• Journal of Korean Ophthalmic Optics Society
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• v.13 no.2
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• pp.1-7
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• 2008

Purpose: This study was performed to evaluate the changes of lens morphology and tear stability during wearing soft contact lenses (SCLs) which were kept in drying condition like dry eye or became to be dried due to heedless care. Method: SCLs having different water content, thickness or material were rehydrated after being dehydrated artificially 2 or 4 times, and estimated their diameter and radius. Furthermore, the changes of tear film break-up time (TBUT) during SCL wearing were also measured. Result: Due to the dryness, the diameter of both 70% water content SCL and 59% water content SCL decreased, but the decrement was larger in 59% water content SCL. The more 59% water content SCL was dehydrated, the more its radius changed. However, the radius of 70% water content SCL did not change by 2 times dehydration and increased greatly by 4 times dehydration. The reduction of diameter of -1.00 D SCL was greater than that of -9.00 D SCL. Moreover, the radius of -1.00 D SCL increased depending on the frequency of dehydration but that of -9.00 D SCL did not changed. The diameter and radius changes of lotrafilcon B, silicone hydrogel lens, were less than those of hilafilcon B, copolymer of HEMA and N-vinyl pyrrolidone. TBUT during wearing SCLs decreased by wearing dehydrated SCLs. Conclusion: The diameter and radius of dehydrated SCLs as well as TBUT during wearing them were changed in spite of rehydration, which would be the important cause of uncomfortable feeling when people wore dehydrated SCL. The changes of SCL morphology and TBUT differed according to the water content, lens thickness and material.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.4
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• pp.43-54
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• 2007

Silicone hydrogel contact lenses developed as a continuous-wear modality are now used as a daily-wear contact lenses. The purpose of this study was to investigate the clinical performance in a group of successful long-term wearers of conventional hydrogel contact lenses when refitted with daily wear $O_2OPTIX$ silicone hydrogel lenses. Sixty-two wearers ($30.7{\pm}19.9$ months of prior lens wear) among sixty-five soft lens wearers refitted with $O_2OPTIX$ silicone hydrogel lenses were participated in this study finally. Subjective symptoms were scored and objective signs were graded using CCLRU scales during the study period. 98% of subjects were successfully refitted with the one base curve of $O_2OPTIX$, and 33.9% of subjects were needed more or less lens powers compared with their habitual lenses. Subjects reported a concurrent reduction in dryness, redness and tiredness compared with their habitual lenses and both subjective and objective evaluations showed that dryness, tiredness, itchiness, bulbar and limbal hyperemia were decreased and significantly decreased particularly for those subjects with greater baseline symptoms (p<0.0001). But corneal staining was increased and was seen in many subjects during the study (p<0.0001). Refitting existing soft contact lens wearers with silicone hydrogel contact lens could result in a decreased in dryness, redness and tiredness, particularly more effective for those subjects with greater baseline of those symptoms. When patients using conventional hydrogel materials switch to a silicone hydrogel material, the potential for increased corneal staining should be considered and over-refraction should be needed to give a best vision.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.1
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• pp.1-7
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• 2007

To investigate the momentary movement pattern of soft contact lens(SCL) depending on wearing time, eight types of soft contact lenses were worn by 10 normal subjects and the momentary movements of SCLs were estimated using by high speed camera(FASTCAM ultima 1024). When the momentary movements of SCLs in the cornea between blinkings were compared after 15 min wearing, the vertical movements of all eight SCLs were about 2 times larger than the horizontal movement but the extent of these movement difference was a function of kinds of SCLs. The momentary moving distance of SCL varied from the kinds of SCLs, which A and B lens, daily wear lens, moved significantly larger distance compared with other SCLs. The momentary movements between blinkings decreased significantly after 8hr wear of SCLs. The extents were different when SCLs were compared with each other, which the reduction range of horizontal and vertical movement was 24.6~60.0% and 20.4~94.3%, respectively. The A, B and C lenses which had relatively higher water content showed the larger movement reduction after SCL wear. This results suggest that wearing SCL for some hours decreases the movement of SCl, which can induce the change of tear flow.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.2
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• pp.137-144
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• 2010

