한국안광학회지 (Journal of Korean Ophthalmic Optics Society)

한국안광학회 (The Korean Ophthalmic Optics Society)
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각막굴절교정 수술 안에 대한 소프트콘택트렌즈 착용 시 Masking 효과

Study of Masking Effect of Soft Contact Lenses on Cornea after Refractive Surgery

  • 문예림 (대구가톨릭대학교 안경광학과, 시기능증진연구소) ;
  • 박형민 (대구가톨릭대학교 안경광학과, 시기능증진연구소) ;
  • 추병선 (대구가톨릭대학교 안경광학과, 시기능증진연구소)
  • Moon, Ye-Rim (Dept. of Optometry and Vision Science, Catholic University of Daegu, Institute for Eye-functional Promotion) ;
  • Park, Hyung-Min (Dept. of Optometry and Vision Science, Catholic University of Daegu, Institute for Eye-functional Promotion) ;
  • Chu, Byoung-Sun (Dept. of Optometry and Vision Science, Catholic University of Daegu, Institute for Eye-functional Promotion)
  • 투고 : 2015.11.11
  • 심사 : 2016.05.09
  • 발행 : 2016.06.30
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초록

목적: 본 연구는 각막굴절교정 수술 후 각막과 수술을 한적이 없는 각막 형상에 따른 하이드로겔 렌즈와 실리콘 하이드로겔 렌즈 착용시 Masking 효과를 알아보고자 하였다. 방법: 실험에 참여한 2 대상군은 평균 나이가 $23.48{\pm}2.89$세인 정상적인 각막 형상그룹(12명, 통제그룹)과 각막굴절교정 수술로 인한 편평한 각막 형상그룹(LASIK-8명, LASEK-4명, 실험그룹)으로 구성된 24명의 대학생 이였으며, 오른쪽 눈의 평균 굴절이상은 각각 통제그룹(정상 각막형상)RE: -2.73 D, 실험그룹(편평한 각막형상)RE: -0.24 D이었다. 두 그룹에서 -3.00 D렌즈의 2가지의 하이드로겔 렌즈(0.89 Mpa, 0.49 Mpa)와 실리콘 하이드로겔 렌즈(1.5 Mpa, 0.8 Mpa)를 사용하여 착용 전후의 굴절력 및 각막지형도의 차이를 비교하였다. 측정에 사용된 장비로는 NVision-K5001(Shin-nippon, Japan)로 굴절력을 측정하였으며, 각막지형도 측정을 위하여 Keratograph 5M(Oculus, Germany)을 사용하였다. 결과: 굴절력 변화는 실험그룹에서 + 방향으로 증가하였고, 각막지형도의 변화는 소프트콘택트렌즈 착용 후 두 그룹 모두 유의한 변화를 보였다(p<0.05). 그러나 렌즈 재질별 굴절력 및 각막지형도 변화에서 렌즈 착용 전 후, 두 그룹 모두 유의한 변화를 보이지 않았다. 결론: 소프트콘택트렌즈 착용은 각막지형도의 차이는 있었으며, 특히 각막굴절교정 수술 후 편평한 각막은 소프트콘택트렌즈 착용 시 굴절력 변화가 크게 나타났다. 따라서 각막굴절교정 수술자에게 소프트콘택트렌즈 처방을 할 경우 굴절력 변화에 주의하여야 한다.

Purpose: This study investigated the masking effect of the hydrogel lens and silicone hydrogel lens on the cornea with refractive surgery and without surgery. Methods: 24 university students (means age: $23.48{\pm}2.89years$) without refractive surgery (12, control group) and with refractive surgery (LASIK: 8, LASEK: 4, experimental group) participated in the study. Mean refractive errors of right eyes were -2.73 D for control group and -0.24 D for experimental group. The differences in the refractive power and corneal topography map between pre- and post-wearing the -3.00 D lenses were compared, and 2 kinds of hydrogel contact lenses (0.89 Mpa, 0.49 Mpa) and 2 kinds of silicone hydrogel lenses (1.5 Mpa, 0.8 Mpa) were used for -3.00 D lenses. NVision-K5001 (Shin nippon, Japan) was used to measure the refractive power and Keratograph 5M (Oculus, Germany) to measure the corneal topography map change. Results: Variations in the refractive power increased to the plus direction in the experimental group after wearing soft contact lenses. The corneal topography map showed significant changes on the both groups after wearing soft contact lenses (p<0.05). However there were no significant differences in the refractive power and corneal topography map variations by lens materials. Conclusions: Wearing soft contact lenses showed corneal topography map changes. Especially wearing soft contact lenses on the flat cornea after corneal refractive surgery showed greater corneal power changes. Therefore, it should pay attention to refractive change in case of prescribing soft contact lenses to patients with corneal refractive surgery.

