한국안광학회지 (Journal of Korean Ophthalmic Optics Society)

한국안광학회 (The Korean Ophthalmic Optics Society)
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일회용 써클소프트렌즈의 초과 착용에 의한 정상안의 자·타각적 증상 및 렌즈 광투과율의 변화

Changes in Subjective/Objective Symptoms and the Light Transmissibility of Lens Associated with Overusage of Daily Disposable Circle Contact Lenses in Normal Eyes

  • 박미정 (서울과학기술대학교 안경광학과) ;
  • 권해림 (서울과학기술대학교 안경광학과) ;
  • 최새아 (서울과학기술대학교 안경광학과) ;
  • 김소라 (서울과학기술대학교 안경광학과)
  • Park, Mijung (Dept. of Optometry, Seoul National University of Science and Technology) ;
  • Kwon, Hae Lim (Dept. of Optometry, Seoul National University of Science and Technology) ;
  • Choi, Sae Ah (Dept. of Optometry, Seoul National University of Science and Technology) ;
  • Kim, So Ra (Dept. of Optometry, Seoul National University of Science and Technology)
  • 투고 : 2013.08.09
  • 심사 : 2013.12.14
  • 발행 : 2013.12.31
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초록

목적: 본 연구에서는 일회용 써클콘택트렌즈(이하 써클렌즈)의 초과 착용으로 유발될 수 있는 자각적 및 타각적 변화와 광투과율의 변화를 알아보고자 하였다. 방법: 3가지 다른 재질(hilafilcon B, nelfilcon A, etafilcon A)의 일회용 써클렌즈를 안질환이 없으며 눈물량이 정상인 20대 20안에게 각각 착용시키고 자각적 불편감, 착용자의 순목횟수, 비침습성 눈물막 파괴시간(NIBUT), 각막에서의 렌즈 중심안정위치 및 렌즈 가시광선 투과율를 렌즈 착용직후와 착용자가 불편감을 호소하여 더 이상 렌즈를 착용하지 못하였을 때에 각각 측정한 후 비교하였다. 결과: 일회용 써클렌즈의 평균 착용권장시간인 8시간을 초과하여 15시간 이상 착용하였을 때부터 착용감 저하를 호소하였으며, 30시간 이상 착용 시에는 대부분의 피검자가 렌즈 착용을 중단하였다. 렌즈 착용중단시점에서 대표적인 자각적인 불편감은 뻑뻑함, 건조감 및 피곤함이었다. 일회용 써클렌즈의 초과착용 시 순목횟수는 착용직후에 비해 증가하는 경향을, NIBUT값은 감소하는 경향을 보였다. 렌즈 착용중단시점에서 렌즈의 중심안정위치는 착용직후에 비해 동공 중심으로부터 벗어나는 경향을 보였다. 이러한 결과는 모든 렌즈에서 나타나는 결과이었으나 렌즈 재질의 종류나 개인에 따라서 자각적 및 타각적인 변화 정도의 차이가 존재하였으며 렌즈의 가시광선 투과도의 변화는 크게 나타났다. 결론: 이상의 결과에서 일회용 써클렌즈의 초과착용 시 감소된 NIBUT값은 건조감과 뻑뻑함을, 가시광선 투과도의 감소는 순목횟수 증가를 유발하는 것으로 생각되었으며 이는 중심안정위치의 이탈과 자각적 불편감의 증가를 야기시키는 것으로 생각되었다. 그러나 개인 및 렌즈 재질의 종류에 따라서 그 정도의 차이가 크며, 이로 인하여 개인에 따라서는 예상치 못한 문제가 발생될 수 있으므로 일일 권장착용시간 준수의 필요성 및 문제점의 교육이 필수적이라 하겠다.

Purpose: This study was assessed to investigate the change of subjective and/or objective symptoms and the light transmissibility of lens caused by over-usage of daily disposable circle contact lenses (circle lens). Methods: Three daily disposable circle lenses made of etafilcon A, hilafilcon B, and nelfilcon A were applied on 20 normal eyes free from any eye diseases by when subjects complained any kind of discomfort. On the first and the last days of lens wearing, subjective discomfort, blinking rate, non-invasive break-up time, lens centration on corneal surface and visible light transmissibility of lens were recorded at every case and compared. Results: The circle lens wearers complained discomfort when they wore the circle lens more than 15 hours, in excess of 8 hours being the recommended wearing time and the most circle lens wearers quit the lens wearing when they wore more than 30 hours. On the last day of lens wearing, the representative subjective discomforts were stiffness, dryness and tiredness. When the subjects wore circle lens more than the recommended time, a tendency of increased blinking rate and decreased NIBUT was observed when it compared with the values right after lens wearing. On the last day of lens wearing, the lens centration was shown to be decentrated from the pupil center compared with the centration right after the wearing. These changes in lens centration and blinking rate were consistently shown in all cases of lens wearing however, the difference in the degree of subjective and/or objective change was present depending on lens materials and subjects. The visible light transmissibility of circle lens has largely been changed. Conclusions: From these results, it was thought that the decreased NIBUT induced dryness and stiffness and decreased visible light transmissibility caused more blinking when daily disposable circle lens was exceedingly used, which provoked lens decentration and subjective discomfort. However, the difference of subjective and/or objective change was largely varied in accordance with the lens material types and individuality and thus it may occur some unexpected problems by the individual base. Therefore, the education about the necessity to comply with the recommended wearing time and the problem will be essential.

