{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T03:16:44Z","timestamp":1785208604440,"version":"3.55.0"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2016,2,18]],"date-time":"2016-02-18T00:00:00Z","timestamp":1455753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100011779","name":"Brien Holden Vision Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100011779","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Australian Commonwealth Government's Co-operative Research Centre program"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ophthalmic Physiologic Optic"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      To investigate the effects of the duration of contact lens (\n                      <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>\n                      ) wear on the meibomian glands (\n                      <jats:styled-content style=\"fixed-case\">MG<\/jats:styled-content>\n                      s), eyelid and tear film.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a cross\u2010sectional study of\n                      <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>\n                      wearers and non\u2010wearers (\n                      <jats:styled-content style=\"fixed-case\">NW<\/jats:styled-content>\n                      s) aged between 18 and 35\u00a0years. The sample comprised of: (i) Three groups of\n                      <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>\n                      wearers of different duration profiles (short, moderate and long experience of\n                      <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>\n                      wear); (ii) a group of previous\n                      <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>\n                      wearers (\n                      <jats:styled-content style=\"fixed-case\">PW<\/jats:styled-content>\n                      s) who had ceased wear for at least 6\u00a0months prior to the present study; (iii) healthy non\u2010wearers as a control group. Study procedures were conducted in the order from least invasive to most invasive as follows: symptom assessment, lipid assessment, non\u2010invasive break\u2010up time, tear meniscus area, tear osmolarity and evaporation, Phenol red thread,\n                      <jats:styled-content style=\"fixed-case\">MG<\/jats:styled-content>\n                      expressibility, ocular surface and eyelid assessments, meibography, Marx line and lid wiper assessment using lissamine green. For statistical comparison of continuous data, one\u2010way analysis of variance was used with Bonferroni\n                      <jats:italic>post\u2010hoc<\/jats:italic>\n                      correction, where appropriate. Kruskal\u2013Wallis test and Pearson Chi\u2010Square respectively were used for ordinal and categorical variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 100 participants (49 males and 51 females; mean age \u00b1\n                      <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                      : 25.4\u00a0\u00b1\u00a04.1) were enrolled across the five groups, such that each was composed of 20 age\/sex matched individuals. Significant differences between the study groups were found for\n                      <jats:styled-content style=\"fixed-case\">MG<\/jats:styled-content>\n                      expressibility (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), number of plugged orifices (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001), number of expressed orifices (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001),\n                      <jats:styled-content style=\"fixed-case\">MG<\/jats:styled-content>\n                      dropout (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001), Marx line score (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), palpebral redness (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003), and roughness (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002), non\u2010invasive break\u2010up time (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), Phenol red thread (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.005), and tear meniscus area (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.029). For all these variables, the\n                      <jats:styled-content style=\"fixed-case\">NW<\/jats:styled-content>\n                      group was statistically different from all other groups. Duration of wear was not a significant factor, except for Marx line score which was different in\n                      <jats:styled-content style=\"fixed-case\">PW<\/jats:styled-content>\n                      s compared to those with longer experience of\n                      <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>\n                      wear (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.03)\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Alterations to\n                      <jats:styled-content style=\"fixed-case\">MG<\/jats:styled-content>\n                      morphology and function accompany contact lens wear. Although these changes onset during the first 2\u00a0years of wear, prolonged\n                      <jats:styled-content style=\"fixed-case\">CL<\/jats:styled-content>\n                      exposure beyond this point does not appear to be associated with further modification. Cessation of wear for at up to 6\u00a0months does not lead to resolution.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.12278","type":"journal-article","created":{"date-parts":[[2016,2,20]],"date-time":"2016-02-20T02:51:20Z","timestamp":1455936680000},"page":"120-131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":81,"title":["Impact of duration of contact lens wear on the structure and function of the meibomian glands"],"prefix":"10.1007","volume":"36","author":[{"given":"Waleed M.","family":"Alghamdi","sequence":"first","affiliation":[{"name":"Brien Holden Vision Institute Sydney Australia"},{"name":"School of Optometry &amp; Vision Science University of New South Wales Sydney Australia"},{"name":"Vision Cooperative Research Centre Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Markoulli","sequence":"additional","affiliation":[{"name":"School of Optometry &amp; 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