키워드

참고문헌

  1. Hepsen IF, Evereklioglu C, Bayramlar H. The effect of reading and near work on the development of myopia in emmetropic boys: a prospective, controlled, three year follow up study. Vision Res. 2001;41(19):2511-2520. https://doi.org/10.1016/S0042-6989(01)00135-3
  2. Chung SK, Kang SB, Kim HK, Rho CR, Paik JS, Lee NY. Explanation of ophthalmic terminology, 1st Ed. Goyang: Naewaehaksool, 2010;177.
  3. Korea National Health and Nutrition Examination Survey. Eye examination, 2008. https://knhanes.cdc.go.kr/knhanes/sub03/sub03_02_02.do(1 October 2015).
  4. Lee JH, Lee KS, Chu BS. Contact lens prescribing pattern in Korean during 2010 to 2013. J Korean Ophthalmic Opt Soc. 2014;19(3):323-329. https://doi.org/10.14479/jkoos.2014.19.3.323
  5. Ward MA. 20 years and beyond: a brief history of modern lenses. Contact Lens Spectr. 2006;21(6):49-51.
  6. French K. Why is modulus important?, 2001. http://www.siliconehydrogels.org/editorials/oct_07.asp(12 October 2015).
  7. Trokel SL, Srinivasan R, Braren B. Excimer laser surgery of the cornea. Am J Ophthalmol. 1983;96(6):710-715. https://doi.org/10.1016/S0002-9394(14)71911-7
  8. Ali JL, Belda JI, Osman AA, Shalaby AM. Topographyguided laser in situ keratomileusis (TOPOLINK) to correct irregular astigmatism after previous refractive surgery. J Refract Surg. 2003;19(5):516-527.
  9. Sandoval HP, Castro LEF, Vroman DT, Solomon KD. Refractive surgery survey 2004. J Cataract Refract Surg. 2005;31(1):221-233. https://doi.org/10.1016/j.jcrs.2004.08.047
  10. Ang RT, Dartt DA, Tsubota K. Dry Eye after refractive surgery. Curr Opin Ophthalmol. 2001;12(4):318-322. https://doi.org/10.1097/00055735-200108000-00013
  11. Jabbur NS, Sakatani K, O’Brien TP. Survey of complications and recommendations for management in dissatisfied patients seeking a consultation after refractive surgery. J Cataract Refract Surg. 2004;30(9):1867-1874. https://doi.org/10.1016/j.jcrs.2004.01.020
  12. Villa C, Gutirrez R, Jimnez JR, Gonzalez-Mijome JM. Night vision disturbances after successful LASIK surgery. Br J Ophthalmol. 2007;91(8):1031-1037. https://doi.org/10.1136/bjo.2006.110874
  13. Zadnik K. Contact lens management of patients who have had unsuccessful refractive surgery. Curr Opin Ophthalmol. 1999;10(4):260-263. https://doi.org/10.1097/00055735-199908000-00007
  14. Heiting G. Contact lenses after LASIK or other refractive surgery, 2015. http://www.allaboutvision.com/contacts/postopcontact-lenses.htm(16 October 2015).
  15. Lim L, Siow KL, Chong JS, Tan DT. Contact lens wear after photorefractive keratectomy: comparison between rigid gas permeable and soft contact lenses. CLAO J. 1999;25(4):222-227.
  16. Snyder C, Talley DK. Masking of astigmatism with selected spherical soft contact lenses. J Am Optom Assoc. 1989; 60(10):728-731.
  17. Chi J. Masking irregular corneal graft astigmatism with silicon hydrogel contact lenses, 2013. http://www.cclsa.org.au/wp-content/uploads/2013/06/SiHy-for-PK.pdf(4 November 2015).
  18. Chou B, Wachier BS. Soft contact lenses for irregular astigmatism after laser in situ keratomileusis. J Refract Surg. 2001;17(6):692-695.
  19. Negishi K, Kumanomido T, Utsumi Y, Tsubota K. Effect of higher-order aberrations on visual function in keratoconic eyes with a rigid gas permeable contact lens. Am J Ophthalmol. 2007;144(6):924-929. https://doi.org/10.1016/j.ajo.2007.08.004
  20. Chen M, Yoon G. Posterior corneal aberrations and their compensation effects on anterior corneal aberrations in keratoconic eyes. Invest Ophthalmol Vis Sci. 2008; 49(12): 5645-5652. https://doi.org/10.1167/iovs.08-1874
  21. Snyder C, Talley DK. Masking of astigmatism with selected spherical soft contact lenses. J Am Optom Assoc. 1989; 60(10):728-731.
  22. Tomidokoro A, Soya K, Miyata K, Armin B, Tanaka S, Amano S, Oshika T. Corneal irregular astigmatism and contrast sensitivity after photorefractive keratectomy. Ophthalmology. 2001;108(12):2209-2212. https://doi.org/10.1016/S0161-6420(01)00847-8
  23. Fan-paul NI, Li J, Miller JS, Florakis GJ. Night vision disturbances after corneal refractive surgery. Surv Ophthalmol. 2002;47(6):533-546. https://doi.org/10.1016/S0039-6257(02)00350-8
  24. Keeffe JE, Jin CF, Weih LM, McCarty CA, Taylor HR. Vision impairment and older drivers: who’s driving?. Br J Ophthalmol. 2002;86(10):1118-1121. https://doi.org/10.1136/bjo.86.10.1118

피인용 문헌

  1. Comparison of Refractive Error Depending on the Refraction before and after Reverse Geometry Gas Permeable Contact Lens in Myopic Regressive Patients after Laser Refractive Surgery vol.20, pp.2, 2016, https://doi.org/10.17337/jmbi.2018.20.2.181