W., & Fonn, D. (2013). The impact of contemporary contact lenses on contact lens discontinuation. Eye & Contact Lens, 39(1), 93–99. https://doi.org/10.1097/ICL.0b013e318271caf4
Garza-Leon, M., Amparo, F., Ortíz, G., de la Parra-Colin, P., Sanchez-Huerta, V., Beltran, F., & Hernandez-Quintela, E. (2019). Translation and validation of the contact lens dry eye questionnaire-8 (CLDEQ-8) to the Spanish language. Contact Lens & Anterior Eye, 42(2), 155–158. https://doi.org/10.1016/j.clae.2018.10.015
Geerling, G., Tauber, J., Baudouin, C., Goto, E., Matsumoto, Y., O’Brien, T., Rolando, M., Tsubota, K., & Nichols, K. K. (2011). The International Workshop on Meibomian Gland Dysfunction: Report of the subcommittee on management and treatment of meibomian gland dysfunction. Investigative Ophthalmology & Visual Science, 52(4), 2050–2064. https://doi.org/10.1167/iovs.10-6997g
Giannaccare, G., Pellegrini, M., Carnovale Scalzo, G., Borselli, M., Ceravolo, D., & Scorcia, V. (2023). Low-level light therapy versus intense pulsed light for the treatment of meibomian gland dysfunction: Preliminary results from a prospective randomized comparative study. Cornea, 42(2), 141–144. https://doi.org/10.1097/ICO.0000000000002997
Gomes, J. A. P., Azar, D. T., Baudouin, C., Efron, N., Hirayama, M., Horwath-Winter, J., Kim, T., Mehta, J. S., Messmer, E. M., Pepose, J. S., Sangwan, V. S., Weiner, A. L., Wilson, S. E., & Wolffsohn, J. S. (2017). Tfos dews ii iatrogenic report. The Ocular Surface, 15(3), 511–538. https://doi.org/10.1016/j.jtos.2017.05.004
Guillon, J. P. (1998). Use of the Tearscope Plus and attachments in the routine examination of the marginal dry eye contact lens patient. Advances in Experimental Medicine and Biology, 438, 859–67. https://doi.org/10.1007/978-1-4615-5359-5_121
Inomata, T., Nakamura, M., Iwagami, M., Midorikawa-Inomata, A., Sung, J., Fujimoto, K., Okumura, Y., Eguchi, A., Iwata, N., Miura, M., Fujio, K., Nagino, K., Hori, S., Tsubota, K., Dana, R., & Murakami, A. (2020). Stratification of individual symptoms of contact lens-associated dry eye using the iPhone app DryEyeRhythm: Crowdsourced cross-sectional study. Journal of Medical Internet Research, 22(6), e18996–e18996. https://doi.org/10.2196/18996
Kojima, T. (2018). Contact lens-associated dry eye disease: Recent advances worldwide and in Japan. Investigative Ophthalmology & Visual Science, 59(14), DES102–DES108. https://doi.org/10.1167/iovs.17-23685
McMonnies, C., & Ho, A. (1986). Marginal dry eye diagnosis: History versus biomicroscopy. Holly F (ed), The Preocular Tear Film in Health, Disease and Contact Lens Wear. 8.
Meadows, J. F. (2011). Development of the 4-3-2-1 Meibum Expressibility Scale and omega-3 fatty acid supplementation and dry eye [Thesis].
