ABSTRACT
PURPOSE: The purpose of this study was to examine the concentration of lactoferrin in 126 healthy subjects before being fitted with contact lenses. We obtained repeat measurements 9 months following contact lens fitting in patients who developed giant papillary conjunctivitis and in those who were successful contact lens wearers. METHODS: We accomplished tear stimulation by the use of Allyl sulphide, a non-toxic organic compound. We measured lactoferrin by the radial immuno-diffusion technique. RESULTS: We found a significant decrease of lactoferrin levels in the tears of patients with giant papillary conjunctivitis.
Subject(s)
Contact Lenses , Lactoferrin/metabolism , Tears/metabolism , Adolescent , Adult , Biomarkers , Conjunctivitis, Allergic/etiology , Conjunctivitis, Allergic/metabolism , Contact Lenses/adverse effects , Female , Follow-Up Studies , Humans , Male , Reference Values , Tears/drug effects , Time FactorsABSTRACT
Keratoconus is a corneal dystrophy that degrades the optical function of the cornea. The onset of the process manifests optical signs: evolving astigmatism, failure of optical correction by spectacles, and distorted images. We report data from 74 keratoconus patients in need of keratoplasty. The variables studied included sex, age of onset, and refractive error. We find that the average age of the appearance of keratoconus is the second decade of life (mean age of onset = 15.39 years, SD = 3.95), with earlier onset occurring in females that in males, although the differences are not statistically significant. The mean corneal astigmatism before keratoplasty was 4.07 D (SD = 1.57). Optometrists should refer patients for surgery when all optical treatment has failed.