Quality-of-life outcomes of long-term contact lens wear: A systematic review

Purpose: The aim of this review was to evaluate the evidence on quality-of-life outcomes of long-term contact lens wear. Methods: A search for original articles that used validated measures to evaluate patient-reported outcomes (PROs) in long-term (>= 2 years) contact lens wearers was conducted in Medline Ovid, PubMed, Scopus, Web of Science, Cochrane, CINAHL, and PsycInfo databases. The information including PRO measure (name, type, content) and key quality-of-life outcomes findings were extracted. Results: Seven articles that used 4 PRO measures to evaluate quality of life outcomes of long-term contact lens wear met the inclusion criteria. The median (range) number of contact lens wearers in these studies was 116 (31-247). The studies were conducted in 4 countries: USA, Spain, China, and Russia. All studies were conducted in myopic populations. None of the studies provided information on psychometric properties, validity and reliability of the PRO measures used. Five studies were conducted in children of which 3 studies evaluated PROs of myopia control contact lens wear. The studies reported that contact lens wear, including myopia control lens wear, was an effective method of refractive correction in children and adults in the long term in PRO-perspective, and resulted in a better quality of life status than with glasses. However, long-term dry eye and discomfort related symptoms were reported. Conclusion: Overall, contact lens use improved quality of life status in children and adults. More research is required to better understand the long-term quality-of-life outcomes of contact lens wear.

Automated summary

This review evaluated the evidence on the impact of long-term contact lens wear on quality of life outcomes, showing that contact lens use improved the quality of life status in children and adults. However, long-term dry eye and discomfort symptoms were reported. Further research is needed to better understand the long-term quality of life outcomes of contact lens wear.