Mengher, L. S., Bron, A. J., Tonge, S. R., & Gilbert, D. J. (1985). A non-invasive instrument for clinical assessment of the pre-corneal tear film stability. Current Eye Research, 4(1), 1–7. https://doi.org/10.3109/02713688508999960
Nichols, K. K., Redfern, R. L., Jacob, J. T., Nelson, J. D., Fonn, D., Forstot, S. L., Huang, J.-F., Holden, B. A., & Nichols, J. J. (2013). The TFOS international workshop on contact lens discomfort: Report of the definition and classification subcommittee. Investigative Ophthalmology & Visual Science, 54(11), TFOS14–TFOS19. https://doi.org/10.1167/iovs.13-13074
Pinquart, M. (2019). Experimental studies and observational studies. In D. Gu & M. E. Dupre (Eds.), Encyclopedia of gerontology and population aging (pp. 1–9). Springer International Publishing. https://doi.org/10.1007/978-3-319-69892-2_573-1
Pult, H. (2020a). Low-level light therapy in the treatment of meibomian gland dysfunction. Investigative Ophthalmology & Visual Science, 61(7), 99–99.
Pult, H. (2020b). Skin temperature measurement after intensive pulse light (IPL) and low-level light therapy (LLLT) application. Die Kontaktlinse, 6.
Pult, H., & Riede-Pult, B. H. (2012). Non-contact meibography: Keep it simple but effective. Contact Lens & Anterior Eye, 35(2), 77–80. https://doi.org/10.1016/j.clae.2011.08.003
Ramamoorthy, P., Sinnott, L. T., & Nichols, J. J. (2008). Treatment, material, care, and patient-related factors in contact lens-related dry eye. Optometry and Vision Science, 85(8), 764–772. https://doi.org/10.1097/OPX.0b013e318181a91f
Richdale, K., Sinnott, L. T., Skadahl, E., & Nichols, J. J. (2007). Frequency of and factors associated with contact lens dissatisfaction and discontinuation. Cornea, 26(2), 168–174. https://doi.org/10.1097/01.ico.0000248382.32143.86
Rohit, A., Willcox, M. D. P., Brown, S. H. J., Mitchell, T. W., & Stapleton, F. (2014). Clinical and biochemical tear lipid parameters in contact lens wearers. Optometry and Vision Science, 91(12), 1384–1390. https://doi.org/10.1097/OPX.0000000000000420
Siddireddy, J. S., Vijay, A. K., Tan, J., & Willcox, M. (2018). The eyelids and tear film in contact lens discomfort. Contact Lens & Anterior Eye, 41(2), 144–153. https://doi.org/10.1016/j.clae.2017.10.004
Stonecipher, K., Abell, T. G., Chotiner, B., Chotiner, E., & Potvin, R. (2019). Combined low level light therapy and intense pulsed light therapy for the treatment of meibomian gland dysfunction. Clinical Ophthalmology (Auckland, N.Z.), 13, 993–999. https://doi.org/10.2147/OPTH.S213664
Stonecipher, K., Komm, C., & Potvin, R. (2020). Low level light therapy as an adjunct treatment for meibomian gland dysfunction. Acta Scientific Ophthalmology, 3(11), 13–18. https://doi.org/10.31080/ASOP.2020.03.0177
Stonecipher, K., & Potvin, R. (2019). Low level light therapy for the treatment of recalcitrant chalazia: A sample case summary. Clinical Ophthalmology (Auckland, N.Z.), 13, 1727–1733. https://doi.org/10.2147/OPTH.S225506
Wolffsohn, J. S., Arita, R., Chalmers, R., Djalilian, A., Dogru, M., Dumbleton, K.,Gupta, P. K., Karpecki, P., Lazreg, S., Pult, H., Sullivan, B. D., Tomlinson, A., Tong, L., Villani, E., Yoon, K. C., Jones, L., & Craig, J. P. (2017). TFOS DEWS II diagnostic methodology report. The Ocular Surface, 15(3), 539–574. https://doi.org/10.1016/j.jtos.2017.05.001
Zeri, F., Tavazzi, S., Naroo, S. A., Recchioni, A., Menduni, F., Ponzini, E., Chalmers, R., & Desiato, A. (2023). Italian translation and validation of the Contact Lens Dry Eye Questionnaire-8 (CLDEQ-8). Contact Lens & Anterior Eye, 46(3), 101842–101842. https://doi.org/10.1016/j.clae.2023.101842
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