Purpose: This study was to evaluate the clinical performance of 1-Day disposable toric soft contact lenses (TSCL) and to compare the visual performance with glasses and TSCL. Methods: In a two-week investigation of 'prism ballast' designed TSCL, occular refractions in 15 (30 eyes) healthy subjects were within the range of -2.75 D TO -8.00 D spherical power and -0.75 DC to -2.25 DC cylinderical power (with-the-rule). Subjects were assessed the clinical performance (orientation, centration, movement, tightness, rotation recovery, symptoms) of TSCL and compared binocular vision and contrast sensitivity with corrected glasses and TSCL at initial and two-week follow-up visits. Results: The prism-ballast design TSCL achieved better orientation, rotation recovery and symptoms over 2 week period. There was no statistically significant difference between spectacles and TSCL with respect to measuring binocular vision and contrast sensitivity. Conclusions: The clinical performance was good with prism-ballast design toric soft contact lenses. Evaluation of binocular vision and contrast sensitivity did not show the differences between spectacles and TSCL correction. This study suggests that TSCL wearers can be achieved similar visual performance for spectacles wearers.

• Journal of Korean Ophthalmic Optics Society
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• v.9 no.1
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• pp.53-68
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• 2004

Protein deposit buildup on soft contact lenses(SCLs) is responsible for discomfort, optical defects and is even damaging to the eye. To better understand protein deposit formation on SCL, we investigated the pattern of protein attachment on patient-worn SCLs and the effect of the protein on the contact angle of SCLs and the transmission of visible light. This study used data from a clinical trial where subjects wore either daily-wear SCL(etafilcon A, N=40) for various period up to 14 days, or extended-wear SCL(balafilcon A, N=40) for 8 h day or night. The adsorption of protein in daily-wear SCLs was significantly increased in patient-worn time-dependent manner although the lenses were cleaned everyday by using the multi-purpose SCL solution. After 2 weeks wearing, the protein on the SCL influenced the contact angle of the lenses. Furthermore, the transmission of visible light of the lenses decreased up to almost 7%. Extended-wear SCLs worn during the closed eye condition were found to deposit significantly more protein than SCLs worn during the open eye condition. The amounts of protein adsorbed both after daily SCL wear and after overnight SCL wear were not affected the contact angle and the transmission of visible light of the lenses. The protein deposit buildup on SCL related to the corneal temperature and pH of tear fluid.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.4
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• pp.29-35
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• 2007

This study was conducted to measure the central corneal thickness(CTT) changes associated with kinds of wearing contact lens. The CCT was measured using ultrasonic pachymeter in three hundred four subjects in their 20s and 30s. Although the CCT of Group 1 who had never worn any kinds of contact lens had no differences between left and right eye as well as between genders, the CCT tended to become thinner depending on the increment in refractive error. In Group 2 wearing only soft contact lens, the CCT was thinner depending on wearing period, and subjects wearing for more than 10 years had significantly thin CCT comparing with subjects wearing for less than 4 years. There was no significant difference in the CCT between Group 3 wearing only RGP lens and Group 2 for less than 4 years. Furthermore, when comparing the CCT between the Group 2 and Group 4 changing to RGP lens after wearing soft contact lens, there was no statistically significant change in the CCT. However, the CCT was significantly thinner in Group 5 changing to soft contact lens after wearing PMMA(polymethyl methacrylate) hard lens compared with Group 2.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.10 no.8
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• pp.2157-2163
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• 2009

The oxygen permeability of a soft contact lens is an important parameter for determining corneal health when considering the physiological response of the eye. The aim of this study is to evaluate the oxygen permeability of soft contact lenses based on thickness, using the polarographic method. The thickness of lens was measured using contact and non-contact method. To assess accuracy and reliability, the Bland-Altman plot was used. The reliability was high for the oxygen permeability based on center thickness measured by contact method, whereas the accuracy was high for the oxygen permeability based on center thickness measured by non-contact method. These results indicate that the permeability characteristics were variable according to the measurement and criteria of thickness of soft contact lenses and the measurement of soft contact lenses by non-contact method was more reasonable. Thus, contact lens practitioners should consider some basic differences between methodologies when interpreting or quoting oxygen performance data.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.2
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• pp.147-157
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• 2011