키워드

참고문헌

  1. Song JS, Lee H, Kim JW, Chang MH, Ha SK, Kim HM. The effects of cheap tinted contact lenses on corneal swelling and ocular surface inflammation. J Korean Oph Soc. 2008;49(12):1888-1893. https://doi.org/10.3341/jkos.2008.49.12.1888
  2. Park SH, Kim SR, Park MJ. The effect of circle lens and soft contact lens with identical material in clinical application on the eyes. J Korean Oph Opt Soc. 2011:6(2):147- 157.
  3. Park YM, Hahn TW, Choi SH, Lee JS, Lee JE. Acanthamoeba keratitis related to cosmetic contact lenses. J Korean Oph Soc. 2007;48(7):991-994.
  4. Byun JW, Mun MY, Wi DG, Lee KJ. Subjective and objective responses in successful soft contact lens wearers refitted to daily disposable circle contact lenses. Korean J Vis Sci. 2012;14(2):121-132.
  5. Benjamin WJ. Downsizing of Dk and Dk/L: The difficulty in using hPa instead of mmHg. Int Contact Lens Clin. 1996;23:188-189. https://doi.org/10.1016/S0892-8967(96)00087-9
  6. Latkany R, Lock BG, Speaker M. Tear film normalization test: a new diagnostic test for dry eyes. Cornea 2006; 25(10): 1153-1157. https://doi.org/10.1097/01.ico.0000240085.21105.51
  7. Sahai A, Malik P. Dry eye: prevalence and attributable risk factors in a hospital-based population, Indian J Ophthalmol. 2005;53(2):87-91. https://doi.org/10.4103/0301-4738.16170
  8. Lee JH, Choi WS. Blinking frequency in normal and dry eye. J Korean Oph Soc. 1998;29(4):477-480.
  9. Lee YJ, Park SI, Lee HS, Park MJ. The change of blink rate by wearing soft contact lens. J Korean Oph Opt Soc. 2006;11(3):173-179.
  10. Kim MJ, Hwang HK, Jang WY, Hong HK. The comparative analysis for the progression of dry eyes caused by wearing soft contact lenses (SCL) and cosmetic soft contact lenses(C-SCL). J Korean Oph Opt Soc. 2011;16(4): 375-381.
  11. Kim JE, Jung BY, Noh HR, Changes in optical and surface properties of contaminated soft contact lenses. J Korean Oph Opt Soc. 2012;17(1):83-89.
  12. Park MJ, Yang JH, Kim SM, Park SI, Park SH, Kim SR, Changes in centration of contact lenses on cornea and blink rate associated with overusage of disposable lenses. J Korean Oph Opt Soc. 2008;13(4):51-58.
  13. Mah KC, Park MJ, Kim HJ, Kim DP, Paik SS, Um JH, Contact lens complications, 1st ed. Seoul: Elsevier Korea, 2008;14-23.
  14. Nichils J, Mitchell GL, King-Smith PE. Thinning rate of the precorneal and prelens tear films, Invest Ophthalmol Vis Sci. 2005;45(7):2353-2361.
  15. Castillo EJ, Koenig JL, Andersen JM, Lo J. Characterization of protein adsorption on soft contact lenses 1. Conformational- changes of adsorbed human serum albumin. Biomaterials 1984;5(6):319-325.
  16. Zhao Z, Naduvilath T, Flanagan JL, Carnt NA, Wei X, Diec J et al. Contact lens deposits, adverse responses, and clinical ocular surface parameters. Optom Vis Sci. 2010; 87(9):669-674. https://doi.org/10.1097/OPX.0b013e3181ea1848
  17. Connell BJ, Tullo A, Morgan PB, Armstrong M. Pseudomonas aeruginosa microbial keratitis secondary to cosmetic coloured contact lens wear. Br J Ophthalmol. 2004;88(12): 1603-1604. https://doi.org/10.1136/bjo.2004.049387
  18. Glasson MJ, Hseuh S, Willcox MD. Preliminary tear film measurements of tolerant and non-tolerant contact lens wearers. Clin Exp Optom. 1999;82(5):177-181. https://doi.org/10.1111/j.1444-0938.1999.tb06639.x
  19. Mengher LS, Bron AJ, Tonge SR, Gilbert DJ. Effect of fluorescein instillation on the pre-corneal tear film stability. Curr Eye Res. 1985;4(1):9-12. https://doi.org/10.3109/02713688508999961
  20. Nichols JJ, King-Smith PE. The impact of hydrogel lens settling on the thickness of the tears and contact lens. Invest Ophthalmol Vis Sci. 2004;45(8): 2549-2554. https://doi.org/10.1167/iovs.04-0149
  21. Subbaraman LN, Glasier MA, Varikooty J, Srinivasan S, Jones L. Protein deposition and clinical symptoms in daily wear of etafilcon lenses. Optom Vis Sci. 2012; 89(10): 1450-1459. https://doi.org/10.1097/OPX.0b013e318269e583
  22. Jones L, Evans K, Sariri R, Franklin V, Tighe B. Lipid and protein deposition of N-vinyl pyrrolidone-containing group II and group IV frequent replacement contact lenses. CLAO J. 1997;23(2):122-126.
  23. Funkenbusch GM, Benson RC. Centering mechanism for soft contact lenses. J Biomech Eng. 1999;121(2):188-195. https://doi.org/10.1115/1.2835103
  24. Park MJ, Cho GT, Shin SH, Lee HS, Kim DS. The diameter and base curve changes of soft contact lens by protein deposition. J Korean Oph Opt Soc. 2005;10(3):165-171.
  25. Kim SR, Park SH, Joo SK, Lee HR, Park MJ. A Comparison of the movements of circle contact lens and soft contact lens with identical material on cornea. J Korean Oph Opt Soc. 2012;17(1):27-35.
  26. Kim SR, Kang BH, Jung IP, Park MJ. The change in the parameters of silicone hydrogel lens and objective/subjective symptoms induced by repetitive dryness of lens J. Korean Oph Opt Soc. 2012;17(4):381-388.

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