Purpose: The present study was conducted to investigate the actual condition of circle lens wear and the differences caused by the pigmentation in blinking rate, non-invasive tear break-up time (NIBUT), and lens surface between circle and soft contact lens wear during clinical application. Methods: Eighty subjects were surveyed to know the actual condition of wearing circle lens. Blink rate, NIBUT of 20 subjects in twenties were measured after separately wearing soft contact lens and circle lens for 5 days. Their lens surfaces were also observed by scanning electron microscope. Results: Fifty percent of circle lens wearers answered that major reason for changing circle lens was discomfort and 67% of answerers wore circle lens more than 6 hours a day. The tendency of increased blink rates in both wearers of circle and soft contact lens at 30 minutes later when tear film stabilized and 3 hour after lens wearing was shown on the 1st, 3rd and 5th day with expanding wearing time. Especially at 3 hours after lens wearing on the 3rd and 5th day, the difference of blink rates was statistically different in circle lens wear and soft contact lens wear. The NIBUTs of soft contact lens wearers and circle lens wearers were 6.0 and 3.7 secs, respectively, at 30 min later on 1st day and were significantly different. NIBUTs of soft contact lens wearers and circle lens wearers were also statistically different 3 hrs after lens wearing on the 1st day and the similar pattern of NIBUTs was shown on the 3rd and 5th day. The roughness of both surfaces in soft contact lens and front surface in circle lens was same. However, pigmented front surface of circle lens was rougher and uneven. Conclusions: As the results, the circle lens wearers might feel discomfort in clinical application since the difference in lens surface of circle lens would change lens wettability during wearing. The difference by tinting contact lens was shown from the result, which could help better wearing circle lens.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.2
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• pp.105-115
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• 2015

Purpose: The accuracy for measuring the refractive power of hydrogel contact lenses by spectacle lens holder and contact lens holder was evaluated. The accuracy for each sample was also analyzed with water content and diopter categories. Methods: The hydrogel contact lenses used for measurement were classified into three categories in water content (38%, 43%, 58%). Also, three diopter categories of refractive power were used such as -3.000 D, -7.000 D, -10.000 D. And also, the reliability of measurement results were evaluated by measuring refractive power with spectacle lens holder and contact lens holder using an Manual lensmeter. Results: In case of spectacle lens holder method, the average value of refractive power was -3.3273D for -3.0000 D, -7.1306 D for -7.0000 D and -10.2944 D for -10.0000 D, respectively. In case of contact lens holder method, the average value of refractive power was -3.1060 D for -3.0000 D, -7.0028 D for -7.0000 D and -10.2611 D for -10.0000 D, respectively. In measurement of all diopters, the accuracy of contact lens holder method was better than spectacle lens holder method. Conclusions: From these results, it is judged that the refractive power of soft contact lens by manual lensmeter with contact lens holder have a higher accuracy than spectacle lens holder.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.4
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• pp.339-346
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• 2010

Purpose: The study was performed to compare the difference of non-invasive tear break-up time (NIBUT) with alignment or steep fitting of soft contact lens in normal and dry eyes. Methods: Total 40 eyes (aged 20~30 years) were classified to the normal (n=20) or dry eye group (n=20) by the diagnosis methods for dry eyes and worn soft contact lens (polymacon material) with alignment or steep fitting. NIBUTs of lens wearers were separately measured at the points of before wearing, immediately after wearing and after stabilization of tear film. Results: With alignment fitting, averaged NIBUT in the dry eye group after stabilization of tear film was not significantly different from that of the normal eye group. However, averaged NIBUTs in the normal and dry eyes had significant difference when measured immediately after lens wearing. However, the number of eyes having NIBUT less than 4.0 second was 30% higher compared to the number of normal eyes with steep fitting when measured immediately after wearing. Some shorten NIBUT in dry eyes with steep fitting was also shown after stabilization of tear film. Conclusions: These results suggest that wearing soft contact lens in dry eyes differently affect tear film compared to normal eyes. Thus, dry eyes need more advertent fitting for contact lens wearing because of unstable tear film.